Fast and easy application results in an effective seal, guarding against secondary infection. A comparison of three guttapercha obturation techniques the. The obturation techniques are classified in conventional and unconventional. Making clinical choices december 1, 2007 by richard e. Recent advances in obturation techniques dental implant. Gutta percha is the most widely used material in root canal obturation because of its relative inertness, lack of toxicity and biocompatibility.
Purton1 1 department of oral rehabilitation and 2 department of oral health, university of otago school of dentistry, dunedin, new. A variety of thermoplasticized gutta percha techniques are available. Cooke and cox 1979 first documented the cshaped canal in endodontic literature. This obturation technique was designed and presented in 1978 by johnson. Another criticism of this thermoplasticized technique is that apical control of the filling material can be difficult at times, and some material may be. The aim of this study was to evaluate the filling of artificially prepared lateral canals using six different guttapercha obturation techniques. Thirtythree extracted mandibular first molars, with two separate mesial. Silver cones are no longer utilised for root canal obturation 9, 10. The use of aphase guttapercha for obturation with sterile paper points has increased as thermoplastic techniques have become. Quality of root canal fillings using three guttapercha obturation. Root canal obturation techniques intelligent dental. Single guttapercha point and sealer with the tendency to preparation techniques of greater taper, guttapercha points of matching taper may be used. Effect of six obturation techniques on filling of lateral canals. Effectiveness of different obturation techniques in the.
Obturation techniques pdf he purpose of the obturation phase of endodontic treatment is to prevent the. However, their inability to fill the irregularly shaped root canal system permitted leakage and resulted in corrosion products that were found to be highly cytotoxic. Comparison of two vertical condensation obturation techniques. Do thermoplastic materials improve the obturation of the root canal. The remaining portion is filled with thermoplasticized gutta percha. This is known as obturation which is done to prevent reinfection of microorganisms into the root canal system. Obturation is the method used to fill and seal a cleaned and shaped root canal using a root canal sealer and core filling material. Although periapical healing starts after root canal cleaning, shaping and disinfection is done, it is an accepted scientific fact that good obturation is needed for it to stay healed over the years.
Evaluation of the sealing ability of three obturation. Do thermoplastic materials improve the obturation of the root. Gp is the most widely used and accepted obturation material 11. An in vitro evaluation of apical sealing ability of. Materials and methods for this study, sixty extracted human single rooted teeth were used. Pdf comparative study regarding two obturation methods. Obturation requires the use of materials and techniques capable of densely filling. The purpose of this article is to describe the authors technique for obturation. Review article various obturation methods used in deciduous teeth. Assessment of obturation will also be discussed, considering those factors which affect outcome of root canal treatment.
A comparison of two guttapercha obturation techniques to replicate canal irregularities in a splittooth model marianella natera, bds,a roberta pileggi, dds, ms,b and uma nair, dmd, mds,c gainesville, florida. To evaluate and compare the sealing ability between the clod lateral condensation, thermoplasticized guttapercha, and flowable guttapercha obturation technique, under a stereomicroscope at. The unconventional technique uses guttapercha thermoplasticized mechanically or by means of heating devices 4. This study draws a comparison, through the transparentization method, focusing on the quality of the canal obturation made with thermoplasticized guttapercha, between two different systems. Pluggers dipped in alcohol are used to compact the gp when it gets cooled. A slightly different method of filling root canals is the core carrier thermoplasticized obturator technique.
The aim of this study was to evaluate the sealing ability of three different canal filling techniques. Carrierbased guttapercha a thermafil thermoplasticized b simplifill sectional obturation 6. Comparative evaluation of newer obturating systems using. The choice depends on the canal anat the choice depends on the canal anat omy and the unique objectives of treatment in each case. I have found that practitioners develop a system that works best in their own hands. Gutta percha and updated obturating techniques medcrave online. A microcomputed tomographybased comparison of root canal. The thermoplasticized guttapercha technique obtura iii max had better adaptability to the canal walls when compared to the flowable guttapercha guttaflow obturation and lateral condensation techniques. Several obturation techniques are available for root canal treatment. Obturation techniques 1 free download as powerpoint presentation. Techniques for obturating root canals include the use of heat or chemicallysoftened gutta percha, injection techniques, ultrasonics, vibration and carriers. However, the hydraulic force from these techniques generally moves guttapercha in one or two unequal directions laterally or apically. Sep 30, 2011 3 thoughts on root canal obturation techniques vicki october 7, 2011 at 10. Obturation techniques several obturation techniques are available for root canal treatment.
