Influence of cavity preparation technique (rotary vs. ultrasonic) on microleakage and marginal fit of six end-root filling materials. 2011

Juan-Ignacio Rosales-Leal, and Victoria Olmedo-Gaya, and Manuel Vallecillo-Capilla, and Juan-de-Dios Luna-del Castillo
Department of Stomatology, (Dental Prosthetics), University of Granada, Granada, Spain. irosales@ugr.es

OBJECTIVE To evaluate in vitro the effect of cavity preparation with microburs and diamond-coated ultrasonic tips on the microleakage and marginal fit of six end-root filling materials. STUDY DESIGN. The following materials were assessed: amalgam (Amalcap), zinc oxide eugenol (IRM), glass ionomer (Vitrebond), compomer (Cavalite), mineral particle aggregate (MTA) and composite (Clearfil). Cavity preparation was performed with microburs or diamond ultrasonic tips in single-root teeth. The seal was evaluated in two experiments: a microleakage assay on the passage of dye to the interface; and a scanning electron microscopy study and analysis of epoxy resin replicas, measuring the size of gaps in the interface between filling material and cavity walls. Multifactorial ANOVA, multiple comparison test and Student 's t test were used for statistical analyses of the data, considering p <0.05 to be significant. RESULTS Clearfil and MTA achieved a hermetic seal. Leakage and interface gap size was greater with Cavalite than with Clearfil and MTA, followed by Vitrebond and IRM. The worst seal was obtained with Amalcap. The use of diamond-coated ultrasonic tips improved the seal and reduced the gap when using materials that did not hermetically seal the cavity (Amalcap, IRM, Cavalite, Vitrebond). The preparation technique did not affect materials that achieved a hermetic seal (Clearfil, MTA). CONCLUSIONS Clearfil and MTA obtained a hermetic seal due to their excellent marginal fit and are the most recommended materials for clinical use, taking account of their sealing capacity. Ultrasonic cavity preparation is preferable because it improves the seal and marginal fit of materials that do not achieve a hermetic seal of the cavity (Amalcap, IRM, Cavalite, Vitrebond).

UI MeSH Term Description Entries
D003737 Dental Cavity Preparation An operation in which carious material is removed from teeth and biomechanically correct forms are established in the teeth to receive and retain restorations. A constant requirement is provision for prevention of failure of the restoration through recurrence of decay or inadequate resistance to applied stresses. (Boucher's Clinical Dental Terminology, 4th ed, p239-40) Cavity Preparation, Dental,Cavity Preparations, Dental,Dental Cavity Preparations,Preparation, Dental Cavity,Preparations, Dental Cavity
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
D012387 Root Canal Filling Materials Materials placed inside a root canal for the purpose of obturating or sealing it. The materials may be gutta-percha, silver cones, paste mixtures, or other substances. (Dorland, 28th ed, p631 & Boucher's Clinical Dental Terminology, 4th ed, p187) Root Canal Filling Material,Root Canal Sealants,Sealants, Root Canal,Canal Sealant, Root,Canal Sealants, Root,Root Canal Sealant,Sealant, Root Canal
D014465 Ultrasonics A subfield of acoustics dealing in the radio frequency range higher than acoustic SOUND waves (approximately above 20 kilohertz). Ultrasonic radiation is used therapeutically (DIATHERMY and ULTRASONIC THERAPY) to generate HEAT and to selectively destroy tissues. It is also used in diagnostics, for example, ULTRASONOGRAPHY; ECHOENCEPHALOGRAPHY; and ECHOCARDIOGRAPHY, to visually display echoes received from irradiated tissues. Ultrasonic

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