An In Vitro Microleakage Evaluation of a New Cold Flowable Gutta-Percha Based Sealer
Year 2022,
Volume: 2 Issue: 1, 28 - 33, 29.04.2022
Tolga Edebal
Lale Zaimoglu
Abstract
Aim: The aim of this study is to evaluate the microleakage of a new cold flowable silicone based sealer after
application to the root canals by different obturation techniques using bacterial leakage method.
Materials and Methods: In our study 100 single rooted maxillar incisor teeth were used. Teeth were caries free and
have straight canals and fully matured apexes. Teeth were divided into four experiment (20 teeth) and two control (10
teeth) groups after decoronated from CEJ. All teeth in experiment groups were root filled by using GuttaFlow due to
the manufacturers manuel and then observed for bacterial leakage for 60 days. Leakage ratios compared between
groups.
Results: In our study Group l (GuttaFlow canal tip and single cone technique) showed least leakage and Group lV
(lentulo and lateral condensation technique) showed most leakage amongst all groups. Also according to the speed of
leakage, Group l was the slowest and Group lV was the fastest amongst all groups. The rate of bacterial leakage was
analysed statistically using Fisher’s Exact Chi-Square Test. The speed of bacterial leakage was analysed statistically
using Kaplan-Meier analyse and Log-Rank Test.
Conclusions: GuttaFlow shows adequate resistance to bacterial leakage if used under the directions of the
manufacturer and applied by a canal tip and single cone technique. Considering the sealing abilities, GuttaFlow can be
a good alternative to existing root canal sealers.
References
- 1. Lin LM, Skribner JE, Gaengler P. Factors associated with endodontic treatment failures. J Endod. 1992; 18(12): 625-7.
- 2. Walton RE and Johnson WT. Principles and Practice of Endodontics. 3rd Edition, Walton RE, Torabinejad M, (eds). Obturation. W.B. Saunders Co.: Philedelphia. 2002: 239-67.
- 3. Çalışkan MK. Endodontide Tanı ve Tedaviler 1. Baskı. Nobel Tıp Kitabevleri: İstanbul. 2006: 400-62.
- 4. Stock CJR, Walker RT, Gulabivala K, Goodman JR. Endodontics. Second ed. Mosby-Wolfe: London. 1997:151-76.
- 5. Gutmann JL, Witherspoon, DE. Pathways of the Pulp 8th edition, S. Cohen and R.C. Burns, (eds). Obturation of the cleaned and shaped root canal system. The C.V. Mosby Co.: St Luis. 2002:293-364
- 6. Himel VT, McSpadden JT, Goodis HE. Pathways of the Pulp, 9nd Ed. Cohen S, Hargreaves M.K.(eds). Instruments, materials and devices. Mosby: St Louis. 2006:263-90.
- 7. Thampibul P, Jantarat J, Arayasantiparb R. Post-treatment apical periodontitis related to the technical quality of root fillings and restorations in Thai population. Aust Endod J. 2019; 45(2): 163-70.
- 8. Hovland EJ and Dumsha TC. Leakage evaluation in vitro of the root canal sealer cement Sealapex. Int Endod J. 1985; 18(3): 179-82.
- 9. Kazemi RB, Safavi KE, Spångberg LS. Dimensional changes of endodontic sealers. Oral Surg Oral Med Oral Pathol. 1993; 76(6): 766-71.
- 10. Kontakiotis EG, Wu MK, Wesselink PR. Effect of sealer thickness on long-term sealing ability: a 2-year follow-up study. Int Endod J. 1997; 30(5): 307-12
- 11. Wu MK, Ozok AR, Wesselink PR. Sealer distribution in root canals obturated by three techniques. Int Endod J. 2000; 33(4): 340-5.
- 12. Gound TG, Riehm RJ, Makkawy HA, Odgaard EC. A description of an alternative method of lateral condensation and a comparison of the ability to obturate canals using mechanical or traditional lateral condensation. J Endod. 2000; 26(12): 756-9.
- 13. Alaçam T. Endodonti. 2.baskı. Ankara: Barış Yayınları,2000: 451-532.
- 14. Johnson WT and Guttmann JL. Obturation of the cleaned and shaped root canal system. Cohen S and Hargreaves MK (eds.) Pathways of the Pulp, 9nd Ed. St Louis:Mosby. 2006: 358-99.
