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. 2014 Nov 20;5(3):91-7.
eCollection 2014 Jul.

Root canal obturation: experimental study on the thermafil system related to different irrigation protocols

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Root canal obturation: experimental study on the thermafil system related to different irrigation protocols

Guido Migliau et al. Ann Stomatol (Roma). .

Abstract

Aim: The aim of this study was to stress the ability of a specific obturation technique (thermafil technique) to seal root canal system in presence or absence of smear layer.

Methodology: Sixteen monoradicular teeth, extracted for periodontal reasons, were collected for this study. All specimens were prepared with nickel-titanium rotary files, and then divided into two groups: for each group was applied a different kind of irrigation method, verifying the effectiveness in removing the smear layer, thus rendering the dentinal tubules more permeable for penetration of softened gutta-percha. Thermafil system was used to fill the root canals, and then all the specimens were observed under scanning electron microscope (SEM).

Results: The results showed that the Group which followed irrigation only with sodium hypochlorite exhibited significantly less gutta-percha tags when compared to the second Group, which was irrigated with sodium hypochlorite and EDTA.

Conclusion: The thermafil systems have a very good quality of compression and fluency that permit to gain a good seal of endodontic space; furthermore it allows the penetration of gutta-percha with the formation of numerous of gutta-percha tags inside the dentinal tubules above all when smear layer is reduced or eliminated.

Keywords: EDTA (Ethylene diaminetetraacetic acid); dentinal tubules; gutta-percha tags; smear layer; sodium hypochlorite; thermafil.

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Figures

Figure 1
Figure 1
Thermafil obturation of the specimens.
Figure 2
Figure 2
X-ray of a specimen.
Figure 3
Figure 3
The teeth were immersed in hydrochloric acid 15% to obtain the dissolution of inorganic part.
Figure 4
Figure 4
(SEM, 1000 x) Gutta-percha in the coronal third of canal (only Naocl).
Figure 5
Figure 5
(SEM, 1000 x) Gutta-percha in middle third of canal (only Naocl).
Figure 6
Figure 6
(SEM, 1000 x) Gutta-percha in apical third of canal (only Naocl).
Figure 7
Figure 7
(SEM, 1000 x) Gutta-percha in the coronal third of canal (Naocl+EDTA).
Figure 8
Figure 8
(SEM, 1000 x) Gutta-percha in the middle third of canal (Naocl+EDTA).
Figure 9
Figure 9
(SEM, 5000 x) Gutta-percha in the apical third of canal (Naocl +EDTA).

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