Parameswaren compared with the coronal sealing ability of three sectional obturation techniques, namely, simplifill, therma. Silver cones are no longer utilised for root canal obturation 9, 10. Obturation requires the use of materials and techniques capable of densely filling. Various obturation techniques have been evaluated for better filling of the root canals in primary teeth using different methods. Sealing ability of sectional obturation techniques v.
Obturation of root canals with alphaphase guttapercha on a plastic corecarrier, thermafil, resulted in a more dense and well adapted root canal fll at the apical third in comparison to the cold lateral obturation technique and wvc technique. Endodontic obturation has witnessed a true evolution. It has been demonstrated that the quality of root canal obturation is important to the successful outcome of the endodontic therapy. The system provides instant heat and rapid cooling with the touch of a finger. A comparison of three guttapercha obturation techniques.
Ruddle downloadable pdf library advanced endodontics. Our intention is to have this information available to you just in time for your next scheduled procedure. Touch n heat to the obturation process, and makes open flames. Carefully and properly achieved obturation will lead to the formation of fluid tight seal which is essential for the success of the endodontic treatment. The most popular obturation method is lateral compaction, followed by warm vertical compaction. A radiograph of a maxillary right second bicuspid reveals pins, a post, incomplete endodontics and an asymmetrical lesion. The purpose of this article is to describe the authors technique for obturation. Thirtythree extracted mandibular first molars, with two separate mesial canals in each, were selected. Volumetric evaluation of different obturation techniques. Fast and easy application results in an effective seal, guarding against secondary infection. Paper points they are used for drying the canal after irrigation.
Root canal treatment methodologies are very old and have changed very little over the years. A comparison of two guttapercha obturation techniques to replicate. Most of the more recent filling techniques use heated and, therefore, softened guttapercha to seal all canal openings and isthmuses. Contemporary endodontic obturation includes thermoplasticised techniques, such as warm vertical condensation and corecarrier obturation. A splittooth model with artificially created intracanal wall defects was used to compare three guttapercha gp obturation techniques, cold lateral, warm lateral, and warm vertical.
The techniques were evaluated and compared based on defect replication quality as a function of defect location and size. Lateral condensation filling technique page 4 of 4 do not place an accessory cone with a diameter larger than the remaining apical end of the canal. Often this is a hybrid of several techniques discussed in various articles. Root canal obturation an overview sciencedirect topics.
Obturation techniques pdf he purpose of the obturation phase of endodontic treatment is to prevent the. The cone will not fit to the end and this can create gaps in the filling. Various root canal filling techniques have been developed on the basis of the thermoplastic properties of gutta. Kerr endodontics touch n heat is a heat carrier system to used with the schilder technique and tradional lateral or vertical condensation warm gutta percha techniques. Obturation techniques will be described in detail, including advice for. Contemporary obturation of the root canal system british. Obturation definition of obturation by medical dictionary. There are many different materials and techniques available each with their own discrete advantages and disadvantages.
Canal preparation and obturation clinical newsletter aae. Turning these concepts to root canal obturation, pastes were developed to speed the tedious process of obturation and more effectively move filling material into canal irregularities. After instrumentation, the canals were stratified into three groups based on canal length and curvature, and underwent obturation with one of the techniques. It will outline a broad range of obturation materials including. Kerr endodontics remains an industry leader in cutting edge endo obturation techniques and materials. Our cordless product options provide the freedom of movement to perform endodontic procedures anywhere. This article will provide an overview of the rationale behind taking a contemporary approach to obturation of the root canal system. Up until now, a number of different ways of putting this technique into practice have been used. It has been reported that obturation that is of inadequate length or nonhomogenous has. Quality of root canal fillings using three guttapercha. Endodontic instrumentation and obturation techniques.
Other techniques involve either chemical or physical alteration of the gp in an attempt to render the material more plastic, which assists in adaption to either additional gp or the rcs walls. Depending on the diagnosis, this therapy typically involves the preparation and obturation of all root canals. Obturation is the method used to fill and seal a cleaned and shaped root canal using a root canal sealer and core filling material. Successful obturation requires the use of materials and techniques capable of densely filling the entire root canal system and providing a fluid tight seal from the apical segment of the canal to the cavosurface margin in order to prevent reinfection. Download pdfs of the ruddle brochuresflyers, articles, supply lists andor technique cards and directions for use dfu in which you are interested. Our endodontic obturation systems are unmatched in quality and ease of use.