A comparison of thermoplastic obturation techniques journal of. Sealing ability of lateral condensation, thermoplasticized guttapercha and flowable guttapercha obturation techniques. A comparative in vitro study nallkkapalayam somasundaram mohan kumar 1, ps prabu 2, neethika prabu 3, shobana rathinasamy 1 1 department of conservative and endodontics, jkk natarajah dental college and hospital, komarapalayam, tamil nadu. Thermoplasticized gutta percha obturation techniques. Warm vertical compaction of the master cone in the downpacking stage while using thermoplasticized injection molding technique for the backpacking stage would give the best outcome as it avoids gutta percha extrusion apically since the temperature of the master. Results both obturation techniques produced root fillings consisting of over 90% guttapercha at most levels, although the percentages of sealer and voids 23 mm from the working length following system b obturation were higher than those. Pdf comparison of two vertical condensation obturation. Different obturation techniques were proposed to achieve a better obturation of these canals 5, 8, 9, 10. Buy dental obturation systems online at best price. Sixtyfour roots of extracted human maxillary anterior teeth were prepared using protaper rotary instruments. Many obturation techniques use lateral or vertical compaction of guttapercha.
Abstract aim to evaluate and compare the sealing ability between the clod lateral condensation, thermoplasticized guttapercha, and flowable guttapercha obturation technique, under a stereomicroscope at. A comparison of two guttapercha obturation techniques to replicate canal irregularities in a splittooth model marianella natera, bds,a roberta pileggi, dds, ms,b and uma nair, dmd, mds,c gainesville, florida department of endodontics. Three dimensional helical computed tomographic evaluation. Comparative study regarding two obturation methods with. Obturation of the root canal must be hermetic to ensure eradication of microorganisms and prevent their regrowth to avoid subsequent periapical diseases 2sev. Often this is a hybrid of several techniques discussed in various articles. To overcome this drawback, bonded resin materials where developed. Hence, the aim of this study was to assess and compare the total volume percentage pov of the root canal filled with gp, as well as pov at three different levelscoronal, middle and apical third of root canals, obturated with cold lateral condensation, singlecone obturation and thermoplasticized gp techniques using sct. Quality of root canal fillings using three guttapercha. After making it more dimensionally stable for thermoplasticized confirming the verifiers on radiograph, canals were dried techniques.
Thank you for taking the time to explain dental conditions and procedures. Among the three obturation techniques evaluated in the. After creating a clean, tapered canal, one must adequately obturate this root canal system. Due to impoper obturation there could be postoperative complications resulting in failure of endodontic therapy. Jasper introduced silver cones and due to their inherent rigidity made them easy to place. Gp is passively injected by squeezing the trigger of the gun. A comparison of two guttapercha obturation techniques to replicate. Gutta percha is versatile, with a long history of use, but the drawback of gutta percha is it does not bond to root canal. The aim of this study was to evaluate the adequacy of two obturation techniques, namely calamus and thermafil via volume rendering method utilizing a three dimensional helical computed tomography. Ideal mechanical, physical and biological properties of obturation materials many materials and techniques for obturation are available on the market. The other obturation techniques available are chemoplasticized forms of gutta percha, custom cone obturation, obturation pastes and a usage of materials such as mineral trioxide aggregate mta to form the apical barrier. A comparison of two guttapercha obturation techniques to.
Qualitative and quantitative comparative evaluation of. Second, it is relatively easy to manage and manipulate, even with complex obturation techniques. Do thermoplastic materials improve the obturation of the. Effect of six obturation techniques on filling of lateral. The choice depends on the canal anatomy and the unique objectives of treatment in each case. Sealing ability of lateral condensation, thermoplasticized. Mounce, dds with the wealth of options available in obturation, it can be a challenge to know which technique to adopt and what the ramifications. The obturation techniques mostly involved a solid cone and sealer combination. A cshaped canal with varying configuration is commonly observed in singlerooted mandibular second molars. The prime source of voids in obturation is the lack of skill, technique chosen for a particular canal anatomy improper canal shaping. There is a hygenic obturation technique to fill every need. The quality of obturation may be influenced by various types of techniques 4. Gp is heated at 1602000 c thermoplasticized injectable guttapercha obturation. Gutta percha and updated obturating techniques medcrave.
