Leakage along apical root fillings in curved root canals. Part I: effects of apical transportation on seal of root fillings.

Abstract:

:Occurrence of apical transportation (AT) may complicate the root filling procedure and result in a compromised seal. In part I of this study, human mandibular premolars with single, curved (21 to 39 degrees), or straight canals were prepared by Lightspeed or a step-back hand filing technique. An AT index was determined using a double exposure radiographic technique. The prepared canals were obturated using lateral condensation of gutta-percha. Leakage along the apical 3 mm of root filling was measured with a fluid transport model. After hand filing, AT and perforation occurred in 87% of the curved canals. The AT indices were > or = 0.4 mm. After Lightspeed preparation, AT occurred in only 19% of the curved canals. The hand filing/curved group leaked statistically significantly more than the hand filing/straight and Lightspeed/curved groups (p = 0.002). We conclude that occurrence of AT is a factor that negatively influences the apical seal when curved canals are obturated by lateral condensation of gutta-percha.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Wu MK,Fan B,Wesselink PR

doi

10.1097/00004770-200004000-00003

keywords:

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

210-6

issue

4

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(05)60956-9

journal_volume

26

pub_type

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