RETREATABILITY OF BIOCERAMIC SEALERS UESD WITH SINGLE CONE OBTURATION: SEM ASSESSMENT
Abstract
Aim: The aim of this study is to evaluate the retreatability of bioceramic sealers (Endosequence BC, Totalfill BC, MTA-Fillapex) used with single cone obturation technique.
Materials and methods: Root canal of forty single rooted human mandibular premolar teeth were prepared with ProTaper Next rotary system up to X3 and obturated with single cone technique (n=10) using endosequence BC (A), Totallfill BC (B), MTA-Fillapex (C) and Zinc oxide (D) sealer, after two weeks, all samples retreated with ProTaper Universal Retreatment rotary files. regaining of working length and apical patency was evaluated. All samples longitudinally sectioned and assessed by Scanning electron microscope to evaluate the residual filling materials and the data statistically analyzed.
Results: The least amount of residual filling materials was found in group D-ZOE (1.43) followed by group C-MTA-Fillapex (1.50) and B-Totalfill BC (1.57) respectively. While, the greater amount was in group A-Endosequence BC (1.87). Furthermore, the working length was re-gained 100% of all samples. Whereas, the patency regained in group A, B, C and D was 90%, 80%, 90%,100% respectively.
Conclusion: None of the root canal filling materials could be completely removed. The greater amount of residual filling materials was observed in bioceramic sealers than the ZOE sealer. Furthermore, the working length regained 100% of samples. While, there was loss of patency in some cases
Downloads
References
Al- Dahman, Y., and Al- Omari, M. (2021). Retreatability of bioceramic and GuutaFlow bioseal root canal sealers using ProTaper universal system retreatment files: An Ex vivo study. Saudi Endod J.; 11:42-48.
Antunovic, M. Vukmanovic L., Budimir, A, Kabil E, Anic I, Bago I. (2021). Evaluation of sealing ability of four bioceramic root canal sealers and an epoxy resin-based sealer: An in vitro study. Saudi Endod J.; 11:66-72
Athkuri, S., Mandava, J., Chalasani, U., Ravi, RC., Munagapati, VK., Chennareddy, AR. (2019). Effect of different obturating techniques and sealers on the removal of filling materials during endodontic retreatment. J Conserv Dent.;22:578-82
Bramante, CM., Fidelis, NS., Assumpção, TS. (2010). Heat release, time required, and cleaning ability of MTwo R and ProTaper universal retreatment systems in the removal of filling material. J Endod 2010;36(11):1870–1873. DOI: 10.1016/j.joen.2010.08.013.
Carrillo, CA., Kirkpatrick, T., Freeman, K., Makins, SR., Aldabbagh, M., Jeong, JW. (2022). Retrievability of Calcium Silicate-based Root Canal Sealers During Retreatment: An Ex Vivo Study. J Endod.;48(6):781-786.
De Siqueira Zuolo, A., Zuolo, ML., da Silveira Bueno, CE., Chu, R., Cunha, RS. (2016). Evaluation of the Efficacy of TRUShape and Reciproc File Systems in the Removal of Root Filling Material: An Ex Vivo Micro-Computed Tomographic Study. J Endod.;42(2):315-9.
Donyavi, Z., Shokri, A., Pakseresht, Z., Tapak, L., Falahi, A., Abbaspourrokni, H. (2019). Comparative Evaluation of Retreatability of Endodontically Treated Teeth using AH 26, Fluoride Varnish and Mineral Trioxide Aggregate-based Endodontic Sealers. The Open Dentistry Journal.; (13) 183-189.
Ersev, H., Yilmaz, B., Dinçol, ME., Dağlaroğlu, R. (2012). The efficacy of ProTaper Universal rotary retreatment instrumentation to remove single gutta-percha cones cemented with several endodontic sealers. Int Endod J.;45(8):756-62.
Forough Reyhani, M., Ghasemi, N., Rahimi, S., Salem Milani, A., Mokhtari, H., Shakouie, S., Safarvand, H. (2014). Push-Out Bond Strength of Dorifill, Epiphany and MTA-Fillapex Sealers to Root Canal Dentin with and without Smear Layer. Iran Endod J.;9(4):246-50
Hess, D., Solomon, E., Spears, R., He, J. (2011) Retreatability of a bioceramic root canal sealing material. J Endod 37(11):1547– 1549
Kakoura F, Pantelidou O. (2018). Retreatment Efficacy of Endodontic Bioceramic Sealers: A Review of the Literature. Odovtos International Journal of Dental Sciences.;20(2):39-50.
