Evaluation of the radiopacities of four different root canal sealers by digital radiographic technique

Year 2016, Volume: 33 Issue: 2, 75 - 9, 04.05.2016

Özgür Özdemir , İsmail Uzun , Elif Kalyoncuoğlu , Cangül Keskin Buğra Güler

https://doi.org/10.17214/aot.67663

Abstract

OBJECTIVE: The aim of this study was to compare the radiopacities of four different root canal sealers and gutta-percha.

MATERIALS AND METHOD: AH Plus, iRootSP, MTA Fillapex and Sealapex as root canal sealers and gutta-percha cones were tested. Standardized discs of the root canal sealers and the gutta-percha were prepared. Digital radiographs of the discs and an aluminum penetrometer were obtained by using a phosphor plate. The radiographic density of the sealers and the gutta-percha were measured by using the digital radiographic system’s own measurement tool, and equivalent aluminum thicknesses were determined by using an image editing software. Differences among radiopacities of the root canal sealers and the gutta-percha were analyzed using One-way ANOVA and Tukey post-hoc tests.

RESULTS: Aluminum thickness equivalents of the radiopacity values of the samples, in descending order, were: AH Plus, Sealapex, iRootSP, MTA Fillapex and gutta-percha. No significant difference was found between the radiopacity values of AH Plus and Sealapex (p>0.05). There were statistically significant differences between these two groups (AH Plus and Sealapex) and all other experimental groups (p<0.05).

CONCLUSION: AH Plus and Sealapex exhibited the highest radiopacity values among tested groups. In addition, all tested materials fulfilled the minimum standard value requirements suggested by International Standardization Organization and American National Standards Institute.

Keywords

endodontics, root canal filling materials, root canal therapy

Dört farklı kök kanal dolgu patının radyoopasitesinin dijital radyografik teknik kullanılarak değerlendirilmesi

Abstract

AMAÇ: Bu çalışmanın amacı dört farklı kök kanalı dolgu patının ve güta-perkanın radyoopasitelerinin karşılaştırmalı olarak değerlendirilmesidir.

GEREÇ VE YÖNTEM: Çalışmada kök kanal dolgu patı olarak AH Plus, iRoot SP, MTA Fillapex, Sealapex ve güta-perka kon kullanıldı. Kök kanal dolgu patlarından ve güta-perkadan hazırlanan disk şeklindeki standart örneklerin ve aluminyum penetrometrenin dijital radyografileri fosfor plak kullanılarak elde edildi. Kök kanal dolgu patları ile güta-perkanın radyografik densitesi dijital radyografinin kendi yazılımı ile ölçüldü ve eşdeğer aluminyum kalınlığını bulmak amacı ile bir resim düzenleme yazılımı kullanıldı. Kök kanal dolgu patları ve güta-perkanın radyoopasiteleri One-way ANOVA ve post-hoc Tukey analizi kullanılarak karşılaştırıldı.

BULGULAR: Değerlendirilen örneklerin radyoopasite değerlerinin aluminyum değerleri milimetre cinsinden büyükten küçüğe doğru AH Plus, Sealapex, iRoot SP, MTA Fillapex ve güta-perka şeklinde belirlendi. Yapılan istatiksel analiz sonucunda AH Plus ve Sealapex arasında istatiksel olarak anlamlı bir fark bulunamadı (p>0.05). Bu gruplar (AH Plus ve Sealapex) ile diğer tüm gruplar arasındaki fark istatiksel olarak anlamlı bulundu (p<0.05).

SONUÇ: Radyoopasite değeri en fazla olan kanal dolgu materyalleri AH Plus ve Sealapex kök kanal dolgu patlarıdır. Bununla birlikte, çalışmada kullanılan tüm materyallerin radyoopasite değeri, Uluslararası Standartlar Teşkilatı ve Amerikan Ulusal Standartlar Enstitüsü tarafından tavsiye edilen minimum standart değerlerini karşılamıştır.

