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Effect of Dressing Period of Calcium Hydroxide on Apical Marginal Leakage (An in Vitro Study)

دراسة تأثير مدة تطبيق ضماد ماءات الكالسيوم على التسرب الحفافي الذروي (دراسة مخبرية)

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 Publication date 2016
  fields Dentistry
and research's language is العربية
 Created by Shamra Editor




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Aim: The aim of this study was to detect the effect of dressing period of calcium hydroxide medicament on the apical marginal leakage after obturation of root canal system. Materials and Methods: 80 freshly extracted single rooted human teeth were selected ,all the root canals were hand-instrumented. They were randomly divided into four groups of 20 teeth each. Group A has no intracanal medicament , groups (B,C,D) were dressed with Ca(OH)2 paste for a different periods of time (7,14,30) days respectively, groups (B,C,D) were divided into subgroups of 10 teeth according to removing of dressing . The removal of ca(OH)2was done by two ways, 1- By irrigating with distilled water and drying with paper points . 2- Size 40 k-file was used in slightly filing motion up to the working length then irrigated with distilled water and drying with paper points. After that all groups were obturated with lateral compaction technique using gutta-percha points and zinc oxide-eugenol cement. Then the access was sealed with GIC cement. The teeth were immersed into 2% mythylene blue solution ,The specimens were placed in an incubator at 37 C ,with moisture at 100%, for 7 days .After that the roots were sectioned longitudinally and examined with stereomicroscope and liner leakage was measured.

References used
SIQUEIRA, J.F; RÔÇAS, IN; LOPES, HP; UZEDA, M. Coronal Leakage Of Two Root Canal Sealers Containing Calcium Hydroxide After Exposure To Human Saliva. J Endod.Vol.25,N.1,1999,14-6
SIQUERIA, J.F; RÔÇAS, I.N; SANTOS, S.R.L.D; LIMA, K.C; MAGALHAES, F.A.C; UZEDA, M. Efficacy Of Instrumentation Techniques And Irrigation Regimens In Reducing The Bacterial Population Within Root Canals. J Endod. vol.28, 2002, 181-184
CHU,F.C.S;LEUNG,W.K;TSANG,P.C.S;CHOW,T.W;SAMARANAYAKE, L.P. Identification Of Cultivable Microorganisms From Root Canals With Apical Periodontitis Following Two-Visit Endodontic Treatment With Antibiotics/Steroid Or Calcium Hydroxide Dressings. J Endod.vol.32,2006,17-23
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Aim of Study: The antimicrobial intracanal medication was used widely, and the most common was calcium hydroxide dressing, which must be removed from the root canal before obturation, hence this study aimed to comparative efficacy of EndoVac and Navi Tip 30 G irrigation Needles with Naocl and CHX 2% in removing calcium hydroxide dressing from the apical third of root canal. Materials &Methods: Forty single root and canal teeth were decoronated to the length of 16 mm. Each root was prepared to the apical foramen using ProTaper Universal Hand System to size 40. Each tooth was embedded in silicone putty to create a set matrix, which allowed reassembly of the tooth for irrigation tests after splitting longitudinally. Then each tooth was split into two halves and an artificial groove (L:4, W:0,2 , D:0,5 ) was cut in one half of the root canal wall 1 mm from the apex ,which was then filled with a Ca(OH)2 paste. Digital images were taken before reassembling under stereomicroscope X40. Subsequently the two halves of roots were reassemble with wax , and remounted in their silicone matrixes, then divided into 2 groups.
Residual Calcium Hydroxide dressing on the root canal is considered one of the reasons of endodontic treatment failure. So ,the removal of this dressing completely before filling is required. The aim of the study was to evaluate the efficiencies o f passive ultrasonic irrigation And increasing the instrumentation of the medicated canal to the file one size larger than MAF in removal of Calcium Hydroxide dressing.
Aim: to compare the effect of multiple usage and surface coarseness of diamond burs on marginal microleakage of cervical resin composite restorations. Materials and methods: sixty extracted premolars without caries were chosen. The sample was rand omly divided into three groups: n1=n2=n3=20. Group(1): class v cavities were prepared using super coarse diamond burs, group(2): prepared by coarse diamond burs, whereas group)3(: prepared by medium coarse diamond burs. All cavities were restored by resin composite, then The teeth were thermocycled and immersedIn5%solution of methylene blue dye for 12hours.Then the teeth were sectioned vertically, Dye penetration was evaluated using a 10X stereomicroscope at the occlusal and gingival margins. Data were collected and statistical analysis was conducted. Results: The results showed that the multiple use of super coarse diamond burs caused no significantly statistically affect on occlusal and gingival microleakage (P>0.05). However, the multiple use of coarse and medium diamond burs caused significantly statistically affect on gingival marginal microleakage (P<0.05).
One aim of the root canal treatment is providing compact three dimensional seal for the canal system to prevent germs enter and its products across both the apical and coronal ways. Gutta-Percha is the most use material to fill the radicalism ca nals. It has limited importance in spite of many specifications as lack of the link to the ridge canal.

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