Aim: The aim of this study was to evaluate the canal cleaning efficacy of these three file systems using scanning electron microscopy. Place and Duration of Study: The study was conducted in the Department of Conservative dentistry and Endodontics, Institute of Dental Sciences Sehora, between October 2020 and December 2020. Materials and Methods: Access cavity preparation was performed on sixty extracted human mandibular premolar teeth and working length was determined. The samples were randomly divided into three groups (n=20) depending upon the file system used i.e. Group 1 (Reciproc Blue), Group 2 (Waveone Gold) and Group 3 (F360). Samples were split into two halves by creating longitudinal grooves on the buccal and lingual surfaces. The samples were sputter-coated with gold and examined under scanning electron microscope at 5000X. The dentinal wall of root canal at coronal, middle and apical thirds of each sample were evaluated for the presence of determining the canal cleanliness and then analyzed using a five-score index. Results: The results of this study revealed that Group 1 (Reciproc Blue) exhibited better cleaning efficacy than samples of Group 2 (WaveOne Gold) and Group 3 (F360) at different locations in the canal i.e. coronal, middle and apical. The mean debris present was highest in coronal area for both group 2 and group 3 i.e. 2.1 and least was seen in apical area of group 1 i.e. 0.3. (p<0.05) Conclusion: Reciproc Blue single-file showed highest cleaning efficacy followed by Waveone Gold and F360. Reciproc file also showed effective cleaning in the apical third of the canal.
Periapical disease may occur through an inflammatory response in a non-vital tooth. The treatment of choice for most of these periapical lesions may be a conservative non-surgical approach. An accurate diagnosis of the periapical lesion whether it is of endodontic or nonendodontic origin has to be made. Non- surgical endodontic therapy has shown a success rate of 94.4% with complete or partial healing. The present clinical cases show two large periapical lesions in 14 year and 17-year-old male patients respectively which were healed with non- surgical approaches using different formulations of calcium hydroxide. Healing was seen after few months in both the lesion without invasive treatments. As the first case revealed periapical healing within 2 months of calcium hydroxide placement whereas the second case showed a much slower rate of healing over one year.
Introduction: Microleakage is a major setback to restorative dentistry. Leakage at the tooth/restoration interface may lead to numerous problems like postoperative sensitivity, recurrent caries, marginal sealing and later total failure of restoration. Aim: To determine the sealing ability (microleakage) of a new hydraulic calcium silicate cement (Biodentine) as a base material and a bulk filling material. Materials and Methods: An in-vitro study was conducted with ten freshly extracted maxillary molars from March 2019 to June 2019. Standardised Class II cavities were prepared on mesial and distal proximal surfaces. The twenty prepared samples were randomly divided into two groups (n=10)- G1 (BiodentineTM group) and G2 (BiodentineTM + Tetric N-Ceram group). The samples were subjected to thermocycling, followed by 1% methylene blue dye immersion. They were subsequently sectioned both buccolingually and mesiodistally in order to separate to proximal restorations (mesial and distal) and appreciate the amount of dye penetration at tooth/restoration interface respectively. Microleakage was evaluated by observing the samples under a stereomicroscope (30x). The data obtained was analysed using one-way ANOVA test and compared using Post-hoc test. p-value <0.05 to be considered significant. Results: Biodentine showed no significant difference between the sealing ability as a bulk filling and a base material. Group G2 (0.35) indicated comparatively less microleakage as compared to Group G1 (0.6) but the difference in microleakages in both groups was insignificant (p-value 0.083467). Conclusion: BiodentineTM exhibits microleakage when used as a bulk filling material and as a dentin substitute in Class II cavities since there is no significant difference in both the groups.
Background:Marginal microleakage occurs when restorations are poorly adapted to the cavity walls which leads to penetration of bacteria, fluid and nutrient into the marginal gap. Aim: The study aimed to evaluate the effect of thermocycling on marginal sealing ability of two root-end filling materials i.e. MTA Plus and Biodentine. Materials and Methods: An in vitro study was conducted at Department of Conservative Dentistry and Endodontics in Institute of Dental Sciences (IDS), Jammu, Jammu and Kashmir, India. Forty extracted teeth with single root were decoronated maintaining a standardized length of 16mm. Biomechanical preparation and obturation was done for all the teeth. Samples were stored at 37oC and 100% humidity for seven days. Apical 3mm was resected and cavities were prepared which were randomly divided into two experimental groups with twenty samples each. The cavities were filled with MTA Plus in group I and Biodentine in group II. These groups were further divided into two subgroups of ten each (n=10). The second subgroup of both the groups did not receive any treatment and the first subgroup samples were subjected to 500 thermocycles in water bath at temperature ranges between 5oC and 55oC with a dwell time of 30 second. The samples were immersed in methylene blue dye and after through washing they were sectioned longitudinally. Examination was done under stereomicroscope to measure the depth of penetration. Statistical Analysis: The data collected were put to statistical analysis by one-way ANOVA (analysis of variance) and post hoc tests. Results: The average depth of dye penetration was least for Biodentine when thermocycling treatment was not given (0.13mm) and maximum value was depicted by MTA Plus when undergone thermal cycles (0.57mm). It is also noted that no significant difference is seen in Biodentine with or without artificial aging procedure. Conclusion:Biodentine showed least amount of microleakage, thus a better sealing ability.Alsothere was little effect of thermocycling onmicroleakage of both the materials.
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