Comparative Evaluation of the Quality and Homogeneity of Different Obturating Systems Using Cone-beam Computed Tomography - An Study

Overview

Journal J Conserv Dent Endod

Date 2023 Sep 14

PMID 37705542

Authors

Grusha Gupta

Munish Singla

Harleen Kaur

Litik Mittal

Saloni Gupta

Savrose Kaur

Affiliations

Soon will be listed here.

Abstract

Aim: The aim of this study was to evaluate the homogeneity and quality of different obturating systems using cone-beam computed tomography (CBCT).

Materials And Methods: One hundred and twenty extracted maxillary and mandibular molars were included in this study which was decoronated first and then dissected into palatal and distal roots. After working length determination, all the roots were biomechanically prepared with ProTaper universal system. The prepared roots were evaluated using CBCT, and volumetric analysis was done. Samples were then randomly divided into three groups corresponding to the obturation method used - cold lateral compaction technique, single-cone technique, and BeeFill 2 in 1 system. After obturation, CBCT imaging and volumetric analyses were performed again to compare and analyze the amount of volume of obturation in different obturating techniques. To standardize the volume, pre-and postobturation images were superimposed. To avoid errors, for each section, measurements were repeated three times and the means were calculated.

Statistical Analysis Used: The data were statistically analyzed using one-way analysis of variance, followed by post hoc test.

Results: Results showed a statistically significant difference of the single cone with lateral compaction and the BeeFill system ( < 0.001). Maximum volume of obturating material was found in BeeFill at all levels - Coronal, middle, and apical, followed by cold lateral compaction and single-cone technique ( < 0.001).

Conclusion: It could be concluded that the thermoplasticized obturating technique can be a better choice for obturation rather than the single cone and lateral compaction technique.

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References

Dadresanfar B, Khalilak Z, Shiekholeslami M, Afshar S . Comparative study of the sealing ability of the lateral condensation technique and the BeeFill system after canal preparation by the Mtwo NiTi rotary system. J Oral Sci. 2010; 52(2):281-5. DOI: 10.2334/josnusd.52.281. View

Vishwanath V, Rao H . Gutta-percha in endodontics - A comprehensive review of material science. J Conserv Dent. 2019; 22(3):216-222. PMC: 6632621. DOI: 10.4103/JCD.JCD_420_18. View

Kandaswamy D, Venkateshbabu N, Krishna R, Hannah R, Arathi G, Roohi R . Comparison of laterally condensed, vertically compacted thermoplasticized, cold free-flow GP obturations - A volumetric analysis using spiral CT. J Conserv Dent. 2010; 12(4):145-9. PMC: 2879726. DOI: 10.4103/0972-0707.58334. View

Somma F, Cretella G, Carotenuto M, Pecci R, Bedini R, De Biasi M . Quality of thermoplasticized and single point root fillings assessed by micro-computed tomography. Int Endod J. 2011; 44(4):362-9. DOI: 10.1111/j.1365-2591.2010.01840.x. View

Collins J, Walker M, Kulild J, Lee C . A comparison of three gutta-percha obturation techniques to replicate canal irregularities. J Endod. 2006; 32(8):762-5. DOI: 10.1016/j.joen.2005.10.001. View

Jindal D, Sharma M, Raisingani D, Swarnkar A, Pant M, Mathur R . Volumetric analysis of root filling with cold lateral compaction, Obtura II, Thermafil, and Calamus using spiral computerized tomography: An Study. Indian J Dent Res. 2017; 28(2):175-180. DOI: 10.4103/0970-9290.207785. View

Schilder H . Filling root canals in three dimensions. 1967. J Endod. 2006; 32(4):281-90. DOI: 10.1016/j.joen.2006.02.007. View

Emmanuel S, Shantaram K, Sushil K, Manoj L . An In-Vitro Evaluation and Comparison of Apical Sealing Ability of Three Different Obturation Technique - Lateral Condensation, Obtura II, and Thermafil. J Int Oral Health. 2013; 5(2):35-43. PMC: 3768066. View

Ansari B, Umer F, Khan F . A clinical trial of cold lateral compaction with Obtura II technique in root canal obturation. J Conserv Dent. 2012; 15(2):156-60. PMC: 3339011. DOI: 10.4103/0972-0707.94591. View

10.

Ho E, Chang J, Pan Cheung G . Quality of root canal fillings using three gutta-percha obturation techniques. Restor Dent Endod. 2016; 41(1):22-8. PMC: 4751203. DOI: 10.5395/rde.2016.41.1.22. View

11.

Gupta R, Dhingra A, Panwar N . Comparative Evaluation of Three Different Obturating Techniques Lateral Compaction, Thermafil and Calamus for Filling Area and Voids Using Cone Beam Computed Tomography: An Invitro study. J Clin Diagn Res. 2015; 9(8):ZC15-7. PMC: 4576632. DOI: 10.7860/JCDR/2015/12218.6279. View

12.

Faus-Llacer V, Collado-Castellanos N, Alegre-Domingo T, Dolz-Solsona M, Faus-Matoses V . Measurement of the percentage of root filling in oval-shaped canals obturated with Thermafil Obturators and Beefill 2in1: In vitro study. J Clin Exp Dent. 2015; 7(2):e299-303. PMC: 4483341. DOI: 10.4317/jced.52177. View

13.

Kumaran P, Sivapriya E, Indhramohan J, Gopikrishna V, Savadamoorthi K, PradeepKumar A . Dentinal defects before and after rotary root canal instrumentation with three different obturation techniques and two obturating materials. J Conserv Dent. 2013; 16(6):522-6. PMC: 3842720. DOI: 10.4103/0972-0707.120968. View

14.

Chokkalingam M, Ramaprabha , Kandaswamy D . Three-dimensional helical computed tomographic evaluation of three obturation techniques: In vitro study. J Conserv Dent. 2011; 14(3):273-6. PMC: 3198558. DOI: 10.4103/0972-0707.85815. View

15.

Yilmaz A, Karagoz-Kucukay I . In vitro comparison of gutta-percha-filled area percentages in root canals instrumented and obturated with different techniques. J Istanb Univ Fac Dent. 2017; 51(2):37-42. PMC: 5573472. DOI: 10.17096/jiufd.95769. View

16.

Mohamed El Sayed M, Taleb A, Balbahaith M . Sealing ability of three single-cone obturation systems: An in-vitro glucose leakage study. J Conserv Dent. 2013; 16(6):489-93. PMC: 3842713. DOI: 10.4103/0972-0707.120936. View

17.

Maret D, Molinier F, Braga J, Peters O, Telmon N, Treil J . Accuracy of 3D reconstructions based on cone beam computed tomography. J Dent Res. 2010; 89(12):1465-9. DOI: 10.1177/0022034510378011. View