Restorative Dentistry and Endodontics

  • 제49권2호
  • /
  • Pages.20.1-20.13
  • /
  • 2024
  • /
  • 2234-7658(pISSN)
  • /
  • 2234-7666(eISSN)
대한치과보존학회 (The Korean Academy of Conservative Dentistry)
권호 표지
DOI QR코드

DOI QR Code

Nanoleakage of apical sealing using a calcium silicate-based sealer according to canal drying methods

  • Yoon-Joo Lee (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Kyung-Mo Cho (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Se-Hee Park (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Yoon Lee (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Jin-Woo Kim (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University)
  • 투고 : 2023.11.29
  • 심사 : 2024.03.03
  • 발행 : 2024.05.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: This study investigated the nanoleakage of root canal obturations using calcium silicate-based sealer according to different drying methods. Materials and Methods: Fifty-two extracted mandibular premolars with a single root canal and straight root were selected for this study. After canal preparation with a nickel-titanium rotary file system, the specimens were randomly divided into 4 groups according to canal drying methods (1: complete drying, 2: blot drying/distilled water, 3: blot drying/NaOCl, 4: aspiration only). The root canals were obturated using a single-cone filling technique with a calcium silicate-based sealer. Nanoleakage was evaluated using a nanoflow device after 24 hours, 1 week, and 1 month. Data were collected twice per second at the nanoscale and measured in nanoliters per second. Data were statistically analyzed using the Kruskal-Wallis and Mann-Whitney U-tests (p < 0.05). Results: The mean flow rate measured after 24 hours showed the highest value among the time periods in all groups. However, the difference in the flow rate between 1 week and 1 month was not significant. The mean flow rate of the complete drying group was the highest at all time points. After 1 month, the mean flow rate in the blot drying group and the aspiration group was not significantly different. Conclusions: Within the limitations of this study, the canal drying method had a significant effect on leakage and sealing ability in root canal obturations using a calcium silicate-based sealer. Thus, a proper drying procedure is critical in endodontic treatment.

키워드

과제정보

The author thanks Prof. Bo-Mi Shin for her assistance in statistical analysis.

