A quantitative and qualitative analysis of ultrasonic versus sonic endodontic systems on canal cleanliness and obturation

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Dec;112(6):809-13. doi: 10.1016/j.tripleo.2011.06.002. Epub 2011 Sep 9.

Abstract

Objective: The purpose of this study was to compare 2 irrigation techniques by evaluating canal cleanliness and obturation of lateral/accessory canals.

Study design: Seventy-five extracted canines were instrumented to a size #40/0.06 taper. The EndoActivator (EA) was compared with an ultrasonic unit for final irrigation. Each unit was used for 1 minute each with 6.15% NaOCl and 17% EDTA. A control group received syringe irrigation. Thirty teeth were sectioned and evaluated for debris removal and open dentinal tubules at 3/5 mm from the apical foramen with a scanning electron microscope. Forty-five teeth were examined for obturation of lateral canals.

Results: The EA was significantly better in removing debris at all levels when compared with other treatment groups (P < .05) and resulted in obturation of significantly more numbers of lateral canals (P < .01.)

Conclusions: The EA provided better obturation of lateral and accessory canals and resulted in less remaining debris.

Publication types

  • Comparative Study

MeSH terms

  • Cuspid / ultrastructure
  • Dental Pulp Cavity / ultrastructure*
  • Dentin / ultrastructure
  • Edetic Acid / administration & dosage
  • Epoxy Resins / therapeutic use
  • Gutta-Percha / therapeutic use
  • Humans
  • Materials Testing
  • Microscopy, Electron, Scanning
  • Root Canal Filling Materials / therapeutic use
  • Root Canal Irrigants / administration & dosage*
  • Root Canal Obturation / methods*
  • Root Canal Preparation / instrumentation
  • Root Canal Preparation / methods*
  • Smear Layer
  • Sodium Hypochlorite / administration & dosage
  • Sonication / instrumentation
  • Sonication / methods*
  • Syringes
  • Therapeutic Irrigation / instrumentation
  • Therapeutic Irrigation / methods
  • Tooth Apex / ultrastructure
  • Ultrasonic Surgical Procedures / instrumentation
  • Ultrasonic Surgical Procedures / methods*

Substances

  • Epoxy Resins
  • Root Canal Filling Materials
  • Root Canal Irrigants
  • epoxy resin-based root canal sealer
  • Gutta-Percha
  • Edetic Acid
  • Sodium Hypochlorite