Thursday, November 29, 2018

The Impact of Heat and Vibration on the Density of Root Filings Produced by Lateral Compaction: A Comparative Study on Artificial Blocks and Natural #Teeth by Eleftherios Terry R Farmakis in BJSTR

Abstract

Background: Cold lateral condensation due to its simplicity and the high control it offers over the apical gutta-percha placement is among the most popular and widely used methods of #rootcanal filling. One of the main limitations of this technique is that it allows gaps to form, often resulting in a high percentage of sealer along and between the #cones, especially in the apical area.
Objective: To evaluate gutta-percha obturations density produced by cold, warm and vibrating-warm lateral compaction techniques in artificial and natural root canals
Methods: Forty acrylic blocks and 40 single-rooted extracted teeth were instrumented using ProTaper® rotary files up to F3. The canals were laterally compacted with #gutta-percha, weighed and subjected to warm lateral compaction followed by vibrating-warm lateral compaction. The teeth and blocks were re-weighed following each phase. The added gutta-percha in each phase was compared with the control (cold lateral compaction). The Wilcoxon Signed Ranks test and the Mann-Whitney test were used for #statisticalanalysis.
Results: Warm lateral compaction increased the density of gutta-percha compared to with cold lateral compaction in blocks and root canals by 23.5% and 25%, respectively (p < 0.001). Warm and vibrating compaction further increased the gutta-percha’s density by 33% and 53%, respectively (p< 0.001).

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