Assessment of the quality of root canal obturation of teeth with destructive forms of periodontitis using Silpex (SEM studies)
https://doi.org/10.36377/ET-0013
Abstract
AIM. To evaluate the effectiveness of using the material Sealpex with gutta-percha pins using the lateral condensation method for permanent obturation of the root canals of teeth with periapical pathology and pathologically destroyed apical constriction.
MATERIAL AND METHODS. The root canals of 94 teeth with destructive forms of periodontitis were filled with Sealpex. Depending on the degree of apical constriction, patients were divided into three groups. Follow-up of patients was carried out for 4 years.
RESULTS. Using SEM, in 80% of cases, single micro cracks were detected between the dentin of the root canal wall and the sealer. In the area of wide apical openings, the fit of the material is loose, and it is removed beyond the root apex. The material diffuses into the root dentin. Statistical studies have shown a high percentage of successful treatment of destructive forms of periodontitis with the use of Sealpex.
CONCLUSIONS. Endo-sealant extended beyond the apex of the root canal does not mean dense obturation of the apical foramen. The presence of micropores and microcracks in the endosealant can be regarded as evidence of poor sealing of the channel. The use of Sealpex is especially effective when filling teeth of groups, I and II with destructive forms of periodontitis
About the Authors
V. V. Glinkin
Private Dental Practice
Russian Federation
Competing Interests:
Russian Federation
Vladmir V. Glinkin – Dentist
Competing Interests:
The authors declare no conflict of interests.
V. V. Glinkina
Private Dental Practice
Russian Federation
Competing Interests:
Russian Federation
Viktoria V. Glinkina – Cand. Sci. (Med.), Dentist
Competing Interests:
The authors declare no conflict of interests.
I. V. Chaikovskaya
Private Dental Practice
Russian Federation
Competing Interests:
Russian Federation
Ilona V. Chaikovskaya – Dr. Sci. (Med.), Professor
Competing Interests:
The authors declare no conflict of interests.
M. A. Gasbanov
Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University), Medical Institute
Russian Federation
Competing Interests:
Russian Federation
Magomed A. Gasbanov – Assistant, Department of Therapeutic Dentistry
6 Miklukho-Maklaya Str., Moscow 117198
Competing Interests:
The authors declare no conflict of interests.
A. S. Karnaeva
Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University), Medical Institute
Russian Federation
Competing Interests:
Russian Federation
Amina S. Karnaeva – Cand. Sci. (Med.), Associate Professor, Department of Therapeutic Dentistry
6 Miklukho-Maklaya Str., Moscow 117198
Competing Interests:
The authors declare no conflict of interests.
N. N. Fedotova
Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University), Medical Institute
Russian Federation
Competing Interests:
Russian Federation
Natalya N. Fedotova – Cand. Sci. (Med.), Senior Lecturer, Department of Therapeutic Dentistry
6 Miklukho-Maklaya Str., Moscow 117198
Competing Interests:
The authors declare no conflict of interests.
References
1. Mitronin A.V., Gerasimova M.M. Endodontic treatment of a pulpal and periodontal diseases (part 1). Aspects of application of antibacterial agents. Endodontics Today. 2012;10(1):9–15. (In Russ.) Available at: https:// www.endodont.ru/jour/article/view/700 (accessed: 22.12.2023).
2. Ismoilov A.A., Turaev H.G. Retrospective estimation results of endodontic’s treatment in patients with somatic pathology. Nauchno-Prakticheskii Zhurnal TIPPMK. 2012;1: 13–15. (In Russ.)
3. Zhakot I.V. Modification of the structure of endodontic sealers under the influence of an electromagnetic field: abstract of thesis. dis…. Cand. Sci. (Med.). Voronezh; 2019. 23 p.
4. Mitronin A.V., Gerasimova M.M. Endodontic treatment of pulpal and periodontal diseases (Part 2). Application of calcium hydroxide in endodontic treatment. Endodontics Today. 2012;10(4):3–8. (In Russ.) Available at: https:// www.endodont.ru/jour/article/view/592 (accessed: 22.12.2023).