- 15. Shakya VK, Gupta P, Tikku AP, Pathak AK, Chandra A,Yadav RK et al. An Invitro Evaluation of Antimicrobial Efficacy and Flow Characteristics for AH Plus, MTA Fillapex, CRCS and Gutta Flow 2 Root Canal Sealer. J Clin Diagn Res. 2016; 10(8): 104-8.
- 16. Brackett MG, Martin R, Sword J, Oxford C, Rueggeberg F, Tay F, et al.Comparison of seal after obturation techniques using a polydimethylsiloxanebased root canal sealer. J Endod. 2006; 32(12): 1188-90.
- 17. De-Deus G, Brandao MC, Fidel RAS, Fidel SR. The sealing ability of GuttaFlow in oval-shaped canals: an ex vivo study using a polymicrobial leakage model. Int Endod J. 2007; 40(10): 794-9.
- 18.Tay FR, Loushine RJ,Lambrechts P,Weller RN, Pashley DH. Geometric factors affecting dentin bonding in root canals: a theoretical modeling approach. J Endod. 2005; 31(8): 584-9.
- 19.Hammad M, Qualtrough A, Silikas N. Extended setting shrinkage behavior of endodontic sealers. J Endod. 2008; 34(1): 90-3.
- 20.Ørstavik D, Nordahl I, Tibballs JE. Dimensional change following setting of root canal sealer materials. Dent Mater. 2001; 17(6): 512-9.
- 21.Elayouti A, Achleithner C, Löst C, Weiger R. Homogeneity and adaptation of a new gutta-percha paste to root canal walls. J Endod. 2005; 31(9): 687-90.
- 22. Eldeniz AU and Ørstavik D. A laboratory assessment of coronal bacterial leakage in root canals filled with new and conventional sealers. Int Endod J.2009; 42(4): 303-12.
- 23. Savariz A, González-Rodríguez MP, Ferrer-Luque CM. Long-term sealing ability of GuttaFlow versus Ah Plus using different obturation techniques. Med Oral Patol Oral Cir Bucal. 2010; 15(6): 936-41.
- 24. Ozok AR, Lucas WM, Wu MK, Wesselink PR. Sealing ability of a new polydimethylsiloxane-based root canal filling material. J Endod. 2008; 34(2): 204-7.
- 25. Pommel L, Camps J. In vitro apical leakage of system B compared with other filling techniques. J Endod. 2001; 27(7): 449-51
- 26. Prithviraj KJ, Sreegowri, Manjunatha RK, Horatti P, Rao N, Gokul S. In Vitro comparison of the microbial leakage of obturation systems: Epiphany with resilon, guttaflow, and ah plus with gutta percha. Indian J Dent Res. 2020; 31(1): 37-41.
Year 2022,
Volume: 2 Issue: 1, 28 - 33, 29.04.2022
Tolga Edebal
Lale Zaimoglu
References
- 1. Lin LM, Skribner JE, Gaengler P. Factors associated with endodontic treatment failures. J Endod. 1992; 18(12): 625-7.
- 2. Walton RE and Johnson WT. Principles and Practice of Endodontics. 3rd Edition, Walton RE, Torabinejad M, (eds). Obturation. W.B. Saunders Co.: Philedelphia. 2002: 239-67.
- 3. Çalışkan MK. Endodontide Tanı ve Tedaviler 1. Baskı. Nobel Tıp Kitabevleri: İstanbul. 2006: 400-62.
- 4. Stock CJR, Walker RT, Gulabivala K, Goodman JR. Endodontics. Second ed. Mosby-Wolfe: London. 1997:151-76.
- 5. Gutmann JL, Witherspoon, DE. Pathways of the Pulp 8th edition, S. Cohen and R.C. Burns, (eds). Obturation of the cleaned and shaped root canal system. The C.V. Mosby Co.: St Luis. 2002:293-364
- 6. Himel VT, McSpadden JT, Goodis HE. Pathways of the Pulp, 9nd Ed. Cohen S, Hargreaves M.K.(eds). Instruments, materials and devices. Mosby: St Louis. 2006:263-90.
