Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Jul-Sep;9(3):378-381.
doi: 10.4103/1305-7456.163328.

Effect of spreader size on microleakage of roots filled with cold lateral compaction technique

Affiliations

Effect of spreader size on microleakage of roots filled with cold lateral compaction technique

Tugba Turk et al. Eur J Dent. 2015 Jul-Sep.

Abstract

Objectives: To evaluate the effect of spreader size on apical leakage of maxillary incisor teeth.

Materials and methods: A total of 75 permanent human teeth with no carious and no fracture or crack were used for this study. After removing the crown from the cementoenamel junction and the standardization of the root lengths, the specimens were randomly divided into five groups: Group 1 - Roots were not instrumented. Group 2 - Root canals were enlarged using the step-back technique to a #40 file and filled using cold lateral compaction (CLC) of gutta-percha (GP). Group 3 - During the filling procedure, the first spreader used was size 40. Group 4 - The first spreader used was size 35. Group 5 - The initial spreader used was size 25. The amount of leakage through the filled root canals was evaluated by computerized fluid filtration model. Statistical analyzes were done using Kruskal-Wallis test and Mann-Whitney test (P < 0.05).

Results: There were statistically significant differences among the groups (P < 0.05). While the uninstrumented group (Group 1) had no leakage, instrumented but not filled roots (Group 2) demonstrated the highest leakage values. There were no differences between Group 3 and 4. Group 5 showed significantly less leakage than Group 3 and 4.

Conclusion: Spreader size used during CLC of GP appeared to be a significant factor on apical leakage of roots. Using smaller size spreader during CLC may provide relatively less leakage.

Keywords: Cold lateral compaction; microleakage; obturation; root canal filling; spreader.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared

References

    1. Cobankara FK, Adanir N, Belli S, Pashley DH. A quantitative evaluation of apical leakage of four root-canal sealers. Int Endod J. 2002;35:979–84. - PubMed
    1. Gharai SR, Thorpe JR, Strother JM, McClanahan SB. Comparison of generated forces and apical microleakage using nickel-titanium and stainless steel finger spreaders in curved canals. J Endod. 2005;31:198–200. - PubMed
    1. Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: Systematic review of the literature – Part 2. Influence of clinical factors. Int Endod J. 2008;41:6–31. - PubMed
    1. Dummer PM. Comparison of undergraduate endodontic teaching programmes in the United Kingdom and in some dental schools in Europe and the United States. Int Endod J. 1991;24:169–77. - PubMed
    1. Itoh A, Higuchi N, Minami G, Yasue T, Yoshida T, Maseki T, et al. A survey of filling methods, intracanal medications, and instrument breakage. J Endod. 1999;25:823–4. - PubMed