Quality of different gutta-percha techniques when filling experimental internal resorptive cavities: a micro-computed tomography study

Aust Endod J. 2014 Dec;40(3):131-5. doi: 10.1111/aej.12043. Epub 2013 Oct 9.

Abstract

The purpose of this ex vivo study was to determine the quality of root fillings in experimental internal resorptive cavities filled using cold lateral condensation (CLC), vertical condensation and Thermafil techniques. Forty-five extracted maxillary canine teeth were selected. After root canal instrumentation, the roots were sectioned horizontally and experimental internal resorption cavities were prepared. The root sections were re-approximated with a luting agent and randomly assigned to three groups (n = 15) to be filled using CLC, vertical condensation and Thermafil, respectively. Assessment of obturation quality in the internal resorptive cavity was performed using a desktop X-ray micro focus computed tomography scanner, and the percentage of gutta-percha (GP), sealer and voiding was calculated for each specimen. Data were statistically analysed using non-parametric tests, with P < 0.05 denoting a statistically significant difference. Vertical condensation filled 96.25 ± 8.31% of the total artificial cavity, and was superior to CLC (63.20 ± 16.87%) and Thermafil (59.26 ± 18.47%). The mean percentage of voids was 3.75 ± 8.31% in the vertical condensation group, 37.09 ± 17.13% in the CLC group and 41.06 ± 18.60% in the Thermafil group. We conclude that obturation of experimental resorption cavities is significantly better when using vertical condensation than when using other GP-based techniques.

Keywords: gutta-percha; internal resorption; micro-computed tomography; sealer; voids.

Publication types

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

MeSH terms

  • Cuspid / diagnostic imaging
  • Dental Pulp Cavity / diagnostic imaging
  • Epoxy Resins / chemistry
  • Epoxy Resins / standards
  • Gutta-Percha / chemistry
  • Gutta-Percha / standards*
  • Humans
  • Imaging, Three-Dimensional / methods
  • Materials Testing
  • Random Allocation
  • Root Canal Filling Materials / chemistry
  • Root Canal Filling Materials / standards*
  • Root Canal Obturation / methods
  • Root Canal Obturation / standards*
  • Root Canal Preparation / methods
  • Root Resorption / diagnostic imaging
  • Root Resorption / therapy*
  • Surface Properties
  • Tooth Apex / diagnostic imaging
  • X-Ray Microtomography / methods*

Substances

  • Epoxy Resins
  • Root Canal Filling Materials
  • epoxy resin-based root canal sealer
  • Gutta-Percha