However, their inability to fill the irregularly shaped root canal system permitted leakage and resulted in corrosion products that were found to be highly cytotoxic. Thermafil obturation technique exhibited least voids and gaps compared to other tested techniques. Lovdahl dds, msd, facd, fadi, in problem solving in endodontics fifth edition, 2011. Endodontic obturation considerations for the general dentist larry lopez. The results suggest that the two obturation techniques. The prime source of voids in obturation is the lack of skill, technique chosen for a particular canal anatomy improper canal shaping. The obtura ii system consists of a hand held gun with a chamber in to which pellets of guttapercha are loaded, along with silver needles of varying gauges used to deliver the thermoplasticized. Evaluation of the sealing ability of three obturation. Mishaps and serious complications in endodontic obturation 53. Obturation techniques will be described in detail, including advice for those difficult cases such as managing obturation of a canal with a wide open apex. Ideal mechanical, physical and biological properties of obturation materials many materials and techniques for obturation are available on the market.
To increase endodontic treatment success, the root canal system rcs must be effectively. Endodontic obturation has been of interest to the dental profession for almost 200 years. After creating a clean, tapered canal, one must adequately obturate this root canal system. Naik rr abstract obturation is the most important step in the triad of endodontics.
This issue updates clinicians on the current understanding of best practices in the two pillars of nonsurgical endodontics, canal preparation and obturation, and highlights strategies for decision making in uncomplicated and more difficult endodontic cases. Grossman, one of the founders of the specialty of endodontics, determined the ideal properties of obturation materials listed in table iii. He will then put a temporary filling material to fill up the empty spaces. Numerous in vitro investigations have evaluated obturation techniques by comparing different variables such as length of fill, defectreplication,andgpdensity69,11,14,19. Inthecurrent investigation, the focus was defect replication. In vitro microbial leakage of endodontically treated teeth using new and standard obturation techniques, journal of endodontics, vol. None of the established techniques for root canal filling provides a definitive. The first visit to the dentist, the dentist will gives you local anaesthesia and remove all the pulp tissue. Gp obturation techniques, cold lateral, warm lateral, and warm. Purton1 1 department of oral rehabilitation and 2 department of oral health, university of otago school of dentistry, dunedin, new. Animated demo of fitting a master cone including working length, gutta percha cone selection and preparation, sealer and downpacking. Colleagues for excellence 2 the ultimate goal of endodontic treatment is the longterm retention in function of teeth with pulpal or periapical pathosis. Gutmann dds, cert endo, phd honoris causa, facd, ficd, fadi, paul e.
Pdf contemporary obturation of the root canal system. It has been designed to provide both the endodontist and general practitioner with a variety of effective techniques and quality gutta percha materials that, when used as directed can assure a successful obturation. Mounce, dds with the wealth of options available in obturation, it can be a challenge to know which technique to adopt and what the ramifications of these choices are in clinical practice. Making clinical choices december 1, 2007 by richard e. Contemporary obturation of the root canal system british dental. Mishaps and serious complications in endodontic obturation. Previously, we had silver point techniques that attempted to match the silver points to a preparation. Cbct analysis of root canal filling using different.
Pdf once cleaning and shaping is complete the clinician must obturate the canal. Spiral computed tomography sct is a new revolution in the pediatric endodontics for assessment of quality of the obturation from 3 dimensions. During that time, many advances in materials and techniques have changed the approach to obturation. This newsletter is intended to update clinicians on the current understanding of best practices in the two pillars of nonsurgical endodontics, canal preparation and obturation, and to highlight strategies for decision making in both uncomplicated and more difficult endodontic cases. The down pak is cordless and designed with a multifunctional, endodontic heating and vibrating spreader device and can be used for both warm vertical and lateral condensation techniques. Coronal sealing ability of three sectional obturation. We offer a complete line of advanced filling materials, sealers and equipment for all obturation techniques.
Comparison of two vertical condensation obturation. The quality of the obturation in root canals filled with singlecone techniques was evaluated by several authors 4, 6, 8, 10, 12, 17. This website provides free medical books this website provides over 0 free medical books and more for all students and doctors this website the best choice for medical students during and after learning medicine. Obturation of the root canal system journal of endodontics. A comparison of three guttapercha obturation techniques the. I have found that practitioners develop a system that works best in their own hands. Jasper introduced silver cones and due to their inherent rigidity made them easy to place.