An experimental study of the sealing ability of a dentinal apical plug treated with bonding agent

In vitro study of the effects of Nd:YAG laser irradiation on the apical sealing of endodontic fillings performed with and without dentin plugs

OBJECTIVE

The aim of this study was to evaluate the effects of Nd:YAG laser irradiation on the apical sealing of root canal fillings with or without a dentin plug.

BACKGROUND DATA

Previous studies have shown that Nd:YAG laser irradiation of root canal wall dentin promotes its melting, recrystallization, and therefore a less permeable surface.

MATERIALS AND METHODS

Thirty extracted and endodontically treated teeth were divided into three groups. Eight specimens of each group were evaluated by means of quantitative analysis, measuring the marginal apical dye leakage. The remaining two specimens were evaluated by means of qualitative analysis, using the scanning electron microscopy (SEM). For the quantitative analysis, the samples of group I were obturated. In group II, the apical third of the samples were irradiated by the Nd:YAG laser at four exposures of 100 mJ/pulse, 1 W, 10 Hz, 3 sec, and obturated. In group III, an apical dentin plug was condensed and lased using the same parameters of group II, and the root canals were obturated. The samples evaluated by SEM were prepared as those analyzed quantitatively; however, their root canals were not filled.

RESULTS

There were statistically significant differences among the groups regarding dye leakage. Group II showed the minor leakage average, followed, in order, by groups I and III. SEM analysis revealed open dentinal tubules in group I; melting and recrystallizing of the apical root dentin in group II; and melting and recrystallizing of a portion of the dentin plug in group III.

CONCLUSION

The Nd:YAG laser irradiation of the root canal apical third without the presence of dentin plug significantly improved the quality of the apical sealing under the experimental conditions tested.

Apical seal of roots obturated with laterally condensed gutta-percha, epoxy resin cement, and dentin bonding agent

The apical seal of roots obturated with either of two kinds of dentin bonding agent, gutta-percha and epoxy-resin-based root canal sealer, was compared by a die leakage test with that of an epoxy resin root canal sealer and gutta-percha without a bonding agent. Thirty-two roots were prepared chemomechanically and divided into three experimental groups. Group 1 was filled with gutta-percha, epoxy-resin sealer, and All-Bond 2 Adhesive. Group 2 was filled with gutta-percha, epoxy-resin sealer, and Scotchbond Multi-Purpose Plus adhesive. Group 3 was filled with gutta-percha and epoxy resin sealer. The teeth were immersed in 2% methylene blue solution. Groups 1 and 2 leaked significantly less than group 3. The materials most frequently observed at the apex were in group 1 dental adhesive and in group 2 gutta-percha. The interface between dentin and the adhesive materials in groups 1 and 2 was examined by scanning electron microscope and showed a hybrid-like layer.