- 7. Thampibul P, Jantarat J, Arayasantiparb R. Post-treatment apical periodontitis related to the technical quality of root fillings and restorations in Thai population. Aust Endod J. 2019; 45(2): 163-70.
- 8. Hovland EJ and Dumsha TC. Leakage evaluation in vitro of the root canal sealer cement Sealapex. Int Endod J. 1985; 18(3): 179-82.
- 9. Kazemi RB, Safavi KE, Spångberg LS. Dimensional changes of endodontic sealers. Oral Surg Oral Med Oral Pathol. 1993; 76(6): 766-71.
- 10. Kontakiotis EG, Wu MK, Wesselink PR. Effect of sealer thickness on long-term sealing ability: a 2-year follow-up study. Int Endod J. 1997; 30(5): 307-12
- 11. Wu MK, Ozok AR, Wesselink PR. Sealer distribution in root canals obturated by three techniques. Int Endod J. 2000; 33(4): 340-5.
- 12. Gound TG, Riehm RJ, Makkawy HA, Odgaard EC. A description of an alternative method of lateral condensation and a comparison of the ability to obturate canals using mechanical or traditional lateral condensation. J Endod. 2000; 26(12): 756-9.
- 13. Alaçam T. Endodonti. 2.baskı. Ankara: Barış Yayınları,2000: 451-532.
- 14. Johnson WT and Guttmann JL. Obturation of the cleaned and shaped root canal system. Cohen S and Hargreaves MK (eds.) Pathways of the Pulp, 9nd Ed. St Louis:Mosby. 2006: 358-99.
- 15. Shakya VK, Gupta P, Tikku AP, Pathak AK, Chandra A,Yadav RK et al. An Invitro Evaluation of Antimicrobial Efficacy and Flow Characteristics for AH Plus, MTA Fillapex, CRCS and Gutta Flow 2 Root Canal Sealer. J Clin Diagn Res. 2016; 10(8): 104-8.
- 16. Brackett MG, Martin R, Sword J, Oxford C, Rueggeberg F, Tay F, et al.Comparison of seal after obturation techniques using a polydimethylsiloxanebased root canal sealer. J Endod. 2006; 32(12): 1188-90.
- 17. De-Deus G, Brandao MC, Fidel RAS, Fidel SR. The sealing ability of GuttaFlow in oval-shaped canals: an ex vivo study using a polymicrobial leakage model. Int Endod J. 2007; 40(10): 794-9.
- 18.Tay FR, Loushine RJ,Lambrechts P,Weller RN, Pashley DH. Geometric factors affecting dentin bonding in root canals: a theoretical modeling approach. J Endod. 2005; 31(8): 584-9.
- 19.Hammad M, Qualtrough A, Silikas N. Extended setting shrinkage behavior of endodontic sealers. J Endod. 2008; 34(1): 90-3.
- 20.Ørstavik D, Nordahl I, Tibballs JE. Dimensional change following setting of root canal sealer materials. Dent Mater. 2001; 17(6): 512-9.
- 21.Elayouti A, Achleithner C, Löst C, Weiger R. Homogeneity and adaptation of a new gutta-percha paste to root canal walls. J Endod. 2005; 31(9): 687-90.
- 22. Eldeniz AU and Ørstavik D. A laboratory assessment of coronal bacterial leakage in root canals filled with new and conventional sealers. Int Endod J.2009; 42(4): 303-12.
- 23. Savariz A, González-Rodríguez MP, Ferrer-Luque CM. Long-term sealing ability of GuttaFlow versus Ah Plus using different obturation techniques. Med Oral Patol Oral Cir Bucal. 2010; 15(6): 936-41.
- 24. Ozok AR, Lucas WM, Wu MK, Wesselink PR. Sealing ability of a new polydimethylsiloxane-based root canal filling material. J Endod. 2008; 34(2): 204-7.
- 25. Pommel L, Camps J. In vitro apical leakage of system B compared with other filling techniques. J Endod. 2001; 27(7): 449-51
- 26. Prithviraj KJ, Sreegowri, Manjunatha RK, Horatti P, Rao N, Gokul S. In Vitro comparison of the microbial leakage of obturation systems: Epiphany with resilon, guttaflow, and ah plus with gutta percha. Indian J Dent Res. 2020; 31(1): 37-41.