CC BY-NC-ND 4.0 · Eur J Dent 2013; 07(02): 186-190
DOI: 10.4103/1305-7456.110168
Original Article
Dental Investigation Society

Evaluation of two different root-end cavity preparation techniques: A scanning electron microscope study

Seda Aydemir
1   Department of Endodontics, Faculty of Dentistry, Kocaeli University, Kocaeli, Turkiye
,
Hale Cimilli
2   Department of Restrorative Dentistry, Faculty of Dentistry, Marmara University, Istanbul, Turkiye
,
Afife Binnaz Hazar Yoruç
3   Department of Metallurgical and Materials Engineering, Yildiz Technical University, Istanbul, Turkiye
,
Nevin Kartal
2   Department of Restrorative Dentistry, Faculty of Dentistry, Marmara University, Istanbul, Turkiye
› Author Affiliations
Further Information

Publication History

Publication Date:
25 September 2019 (online)

ABSTRACT

Objective: In this study, we aimed to evaluate and compare the dentinal walls of root-end cavities for the presence of cracks after cavity preparation using US retrotips and Er: YAG laser. Materials and Methods: Fifty single-rooted teeth were prepared by Protaper NiTi rotary system and obturated by lateral condensation. Three milimeters of root-end was resected. Twenty teeth were prepared with US retrotip (Group 1), 20 teeth with Er: YAG laser (Group 2), and 10 teeth without retropreparation (control group). The root-end surfaces were examined under a scanning electron microscope (SEM). Then the cracks of the resected root surfaces were evaluated on microphotographs. Results: No statistically significant difference was detected between US Group and Laser Group for complete, incomplete, intradentinal, and total number of cracks (P = 0.47, P = 0.80, P = 0.69, P = 0.869, respectively). Conclusion: Statistical analysis revealed no significant effect of retropreparation technique on the development of apical cracks (P > 0.05).

