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Sogol Amiri

potential speaker for international dental conferences 2017 - Sogol Amiri

Title: The comparative study of five different calcium hydroxide residues in root canal after final canal preparation using Protaper rotary system and NaOCl 2.5 %

Sogol Amiri

Iran

Biography

Born on 09/22/1989.Studied dentistry (2009-2013) with GPA:3.46 at Shahed university ,Tehran, Iran .Winner of three student contests in endodontics, dental materials and general dentistry. Has worked at private dental offices and public health centers since 2013.

Abstract

Introduction:
There is a high possibility that  intra canal medications used for multiple-visit treatments, remain in root canal even after incorporating different endodontic instruments and chemical substances for  removing them, prior to obturation of root canal.
Our study aims to evaluate the residues of five different calcium hydroxides , which are presumed to be eliminated completely after final root canal preparation with Protaper rotary files and NaOCl 2.5% , in identically prepared single root teeth, using stereomicroscope.
Material and methods:
81 single root, straight and intact human teeth, consisting of 17 maxillary central incisors, 17 maxillary canines and 47 maxillary premolars, were decoronated from 15mm to anatomic apex and randomly divided into 5 groups of each with 3 incisors,3 canines and 9 premolars. 5 positive and 1 negative controls were prepared. All teeth were prepared with rotary Protaper files up to MAF=F2  down to the anatomic apex and with NaOCl 2.5% multiple irrigations according to ISO use instruction. Groups were filled with calcium hydroxide to full length as follow:
 1) Metapex (META BIOMED Co/Korea),
 2) Meta paste (META BIOMED Co/ Korea),
 3) Golchai (Golchai Co/Iran) powder/liquid type , mixed 3/1 with distilled water.                                             
 4) Calcipex II (Nippon Shika Yakuhin Co/Japan) 
5)Endo-Cal (Morvabon Trading Co/Iran)
Calcium hydroxides in all groups were applied with  identical tips ,and for powder type, it was introduced into canals with S-file 25 and pushed into canals with endodontic plugger,,then all roots were covered by cavit temporary filling material and  incubated in 37 °C, and 100 % humidity for a week. Afterward cavit was removed and each tooth  was  filed up to file size F3 with protaper system down to the anatomic apex ,meanwhile NaOCl 2.5% was used for multiple irrigations according to ISO instruction. All teeth were splitted using a 0.13mm Disc on a continues handpiece  by making longitudinal grooves on both sides of each tooth and then splitting them into two equal pieces using a metal spatula. All specimens were magnified 40x and observed under stereomicroscope. Calcium hydroxide residues were analyzed quantitatively by means of 
a grid, with results expressed in percentage of canal walls 
covered by debris. Tucky statistical test was considered to be used if needed.

Results:
 In All groups (1-5) there were amounts of remaining calcium hydroxide .More than 60% of  calcium hydroxide was still on canal walls all along root canal to the anatomical apex. there was no significant  difference among similar teeth in all groups.(P<0.9)
Conclusion:
There is no significant difference between different types of  calcium hydroxide ,whether they are powder /liquid type(Golchai) or  paste form (other groups),and whether they are oil based (Metapex) or water-based(other groups),and whether they are pure(Golchai and  Endocal) or there are other ingredients such as iodoform (Metapex) or barium sulfate (Metapaste and Calcipex II) as additives, when comparing for residues after chemomechanical removal from root canals prior to obturation.