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Comparison of Obturation Quality after MTA Orthograde Filling with Various Obturation Techniques

 Hae Jin An  ;  Hyunjung Yoon  ;  Hoi In Jung  ;  Dong-Hoon Shin  ;  Minju Song 
 JOURNAL OF CLINICAL MEDICINE, Vol.10(8) : 1719, 2021-04 
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EZ-seal ; MTA orthograde filling ; Micro-CT ; OrthoMTA ; compactor activation ; hand condensation ; open porosity ; reverse rotary motion ; root filling technique ; void
This study aimed to quantify and compare the obturation quality after mineral trioxide aggregate (MTA) orthograde fillings with three different obturation techniques. Thirty-three extracted human maxillary molars were collected. Distobuccal and palatal canals were prepared to an apical size of #40/06 with a Profile Ni-Ti system. All 66 canals were divided into two groups according to the material (EZ-seal or OrthoMTA) and then obturated using three different techniques: manual compaction using S-kondenser (group H), compactor activation (group C), or reverse rotary motion of Ni-Ti file (group R). The obturated roots were scanned using micro-computed tomography (micro-CT). The percentage of voids located in the apical 5 mm was measured separately, that is, closed, open, and total porosity. There was no relation between the filling material and obturation technique (p > 0.05). The percentage volume of open and total porosity was higher in EZ-seal than in OrthoMTA (open: p = 0.002, total: p = 0.001). Group H showed higher open and total porosity than groups C and R. Micro-CT analysis showed that the void volume after orthograde MTA fillings significantly decreased when the additional activation was accompanied by hand condensation. Obturation with a Ni-Ti file using reverse motion could be recommended as an MTA orthograde filling technique.
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2. College of Dentistry (치과대학) > Dept. of Preventive Dentistry and Public Oral Health (예방치과학교실) > 1. Journal Papers
Yonsei Authors
Jung, Hoi In(정회인) ORCID logo https://orcid.org/0000-0002-1978-6926
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