Khalilak, Z., Vatanpour, M., Dadresanfar, B., Moshkelgosha, P., Nourbakhsh, HR. (2013). In vitro comparison of gutta-percha removal with H-File and ProTaper with or without chloroform. Iran Endod J.; 8:6–9
Kim, SR., Kwak, SW., Lee, JK., Goo, HJ., Ha, JH., Kim, HC. (2019). Efficacy and retrievability of root canal filling using calcium silicate-based and epoxy resin-based root canal sealers with matched obturation techniques. Aust Endod J. ;45(3):337-345.
Mufti, DG., Al-Nazhan, SA. (2021). Retreatability of Bioceramic Sealer Using One Curve Rotary File Assessed by Microcomputed Tomography. J Contemp Dent Pract ;22(10): 1175–1183
Nagas, E., Cehreli, Z., Uyanik, MO., Durmaz, V. (2014). Bond strength of a calcium silicate-based sealer tested in bulk or with different main core materials. Braz Oral Res.;28(1)
Obeid, MF., Nagy, MM. (2016). Retreatability of different endodontic sealers using chemical solvents, Tanta Dental Journal.;12(4): 286-291
Oltra, E., Cox, TC., Lacourse, MR., Johnson, JD. Paranjpe, A. (2016). Retreatability of two endodontic sealers, EndoSequence BC Sealer and AH Plus: a microcomputed tomographic comparison.; Restor Dent Endod.19-25.
Pereira, AC., Nishiyama, CK., Pinto, LD. (2012). Single-cone obturation technique: a literature review. RSBO.;9(4):442-447.
Pontoriero, DIK., Madaro, G., Vanagolli, V., Benedicenti, S., Verniani, G., Ferrari Cagidiaco, E., Grandini, S., Ferrari, M. (2021) Sealing ability of a bioceramic sealer used in combination with cold and warm obturation techniques. J Osseointegr ;13(4):248-255.
Reyes-Carmona, JF., Felippe, MCS., Felippe, WT. (2010). The biomineralization ability of mineral trioxide aggregate and Portland cement on dentin enhances the push-out strength. J Endod.;36:286–91.
Salim, Marina de Almeida; Ormiga, Fabiola; Lopes, Ricardo Tadeu; Gusman, Heloisa. Retreatment of mesial roots of mandibular molars filled with resin-based and bioceramic sealers.Braz. j. oral sci; 20: e210432
Santos, LG., Felippe, WT., Souzai, BD., Konrath, AC., Cordeiro, MM. (2017). Radiographic and scanning electron microscopic assessment of root canal filling remnants after endodontic re-instrumentation. Braz. Dent. Sci.; 20:80-91
Sherif, DA., Farag, AM., Darrag, AM., Shaheen, NA. (2017). Evaluation of root canals filled with bioceramic sealer after retreatment with two different techniques. Tanta Dental Journal.; 14:76–82.
Shukri, B., Hadi, MA. (2021). Comparative Assessment of the Bonding Strength of Four Types of Endodontic Sealers Using Push-Out Test. Turkish Journal of Physiotherapy and Rehabilitation ;32(1) :(3).
Simsek, N., Keles, A., Ahmetoglu, F., Ocak, MS., Yologlu, S. (2014) Comparison of different retreatment techniques and root canal sealers: a scanning electron microscope study. Braz Oral Res.; 28:1–7
Teja, KV., and Ramesh, S. (2020). An update on bioceramic sealers. Drug Invent. Today; 14 (3):17-19.
Trierveiler Paiva, RC., Solda, C., Vendramini, F., Vanni, JR., Baldissarelli Marcon, F., João Fornari, V., Martins Hartmann, MS. (2018). Regaining Apical Patency with Manual and Reciprocating Instrumentation during Retreatment. Iran Endod J. ;13(3):351-355.
Uzunoglu, E., Yilmaz, Z., Sungur, DD., Altundasar, E. (2015). Retreatability of Root Canals Obturated Using Gutta-Percha with Bioceramic, MTA and Resin-Based Sealers. Iran Endod J.;10(2): 93-8
Yang, R., Tian, J., Huang, X., Lei, S., Cai, Y., Xu, Z., Wei, X. (2021) A comparative study of dentinal tubule penetration and the retreatability of EndoSequence BC Sealer HiFlow, iRoot SP, and AH Plus with different obturation techniques. Clin Oral Investig.;25(6):4163-4173.
Zhekov, KI., Stefanova, VP. (2020). Retreatability of bioceramic endodontic sealers: a review. Folia Med (Plovdiv).;62(2):258-64
It is the policy of the Journal of Duhok University to own the copyright of the technical contributions. It publishes and facilitates the appropriate re-utilize of the published materials by others. Photocopying is permitted with credit and referring to the source for individuals use.
Copyright © 2017. All Rights Reserved.