참고문헌

  1. Hosoya N, Nomura M, Yoshikubo A, Arai T, Nakamura J, Cox CF. Effect of canal drying methods on the apical seal. J Endod 2000;26:292-294. https://doi.org/10.1097/00004770-200005000-00011
  2. Ingle JI, Taintor JF. Endodontics. Philadelphia, PA: Lea & Febiger; 1985. 
  3. Tabassum S, Khan FR. Failure of endodontic treatment: the usual suspects. Eur J Dent 2016;10:144-147. https://doi.org/10.4103/1305-7456.175682
  4. DeLong C, He J, Woodmansey KF. The effect of obturation technique on the push-out bond strength of calcium silicate sealers. J Endod 2015;41:385-388. https://doi.org/10.1016/j.joen.2014.11.002
  5. Grossman LI, Oliet S, Del Rio CE. Endodontic practice. Philadelphia, PA: Lea & Febiger; 1988. 
  6. Zhou HM, Shen Y, Zheng W, Li L, Zheng YF, Haapasalo M. Physical properties of 5 root canal sealers. J Endod 2013;39:1281-1286. https://doi.org/10.1016/j.joen.2013.06.012
  7. Poggio C, Arciola CR, Dagna A, Colombo M, Bianchi S, Visai L. Solubility of root canal sealers: a comparative study. Int J Artif Organs 2010;33:676-681. https://doi.org/10.1177/039139881003300914
  8. Garrido AD, Lia RC, Franca SC, da Silva JF, Astolfi-Filho S, Sousa-Neto MD. Laboratory evaluation of the physicochemical properties of a new root canal sealer based on Copaifera multijuga oil-resin. Int Endod J 2010;43:283-291. https://doi.org/10.1111/j.1365-2591.2009.01678.x
  9. Silva Almeida LH, Moraes RR, Morgental RD, Pappen FG. Are premixed calcium silicate-based endodontic sealers comparable to conventional materials? A systematic review of in vitro studies. J Endod 2017;43:527-535. https://doi.org/10.1016/j.joen.2016.11.019
  10. Candeiro GT, Moura-Netto C, D'Almeida-Couto RS, Azambuja-Junior N, Marques MM, Cai S, et al. Cytotoxicity, genotoxicity and antibacterial effectiveness of a bioceramic endodontic sealer. Int Endod J 2016;49:858-864. https://doi.org/10.1111/iej.12523
  11. Troiano G, Perrone D, Dioguardi M, Buonavoglia A, Ardito F, Lo Muzio L. In vitro evaluation of the cytotoxic activity of three epoxy resin-based endodontic sealers. Dent Mater J 2018;37:374-378. https://doi.org/10.4012/dmj.2017-148
  12. Jung S, Sielker S, Hanisch MR, Libricht V, Schafer E, Dammaschke T. Cytotoxic effects of four different root canal sealers on human osteoblasts. PLoS One 2018;13:e0194467.
  13. Cardoso IV, Seixas-Silva ML, Rover G, Bortoluzzi EA, da Fonseca Roberti Garcia L, Teixeira CS. Influence of different root canal drying protocols on the bond strength of a bioceramic endodontic sealer. G Ital Endod 2021;36:151-161. 
  14. Abu Zeid ST, Alnoury A. Characterisation of the bioactivity and the solubility of a new root canal sealer. Int Dent J 2023;73:760-769. https://doi.org/10.1016/j.identj.2023.04.003
  15. Zordan-Bronzel CL, Esteves Torres FF, Tanomaru-Filho M, Chavez-Andrade GM, Bosso-Martelo R, Guerreiro-Tanomaru JM. Evaluation of physicochemical properties of a new calcium silicate-based sealer, Bio-C Sealer. J Endod 2019;45:1248-1252. https://doi.org/10.1016/j.joen.2019.07.006
  16. Souza LC, Neves GS, Kirkpatrick T, Letra A, Silva R. Physicochemical and biological properties of AH Plus Bioceramic. J Endod 2023;49:69-76. https://doi.org/10.1016/j.joen.2022.10.009
  17. Rekha R, Kavitha R, Venkitachalam R, Prabath SV, Deepthy S, Krishnan V. Comparison of the sealing ability of bioceramic sealer against epoxy resin based sealer: a systematic review & meta-analysis. J Oral Biol Craniofac Res 2023;13:28-35. https://doi.org/10.1016/j.jobcr.2022.10.006
  18. Donnermeyer D, Burklein S, Dammaschke T, Schafer E. Endodontic sealers based on calcium silicates: a systematic review. Odontology 2019;107:421-436. https://doi.org/10.1007/s10266-018-0400-3
  19. Wang JS, Bai W, Wang Y, Liang YH. Effect of different dentin moisture on the push-out strength of bioceramic root canal sealer. J Dent Sci 2023;18:129-134. https://doi.org/10.1016/j.jds.2022.06.025
  20. Ozlek E, Gunduz H, Akkol E, Neelakantan P. Dentin moisture conditions strongly influence its interactions with bioactive root canal sealers. Restor Dent Endod 2020;45:e24.
  21. Al-Haddad AY, Kutty MG, Abu Kasim NH, Che Ab Aziz ZA. The effect of moisture conditions on the constitution of two bioceramic-based root canal sealers. J Dent Sci 2017;12:340-346.  https://doi.org/10.1016/j.jds.2017.03.008
