A Comparative Study of the Quality of Apical Seal in Resilon/Epiphany SE Following Intra canal Irrigation With 17% EDTA, 10% Citric Acid, And MTAD as Final Irrigants – A Dye Leakage Study Under Vacuum
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 2
Abstract
Introduction: Adequate apical sealing ability of the root canal filling material is an essential requisite for a successful endodontic therapy. Various endodontic irrigants are used for the removal of smear layer before obturating with a solid core material, thereby, reducing microleakage and improving apical seal. Resilon, a synthetic material was developed as an alternative to replace the conventional gutta-percha (standard root canal filling material) and traditional sealers for the obturation of endodontically treated teeth. Aim: To evaluate and compare in-vitro, the post obturation apical seal obtained with Resilon /Epiphany SE (Self Etch) sealer following irrigation with 17% Ethylenediamine TetraAcetic Acid (EDTA), 10% citric acid, and MTAD (a mixture of doxycycline, citric acid, and a detergent, Tween 80), as final irrigants in combination with Sodium hypochlorite (NaOCl) using dye leakage under vacuum method. Materials and Methods: Fifty five single rooted human maxillary central incisors were subjected to root canal instrumentation. Based on the final irrigation solution, samples were divided into three experimental groups (n=15); (I) 17% EDTA + 1.3% NaOCl, (II) 10% citric acid + 1.3% NaOCl, (III) MTAD + 1.3% NaOCl and two control groups (positive and negative) with 0.9% normal saline as a final irrigant. The samples were obturated with resilon/ epiphany SE sealer according to manufacturer instructions and placed in 2% rhodamine B dye solution under vacuum pressure for 30 minutes and allowed to remain in the dye for seven days. All samples were then longitudinally split and examined for dye leakage under stereomicroscope and the data were statistically analysed using one-way ANOVA and post hoc tukey test. Results: Statistically significant difference (p=0.001) was observed in the mean apical leakage between the experimental and the control groups. However, there was no significant difference (p>0.05) observed in the mean apical leakage amongst the three experimental groups. Conclusion: 17% EDTA, 10% citric acid, and MTAD were equally effective in achieving the post-obturation apical seal with resilon/epiphany SE sealer when used as a final irrigant in combination with NaOCl.
Authors and Affiliations
Saravana Karthikeyan Balasubramanian, Vidya Saraswathi, Nidambur Vasudev Ballal, Shashi Rashmi Acharya, J. Sivakumar Sampath, Sandeep Singh
Keywords
Related Articles
- EP ID EP333281
- DOI 10.7860/JCDR/2017/21420.9256
- Views 92
- Downloads 0
Extramedullary Plasmacytoma Presenting as Lung Cancer
ABSTRACT Extramedullary Plasmacytoma (EMP) is a rare plasma cell tumour without any other systemic characteristics of multiple myeloma. They are commonly observed in tissues of the upper aerodigestive tract and are extre...
Estimation of Height from Arm Span in 6-11 Years Children in Odisha, India
Introduction: Standing height is an important anthropometric parameter to track longitudinal growth, to estimate body fatness and to calculate energy requirement. Measurement of height may be difficult in children who ca...
Immediate Extraction or Delayed Extraction: A Common Factor for Parents and Dentists to Consider in the Dental Management of Shark Teeth
Letter to Editor
Interruption Regions in the White Line: A Novel Panoramic Finding in the Risk Assessment of Mandibular Canal Exposure by Third Molar
ABSTRACT Introduction: Panoramic markers are the indicators which can be demonstrated in panoramic radiograph to aid in dental diagnosis. Several panoramic markers were developed as diagnostic approach to predict Mandibu...
The Relationship between Location and Size of Nephrolith in the Pelvicalyceal System
ABSTRACT Introduction: Nephrolithiasis is a common health problem worldwide. Both location and size of nephrolith are essential factors in planning of clinical management. Due to lack of previous studies on the relation...