Evaluation of the influence of smear layer removal on the sealing ability of two different obturation techniques

Purpose: This study investigates the effects of Nd:YAG laser irradiation and 17% EDTA irrigation on apical seals with clearing technique, when used prior to two root canal filling techniques. Material and Methods: Sixty freshly extracted human mandibular premolar and canine teeth, each with one root...

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Main Authors: Alper Kustarci, Betül Kaya, Dilara Arslan, Kerem Akpınar
Format: Article
Language:English
Published: Cumhuriyet University 2011-01-01
Series:Cumhuriyet Dental Journal
Online Access:https://dergipark.org.tr/tr/download/article-file/48176
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author Alper Kustarci
Betül Kaya
Dilara Arslan
Kerem Akpınar
author_facet Alper Kustarci
Betül Kaya
Dilara Arslan
Kerem Akpınar
author_sort Alper Kustarci
collection DOAJ
description Purpose: This study investigates the effects of Nd:YAG laser irradiation and 17% EDTA irrigation on apical seals with clearing technique, when used prior to two root canal filling techniques. Material and Methods: Sixty freshly extracted human mandibular premolar and canine teeth, each with one root canal, were instrumented with Protaper rotary nickel-titanium instruments and then randomly divided into six groups according to the final irrigation solutions and Nd:YAG laser irradiation for smear layer removal and obturation techniques employed: Group I: 2.5% sodium hypochlorite (NaOCl) and cold lateral condensation technique, Group II: 17% EDTA and cold lateral condensation technique, Group III: Nd:YAG laser and cold lateral condensation technique, Group IV: 2.5% NaOCl and thermoplasticised injectable gutta-percha technique (Dia-Gun system), Group V: 17% EDTA and Dia-Gun system, Group VI: Nd:YAG laser and Dia-Gun system. After obturation, the root surfaces were coated with a double layer of nail varnish, with the exception of the apical 2 mm, and placed in indian ink for 7 days. All samples were rendered transparent to measure the maximum linear dye penetration.Results: Group 1 showed significantly greater dye leakage compared with groups 5 and 6 (P0.05). Canals obturated with Dia-Gun system showed less mean dye leakage than canals obturated with lateral condensation. Groups, finally irrigated with 17%EDTA and irradiated with Nd:YAG laser, were showed lower mean dye leakage than control groups for both obturation techniques.Conclusion: Under in vitro conditions, we found that smear layer removal improved the ability of the filling materials to prevent the fluid movement. Also, Dia-Gun system showed less apical leakage than cold lateral condensation technique in the presence or absence of the smear layer.Keywords: Apical leakage, Dia-Gun, EDTA, Nd:YAG laser, clearing technique
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spelling doaj.art-46bd1a429c2748fca1e9ec3af09510772023-08-02T07:02:07ZengCumhuriyet UniversityCumhuriyet Dental Journal1302-58052146-28522011-01-0114124322057Evaluation of the influence of smear layer removal on the sealing ability of two different obturation techniquesAlper KustarciBetül KayaDilara ArslanKerem AkpınarPurpose: This study investigates the effects of Nd:YAG laser irradiation and 17% EDTA irrigation on apical seals with clearing technique, when used prior to two root canal filling techniques. Material and Methods: Sixty freshly extracted human mandibular premolar and canine teeth, each with one root canal, were instrumented with Protaper rotary nickel-titanium instruments and then randomly divided into six groups according to the final irrigation solutions and Nd:YAG laser irradiation for smear layer removal and obturation techniques employed: Group I: 2.5% sodium hypochlorite (NaOCl) and cold lateral condensation technique, Group II: 17% EDTA and cold lateral condensation technique, Group III: Nd:YAG laser and cold lateral condensation technique, Group IV: 2.5% NaOCl and thermoplasticised injectable gutta-percha technique (Dia-Gun system), Group V: 17% EDTA and Dia-Gun system, Group VI: Nd:YAG laser and Dia-Gun system. After obturation, the root surfaces were coated with a double layer of nail varnish, with the exception of the apical 2 mm, and placed in indian ink for 7 days. All samples were rendered transparent to measure the maximum linear dye penetration.Results: Group 1 showed significantly greater dye leakage compared with groups 5 and 6 (P0.05). Canals obturated with Dia-Gun system showed less mean dye leakage than canals obturated with lateral condensation. Groups, finally irrigated with 17%EDTA and irradiated with Nd:YAG laser, were showed lower mean dye leakage than control groups for both obturation techniques.Conclusion: Under in vitro conditions, we found that smear layer removal improved the ability of the filling materials to prevent the fluid movement. Also, Dia-Gun system showed less apical leakage than cold lateral condensation technique in the presence or absence of the smear layer.Keywords: Apical leakage, Dia-Gun, EDTA, Nd:YAG laser, clearing techniquehttps://dergipark.org.tr/tr/download/article-file/48176
spellingShingle Alper Kustarci
Betül Kaya
Dilara Arslan
Kerem Akpınar
Evaluation of the influence of smear layer removal on the sealing ability of two different obturation techniques
Cumhuriyet Dental Journal
title Evaluation of the influence of smear layer removal on the sealing ability of two different obturation techniques
title_full Evaluation of the influence of smear layer removal on the sealing ability of two different obturation techniques
title_fullStr Evaluation of the influence of smear layer removal on the sealing ability of two different obturation techniques
title_full_unstemmed Evaluation of the influence of smear layer removal on the sealing ability of two different obturation techniques
title_short Evaluation of the influence of smear layer removal on the sealing ability of two different obturation techniques
title_sort evaluation of the influence of smear layer removal on the sealing ability of two different obturation techniques
url https://dergipark.org.tr/tr/download/article-file/48176
work_keys_str_mv AT alperkustarci evaluationoftheinfluenceofsmearlayerremovalonthesealingabilityoftwodifferentobturationtechniques
AT betulkaya evaluationoftheinfluenceofsmearlayerremovalonthesealingabilityoftwodifferentobturationtechniques
AT dilaraarslan evaluationoftheinfluenceofsmearlayerremovalonthesealingabilityoftwodifferentobturationtechniques
AT keremakpınar evaluationoftheinfluenceofsmearlayerremovalonthesealingabilityoftwodifferentobturationtechniques