Abstract #3 — Endodontic retreatment comparing laterally condensed gutta-percha and thermafil

Endodontic retreatment of thermafil or lateral condensation obturations in post space prepared teeth

The purpose of this study was to quantify the amount of remaining gutta-percha/sealer after retreatment of post space prepared teeth obturated with a lateral condensation technique or with Thermafil with plastic and metallic carrier. The time required for retreatment was also recorded. Forty-five extracted mandibular premolars were prepared using a step-back flared technique and obturated. The post space was prepared and a 5-mm obturation was left in the canal. Retreatment of all groups was done using a solvent technique. The teeth were split longitudinally and photographed. The total area of the canal and the area of gutta-percha/sealer were traced on white paper. Both areas were quantified using a computerized image analysis system and the ratio of remaining obturation material to root canal periphery was derived and statistically analyzed. Statistical analysis (analysis of variance, p = 0.01) showed no differences among the techniques when the average percentage of remaining gutta-percha/sealer was compared. Results revealed that the Thermafil metallic retreatment group consumed significantly more time than the others (analysis of variance, Scheffe p = 0.01). The metallic carriers were not easily removed from the canals, six metal carriers could not be retrieved during the retreatment routine.

An in-vitro evaluation of the influence of temperature of plasticization on the sealing ability of Thermafil

The effect of temperature of plasticization on the sealing ability of Thermafil obturators was evaluated. Forty-eight canals in roots of extracted human mandibular molar teeth were divided into four groups of 12. The root canals had curvatures of less than 25 degrees, as determined using the Schneider technique. Four canals were used as positive and negative controls. All canals were prepared using a step-back technique to size 30 at the working length. Roth's sealer was used in all canals. In one group the Thermafil obturators were thermoplasticized in an open flame, as recommended by the manufacturer. In the remaining three groups the obturators were thermoplasticized by immersion in water-baths maintained at constant temperatures of 60, 75 and 90 degrees C respectively. After immersion in Indian ink, the teeth were cleared and the depth of penetration of dye through the apical foramen was measured. In all specimens there was extrusion of sealer and sometimes gutta-percha beyond the apical stop. Sometimes, there was leakage up to the apical stop but not beyond. In view of this the measurements were divided into leakage from the apical foramen to the apical stop and from the apical stop coronally. It was found that in the zone between the apical foramen and the apical stop the Thermafil obturators plasticized at 60 degrees C produced a significantly better seal than those obturators plasticized in an open flame (P < 0.05). In the zone coronal to the apical stop there were no significant differences in leakage between the groups.