Logo image
An evaluation of microbial leakage in roots filled with a thermoplastic synthetic polymer-based root canal filling material (Resilon)
Journal article   Peer reviewed

An evaluation of microbial leakage in roots filled with a thermoplastic synthetic polymer-based root canal filling material (Resilon)

Guy Shipper, Dag Ørstavik, Fabricio Batista Teixeira and Martin Trope
Journal of endodontics, Vol.30(5), pp.342-347
05/2004
DOI: 10.1097/00004770-200405000-00009
PMID: 15107647

View Online

Abstract

The purpose of this study was to compare bacterial leakage using Streptococcus mutans and Enterococcus faecalis through gutta-percha and a thermoplastic synthetic polymer-based root filling (Resilon) using two filling techniques during a 30-day period. Teeth were decoronated, roots prepared to a length of 16 mm, and instrumented to ISO sizes 40 to 50. A total of 156 roots were randomly divided into 8 groups of 15 roots (groups 1-8) and 3 control groups (12 roots each). Roots were filled using lateral and vertical condensation techniques with gutta-percha and AH 26 sealer (groups 1 and 2) or with gutta-percha and Epiphany sealer (groups 3 and 4). Groups 5 and 6 were filled with Resilon and Epiphany sealer using the lateral or vertical condensation techniques. A split chamber microbial leakage model was used in which S. mutans placed in the upper chamber could reach the lower chamber only through the filled canal. Groups 7 and 8 were identical to groups 5 and 6 respectively; however, E. faecalis was used to test the leakage. Positive controls were filled with Resilon (12 roots) and gutta-percha (12 roots) without sealer and tested with bacteria, whereas negative controls (12 roots) were sealed with wax to test the seal between chambers. All but one positive control leaked within 24 h, whereas none of the negative controls leaked. Resilon showed minimal leakage (group 8: one leakage; groups 5-7: each with two leakages), which was significantly less than gutta-percha, in which approximately 80% of specimens with either technique or sealer leaked. Kruskal-Wallis test showed statistical significance when all groups were compared (p < 0.05). Mann-Whitney U test compared the respective groups and found Resilon groups superior to gutta-percha groups (p < 0.05).
Microscopy, Electron, Scanning Humans Streptococcus mutans - isolation & purification Root Canal Obturation - methods Dental Pulp Cavity - microbiology Epoxy Resins Enterococcus faecalis - isolation & purification Silver Dental Leakage - prevention & control Statistics, Nonparametric Bismuth Titanium Root Canal Filling Materials Drug Combinations Gutta-Percha

Details

Logo image