Regaining apical patency after obturation with gutta-percha and a sealer containing mineral trioxide aggregate

Matthew T. Carpenter, Stephanie Jane Sidow, Kimberly W. Lindsey, Augustine Chuang, James C. McPherson

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Introduction MTA Fillapex (Angelus Solucoes Odontologicas, Londrina PR, Brazil) was introduced as a mineral trioxide aggregate (MTA)-based sealer used for endodontic obturation. There is a lack of research that evaluates the ability of different solvents to soften MTA-based sealers during retreatment. This study tested the ability of 4 commonly used endodontic solvents to soften gutta-percha and MTA Fillapex to allow for the re-establishment of apical patency. Methods Eighty-six extracted maxillary anterior teeth were instrumented to the working length to a size 45 (.04 taper size). Teeth were divided into 2 groups (n = 43 for each group). MTA Fillapex was placed into all canals. Group 1 was obturated with gutta-percha to the working length, and group 2 was obturated 2 mm short of the working length to ensure the apical 2 mm was filled with sealer only. Both groups were divided into 4 subgroups (n = 10). The remaining teeth served as the control group. Each subgroup was exposed to 1 of the following solvents: chloroform, Endosolv R (Septodont, Saint-Maur, France), Endosolv E (Septodont), or eucalyptol. Results Patency was re-established in 100% of the teeth in groups 1 and 2 when tested with chloroform or Endosolv E, 80% of the teeth in group 1 and 90% in group 2 when tested with eucalyptol, and 10% of the teeth in group 1 and 50% in group 2 tested when with Endosolv R. The chi-square test indicated there was a statistical difference between Endosolv R and the other tested solvents for both groups. Conclusions Chloroform, Endosolv E, and Eucalyptol soften GP and MTA Fillapex sufficiently to aid in re-establishing apical patency during endodontic retreatment.

Original languageEnglish (US)
Pages (from-to)588-590
Number of pages3
JournalJournal of endodontics
Volume40
Issue number4
DOIs
StatePublished - Apr 2014
Externally publishedYes

Keywords

  • MTA Fillapex
  • Mineral trioxide aggregate
  • patency
  • retreatment
  • sealer
  • solvent

ASJC Scopus subject areas

  • Dentistry(all)

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