Effects of Mechanized Irrigation Protocols on Endodontic Obturation Using Calcium Silicate-Based Sealer

The aim of this study was to evaluate the effects of mechanized final irrigation protocols (XPE, XP-Endo Finisher; XPC, XP-Clean; and ECL, Easy Clean) compared to PUI (passive ultrasonic irrigation) on the debris incidence and open dentinal tubules, and their effects on the adhesion interface after...

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Main Authors: Lucas David Galvani, Antonia Patricia Oliveira Barros, Joatan Lucas de Sousa Gomes Costa, Eliane Cristina Gulin de Oliveira, Ester Alves Ferreira Bordini, Luís Geraldo Vaz, Milton Carlos Kuga
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/14/22/10317
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author Lucas David Galvani
Antonia Patricia Oliveira Barros
Joatan Lucas de Sousa Gomes Costa
Eliane Cristina Gulin de Oliveira
Ester Alves Ferreira Bordini
Luís Geraldo Vaz
Milton Carlos Kuga
author_facet Lucas David Galvani
Antonia Patricia Oliveira Barros
Joatan Lucas de Sousa Gomes Costa
Eliane Cristina Gulin de Oliveira
Ester Alves Ferreira Bordini
Luís Geraldo Vaz
Milton Carlos Kuga
author_sort Lucas David Galvani
collection DOAJ
description The aim of this study was to evaluate the effects of mechanized final irrigation protocols (XPE, XP-Endo Finisher; XPC, XP-Clean; and ECL, Easy Clean) compared to PUI (passive ultrasonic irrigation) on the debris incidence and open dentinal tubules, and their effects on the adhesion interface after 48 h and 6 months. One hundred twenty maxillary central incisors were submitted to chemical–mechanical preparation using a rotary instrument and 2.5% sodium hypochlorite. Specimens were distributed in 4 groups (<i>n</i> = 30) in accordance with the mechanized final irrigation protocol: XPE, XPC, ECL, or PUI. Forty specimens (<i>n</i> = 10/group) were submitted to SEM analysis to evaluate the residue incidence and dentin open tubules. The other specimens were obturated using Bio-C Sealer and submitted to push-out bond strength and adhesive failure mode evaluations in the cervical, middle, and apical thirds after 48 h or 6 months (<i>n</i> = 10/group). Only in the apical third, ECL presented the highest residue incidence and fewer open dentinal tubules when compared to the XPE, XPC, and PUI groups (<i>p</i> < 0.05). In the cervical and middle root thirds, no significant differences were observed regardless of the group evaluated (<i>p</i> > 0.05). After 48 h, ECL resulted in the lowest bond strength only in the apical third (<i>p</i> < 0.05), while the XPE, XPC, and PUI groups remained similar in the cervical and middle thirds (<i>p</i> > 0.05). At 6 months, all groups showed lower bond strength values regardless of the root third evaluated, but ECL showed the lowest bond strength in the apical and middle root thirds when compared to the other groups (<i>p</i> < 0.05). The ECL protocol did not provide adequate residue removal on the apical radicular third and negatively affected the longevity of endodontic obturation using a calcium silicate-based sealer.
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spelling doaj-art-a8ccfa2f27494308beb448b21cb2db412024-11-26T17:48:17ZengMDPI AGApplied Sciences2076-34172024-11-0114221031710.3390/app142210317Effects of Mechanized Irrigation Protocols on Endodontic Obturation Using Calcium Silicate-Based SealerLucas David Galvani0Antonia Patricia Oliveira Barros1Joatan Lucas de Sousa Gomes Costa2Eliane Cristina Gulin de Oliveira3Ester Alves Ferreira Bordini4Luís Geraldo Vaz5Milton Carlos Kuga6Department of Dental Materials and Prosthodontics, School of Dentistry at Araraquara, São Paulo State University (UNESP), Araraquara 14801-395, SP, BrazilDepartment of Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araraquara 14801-395, SP, BrazilDepartment of Restorative Dentistry, School of Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte 31270-901, MG, BrazilDepartment of Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araraquara 14801-395, SP, BrazilDepartment of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto 14040-904, SP, BrazilDepartment of Dental Materials and Prosthodontics, School of Dentistry at Araraquara, São Paulo State University (UNESP), Araraquara 14801-395, SP, BrazilDepartment of Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araraquara 14801-395, SP, BrazilThe aim of this study was to evaluate the effects of mechanized final irrigation protocols (XPE, XP-Endo Finisher; XPC, XP-Clean; and ECL, Easy Clean) compared to PUI (passive ultrasonic irrigation) on the debris incidence and open dentinal tubules, and their effects on the adhesion interface after 48 h and 6 months. One hundred twenty maxillary central incisors were submitted to chemical–mechanical preparation using a rotary instrument and 2.5% sodium hypochlorite. Specimens were distributed in 4 groups (<i>n</i> = 30) in accordance with the mechanized final irrigation protocol: XPE, XPC, ECL, or PUI. Forty specimens (<i>n</i> = 10/group) were submitted to SEM analysis to evaluate the residue incidence and dentin open tubules. The other specimens were obturated using Bio-C Sealer and submitted to push-out bond strength and adhesive failure mode evaluations in the cervical, middle, and apical thirds after 48 h or 6 months (<i>n</i> = 10/group). Only in the apical third, ECL presented the highest residue incidence and fewer open dentinal tubules when compared to the XPE, XPC, and PUI groups (<i>p</i> < 0.05). In the cervical and middle root thirds, no significant differences were observed regardless of the group evaluated (<i>p</i> > 0.05). After 48 h, ECL resulted in the lowest bond strength only in the apical third (<i>p</i> < 0.05), while the XPE, XPC, and PUI groups remained similar in the cervical and middle thirds (<i>p</i> > 0.05). At 6 months, all groups showed lower bond strength values regardless of the root third evaluated, but ECL showed the lowest bond strength in the apical and middle root thirds when compared to the other groups (<i>p</i> < 0.05). The ECL protocol did not provide adequate residue removal on the apical radicular third and negatively affected the longevity of endodontic obturation using a calcium silicate-based sealer.https://www.mdpi.com/2076-3417/14/22/10317dentin debrisendodontic irrigationscanning electron microscopyultrasonicscalcium silicate
spellingShingle Lucas David Galvani
Antonia Patricia Oliveira Barros
Joatan Lucas de Sousa Gomes Costa
Eliane Cristina Gulin de Oliveira
Ester Alves Ferreira Bordini
Luís Geraldo Vaz
Milton Carlos Kuga
Effects of Mechanized Irrigation Protocols on Endodontic Obturation Using Calcium Silicate-Based Sealer
Applied Sciences
dentin debris
endodontic irrigation
scanning electron microscopy
ultrasonics
calcium silicate
title Effects of Mechanized Irrigation Protocols on Endodontic Obturation Using Calcium Silicate-Based Sealer
title_full Effects of Mechanized Irrigation Protocols on Endodontic Obturation Using Calcium Silicate-Based Sealer
title_fullStr Effects of Mechanized Irrigation Protocols on Endodontic Obturation Using Calcium Silicate-Based Sealer
title_full_unstemmed Effects of Mechanized Irrigation Protocols on Endodontic Obturation Using Calcium Silicate-Based Sealer
title_short Effects of Mechanized Irrigation Protocols on Endodontic Obturation Using Calcium Silicate-Based Sealer
title_sort effects of mechanized irrigation protocols on endodontic obturation using calcium silicate based sealer
topic dentin debris
endodontic irrigation
scanning electron microscopy
ultrasonics
calcium silicate
url https://www.mdpi.com/2076-3417/14/22/10317
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