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Erschienen in: Clinical Oral Investigations 4/2014

01.05.2014 | Original Article

Oval-shaped canal retreatment with self-adjusting file: a micro-computed tomography study

verfasst von: Ali Keleş, Hatice Alcin, Aliye Kamalak, Marco A. Versiani

Erschienen in: Clinical Oral Investigations | Ausgabe 4/2014

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Abstract

Objectives

The aim of this study was to assess the efficacy of removing the filling material from oval-shaped canals with rotary retreatment files, with or without the additional use of self-adjusting file (SAF), using micro-computed tomography.

Materials and methods

Oval-shaped canals from 20 maxillary premolars were prepared and assigned to two groups (n = 10), according to the obturation technique: cold lateral condensation (CLC) or vertical condensation (VC). Then, retreatment procedure was performed with retreatment rotary instruments followed by SAF. The specimens were scanned after each procedure and the volume of the filling material calculated. Median and interquartile range (IQR) percentages of the remaining filling material after each retreatment technique were statistically compared by Wilcoxon and Mann–Whitney U tests with a significance level of 5 %.

Results

The median percentage volume of the filling residue after rotary retreatment procedure was 1.59 (IQR = 1.26) and 0.42 (IQR = 0.86) in the CLC and VC groups, respectively (p < 0.05). After the use of SAF, the median percentage was 1.26 (IQR = 0.75) and 0.12 (IQR = 0.53) in the CLC and VC groups, respectively (p < 0.05). Statistically significant difference was also observed within the group after the additional use of SAF (p < 0.05).

Conclusions

None of the retreatment procedures completely removed the filling material. The additional use of the SAF improved the removal of filling material after the retreatment procedure with rotary instruments.

Clinical relevance

Filling material left after retreatment procedure may harbour necrotic tissue and bacteria, which could lead to a persistent disease and reinfection of the root canal system. The additional use of self-adjusting file after the conventional retreatment procedures may improve root canal cleanliness, allowing a better action of the irrigating solution.
Literatur
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Zurück zum Zitat Rechenberg DK, Paqué F (2013) Impact of cross-sectional root canal shape on filled canal volume and remaining root filling material after retreatment. Int Endod J 46:547–555. doi:10.1111/iej.12027 PubMedCrossRef Rechenberg DK, Paqué F (2013) Impact of cross-sectional root canal shape on filled canal volume and remaining root filling material after retreatment. Int Endod J 46:547–555. doi:10.​1111/​iej.​12027 PubMedCrossRef
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Zurück zum Zitat Ribeiro MVM, Silva-Sousa YT, Versiani MA, Lamira A, Steier L, Pécora JD, Sousa-Neto MD (2013) Comparison of the cleaning efficacy of self-adjusting file (SAF) and rotary systems in the apical third of oval-shaped canals. J Endod 39:398–410. doi:10.1016/j.joen.2012.11.016 CrossRef Ribeiro MVM, Silva-Sousa YT, Versiani MA, Lamira A, Steier L, Pécora JD, Sousa-Neto MD (2013) Comparison of the cleaning efficacy of self-adjusting file (SAF) and rotary systems in the apical third of oval-shaped canals. J Endod 39:398–410. doi:10.​1016/​j.​joen.​2012.​11.​016 CrossRef
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Metadaten
Titel
Oval-shaped canal retreatment with self-adjusting file: a micro-computed tomography study
verfasst von
Ali Keleş
Hatice Alcin
Aliye Kamalak
Marco A. Versiani
Publikationsdatum
01.05.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Clinical Oral Investigations / Ausgabe 4/2014
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-013-1086-0

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