 
  • REFERENCES

  • 1 Sjogren U, Hagglund B, Sandqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 1990; 16: 498-504
  • 2 Kim S. Endodontic microsurgery. In: Cohen S, Burns R. editors. Pathways of the pulp. 8th ed. St. Lois: Mosby Corp; 2002: p. 683-725
  • 3 Carr G. Advanced techniques and visual enhancement for endodontic surgery. Endod Rep 1992; 7: 6-9
  • 4 Gutmann JL, Saunders WP, Nguyen L, Guo IY. Ultrasonic root-end preparation Part I. SEM analysis. Int Endod J 1994; 27: 318-24
  • 5 Gormann MC, Steiman HR, Gartner AH. Scanning electron microscopic evaluation of root-end preparations. J Endod 1995; 21: 213-7
  • 6 Lloyd A, Jaunberzins A, Dummer PM, Bryant S. Root end cavity preparation using the micromega sonic retroprep tip. SEM analysis. Int Endod J 1996; 29: 295-301
  • 7 Taschieri S, Testori T, Francetti L, Del Fabro M. Effects of ultrasonic root-end preparation on resected root surfaces: SEM evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98: 611-8
  • 8 Beiling KL, Marshal JG, Baumgartner JC. Evaluation of cracks associated ultrasonic root-end preparation of gutta-percha filled canals. J Endod 1997; 23: 323-6
  • 9 Engel TK, Steiman HR. Preliminary investigation of ultrasonic root end preparation. J Endod 1995; 21: 443-5
  • 10 Hibst R, Keller U. Experimental studies of the application of the Er: YAG laser on dental hard substances: I. Measurement of the ablation rate. Lasers Surg Med 1989; 9: 338-44
  • 11 Paghdiwala AF. Root resection of endodontically treated teeth by erbium: YAG laser radiation. J Endod 1993; 19: 91-4
  • 12 Keller U, Hibst R. Experimental studies of the application of the Er: YAG laser on dental hard substances: II. Light microscopic and SEM investigations. Lasers Surg Med 1989; 9: 345-51
  • 13 Gouw-Soares S, Tanji E, Haypek P, Cardoso W, Eduardo CP. The use of Er: YAG, Nd: YAG and Ga-Al-As lasers in periapical surgery: A 3-year clinical study. J Clin Laser Med Surg 2001; 19: 193-8
  • 14 Komori T, Yokoyama K, Matsumoto Y, Matsumoto K. Erbium: YAG and holmium: YAG, laser root resection of extracted human teeth. J Clin Laser Med Surg 1997; 15: 9-13
  • 15 Komori T, Tokoyama K, Takato T, Matsumoto K. Clinical application of the Erbium YAG laser for apicoectomy. J Endod 1997; 23: 748-50
  • 16 Creasy JE, Pete M, Sweet M. Surgical trends among endodontists: The results of a web based survey. J Endod 2009; 35: 30-4
  • 17 Layton CA, Marshall JG, Morgan LA, Baumgartner JC. Evaluation of cracks associated with ultrasonic root-end preparation. J Endod 1996; 22: 157-60
  • 18 Frank RJ, Antrim DD, Bakland LK. Effect of retrograde cavity preparations on root apexes. Endod Dent Traumatol 1996; 12: 100-3
  • 19 Morgan LA, Marshall JG. The topography of root ends resected with fissure burs and refined with two types of finishing burs. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998; 85: 585-91
  • 20 Calzonetti KJ, Iwanowski T, Komorowski R, Friedman S. Ultrasonic root end cavity preparation assessed by an in situ impression technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998; 85: 210-5
  • 21 Gray GJ, Hatton JF, Holtzmann DJ, Jenkins DB, Nielsen CJ. Quality of root-end preparations using ultrasonic and rotary instrumentation in cadavers. J Endod 2000; 26: 281-3
  • 22 Van Arx T, Walker WA. Microsurgical instruments for root-end cavity preparation following apicoectomy: A literature review. Endod Dent Traumatol 2000; 16: 47-62
  • 23 Navarre SW, Steiman R. Root-End fracture during retropreparation: A comparison between zirconium nitride coated and stainless steel microsurgical instruments. J Endod 2002; 28: 330-2
  • 24 Ishikawa H, Sawada N, Kobayashi C, Suda H. Evaluation of root-end cavity preparation using ultrasonic retrotips. Int Endod J 2003; 36: 586-90
  • 25 Taschieri S, Del Fabbro M, Testori T, Francetti L, Weinstein R. Endodontic surgery with ultrasonic retrotips: One-year follow-up. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100: 380-7
  • 26 De Bruyne MA, De Moor RJ. SEM analysis of the integrity of resected root apices of cadaver and extracted teeth after ultrasonic root-end preparation at different intensities. Int Endod J 2005; 38: 310-9
  • 27 Waplington M, Lumley PJ, Walmsley AD. Incidence of root face alteration after ultrasonic retrograde cavity preparation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 83: 387-92
  • 28 Bernardes RA, de Moraes IG, Garcia RB, Bernardineli N, Baldi JV, Victorino FR. et al. Evaluation of apical cavity preparation with a new type of ultrasonic diamond tip. J Endod 2007; 33: 484-7
  • 29 Rainwater A, Jeansonne B, Sarkar N. Effects of ultrasonic root end preparation on microcrack formation and leakage. J Endod 2000; 26: 72-5
  • 30 Khabbaz MG, Kerezoudis NP, Aroni E, Tsatsas V. Evaluation of different methods for the root-end cavity preparation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98: 237-42
  • 31 Peters CI, Peters OA, Barbakow F. An in vitro study comparing root-end cavities prepared by diamond-coated and stainless steel ultrasonic retrotips. Int Endod J 2001; 34: 142-8
  • 32 Weston GD, Moule AJ, Bartold PM. A scanning electron microscopic evaluation of root surfaces and the gutta-percha interface following root-end resection in vitro . Int Endod J 1999; 32: 450-8
  • 33 Gondim Jr E, Gomes BP, Ferraz CC, Teixeira FB, Souza-Filho FJ. Effect of sonic and ultrasonic retrograde cavity preparation on the integrity of root apices of freshly extracted human teeth: Scanning electron microscopy analysis. J Endod 2002; 28: 646-50
  • 34 Tagger M, Tamse A, Katz A, Korzen BH. Evaluation of the apical seal produced by a hybrid root canal filling method, combining lateral condensation and thermatic compaction. J Endod 1984; 10: 299-303
  • 35 Onnink PA, Davis RD, Wayman BE. An in vitro comparison of incomplete root fractures associated with three obturation techniques. J Endod 1994; 20: 32-7
  • 36 Wallace JA. Effect of Waterlase laser retrograde root-end cavity preparation on the integrity of root apices of extracted teeth as demonstrated by light microscopy. Aust Endod J 2006; 32: 35-9
  • 37 Rahimi S, Yavari HR, Shahi S, Zand V, Shakoui S, Reyhani MF. et al. Comparison of the effect of Er, Cr-YSGG laser and ultrasonic retrograde root-end cavity preparation on the integrity of root apices. J Oral Sci 2010; 52: 77-81
  • 38 Janda R. Preparation of extracted natural human teeth for SEM investigations. Biomaterials 1995; 16: 209-17