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Influence of the ultrasonic activation of irrigating solutions on sealer penetration into lateral root canals

influência da ativação ultrassônica de soluções irrigadoras na penetração de cimento obturador em canais laterais

ABSTRACT

Objective:

This study analyzed the influence of the irrigating solutions ultrasonic activation on the obturator cement penetration into lateral root canals.

Methods:

Fifty maxillary molars (palatine root) were randomly assigned to 5 experimental groups (Group 1 (EDTA 17% + manual agitation for 5 minutes), Group 2 (EDTA 17% + ultrasonic activation for 15 seconds), Group 3 (NaOCl 1% + Ultrasonic activation for 15 seconds), Group 4 (EDTA 17% + ultrasonic activation for 15 seconds and NaOCl 1% + ultrasonic activation for 15 seconds) and Group 5 (negative control). The lateral root canals were made in the apical and middle third. The obturation occurred in a single session. The radiographic and microscopic analyzes were performed to evaluate the sealant cement penetration degree. Data were analyzed by the Mann-Whitney and Wilcoxon tests.

Results:

Apical and middle third radiographic analysis showed that Groups 2 and 4 presented better penetration of the sealant cement. In the microscopic analysis, Group 4 presented superior results in relation to the other groups in both thirds. In the apical third, radiographic and microscopic analyzes showed significant differences in the comparisons between Group 4 and Groups 5 (p = 0.019) and 3 (p = 0.023) and between Group 5 and Groups 2 (p = 0.012), 3 (P = 0.038) and 4 (p = 0.019), respectively.

Conclusion:

It was concluded that the ultrasonic activation of the NaOCl 1% + EDTA 17% irrigation solution provides greater penetration of the endodontic cement in lateral root canals.

Indexing terms:
Dental cements; Root canal irrigants; Root canal therapy; Smear layer; Ultrasonics

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