Ex-vivo evaluation of clinically-set hydraulic sealers used with different canal dryness protocols and obturation techniques: a randomized clinical trial.
Bioceramic sealers
Hydration
Hydraulic sealers
Intracanal moisture
Intracanal voids
Obturation
Single cone
Journal
Clinical oral investigations
ISSN: 1436-3771
Titre abrégé: Clin Oral Investig
Pays: Germany
ID NLM: 9707115
Informations de publication
Date de publication:
27 Oct 2024
27 Oct 2024
Historique:
received:
16
08
2024
accepted:
19
10
2024
medline:
28
10
2024
pubmed:
28
10
2024
entrez:
28
10
2024
Statut:
epublish
Résumé
This 2-part randomized parallel triple-blind clinical trial adopts a unique model assessing clinically-set hydraulic calcium silicate-based sealers (HCSBS) after different root canal dryness protocols and obturation techniques. For the first phase of the study, 24 teeth scheduled for orthodontic extractions were allocated into four groups according to the canal dryness protocol and the obturation technique. G1 (CLC-AHP): cold lateral compaction (CLC) with AH Plus sealer, G2 (CLC-ES-SD): CLC with Endosequence (ES) after standard canal(s) dryness (SD); G3 (SC-ES-SD): matching single-cone (SC) with ES after SD; G4 (SC-ES-PD): as G3 but after partial canal(s) dryness (PD). Teeth were extracted after one month of clinical service and examined for intracanal voids by micro-CT (2D & 3D). For the 2nd phase, another 24 teeth were allocated into four groups according to the root canal dryness protocol and the HCSBS used (ES or CeraSeal (CeS)). Teeth were extracted after one month and sectioned vertically for energy dispersive X-ray (EDX)/scanning electron microscope (SEM) examination. One-way ANOVA with Games-Howell post-hoc test and Chi-square test with multiple z-tests were used for statistical analysis. SC-PD showed the highest percentage of voids (p < 0.05). MicroCT scans as well as EDX/SEM examination showed that PD resulted in significantly larger interfacial gaps (p < 0.001) with more hydration products at the sealer/dentin interface than SD. Both tested dryness protocols allowed the hydration of HCSBS and the formation of hydration products, thus standard dryness is recommended to reduce the incidence of intracanal voids. When using the single-cone obturation technique, intentional root canal moisture negatively affects the performance of HCSBS. http://www. gov, ID: NCT05808062.
Identifiants
pubmed: 39463194
doi: 10.1007/s00784-024-06006-5
pii: 10.1007/s00784-024-06006-5
doi:
Substances chimiques
Root Canal Filling Materials
0
Silicates
0
calcium silicate
S4255P4G5M
Epoxy Resins
0
Calcium Compounds
0
epoxy resin-based root canal sealer
0
EndoSequence root repair material
0
Calcium Phosphates
0
Drug Combinations
0
Oxides
0
Banques de données
ClinicalTrials.gov
['NCT05808062']
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
612Informations de copyright
© 2024. The Author(s).
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