Volumetric analysis of root canals obturated with cold. This creates a selfsealing effect which prevents gasses from leaking out of the breech mechanism, without requiring a complex builtin sealing system. Sealing the root canal system with a proper filling material is an important step in determining the success of root canal treatment. The purpose of this study was to compare the ability of high and lowtemperature thermoplasticized injectable gutta percha obturation techniques to obturate a standardized root canal in vitro. First, because of its plasticity, it adapts with compaction to irregularities in prepared canals, especially when thermoplasticized. Effect of thermoplastic filling techniques on the pushout. Newer methods includes the use of injectable, thermoplasticized guttapercha systems, carrier coated with an alpha phase guttapercha, cold flowable obturation materials that combine guttapercha and sealer in one product and. More recently, with the advancement of the rotary instrumentation systems, the singlecone obturation technique has been used. May not fill the canal irregularities as well as warm vertical or thermoplasticized techniques. See bibliography page 16 today, versatility is yours.
Thermoplasticized guttapercha techniques have been developed in an effort to improve the obturation of root canal irregularities, to improve density of the fill. The main advantages of thermoplasticized gutta percha techniques include better adaptation to root canal complexities, lower risk of void formation and creating a dense filling 15,16. Many parelling techniques, materials where developed to improvise the obturation of the root canal. Their rigidity made them easy to place, however their inability to fill the irregularly. Comparative evaluation of newer obturating systems using cone. With the tendency to preparation techniques of greater taper, guttapercha points of matching taper may be used. Another criticism of this thermoplasticized technique is that apical control of the. A comparative in vitro study nallkkapalayam somasundaram mohan kumar 1, ps prabu 2, neethika prabu 3, shobana rathinasamy 1. Grossman, one of the founders of the specialty of endodontics, determined the ideal properties of obturation materials listed in table iii. Ijcdc july dec 2017 vol 7 issue 2 indian journal of. Gutta percha with sealer is the most versatile obturating material. Lateral condensation and warm vertical condensation of guttapercha are techniques that have passed the test of time. Pdf contemporary obturation of the root canal system.
But it has very big disadvantage that it does not bond to the root canal dentin. Gp obturation techniques, cold lateral, warm lateral, and warm vertical. Disadvantage thermoplasticized method has one defect in common with all. Several obturation techniques are used for the filling of root canals. Three dimensional injectable gutta percha system obturation. Sep 16, 2016 elementsfree is kerrs cuttingedge warm obturation system that provides predictable results during endodontic treatments. Thermoplasticized obturation was introduced to overcome the limitations of lateral compaction technique 57. So the aim of this study was to compare the sealing ability of injectable thermoplasticized guttapercha and solid core obturation technique between two groups. Thermoplasticized injection techniques obtura and ultrafil. More importantly, obturation refers to the action of a soft metallic cartridge case being pressed outwards against the chamber walls by the high pressure of the internal gases. Obturation techniques will be described in detail, including advice for those difficult cases such as managing obturation of a canal with a wide open apex. Comparison of two vertical condensation obturation. The goal of this study was to compare the density of guttapercha root fillings obturated with the following techniques. No direct comparisons, however, have been made between the quality of high and lowtemperature thermo plasticized injectable guttapercha obturations.
Perspectives on root canal obturation with thermoplasticized injectable guttapercha. Indian dental academy leader in continuing dental education 2. A microcomputed tomographybased comparison of root. Therefore, a limited ability to fill ovalshaped canals was achieved in the 3 thermoplasticized techniques tested. Third, gp is relatively easy to remove from the rcs, either partially to allow post placement or totally for. Needle backs out of the canal as the apical portion is filled. Advanced thermoplasticized techniques by torabinajed et al.
A comparison of thermoplasticized injectable guttapercha. This study evaluates the effect of two thermoplastic obturation systems microseal and obtura ii on bond strength of different sealers. Root canal obturating materials in 1941 jasper introduced silver cones 16. Pdf management of cshaped root canal configuration with. Scribd is the worlds largest social reading and publishing site.
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