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Root canal adhesive filling in dogs' teeth with or without coronal restoration: a histopathological evaluation.

Abstract
The purpose of this study was to evaluate in vivo the response of the periradicular tissues after endodontic treatment and root filling with Epiphany/Resilon (Penntron Clinical Technologies, LLC, Wallingford, CT) or gutta percha and new Sealapex (SybronEndo, Glendora, CA) in dogs' teeth with or without coronal restoration. Teeth without coronal restorations were used to assess the influence of continuous exposure to the oral environment on the periradicular tissues. Sixty root canals with vital pulps in three dogs were instrumented and obturated in a single session and randomly assigned to one of four groups as follows. group 1: root canal filling with Epiphany/Resilon with coronal restoration, group 2: root canal filling with Sealapex sealer and gutta percha with restoration, group 3: root canal filling with Epiphany/Resilon without restoration, and group 4: root canal filling with Sealapex sealer and gutta percha without coronal restoration. After 90 days, the animals were euthanized, and the maxillas and mandibles were removed and submitted for histologic processing. Longitudinal sections were obtained and stained with hematoxylin and eosin, Mallory's trichrome, and Brown and Brenn stains and examined under light microscopy. There were significant differences found between the four groups (p < 0.05). The results showed that roots canals filled with Epiphany/Resilon, with coronal restoration, had significantly less periradicular inflammation than roots canals filled with gutta percha and Sealapex, with coronal restoration (p = 0.021). No significant difference was observed in the intensity of inflammation between roots canals filled with Epiphany/Resilon with no restoration and roots filled with gutta percha and Sealapex with restoration (p = 0.269). Roots canals filled with gutta percha and Sealapex sealer without coronal restoration showed the greatest degree of periradicular inflammation.
AuthorsMario Roberto Leonardo, Frederick Barnett, Gilberto J Debelian, Regina Karla de Pontes Lima, Léa Assed Bezerra da Silva
JournalJournal of endodontics (J Endod) Vol. 33 Issue 11 Pg. 1299-303 (Nov 2007) ISSN: 0099-2399 [Print] United States
PMID17963951 (Publication Type: Comparative Study, Evaluation Study, Journal Article)
Chemical References
  • Root Canal Filling Materials
  • Salicylates
  • epiphany sealer
  • resilon sealer
  • Sealapex
  • Gutta-Percha
  • Calcium Hydroxide
Topics
  • Animals
  • Calcium Hydroxide
  • Dental Restoration, Permanent
  • Dogs
  • Gutta-Percha
  • Random Allocation
  • Root Canal Filling Materials
  • Root Canal Obturation (methods)
  • Salicylates

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