THE INFLUENCE OF ULTRASONIC ACTIVATION ON THE SETTING TIME AND FLOW OF FOUR ENDODONTIC SEALERS

Autores

  • Erick Thiago de Sousa Faculdade São Leopoldo Mandic
  • Suyane Maria Luna Cruz Centro Universitário Fametro (UNIFAMETRO)
  • Elilton Cavalcante Pinheiro Júnior Universidade de Fortaleza (UNIFOR)
  • Nilton Vivacqua-Gomes Faculdade São Leopoldo Mandic
  • Bruno Carvalho de Vasconcelos Faculdade de Odontologia de Bauru da Universidade de São Paulo (FOB-USP)

DOI:

https://doi.org/10.25110/arqsaude.v27i7.2023-045

Palavras-chave:

Root Canal Filling, Physico-Chemical Properties, Endodontics, Ultrasonic Energy

Resumo

The aim of the present study was to evaluate the influence of ultrasonic activation (UA) on the setting time and flow of four endodontic sealers: AH Plus (AH), Sealer Plus (SP), MTA Fillapex (MTAF), and BioRoot RCS (BIO). Properties were evaluated as required by ANSI/ADA Specification N° 57 (2008); only the size of the specimens was modified. UA was applied using a smooth tapered ultrasonic tip coupled to a piezoelectric ultrasonic device (30% power) on the freshly mixed materials in two cycles of 20 seconds. The results were statistically analyzed using the ANOVA and Kruskal-Wallis tests, followed by the Tukey and Dunn posthoc tests, respectively, depending on the normality of the data. The shortest setting times, initial and final, were, 115 (BIO/UA) and 148.6 (BIO/UA) min, whereas the longest were 1215 (AH) and 1928 (AH) min. The MTAF sealer did not set throughout the experimental period (2880 minutes). Significant differences were observed between BIO and MTAF and the other sealers, with or without UA, both in the initial and final setting time (P < 0.05). UA did not change the initial setting times; however, it reduced the final setting of BIO (P < 0.05). The highest and lowest flow values observed were 25.52 mm (AH/UA) and 18.66 mm (BIO/UA), respectively. The AH sealer, regardless of UA, exhibited higher flow values compared to the other sealers (P < 0.05), except for the MTAF/UA group, which was the only sealer in which UA promoted a significant flow increase (P < 0.05). Under the conditions of the study, it can be concluded that the BIO, under UA, presented the lowest setting time; however, it exhibited the lowest flow values. The MTAF sealer did not reach its final setting. Moreover, the SP groups exhibited intermediate results in all analyses. In summary, only the final setting time of the BIO group and the flow values of the MTAF group were influenced by UA.

Referências

ALCALDE, M.P. et al. Intradentinal antimicrobial action and filling quality promoted by ultrasonic agitation of epoxy resin-based sealer in endodontic obturation. J Appl Oral Sci, n. 25, p. 641-649, 2017.

ALCALDE, M.P. et al. Effect of ultrasonic agitation on push-out bond strength and adaptation of root-end filling materials, Rest Dent Endod, v. 43, n. 2, p. 1–9, 2018.

ALLAN, N.A., WALTON, R.E., SHAFFER, M. Setting time for endodontic sealers under clinical usage and in vitro conditions. J Endod, v. 27, n. 6, p. 421-423, 2001.

ALMEIDA, J.F. et al. Filling of artificial lateral canals and microleakage and flow of five endodontic sealers. Int Endod J, v. 40, p. 692-699, 2007.

ALMEIDA, L.H. et al. Are Premixed Calcium Silicate-based Endodontic Sealers Comparable to Conventional Materials? A Systematic Review of In Vitro Studies. J Endod, v. 43, p. 527-535, 2017.

ALMEIDA, M.M. et al. Analysis of the physicochemical properties, cytotoxicity and volumetric changes of AH Plus, MTA Fillapex and TotalFill BC Sealer. J Clin Exp Dent, v. 12, n. 11, p. e1058-e1065, 2020.

AMERICAN NATIONAL STANDARDS INSTITUTE /AMERICAN DENTAL AS-SOCIATION Laboratory testing methods: endodontic filling and sealing materials. Specification n° 57. ADA Professional Product Review, v. 3, p. 1–10, 2008.

ARSLAN, H., ABBAS, A., KARATAS, E. Influence of ultrasonic and sonic activation of epoxy-amine resin-based sealer on penetration of sealer into lateral canals. Clin Oral Investig, v. 20, n. 8, p. 2161–2164, 2016.

BALDI, J.V. et al. Variability of physicochemical properties of an epoxy resin sealer taken from different parts of the same tube. Int Endod J, v. 45, n. 10, p.915-920, 2012.

BERNARDES, R.A. et al. Evaluation of the flow rate of 3 endodontic sealers: Sealer 26, AH Plus, and MTA Obtura. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, v. 109, n. 1, p. 47-49, 2010.

BOUILLAGUET, S. et al. Long-term sealing ability of Pulp Canal Sealer, AH-Plus, GuttaFlow and Epiphany. Int Endod J, v. 41, p. 219–226, 2008.

CAMARGO, R.V. et al. Evaluation of the physicochemical properties of silicone- and epoxy resin-based root canal sealers. Braz Oral Res, v. 31, p. 72, 2017.

