Comparação da infiltração bacteriana entre os cimentos Epiphany e AH Plus usando as técnicas de obturação de cone único e Híbrida de Tagger

Autores

  • Patrícia de A. R. da Silva e Souza Federal University of Pará
  • Priscilla Rocha Affonso Federal University of Pará
  • Antônia Benedita Rodrigues Vieira Federal University of Pará
  • Ana Claudia Braga Amoras-Alves Federal University of Pará
  • Talita Tartari Federal University of Pará
  • Mario H. da Silva e Souza Junior Federal University of Pará

DOI:

https://doi.org/10.15448/1980-6523.2014.3.13194

Palavras-chave:

Bactérias, materiais dentários, endodontia, obturação do canal radicular, infiltração dentária.

Resumo

Objetivo: Avaliar e comparar, por meio da infiltração bacteriana, a qualidade de selamento obtido pelas técnicas híbrida de Tagger (TH) e do cone único (SC) associadas com AH Plus/Guta-percha (AH) e Epiphany/Resilon (ER) .
Métodos: Raízes palatinas de 70 molares superiores foram instrumentadas e divididas aleatoriamente em seis grupos: G1, TH/AH; G2, SC/AH; G3, TH/ER; G4, SC/ER; G5, controle negativo; G6, controle positivo. As raízes foram esterilizadas e monitoradas durante 56 dias para detectar a infiltração bacteriana utilizando Enterococcus faecalis. Os dados foram submetidos a teste Binomial (α<0,05) ao comparar a infiltração entre grupos e Kruskal-Wallis (α<0,05) para analisar a infiltração, como uma função do tempo.
Resultados: Todos os controles positivos infiltraram em 24 horas. Nenhum dos controles negativos infiltrou. Não houve influência do tempo na infiltração. Comparações individuais mostraram não haver influencia das técnicas e materiais de obturação na qualidade de selamento do canal radicular. Houve diferença significativa apenas entre G1 e G4 (P=0,0229), o G1 mostrou o menor e G4 a maior quantidade de infiltração.
Conclusão: Nenhum dos grupos foi capaz de evitar a infiltração bacteriana e a menor capacidade de prevenir a infiltração foi obtida quando utilizados de SC/ER para obturar o canal.

Biografia do Autor

Patrícia de A. R. da Silva e Souza, Federal University of Pará

Department of Endodontics

Referências

Hommez GM, Coppens CR, De Moor RJ. Periapical health related to the quality of coronal restorations and root fillings. Int Endod J 2002;35:680-9.

Ozawa T, Taha N, Messer HH. A comparison of techniques for obturating oval-shaped root canals. Dent Mater J 2009;28:290-4.

Taşdemir T, Er K, Yildirim T, Buruk K, Celik D, Cora S, et al. Comparison of the sealing ability of three filling techniques in canals shaped with two different rotary systems: a bacterial leakage study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:e129-34.

Singla M, Aggarwal V, Logani A, Shah N. Comparative evaluation of rotary

ProTaper, Profile, and conventional stepback technique on reduction in Enterococcus faecalis colony-forming units and vertical root fracture

resistance of root canals. Oral Surg Oral Med Oral Pathol Oral Radiol

Endod 2010;109:e105-10.

Fransen JN, He J, Glickman GN, Rios A, Shulman JD, Honeyman A. Comparative assessment of ActiV GP/glass ionomer sealer, Resilon/

Epiphany, and gutta-percha/AH plus obturation: a bacterial leakage study.

J Endod 2008;34:725-7.

Savariz A, González-Rodríguez MP, Ferrer-Luque CM. Long-term sealing

ability of GuttaFlow versus Ah Plus using different obturation techniques.

Med Oral Patol Oral Cir Bucal 2010;15:e936-41.

Gound TG, Sather JP, Kong TS, Makkawy HA, Marx DB. Graduating dental students’ ability to produce quality root canal fillings using singleor multiple-cone obturation techniques. J Dent Educ 2009;73:696-705.

