Published online Mar 31, 2004.
https://doi.org/10.5395/JKACD.2004.29.2.141
A sem observation on the efficiency preparation of oval canals using hand and engine-driven instruments
Abstract
The purpose of this study was to evaluate the efficiency of the preparation of oval canals using hand and engine-driven instruments with SEM observation. Thirty single-rooted teeth with oval canal were used in this study. The teeth were divided into 3 groups. In group A, the teeth were instrumented up to a size 35 K-file using RC-prep and irrigated with 5% NaOCl between each file size. In group B, the teeth were instrumented with Profile according to the manufacture's instructions using RC-Prep and irrigated with 5% NaOCl between each file size. In group C, the teeth were instrumented with GT file according to the manufacture's instructions using RC-prep and irrigated with 5% NaOCl between each file size. Then, in all teeth, a final flush of 5ml of distilled water delivered for 30s. Canals were dried with sterile standardized paper points. After preparing the canals, the teeth were sectioned along their mesial and diatal surfaces by using low-speed diamond disc, chisel and mallet. Each root section was then dehydrated in graded concentration of alcohol (70, 80, 90, 100%), mounted on an aluminum stub, sputter-coated with gold-palladium and observed with scanning electron microscope (HITACHI S-4200) in middle and apical area.
The results of this study were as follows:
In the middle area, group B and group C showed less smear layer than group A, and it was statistically significant (p < 0.05).
In the middle area, group B showed greater smear layer than group C, but it was not statistically significant (p > 0.05).
In the apical area, group C showed less smear layer than group A, and it was statistically significant (p < 0.05).
In the apical area, group A showed greater smear layer than group B, but it was not statistically significant (p > 0.05).
In the apical area, group B showed greater smear layer than group C, but it was not statistically significant (p > 0.05).
In all groups, the middle area was less smear layer than the apical area, and it was statistically significant (p < 0.05).
Figure 1
Score 1
Figure 2
Score 2
Figure 3
Score 3
Figure 4
Score 4
Table 1
Classification of groups
Table 2
Score in middle area
Table 3
Score in apical area
References
-
Cohen S, Burns PC. In: Pathway of the pulp. 7th ed. St. Louis: CV Mosby;
-
-
Walton R, Torabinejad M. In: Principle and practice of endodontics. 2nd ed. Philadelphia: 1996. pp. 212-214.
-
-
Brännström M, Nordenvall KJ, Glanz PO. The effect of EDTA-containing surface-active solutions on the morphology of prepared dentin: an vivo study. J Dent Res 1980;59:1127–1131.
-
-
Brännström M, Nyborg H. Bacterial growth and pulpal changes under inlays cemented with zinc phosphate and epoxylate CBA 9080. J Prosthet Dent 1974;31:556–565.
-
-
Gençoğlu N, Samni S, Gunday M. Evalutation of sealing properties of Thermafil and Ultrafil techniques in the abscence or presence of smear layer. J Endod 1993;19:599–603.
-
-
Karagöz-Küçükay I, Bayirli G. An apical leakage study in the presence and abscence of smear layer. Int Endod J 1994;27:87–93.
-
-
Grossman LI, Melman B. Solution of pulp tissue by chemical agents. J Am Dent Assoc 1941;28:223.
-
-
Weine FS. In: Endodontic therapy. 5th ed. St. Lous: Mosby; 1996.
-
-
Hülsmann M, Rummelin C, Schafers F. Root canal cleanliness after preparation with different endodontic handpiece and hand instruments: a comparative SEM investigation. J Endod 1997;23:301–306.
-
-
Alaçam T. Scanning electron microscope study comparing the efficacy of endodontic irrigating systems. Int Endod J 1987;20:287–294.
-