CARVALHO-JÚNIOR, J.R et al. Solubility and dimensional change after setting of root canal sealers: a proposal for smaller dimensions of test samples. J Endod, v. 33, n. 9, p. 1110-1116, 2007.

ESTRELA, C. et al. Common operative procedural errors and clinical factors associated with root canal treatment. Braz Dent J, v. 28, n. 2, p. 179-190, 2017.

FARAONI, G. et al. Avaliação comparativa do escoamento e tempo de presa do cimento MTA Fillapex. RFO, v. 18, n. 2, p. 180-184, 2013.

GUIMARÃES, B.M. et al. Influence of ultrasonic activation of 4 root canal sealers on the filling quality. J Endod, v. 40, n. 7, p. 964-968, 2014.

JIANG, S. et al. Effectiveness of sonic, ultrasonic, and photon-induced photoacoustic streaming activation of NaOCl on filling material removal following retreatment in oval canal anatomy. Photomed Laser Surg, v. 34, n. 1, p. 3-10, 2016.

LEE, J.K. et al. Physicochemical Properties of Epoxy Resin-Based and Bioceramic-Based Root Canal Sealers. Bioinorg Chem Appl, v. 2017, p. e2582849, 2017.

LOPES, F.C. et al., “Effect of sonic and ultrasonic activation on physicochemical prop-erties of root canal sealers,” Journal of Applied Oral Science, v. 27, n. 9, p. 1–9, 2019.

ORAL, I., GUZEL, H., AHMETLI, G. Determining the mechanical properties of epoxy resin (DGEBA) composites by ultrasonic velocity measurement. J Appl Polym Sci, v. 127, p. 1667-1675. 2012.

ORSTAVIK, D. Materials used for root canal obturation: technical, biological and clinical testing. Endod Topics, v. 12, n, 1, p. 25-38, 2005.

OZKOCAK, I., SONAT, B. Evaluation of effects on the adhesion of various root canal sealers after ER: YAG laser and irrigants are used on the dentin surface. J Endod, v. 41, n. 8, p. 1331-1336, 2015.

REISS-ARAÚJO, C. Comparação da infiltração apical entre os cimentos obturadores AHPlus, Sealapex, Sealer 26 e Endofill por meio da diafanização. RSBO, v. 6, n. 1, p. 21-28, 2009.

RESENDE, L.M. et al., “A comparative study of physicochemical properties of AH plus, epiphany, and epiphany SE root canal sealers,” International Endodontic Journal, v. 42, n. 9, p. 785–793, 2009.

SAGHIRI, M.A. et al., “Evaluation of mechanical activation and chemical synthesis for particle size modification of white mineral trioxide aggregate,” European Endodontic Journal, v. 5, n. 2, p. 128–133, 2020.

SILVA, I.A. et al. Does the ultrasonic activation of calcium silicate-based sealers affect their physicochemical properties? Brazilian Dental Journal, v. 33, n. 6, p. 20-27, 2022.

VAN DER SLUIS, L. W. et al. “Passive ultrasonic irrigation of the root canal: a review of the literature,” International Endodontic Journal, v. 40, n. 6, p. 415–426, 2007.

VERSIANI, M.A. et al. A comparative study of physicochemical properties of AH PlusTM and EpiphanyTM root canal sealants. Int Endod J, v. 39, n. 6, p. 464-471, 2006.

VERTUAN, G.C. et al. Evaluation of Physicochemical Properties of a New Root Canal Sealer. J Endod, v. 44, n. 3, p. 501-505, 2018.

VIANA, F. L. et al. Periapical surgery with transsurgical filling of a tooth with extensive periapical lesion: case report. Arquivos de Ciências da Saúde da UNIPAR, v.27, n.5, p.2569-2582, 2023.

VIAPIANA, R. et al. Physicochemical and mechanical properties of zirconium oxide and niobium oxide modified Portland cement-based experimental endodontic sealers. Int Endod J, v. 47, n. 5, p. 437-448, 2014.

VITTI, R.P. et al. Physical properties of MTA Fillapex Sealer™. J Endod, v. 39, n. 7, p. 915-918, 2013.

WIESSE, P.E. et al. Effect of ultrasonic and sonic activation of root canal sealers on the push-out bond strength and interfacial adaptation to root canal dentine. Int Endod J, v. 51, n. 1, p. 102-111, 2017.

ZAMPARINI, F. et al. Chemical-Physical Properties and Bioactivity of New Premixed Calcium Silicate-Bioceramic Root Canal Sealers. Int J Mol Sci, v. 23, n. 22, p. 13914, 2022.

ZHOU, H.M. et al. Haapasalo M. Physical properties of 5 root canal sealers. J Endod, v. 39, n. 10, p. 1281-1286, 2013.

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Publicado

27-07-2023

Como Citar

de Sousa, E. T., Cruz, S. M. L., Pinheiro Júnior, E. C., Vivacqua-Gomes, N., & de Vasconcelos, B. C. (2023). THE INFLUENCE OF ULTRASONIC ACTIVATION ON THE SETTING TIME AND FLOW OF FOUR ENDODONTIC SEALERS. Arquivos De Ciências Da Saúde Da UNIPAR, 27(7), 3947–3958. https://doi.org/10.25110/arqsaude.v27i7.2023-045

Edição

v. 27 n. 7 (2023)

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