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Int Endod J ; 42(3): 208-13, 2009 Mar.
Article in English | MEDLINE | ID: mdl-19228210

ABSTRACT

AIM: To evaluate ex vivo the incidence of defects in root dentine before and after root canal preparation and filling. METHODOLOGY: Eighty extracted mandibular premolars were divided equally in four groups. Group 1 was left unprepared. All other root canals were prepared using Gates Glidden drills and System GT files up to size-40, 0.06 taper at the working length. Group 2 was not filled while the canals of the other groups were filled with gutta-percha and AH26, either with a master cone and passive insertion of secondary gutta percha points (group 3) or lateral compaction (group 4). Roots were then sectioned horizontally 3, 6, and 9 mm from the apex and observed under a microscope. The presence of dentinal defects (fractures, craze lines or incomplete cracks) was noted and the differences between the groups were analysed with the Fisher's exact test. RESULTS: No defects were observed in the roots with unprepared canals. The overall difference between the groups was significant (P < 0.05). Canal preparation alone created significantly more defects than unprepared canals (P < 0.05). The total number of defects after lateral compaction was significantly larger than after noncompaction canal filling. CONCLUSION: Root canal preparation and filling of extracted teeth created dentine defects such as fractures, craze lines and incomplete cracks.


Subject(s)
Dental Pulp Cavity/injuries , Dentin/injuries , Root Canal Preparation/methods , Bicuspid , Bismuth/therapeutic use , Drug Combinations , Epoxy Resins/therapeutic use , Equipment Design , Gutta-Percha/therapeutic use , Humans , Materials Testing , Root Canal Filling Materials/therapeutic use , Root Canal Irrigants/therapeutic use , Root Canal Obturation/adverse effects , Root Canal Obturation/methods , Root Canal Preparation/adverse effects , Root Canal Preparation/instrumentation , Silver/therapeutic use , Sodium Hypochlorite/therapeutic use , Titanium/therapeutic use , Tooth Fractures/etiology , Tooth Fractures/pathology
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