Evaluation of the apical infiltration after root canal disruption and obturation. 2008

João Eduardo Gomes-Filho, and Renato Nicolás Hopp, and Pedro Felício Estrada Bernabé, and Mauro Juvenal Nery, and José Arlindo Otoboni Filho, and Elói Dezan Júnior
Department of Endodontics, Dental School of Araçatuba, State University of São Paulo, Araçatuba, SP, Brazil.

The aim of this study was to evaluate two root canal filling techniques used in teeth that had their apical foramen disrupted and compare the apical infiltration with an ideal clinical situation. Twenty-seven freshly extracted single-rooted teeth were selected and radiographed to confirm the existence of a single and straight root canal. The crowns were removed at a mean distance of 11 mm from the apex. The teeth had the root canals instrumented and were randomly assigned to 3 groups (n=9): ND group - root canals were filled using the lateral compaction technique and no disruption was performed; DRF group - the apical constriction was disrupted by advancing a #40 K-file 1 mm beyond the original working length, the canals were reinstrumented to create an apical ledge at 1 mm from the apical foramen and were obturated with a master gutta-percha cone with same size as the last file used for reinstrumentation; DF group - the teeth had the apical constriction disrupted and the canals were obturated with a master gutta-percha cone that fit at 1 mm from the apex. The teeth were submitted to dye leakage test with Rhodamine B for 7 days, using vaccum on the initial 5 min. The teeth were sectioned longitudinally and the leakage was measured in a linear fashion from apex to crown. There was no statistically significant difference (p>0.05) between the groups that had the apical foramen disrupted (DF, DRF), but significant difference was found between the disrupted groups and the non-disrupted one (p<0.01). In conclusion, none of the evaluated techniques was able to prevent apical infiltration, so working length so the working length determination has to be established and maintained carefully.

UI MeSH Term Description Entries
D003763 Dental Leakage The seepage of fluids, debris, and micro-organisms between the walls of a prepared dental cavity and the restoration. Dental Leakages,Leakage, Dental,Leakages, Dental
D005119 Extravasation of Diagnostic and Therapeutic Materials The escape of diagnostic or therapeutic material from the vessel into which it is introduced into the surrounding tissue or body cavity. Extravasation of Contrast Media,Extravasation of Diagnostic, Therapeutic Materials,Contrast Media Extravasation
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012389 Root Canal Obturation Phase of endodontic treatment in which a root canal system that has been cleaned is filled through use of special materials and techniques in order to prevent reinfection. Endodontic Obturation,Canal Obturation, Root,Canal Obturations, Root,Endodontic Obturations,Obturation, Endodontic,Obturation, Root Canal,Obturations, Endodontic,Obturations, Root Canal,Root Canal Obturations
D018915 Root Canal Preparation Various preparatory steps prior to ROOT CANAL THERAPY by extirpation of diseased pulp and preparation of access cavity to receive the sealing material. Access Cavity Preparation,Endodontics Access Cavity Preparation,Access Cavity Preparations,Preparation, Access Cavity,Preparation, Root Canal,Root Canal Preparations
D019227 Tooth Apex The tip or terminal end of the root of a tooth. (Jablonski, Dictionary of Dentistry, 1992, p62) Apical Foramen,Tooth Apices,Apex, Tooth,Apices, Tooth,Foramen, Apical
D019233 Retreatment The therapy of the same disease in a patient, with the same agent or procedure repeated after initial treatment, or with an additional or alternate measure or follow-up. It does not include therapy which requires more than one administration of a therapeutic agent or regimen. Retreatment is often used with reference to a different modality when the original one was inadequate, harmful, or unsuccessful. Retreatments

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