Comparative evaluation of sealer penetration depth into radicular dentinal tubules using confocal scanning microscope: an in vitro study


Main Article Content

Ambika Sigadam
Kalyan Satish R
Girija S Sajjan
Madhu Varma K
Sita Ram Kumar M
Praveen D

Abstract

Background: Endodontic treatment involves the removal of the vital and necrotic contents of the root canal through chemo-mechanical means followed by obturation of the prepared root canal to prevent the ingress of fluids and avoid bacterial infection or regrowth. Root canal sealers and core filling materials are used together to fill the irregularities in the root. Penetration into the dentinal tubules also results in the inhibition of bacterial regrowth and increases the success of root canal therapy.


Aim: This study aimed to evaluate the penetration depth of various sealers into the dentinal tubules using a confocal microscope.


Materials and methods: A total of 65 specimens were decoronated to standardize the root length of 13mm. Working length was determined, and Biomechanical preparation for all the samples was done with a rotary ProTaper file till F4. Samples were randomly divided into five groups containing 13 teeth in each group based on the sealer used, namely Group 1: Endomethasone (n=13), Group 2: AH-Plus (n=13), Group 3: Roekoseal (n=13), Group 4: MTA Fillapex (n=13), Group 5: Endosequence BC (n=13). All the sealers were labelled with Rhodamine-B dye, and samples were obturated using cold lateral compaction technique. The specimens were sectioned orthogonally at coronal, middle, and apical thirds. All the samples were examined with a Zeiss Pascal Laser Scanning Microscope to examine the sealer penetration depth into the dentinal tubules. The data were subjected to statistical analysis using one- way Analysis of Variance (ANOVA) and Tukey's Honest Significant Difference (HSD) tests.


Results: Endosequence BC showed the highest penetration into dentinal tubules, followed by MTA Fillapex and Roekoseal, AH-Plus, and Endomethasone exhibited the least penetration.


Conclusion: Endosequence BC sealer exhibited maximum penetration. All the groups showed maximum penetration at coronal third, followed by the middle and apical third.

Article Details


How to Cite
Sigadam, A., R, K. S., Sajjan, G. S., K, M. V., M, S. R. K., & D, P. (2020). Comparative evaluation of sealer penetration depth into radicular dentinal tubules using confocal scanning microscope: an in vitro study. International Journal of Dental Materials, 2(3), 69–74. https://doi.org/10.37983/IJDM.2020.2301
Author Biographies

Kalyan Satish R, Vishnu Dental College

Professor, Department of Conservative Dentistry and Endodontics, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India-534202. Email: rkalyansatish@vdc.edu.in

Girija S Sajjan, Vishnu Dental College

Professor and Head of the Department, Department of Conservative Dentistry and Endodontics, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India-534202. Email: girijasajjan@vdc.edu.in

Madhu Varma K, Vishnu Dental College

Professor, Department of Conservative Dentistry and Endodontics, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India-534202. Email: madhuvarma.k@vdc.edu.in

Sita Ram Kumar M, Vishnu Dental College

Sita Ram Kumar M, MDS, Reader, Department of Conservative Dentistry and Endodontics, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India-534202. Email: sitaramrajubds@gmail.com

Praveen D, Vishnu Dental College

Reader, Department of Conservative Dentistry and Endodontics, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India-534202. Email: praveendalavai@vdc.edu.in

References

  1. Chandra SS, Shankar P, Indira R. Depth of penetration of four resin sealers into radicular dentinal tubules: a confocal microscopic study. J Endod. 2012:1;38(10):1412-6.
  2. https://doi.org/10.1016/j.joen.2012.05.017
  3. Grossman LI. Endodontic Practice, 10th ed. Philadelphia: Lea and Febiger;1988:279.
  4. Gutmann JL, Witherspoon DE. Obturation of the cleaned and shaped root canal system. In: Cohen S, Burns R, eds. Pathways of the Pulp, 8th ed. St Louis, MO: CV Mosby; 2004:293-364.
  5. Oskan T, Aktener O, Sen BH, Tezel H. The penetration of root canal sealers into dentinal tubules: a scanning electron microscope study. Int Endod J 1993;26:301-5.
  6. https://doi.org/10.1111/j.1365-2591.1993.tb00575.x
  7. Ørstavik DA. Materials used for root canal obturation: technical, biological and clinical testing. Endod Top 2005;12:25-38. https://doi.org/10.1111/j.1601-1546.2005.00197.x
  8. Shokouhinejad N, Gorjestani H, Nasseh AA, Hoseini A, Mohammadi M, Shamshiri AR. Push-out bond strength of gutta-percha with a new bioceramic sealer in the presence or absence of smear layer. Aust Endod J. 2013;39(3):102-106. https://doi.org/10.1111/j.1747-4477.2011.00310.x
  9. Koch K, Brave D, Nasseh AA. A review of Bioceramic technology in endodontics. CE article. 2012;4:6-12.
  10. Ersahan S, Aydin C. Dislocation resistance of iRoot SP, a calcium silicate-based sealer, from radicular dentine. J Endod 2010;36(12):2000-2002.
  11. https://doi.org/10.1016/j.joen.2010.08.037
  12. McMichael GE, Primus CM, Opperman LA. Dentinal tubule penetration of tricalcium silicate sealers. J Endod. 2016;42(4):632-6. https://doi.org/10.1016/j.joen.2015.12.012
  13. Akcay M, Arslan H, Durmus N, Mese M, Capar ID. Dentinal tubule penetration of AH Plus, iRoot SP, MTA fillapex, and guttaflow bioseal root canal sealers after different final irrigation procedures: A confocal microscopic study. Lasers Surg and Med. 2016;48(1): 70-6. https://doi.org/10.1002/lsm.22446
  14. Zhou HM, Shen Y, Zheng W, Li L, Zheng YF, Haapasalo M. Physical properties of 5 root canal sealers. J Endod. 2013; 39(10):1281-6. https://doi.org/10.1016/j.joen.2013.06.012
  15. 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. https://doi.org/10.1016/j.joen.2012.06.030
  16. Kadali N, Alla RK, Vineeth G, Ramaraju AV, Suresh Sajjan MC, Raju RV. Mineral Trioxide Aggregate: An overview of composition, properties and clinical applications. Int J Dent Mater 2020;2(1): 11-18. https://doi.org/10.37983/IJDM.2020.2103
  17. Brodin P, Røed A, Aars H, Ørstavik D. Neurotoxic effects of root filling materials on rat phrenic nerve in vitro. J Dent Res. 1982;61(8):1020-3. https://doi.org/10.1177/00220345820610080501
  18. Nikhil V, Bansal P, Sawani S. Effect of technique of sealer agitation on percentage and depth of MTA Fillapex sealer penetration: A comparative in-vitro study. J Clinc Dent. 2015;18(2):119. https://doi.org/10.4103/0972-0707.153073
  19. Kuçi A, Alaçam T, Yava? Ö, Ergul-Ulger Z, Kayaoglu G. Sealer penetration into dentinal tubules in the presence or absence of smear layer: a confocal laser scanning micro-scopic study. J Endod. 2014;40(10):1627-31. https://doi.org/10.1016/j.joen.2014.03.019
  20. Sen BH, Piskin B, Baran N. The effect of tubular penetration of root canal sealers on?dye microleakage. Int Endod J. 1996;29:23-8.
  21. https://doi.org/10.1111/j.1365-2591.1996.tb01355.x
  22. Calt S, Serper A. Smear layer removal by EDTA. J Endod. 2000;26:459-61.??
  23. https://doi.org/10.1097/00004770-200008000-00007