Keywords

endodonti, kök kanalı dolgu materyalleri, kök kanal tedavisi

References

• Rasimick BJ, Shah RP, Musikant BL, Deutsch AS. Radiopacity of endodontic materials on film and a digital sensor. J Endod 2007;33:1098-101.
• Candeiro GT, Correia FC, Duarte MA, Ribeiro-Siqueira DC, Gavini G. Evaluation of radiopacity, pH, release of calcium ions, and flow of a bioceramic root canal sealer. J Endod 2012;38:842-5.
• Zhang W, Li Z, Peng B. Assessment of a new root canal sealer’s apical sealing ability. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:79–82.
• Tanomaru-Filho M, Bosso R, Viapiana R, Guerreiro-Tanomaru JM. Radiopacity and flow of different endodontic sealers. Acta Odontol Latinoam 2013;26:121-5.
• Silva EJ, Rosa TP, Herrera DR, Jacinto RC, Gomes BP, Zaia AA. Evaluation of cytotoxicity and physicochemical properties of calcium silicate-based endodontic sealer MTA Fillapex. J Endod 2013;39:274-7.
• Meirelles Vidotto AP, Sanches Cunha R, Gregatto Zeferino E, Pedro Rocha DG, Sigrist de Martin A, da Silveira Bueno CE. Comparison of MTA Fillapex radiopacity with five root canal sealers. RSBO 2011;8:404-9.
• Tagger M, Katz A. A standard for radiopacity of root-end (retrograde) filling materials is urgently needed. Int Endod J 2004;37:260-4.
• Bodrumlu E, Gungor K. Radiopacity of an endodontic core material. Am J Dent 2009;22:157-9.
• Gümrü B, Tarçın B, Türkaydın DE, İriboz E, Öveçoğlu HS. Evaluation of the radiopacity of a MTA based root-canal filling material using digital radiography. MÜSBED 2013;3:19-25.
• Canadas PS, Berastequi E, Gaton-Hernandez P, Silva LA, Leite GA, Silva RS. Physicochemical properties and interfacial adaptation of root canal sealers. Braz Dent J 25;5:435-41.
• Tanomaru JM, Cezare L, Gonçalves M, Tanomaru-Filho M. Evaluation of the radiopacity of root canal sealers by digitization of radiographic images. J Appl Oral Sci 2004;12:355-7.
• Eldeniz AU, Erdemir A, Kurtoğlu F, Esener T. Evaluation of pH and calcium ion release of Acroseal sealer in comparison with Apexit and Sealapex sealers. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:86-91.
• Taşdemir T, Yeşilyurt C, Yıldırım T, Er K. Evaluation of the radiopacity of a new root canal paste/sealers by digital radiography. J Endod 2008;34:1388-90.
• Carvalho JR, Correr-Sobrinho L, Correr AB, Sinoreti MA, Consani S, Sousa-Neto MD. Radiopacity of root filling materials using digital radiography. Int Endod J 2007;40:514-20.
• Akcay I, Ilhan B, Dundar N. Comparison of conventional and digital radiography systems with regard to radiopacity of root canal filling materials. Int Endod J 2012;45:730-6.
• Borges AH, Pedro FL, Semanoff-Segundo A, Miranda CE, Pecora JD, Cruz Filho AM. Radiopacity evaluation of Portland and MTA-based cements by digital radiographic system. J Appl Oral Sci 2011;19:228- 32.
• Karagöz I, Küçükay S, Bayırlı G. Factor effecting apikal leakage assesment. J Endod 1993;18:362-5.
• Yoshiura K, Kawazu T, Chikui T, Tatsumi M, Tokumori K, Tanaka T, Assessment of image quality in dental radiography, part 1: phantom validity. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;87:115-22.
• American National Standards Institute/American Dental Association (ANSI/ADA). Specification No. 57, Endodontic sealing materials. New York, 2000.
• International Organization for Standardization (ISO) 6876. Dental root canal sealing materials. Geneva, Switzerland, 2001.
• Eliasson ST, Haasken B. Radiopacity of impression materials. Oral Surg Oral Med Oral Pathol 1979;47:485-91.
• Higginbotham TL. A comparative study of the physical properties of five commonly used root canal sealers. Oral Surg Oral Med Oral Pathol 1967;24:89-101.
• Baksı BG, Eyüboğlu TF, Sen BH, Erdilek N. The Effect of three different sealers on the radiopacity of root fillings in simulated canals. J Endod 2007;103:138-41.
• Beyer-Olsen EM, Orstavik D. Radiopacity of root canal sealers. Oral Surg Oral Med Oral Pathol 1981;51:320-8.
• McComb D, Smith DC. Comparison of physical properties of polycarboxylate-based and conventional root canal sealers. J Endod 1976;2:228-35.
• Orstavik D, Eriksen HM, Beyer-Olsen EM. Adhesive properties and leakage of root canal sealers in vitro. Int Endod J 1983;16:59-63.
• Sundqvist G, Figdor D, Persson S, Sjögren U. Microbiological analysis of teeth with failed endodontic treatment and outcome of conservative retreatment. Oral Surg OralMed Oral Pathol Oral Radiol Endod 1998;85:86-93.