Tagger M, Tamse A, Katz A, Korzen BH. Evaluation of the apical seal produced by a hybrid root canal filling method, combining lateral condensation and thermatic compaction. J Endod 1984;10:299-303.

Pitout E, Oberholzer TG, Blignaut E, Molepo J. Coronal leakage of teeth

root-filled with gutta-percha or Resilon root canal filling material. J Endod

;32:879-81.

Biggs SG, Knowles KI, Ibarrola JL, Pashley DH. An in vitro assessment of the sealing ability of resilon/epiphany using fluid filtration. J Endod 2006;32:759-61.

Nagas E, Uyanik MO, Sahin C, Durmaz V, Cehreli ZC. Effects of different

light-curing units and obturation techniques on the seal of the Resilon/

Epiphany system. J Endod 2008;34:1230-2.

Yilmaz Z, Tuncel B, Ozdemir HO, Serper A. Microleakage evaluation of roots filled with different obturation techniques and sealers. Oral Surg Oral

Med Oral Pathol Oral Radiol Endod 2009;108:124-8.

Onay EO, Ungor M, Orucoglu H. An in vitro evaluation of the apical sealing ability of a new resin-based root canal obturation system. J Endod 2006;32:976-8.

Pashley DH. Clinical considerations of microleakage. J Endod 1990;16:70-7.

Huybrechts B, Bud M, Bergmans L, Lambrechts P, Jacobs R. Void detection in root fillings using intraoral analogue, intraoral digital and cone beam CT images. Int Endod J 2009;42:675-85.

Lee BS, Wang CY, Fang YY, Hsieh KH, Lin CP. A novel urethane acrylatebased root canal sealer with improved degree of conversion, cytotoxicity, bond strengths, solubility, and dimensional stability. J Endod 2011;37:246-9.

Cavenago BC, Duarte MA, Ordinola-Zapata R, Marciano MA, Carpio-

Perochena AE, Bramante CM. Interfacial adaptation of an epoxy-resin

sealer and a self-etch sealer to root canal dentin using the System B or

the single cone technique. Braz Dent J 2012;23:205-11.

Paqué F, Sirtes G. Apical sealing ability of Resilon/Epiphany versus gutta-percha/AH Plus: immediate and 16-months leakage. Int Endod

J 2007;40:722-9.

Bouillaguet S, Shaw L, Barthelemy J, Krejci I, Wataha JC. Long-term sealing ability of Pulp Canal Sealer, AH-Plus, GuttaFlow and Epiphany.

Int Endod J 2008;41:219-26.

Siqueira JF, Jr., Rôças IN. Clinical implications and microbiology of bacterial

persistence after treatment procedures. J Endod 2008;34:1291-301.

Sagsen B, Er O, Kahraman Y, Orucoglu H. Evaluation of microleakage of

roots filled with different techniques with a computerized fluid filtration

technique. J Endod 2006;32:1168-70.

Veríssimo DM, do Vale MS, Monteiro AJ. Comparison of apical leakage

between canals filled with gutta-percha/AH-Plus and the Resilon/Epiphany

System, when submitted to two filling techniques. J Endod 2007;33:291-4.

Resende LM, Rached-Junior FJ, Versiani MA, Souza-Gabriel AE, Miranda CE, Silva-Sousa YT, et al. A comparative study of physicochemical properties of AH Plus, Epiphany, and Epiphany SE root canal sealers. Int Endod J 2009;42:785-93. 24. Marin-Bauza GA, Rached-Junior FJ, Souza Gabriel AE, Sousa-Neto MD, Miranda CE, Silva-Sousa YT. Physicochemical properties of methacrylate resin-based root canal sealers. J Endod 2010;36:1531-6.

Damman D, Grazziotin-Soares R, Farina AP, Cecchin D. Coronal microleakage of restorations with or without cervical barrier in root-filled teeth. Rev Odonto Ciênc 2012;27:208-12.

Downloads

Publicado

2015-08-13

Edição

Seção

Artigo Original