PubMed · 7560562
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M A Oliver. 1995. Thermafil takes issue.. https://doi.org/10.14219/jada.archive.1995.0313
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The aim of this in vitro study was to compare leakage of Enterococcus faecalis ATCC 29212 through root canals of single-rooted extracted human mandibular premolars filled with either gutta-percha/AH Plus or Resilon/Epiphany using the continuous wave of condensation technique. Test and control teeth were suspended in an experimental bacterial leakage setup for 50 days. Kaplan-Meyer curves showed a tendency of the gutta-percha/AH Plus root fillings to prevent leakage better than Resilon/Epiphany counterparts. This tendency, however, was not statistically significant (log-rank test, p = 0.141). The estimated mean time for turbidity to occur in the broth below the suspended root was 35 days (SD = 5 days) in the gutta-percha/AH Plus and 33 days (SD = 4 days) in the Resilon/Epiphany group. It was concluded that within the limitations of this study, there was no apparent advantage of using Resilon/Epiphany over gutta-percha/AH Plus.
The aim of this study was to compare the apical leakage of roots filled with different materials using a computerized fluid filtration technique. There were 36 freshly extracted human maxillary central incisors selected. After preparation and irrigation, 3 experimental groups of 10 roots were constituted. Ten roots were filled with AH Plus and gutta-percha, 10 roots were filled with Sealapex and gutta-percha, and 10 roots were filled with Epiphany sealer and Resilon cone using a single cone technique. Three roots were used as a positive control and three roots were used as a negative control group. Evaluation of the apical leakages was performed with a computerized fluid filtration technique. According to the results, the difference between group 3 and 1 and group 3 and 2 was statistically significant (p<0.05). Although group 2 leaked the most, there was no significant difference between group 1 and 2.
Forty extracted maxillary incisors were decoronated, prepared in a crown-down fashion and randomly divided into two groups of 16 roots each. Remaining roots served as controls. Smear layer was removed with 17% EDTA followed by 5.25% NaOCl, the canals in group N were again rinsed with NaOCl before obturation with laterally compacted gutta-percha and Roth's 801 sealer. The roots in group E were rinsed with 95% ethyl alcohol instead of NaOCl for the final rinse. Leakage was determined using a fluid-flow model. Roots were cleared, split, and sealer penetration into the dentinal tubules was measured under light-microscopy. Group E demonstrated significantly greater sealer penetration (p = 0.002) and significantly less leakage (p = 0.040), than group N. Leakage could not be significantly correlated with sealer penetration (p = 0.725). Under the conditions of this study, we found that a final rinse with 95% ethyl alcohol increased sealer penetration and decreased leakage.