5. Redinova T.L., Pudova E.I., Sharifullina I.С., Yesyunina A.A., Zagrebin I.V. The frequency of occurrence of various variants of the structure of root canals and methods of their mechanical treatment in the practice of a dentist-therapist. Endodontics Today. 2022;20(3):215–221. (In Russ.) https://doi.org/10.36377/1726-7242-2022-20-3-215-221
6. Sakly E.H., Al-hawwaz Z.M., Zokkar N., Douki N. Healing of periapical lesion after root canal treatment: A case report. IP Indian J Conserv Endod. 2021;6(4):228–232. https://doi.org/10.18231/j.ijce.2021.049
7. Vieira C.L.Z., Caramelli B. The history of dentistry and medicine relationship: could the mouth finally return to the body? Oral Dis. 2009;15(8):538–546. https://doi.org/10.1111/j.1601-0825.2009.01589.x
8. Tokmakova S.I., Lunitsyna Yu.V., Bondarenko O.V., Chechina I.N., Besedina I.S. Comparative study of the effectiveness of methods of root canals filling with cold high-flow gutta-percha in the experiment. Pacific Medical Journal. 2020;(2):76–78. (In Russ.) https://doi.org/10.34215/1609-1175-2020-2-76-78
9. Gomes-Filho J.E., Bernabé P.F.E., Nery M.J., Otoboni-Filho J.A., Dezan-Júnior E., de Moraes Costa M.M.T. et al. Reaction of rat connective tissue to a new calcium hydroxide-based sealer. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(2):e71–e76. https://doi.org/10.1016/j.tripleo.2008.03.030
10. Yesayan Z.V., Rakova T.V., Lunev M.A. The effectiveness of therapeutic treatment of apical periodontitis with the use of certain filling materials. Modern Science: Actual Problems of Theory & Practice. Series: Natural and Technical Sciences. 2019;(6):154–158. (In Russ.) Available at: http://www.nauteh-journal.ru/files/e813c4d5-d2a9-4223-a942-92d344459c39 (accessed: 22.12.2023).
11. Tarasenko S.V., Grigor’janc L.A., Gor I.A., Medvedeva I.V., Pogosyan G.R. Antibacterial properties of temporary filling materials. Russian Journal of Dentistry. 2018;22(5):229–232. (In Russ.) https://doi.org/10.18821/1728-2802-2018-22-5-229-232
12. Laux M., Abbott P.V., Pajarola G., Nair P.N. Apical inflammatory root resorption: A correlative radiographic and histological assessment. Int Endod J. 2000;33(6):483–493. https://doi.org/10.1046/j.1365-2591.2000.00338.x
13. linkin V.V. Periapical index for assessing the quality of endodontic treatment of destructive forms of periodontitis. Pіvdennoukraїnskii Medichnii Naukovii Zhurnal. 2020;(27):15–18. (In Russ.)
14. Khalafyan A.A. Statistica 6.0 Statistical data analysis. 3rd ed. Moscow: Binom-press; 2007. 512 p. (In Russ.) Available at: https://djvu.online/file/VM8tuMeSLbmpJ (accessed: 22.12.2023).
15. Glinkin V.V., Klyomin V.A. Method for endodontic preparation of samples in vitro and preparation of dental grinders for research on a scanning electronic microscope. University Clinic. 2021;(1):109–112. (In Russ.) https://doi.org/10.26435/UC.V0I1(38).650
16. Petri A., Sabin K. Visual medical statistics. 3rd ed. Moscow: GEOTAR-Media; 2015. 216 p.
17. Glinkin V.V., Chaikovskaya I.V. Statistical methods for processing the results of treatment of chronic apical periodontitis in the acute stage. In: Dentistry: problems, searches, solutions. Materials 10th Republican Interdisciplinary Scientific and Educational Session named after. Professor G.I. Donskoy, Donetsk, March 18, 2022. Report No. 3. (In Russ.) Available at: https:// dnmu.ru/wp-content/uploads/2022/03/Programsession-18.03.2022-1.pdf (accessed: 22.12.2023).
18. Nikolaeva E.A. Optimization of the method of filling root canals of teeth using the method of vertical compaction of gutta-percha (clinical and laboratory study): abstract of thesis. dis…. Cand. Sci. (Med.). Mowcow; 2017. 23 p.
19. Rover G., de Lima C.O., Belladonna F.G., Garcia L.F.R., Bortoluzzi E.A., Silva E.J.N.L., Teixeira C.S. Influence of minimally invasive endodontic access cavities on root canal shaping and filling ability, pulp chamber cleaning and fracture resistance of extracted human mandibular incisors. Int Endod J. 2020;53(11):1530–1539. https:// doi.org/10.1111/iej.13378
Review
For citations:
Glinkin V.V., Glinkina V.V., Chaikovskaya I.V., Gasbanov M.A., Karnaeva A.S., Fedotova N.N. Assessment of the quality of root canal obturation of teeth with destructive forms of periodontitis using Silpex (SEM studies). Endodontics Today. 2024;22(1):11-18. (In Russ.) https://doi.org/10.36377/ET-0013
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