Persistent microorganisms in the root canal are known to cause endodontic treatments failure. Overextended gutta-percha can also act as a periradicular tissue irritant, leading to large periapical lesions. Retrieval of overextended gutta-percha with a nonsurgical approach can prove to be a challenge. This case describes the nonsurgical management of a large periapical lesion associated with ove...

OBJECTIVE To evaluate the discrepancy of root canal filling (RCF) measurements obtained from original root specimens and cone-beam computed tomography (CBCT) images. MATERIAL AND METHODS Seventy-two human maxillary anterior teeth were prepared up to an ISO #50 K-File 1 mm short of the apical foramen. Thus, the teeth were randomly divided into 8 groups, according to the root canal filling mate...

The aim of this study was to evaluate the effectiveness of 3 solvents (eucalyptol, orange oil, and xylol) on 2 types of gutta-percha (conventional and thermoplastic) and Resilon. Specimens (10 mm diameter x 1 mm thick; n=7 per condition) were prepared and maintained at 37 degrees C for 48 h. Each specimen was weighed on a precision scale every 24 h until its mass was stable, at which time the i...

Background and Aim: The purpose of this study was to evaluate the effect of gutta-percha solvents on fracture resistance of endodontically treated roots. Materials and Methods: A total of 72 decrowned single canal human teeth were used. Eight of specimens were selected as a control group. Thereafter, the specimens were randomly divided into 2 groups (n= 32) according to gutta-percha solvent whi...

This study used micro-computed tomography (micro-CT) to evaluate the fit of the master gutta-percha cone at time of cone fit, gutta-percha volume in the filling material, and the filling material volume in relation to the canal at the apical limit of the working length. Root canals of 20 maxillary central incisors were prepared with rotary instruments and distributed into two groups (n=10). The...

This study used transparent epoxy-resin root canal models to evaluate different main root canal tapers and various methods of vertical compaction for warm gutta-percha obturation of lateral depressions. The root canal models had straight main root canals with three tapers and four lateral depressions at right angles to the main root canal, 1.0 mm and 3.0 mm from the apex. Three types of experim...

OBJECTIVE The aim of this study was to evaluate the efficacy of R-Endo® and K3® rotary nickel-titanium instruments compared with manual instrumentation with H-files, with use of a solvent, for removal of gutta-percha during retreatment. STUDY DESIGN Forty five freshly extracted human single-rooted teeth, each with one root canal, were instrumented with K-files and filled using cold lateral co...

OBJECTIVES The purpose of this in vitro quantitative laboratorial study is to compare the ability of three filling techniques to fill simulated lateral canals. METHODS Thirty extracted, single-rooted human teeth were used. After cleaning and shaping, three lateral canals were created, one in each third. The teeth were randomly separated into three groups: continuous wave of condensation (Grou...

In endodontics, a laser can be used as a heat source and gutta-percha can be softened by a laser and used in the root canals. The System-B endodontic heat source unit was designed for the obturation of the root canal system with a single continuous wave of thermoplasticized gutta-percha. The aim of this study was to compare the apical leakage of lateral condensation; Nd: YAG laser-softened gutt...

The purpose of this retrospective study was to evaluate the treatment outcome of root canal systems obturated with gutta-percha and Kerr Pulp Canal Sealer compared with Resilon and Epiphany sealer. One hundred three teeth treated in a private endodontic practice were included in the study. Clinical outcomes (healed versus nonhealed) were assessed by using the Periapical Index determination and ...