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The sealer penetration into the dentinal tubules: An appraisal of different irrigation systems: Original research
Thouseef Ch1, Izaz Shaik2, Mohammed Muzammil Khan3, Prashik Parvekar4, Mubashir Baig Mirza5, Mohammed Mustafa5, Heena Tiwari6
1 Department of Conservative Dentistry and Endodntics, Malabar Dental College and Research Center, Malappuram, Kerala, India
2 Department of MDS, DMDc, Rutgers School of Dental Medicine, Newark, New Jersey, USA
3 Department of Pedodontics, Ministry of Health, Taif, Saudi Arabia
4 Root Dental Center, Al Farwaniyah, Kuwait
5 Department of Conservative Dental Science, College of Dentistry, Prince Sattam bin Abdulaziz University, Al Kharj, KSA
6 BDS, PGDHHM, MPH Student, Parul Univeristy, Limda, Waghodia, Vadodara, Gujrat, India
Correspondence Address:
Heena Tiwari
Parul Univeristy, Limda, Waghodia, Vadodara, Gujrat
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jpbs.jpbs_95_21
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Introduction: A good endodontic sealer aids in a successful root canal treatment. Sealer in turn depends on the thorough irrigation technique and debris removal. Hence, in the present study, we intend to compare the sealer's dispersion into dentinal tubules of the different irrigation systems by confocal laser scanning microscopy (CLSM). Methodology: Seventy-six single-rooted, freshly removed human mandibular premolars were taken. They were separated into equal groups as conventional endodontic needle irrigation system, Endovacirrigation, Endoactivator irrigation, and manual dynamic agitation groups. Protaper rotary system was used and obturation was done with gutta-percha. The sealer used was AH Plus labeled with fluorescent dye (0.1% Rhodamine B isothcyanate). Transverse sections from the root apex at the levels of 1 mm, 3 mm, and 5 mm were scanned using CLSM. The sealer's penetration for the depth and the percentage were measured. Results: We observed that endovac irrigation system showed maximum percentage and depth of sealer's penetration compared to endoactivator, manual dynamic agitation, and conventional methods at 1, 3, and 5 mm levels from the apex. Conclusion: The irrigation systems significantly influence the penetration of the Sealer into root dentinal tubules. When penetration of sealer at different levels, compared to endoactivator, manual dynamic agitation, and conventional method, significant greater levels were attained with the EndoVac system.
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