  22. Paula AC, Brito-Junior M, Araujo CC, Sousa-Neto MD, Cruz-Filho AM. Drying protocol influence on the bond strength and apical sealing of three different endodontic sealers. Braz Oral Res 2016;30:S1806-83242016000100248. https://doi.org/10.1590/1807-3107BOR-2016.vol30.0050
  23. Razmi H, Bolhari B, Karamzadeh Dashti N, Fazlyab M. The effect of canal dryness on bond strength of bioceramic and epoxy-resin sealers after irrigation with sodium hypochlorite or chlorhexidine. Iran Endod J 2016;11:129-133.
  24. Khurana N, Chourasia HR, Singh G, Mansoori K, Nigam AS, Jangra B. Effect of drying protocols on the bond strength of bioceramic, MTA and resin-based sealer obturated teeth. Int J Clin Pediatr Dent 2019;12:33-36. https://doi.org/10.5005/jp-journals-10005-1589
  25. Starkey DL, Anderson RW, Pashley DH. An evaluation of the effect of methylene blue dye pH on apical leakage. J Endod 1993;19:435-439. https://doi.org/10.1016/S0099-2399(06)80529-7
  26. Wimonchit S, Timpawat S, Vongsavan N. A comparison of techniques for assessment of coronal dye leakage. J Endod 2002;28:1-4. https://doi.org/10.1097/00004770-200201000-00001
  27. Tselnik M, Baumgartner JC, Marshall JG. Bacterial leakage with mineral trioxide aggregate or a resin-modified glass ionomer used as a coronal barrier. J Endod 2004;30:782-784. https://doi.org/10.1097/00004770-200411000-00008
  28. Benner MD, Peters DD, Grower M, Bernier WE. Evaluation of a new thermoplastic gutta-percha obturation technique using 45Ca. J Endod 1981;7:500-508. https://doi.org/10.1016/S0099-2399(81)80112-4
  29. Czonstkowsky M, Michanowicz A, Vazquez JA. Evaluation of an injection of thermoplasticized low-temperature gutta-percha using radioactive isotopes. J Endod 1985;11:71-74. https://doi.org/10.1016/S0099-2399(85)80122-9
  30. Gunes B, Aydinbelge HA. Assessment of the sealing ability of resin based root-canal sealers using glucose leakage model. Selcuk Dent J 2017;4:116-122. 
  31. Hwang HK, Park SH, Lee YJ. Comparative study on the apical sealing ability according to the obturation techniques. J Korean Acad Conserv Dent 2002;27:290-298. https://doi.org/10.5395/JKACD.2002.27.3.290
  32. Asawaworarit W, Pinyosopon T, Kijsamanmith K. Comparison of apical sealing ability of bioceramic sealer and epoxy resin-based sealer using the fluid filtration technique and scanning electron microscopy. J Dent Sci 2020;15:186-192. https://doi.org/10.1016/j.jds.2019.09.010
  33. Lee IB, Kim MH, Kim SY, Chang JH, Cho BH, Son HH, et al. Development of nano-fluid movement measuring device and its application to hydrodynamic analysis of dentinal fluid. J Korean Acad Conserv Dent 2008;33:141-147. https://doi.org/10.5395/JKACD.2008.33.2.141
  34. Orucoglu H, Sengun A, Yilmaz N. Apical leakage of resin based root canal sealers with a new computerized fluid filtration meter. J Endod 2005;31:886-890. https://doi.org/10.1097/01.don.0000164134.79052.b3
  35. Pashley DH, Matthews WG, Zhang Y, Johnson M. Fluid shifts across human dentine in vitro in response to hydrodynamic stimuli. Arch Oral Biol 1996;41:1065-1072. https://doi.org/10.1016/S0003-9969(96)00059-3
  36. Kolker JL, Vargas MA, Armstrong SR, Dawson DV. Effect of desensitizing agents on dentin permeability and dentin tubule occlusion. J Adhes Dent 2002;4:211-221.
  37. Ratih DN, Palamara JE, Messer HH. Dentinal fluid flow and cuspal displacement in response to resin composite restorative procedures. Dent Mater 2007;23:1405-1411. https://doi.org/10.1016/j.dental.2006.11.029
  38. Moraes TG, Menezes AS, Grazziotin-Soares R, Moraes RU, Ferreira PV, Carvalho CN, et al. Impact of immersion media on physical properties and bioactivity of epoxy resin-based and bioceramic endodontic sealers. Polymers (Basel) 2022;14:729.
  39. Urban K, Neuhaus J, Donnermeyer D, Schafer E, Dammaschke T. Solubility and pH value of 3 different root canal sealers: a long-term investigation. J Endod 2018;44:1736-1740. https://doi.org/10.1016/j.joen.2018.07.026
  40. Neelakantan P, Subbarao C, Subbarao CV, De-Deus G, Zehnder M. The impact of root dentine conditioning on sealing ability and push-out bond strength of an epoxy resin root canal sealer. Int Endod J 2011;44:491-498. https://doi.org/10.1111/j.1365-2591.2010.01848.x