Objective The aim of this study was to investigate the ability of laser-activated irrigation (LAI), XP-endo Finisher, CanalBrush, Vibringe, passive ultrasonic irrigation (PUI), and conventional syringe irrigation systems on the removal of calcium hydroxide (CH) from simulated root canal irregularities.Material and Methods The root canals of one hundred and five extracted single-rooted teeth were instrumented using Reciproc rotary files up to size R40. The teeth were split longitudinally. Two of the three standard grooves were created in the coronal and apical section of one segment, and another in the middle part of the second segment. The standardized grooves were filled with CH and the root halves were reassembled. After 14 days, the specimens were randomly divided into 7 experimental groups (n=15/group). CH was removed as follows: Group 1: beveled needle irrigation; Group 2: double side-vented needle irrigation; Group 3: CanalBrush; Group 4: XP-endo Finisher; Group 5: Vibringe; Group 6: PUI; Group 7: LAI. The amount of remaining CH in the grooves was scored under a stereomicroscope at 20× magnification. Statistical evaluation was performed using Kruskal–Wallis and Bonferroni-Correction Mann–Whitney U tests.Results Groups 1 and 2 were the least efficient in eliminating CH from the grooves. Groups 6 and 7 eliminated more CH than the other protocols; however, no significant differences were found between these two groups (P>.05).Conclusions Nevertheless, none of the investigated protocols were able to completely remove all CH from all three root regions. LAI and PUI showed less residual CH than the other protocols from artificial grooves.

Objective The aim of this study was to investigate the effectiveness of conventional syringe irrigations, passive ultrasonic irrigation (PUI), Vibringe, CanalBrush, XP-endo Finisher, and laser-activated irrigation (LAI) systems in removing double antibiotic paste (DAP) from root canals.Material and Methods One hundred five extracted single-rooted teeth were instrumented. The roots were split longitudinally. Three standard grooves were created and covered with DAP. The roots were distributed into seven groups: Group 1, beveled needle irrigation; Group 2, double side-vented needle irrigation; Group 3, CanalBrush; Group 4, XP-endo Finisher; Group 5, Vibringe; Group 6, PUI; Group 7, LAI. The amount of remaining DAP was scored under a stereomicroscope.Results Group 4, Group 6, and Group 7 removed significantly more DAP than the other protocols in the coronal region. Group 7 was more efficient in the middle region; however, no significant difference was found between Group 7 and Group 6. No differences were found between groups in the apical region either, except for the comparisons between groups 7 and 2, and groups 2 and 3.Conclusions None of the investigated protocols were able to completely remove the DAP from the grooves. The Vibringe and XP-endo Finisher systems showed results similar to those of conventional needle irrigation.

There is a little information about the influence of antibiotic medicaments on the bond strength of root canal sealer. These findings suggest that the use of DAP does not affect the adhesion strength of AH Plus, MTA Fillapex, and Total Fill BC Sealers.

BackgroundThe study investigated the fracture resistance of root-filled maxillary premolars with class II cavities restored by different restorations.MethodsA total of 55 intact maxillary premolar teeth were included (n = 11). G1 as positive control group, 44 teeth underwent root canal treatment, and MOD cavities were prepared. (G2) no restoration, (G3) direct composite restoration, (G4) direct composite strengthened with buccal to lingual pre-impregnated glass-fibers and (G5) ceramic inlay restoration. After thermocycling, fracture resistance test was performed and fracture type was recorded. Data were analyzed with one-way ANOVA and Chisquare test.ResultsThe mean fracture resistance was as follows: G1 had the highest fracture resistance, G2 had the lowest (p < 0.05). There were no significant differences between the fracture resistance values of the groups that underwent different restorations (G3, G4, G5) (p > 0.05). According to fracture type, the groups showed similar results (p > 0.05). A significant level of unrestorable fracture was detected in G5 (ceramic inlay) (p < 0.05).ConclusionsAll of the restoration techniques investigated herein increased the fracture strength of teeth; however, all of these values were lower than the fracture resistance of intact teeth. There were no significant differences between the fracture resistance values of the groups that underwent different restorations.

Gutta-percha solvents used during retreatment decreased the bond strength of Biodentine and CMTA to root dentin. The bond strength of WMTA was not affected by the use of gutta-percha solvents.

Objective:The aim of this study was to evaluate temperature alterations on the outer root surface during post space preparation with six different post drills by using an infrared thermometer.Materials and Methods:Sixty extracted single-rooted human mandibular incisor teeth were used. After root canal obturation, the specimens were divided into six groups (n = 10). During post space preparation, the temperature rises were measured in the middle third of the roots using a noncontact infrared thermometer with a sensitivity of 0.1°C. The temperature data were transferred from the thermometer to the computer and were observed graphically.Results:The maximum temperature rise was observed in Snowpost 2 (29.95 ± 10.2°C) (P < 0.001), but there were no significant differences among Snowpost 2 (29.95 ± 10.2°C), Snowpost 1 (24.6 ± 8.0°C), and Relyx 2 (17.68 ± 9.1°C) (P > 0.05).Conclusions:Although water coolant used, the critical temperature rise was observed on the outer root surface in all post drill systems.

The aim of this study was to compare the shaping ability of a recently introduced instrument (Revo-S) in comparison with the four current instruments (HeroShaper, Mtwo, ProTaper, RaCe) in simulated root canals. Material and methods: Nickel-Titanium systems (n=15 resin in each case) were used to prepare 34-35° curved and S-shaped simulated root canals in clear resin blocks. The width of resin removal was measured by comparing the pre-and postoperative images under a stereomicroscope. The amount and direction of transportation, the centering ability and the total amount of resin removal were determined. Canal aberration incidence, preparation time, and instrument deformation were also recorded. Results: In both canal types, the RaCe group prepared canals more rapidly (P < 0.05) and created no canal aberrations.The ProTaper Universal group was significantly slower than other groups (P < 0.05) for both canal types. The tapered canal form was obtained in the Mtwo, ProTaper Universal; and RaCe groups in 34-35° curved canals; and only the RaCe group in S-shaped canals. Some deformations but no instrument fractures were observed for HeroShaper, Mtwo, and Revo-S groups. Conclusion: RaCe rotary Nickel-Titanium instruments, probably do to their triangular cross-sectional shape with alternating cutting edges and sequence encompassing a high number of instruments, exhibited a better centrally shaping and fewer canal aberrations.

No abstract