Laboratory study of the quality of root canal obturation in the application of various techniques of medical treatment
https://doi.org/10.36377/1683-2981-2023-21-1-4-9
Abstract
Relevance. Under study is based on the fact that every year the number of patients with complicated forms of caries increases, in addition, the complexity of a number of treatment manipulations, often leads to various errors and complications at all stages of endodontic treatment.
Aim. To evaluate the tightness of root canal obturation depending on the selected technique of antiseptic treatment of root canals.
Materials and methods. 40 teeth extracted due to chronic periodontitis were studied. All extracted teeth were divided into 4 equal groups depending on the method of antiseptic treatment of root canals: traditional protocol using 3% NaOCl and 17% EDTA solution; distilled water and Er,Cr:YSGG with a wavelength of 2780 nm at 1 W; distilled water and Er,Cr:YSGG with a wavelength of 2780 nm at 1.5 W; LAI technique. All specimens were filled with continuous wave gutta-percha using the Calamus Dual instrument (DentSplay Maillefer) with AH+ epoxy sealer (DentSplay). The obturation was assessed by scanning electron microscopy.
Results. Treatment with 1.5 W Er,Cr:YSGG laser revealed the most hermetic fit of the material to the root canal walls, which is confirmed by the absence of voids between the sealer and dentin, in contrast to the samples treated using the traditional medical protocol for root canal treatment.
Conclusions. The inclusion of the Er,Cr:YSGG laser into the complex root canal treatment will not only increase the antiseptic treatment of the root canal, but also the success of root canal obturation, which will significantly reduce the risk of endodontic treatment complications.
About the Authors
T. V. Furtsev
”Krasnoyarsk State Medical University”
Russian Federation
Russian Federation
Taras V. Furtsev – Doctor of Medicine sciences, Professor, Department of Prosthodontic Dentistry, Dean of the Faculty of Dentistry
1 Partizan Zheleznyak str., Krasnoyarsk, 660022
Z. Yu. Amelyukhina
”Krasnoyarsk State Medical University”
Russian Federation
Russian Federation
Zhanna Yu. Amelyukhina – Assistant of the Department of Prosthodontic Dentistry
1 Partizan Zheleznyak str., Krasnoyarsk, 660022
G. M. Zeer
“Siberian Federal University”
Russian Federation
Russian Federation
Galina M. Zeer – Candidate in Technical sciences, Associate Professor at the Department of Materials Science and Technology of Material Processing, Polytechnic Institute
79 Svobodny Ave., Krasnoyarsk, 660041
References
1. Adamchik A.A., Dorogan V.V., Zaporozhskaya-Abramova E.S., Tairov V.V., Ivashchenko V.A., Kirsh K.D., Korovashkin S.A. [Retrospective analysis of the quality of root canal filling according to the data of conebeam computed tomography]. Endodontics Today. 2022;20(2). P. 102- 108. (In Russ.) https://doi.org/10.36377/1726-7242-2022-20-2-102-108 (in Russ)
2. Berdieva R.R., Mamytova A.B. [Error analysis of primary endodontic dentistry with chronic periodontitis]. International Scientific and Research Journal. 2020; 1-1 (91): P. 79-82. DOI: https://doi.org/10.23670/ IRJ.2020.91.1.016 (in Russ.)
3. Mitronin A.V.,Belyaeva T.S., Zhekova A.A. [Laser technology in endodontic treatment of chronic apical periodontitis: comparative evaluation of antibacterial efficiency]. Endodontics Today. 2016; (2): P. 27-29. (in Russ.)
4. Naibov O.V., Ron G.I. [Clinical application of laser emission in treatment of destructive forms of chronic periodontitis in adolescents]. Clinical dentistry. 2007; 1(41): P. 30-34. (in Russ.)
5. Orekhova L.Yu., Porkhun T.V., Vashneva V.Yu., Rubezhova E.A. [Comparative study of mechanical cleaning degree of the root canal inner wall with application various laser systems and photosensitizers]. Endodontics Today. 2018;16(4): P. 67-69. (In Russ.) https://doi. org/10.25636/PMP.2.2018.4.16(in Russ.)
6. Solomonov M. [Biofilm as an endodontic infection]. Clinical Endodontics. 2008. №3. P. 31-34. (in Russ.)
7. FurtsevT.V.,KazanovskayaA.A., PrudnikovaS.V. [Comparative results of antibacterial processing of the root channels under the standard protocol with use of hypochlorite of sodium (naocl) and the laser Er, Cr: YSGG wave length 2780нм]. Russian Journal of Dentistry. – 2018. – Т. 22, № 4. P.184–187. (in Russ.)
8. Kerimova K.N., Bagdasarova I.V., Makeeva M.K., Zoryan A.V., Magay V.E., Lezhava N.L., Markova A.I. [Optimization of root canal system disinfection using laser. Endodontics Today. 2019;17(4):43-45. (In Russ.) https://doi.org/10.36377/1683-2981-2019-17-4-43-45. (in Russ.)
9. Mitronin A.V.. Volodina E.V.. Aparina E.A.. Yarbabayeva N.S.. Mitronin V.A. Eremin A.I. Ispolzovaniye lazernykh biomeditsinskikh tekhnologiy v kompleksnom lechenii giyerchuvstvitelnosti dentina pri generalizovannoy forme parodontita. Cathedra-Kafedra. Stomatologicheskoye obrazovaniye.- 2021.- №75.- S.30-35 (in Russ.)
10. Gaкta-Araujo H, Fontenele RC, Nascimento EHL, Nascimento M d CC, Freitas DQ, de Oliveira-Santos C. Association between the root canal configuration, endodontic treatment technical errors, and periapical hypodensities in molar teeth: a cone-beam computed tomographic study. Journal of Endodontics. 2019; 45 (12): 1465–71. DOI: 10.1016/j. joen.2019.08.007.
11. Ricucci D., Siqueira JF.Jr., Lopes W.S., et al. Extraradicular infection as the cause of persistent symptoms: a case series. Journal of Endodontics. 2015. Vol. 41, №2. Р. 265-273.10.1016/j. joen.2014.08.020
Review
For citations:
Furtsev T.V., Amelyukhina Z.Yu., Zeer G.M. Laboratory study of the quality of root canal obturation in the application of various techniques of medical treatment. Endodontics Today. 2023;21(1):4-9. (In Russ.) https://doi.org/10.36377/1683-2981-2023-21-1-4-9
Email this article 