The effects of canal preparation and filling on the incidence of dentinal defects

Int Endod J. 2009 Mar;42(3):208-13. doi: 10.1111/j.1365-2591.2008.01502.x.

Abstract

Aim: To evaluate ex vivo the incidence of defects in root dentine before and after root canal preparation and filling.

Methodology: Eighty extracted mandibular premolars were divided equally in four groups. Group 1 was left unprepared. All other root canals were prepared using Gates Glidden drills and System GT files up to size-40, 0.06 taper at the working length. Group 2 was not filled while the canals of the other groups were filled with gutta-percha and AH26, either with a master cone and passive insertion of secondary gutta percha points (group 3) or lateral compaction (group 4). Roots were then sectioned horizontally 3, 6, and 9 mm from the apex and observed under a microscope. The presence of dentinal defects (fractures, craze lines or incomplete cracks) was noted and the differences between the groups were analysed with the Fisher's exact test.

Results: No defects were observed in the roots with unprepared canals. The overall difference between the groups was significant (P < 0.05). Canal preparation alone created significantly more defects than unprepared canals (P < 0.05). The total number of defects after lateral compaction was significantly larger than after noncompaction canal filling.

Conclusion: Root canal preparation and filling of extracted teeth created dentine defects such as fractures, craze lines and incomplete cracks.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bicuspid
  • Bismuth / therapeutic use
  • Dental Pulp Cavity / injuries*
  • Dentin / injuries*
  • Drug Combinations
  • Epoxy Resins / therapeutic use
  • Equipment Design
  • Gutta-Percha / therapeutic use
  • Humans
  • Materials Testing
  • Root Canal Filling Materials / therapeutic use
  • Root Canal Irrigants / therapeutic use
  • Root Canal Obturation / adverse effects
  • Root Canal Obturation / methods
  • Root Canal Preparation / adverse effects
  • Root Canal Preparation / instrumentation
  • Root Canal Preparation / methods*
  • Silver / therapeutic use
  • Sodium Hypochlorite / therapeutic use
  • Titanium / therapeutic use
  • Tooth Fractures / etiology
  • Tooth Fractures / pathology

Substances

  • Drug Combinations
  • Epoxy Resins
  • Root Canal Filling Materials
  • Root Canal Irrigants
  • Silver
  • epoxy resin AH-26
  • Gutta-Percha
  • Titanium
  • Sodium Hypochlorite
  • Bismuth