Effects of ultrasonic root end preparation on resected root surfaces: SEM evaluation

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Nov;98(5):611-8. doi: 10.1016/j.tripleo.2004.04.004.

Abstract

Objective: The purpose of this study was to investigate the in vitro effect of ultrasonic retrotips on root end surfaces.

Study design: Root end resection was performed on 45 single-root teeth endodontically treated after extraction. Setting the ultrasonic device at full power, a retrograde cavity was made by a stainless steel tip in 9 specimens (SS-FP). In another 9 samples a diamond tip was used (D-FP). Setting the intensity of the ultrasonic device at half power, 9 specimens were treated using stainless steel tips (SS-HP) and 9 using diamond tip (D-HP). Nine teeth were only apically resected and used as controls. Histologic serial sections were examined by scanning electron microsope to assess the number of root-face cracking, the marginal quality, and the crack type.

Results: No significant difference between diamond and stainless steel groups was found at a given power setting. Significant differences were found between SS-FP and SS-HP group for both the number of cracks and the marginal quality.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Apicoectomy*
  • Dental Pulp Cavity / injuries
  • Dental Pulp Cavity / ultrastructure*
  • Dentin / injuries
  • Dentin / ultrastructure
  • Diamond
  • Equipment Design
  • Humans
  • Microscopy, Electron, Scanning
  • Middle Aged
  • Retrograde Obturation
  • Root Canal Preparation / instrumentation
  • Root Canal Preparation / methods*
  • Stainless Steel
  • Surface Properties
  • Tooth Apex / injuries
  • Tooth Apex / ultrastructure*
  • Ultrasonic Therapy / instrumentation
  • Ultrasonic Therapy / methods*

Substances

  • Stainless Steel
  • Diamond