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3 "Emílio Carlos Sponchiado"
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Research Articles
Effect of ultrasonic tip designs on intraradicular post removal
Anny Carine Barros Aguiar, Daniely Amorim de Meireles, André Augusto Franco Marques, Emílio Carlos Sponchiado Júnior, Angela Delfina Bitencourt Garrido, Lucas da Fonseca Roberti Garcia
Restor Dent Endod 2014;39(4):265-269.   Published online July 17, 2014
DOI: https://doi.org/10.5395/rde.2014.39.4.265
AbstractAbstract PDFPubReaderePub
Objectives

To evaluate the effect of different ultrasonic tip designs on intraradicular post removal.

Materials and Methods

The crowns of forty human canine teeth were removed, and after biomechanical preparation and filling, the roots were embedded in acrylic resin blocks. The post spaces were made, and root canal molding was performed with self-cured acrylic resin. After casting (Cu-Al), the posts were cemented with zinc phosphate cement. The specimens were randomly separated into 4 groups (n = 10), as follows: G1 - no ultrasonic vibration (control); G2 - ultrasonic vibration using an elongated cylindrical-shaped and active rounded tip; G3 - ultrasonic vibration with a flattened convex and linear active tip; G4 - ultrasonic vibration with active semicircular tapered tip. Ultrasonic vibration was applied for 15 seconds on each post surface and tensile test was performed in a Universal Testing Machine (Instron 4444 - 1 mm/min).

Results

G4 presented the highest mean values, however, with no statistically significant difference in comparison to G3 (P > 0.05). G2 presented the lowest mean values with statistically significant difference to G3 and G4 (P < 0.05).

Conclusions

Ultrasonic vibration with elongated cylindrical-shaped and active rounded tip was most effective in reducing force required for intraradicular post removal.

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Effect of passive ultrasonic agitation during final irrigation on cleaning capacity of hybrid instrumentation
Marcilene Coelho Vinhorte, Eduardo Hideki Suzuki, Maíra Sousa de Carvalho, André Augusto Franco Marques, Emílio Carlos Sponchiado Júnior, Lucas da Fonseca Roberti Garcia
Restor Dent Endod 2014;39(2):104-108.   Published online March 21, 2014
DOI: https://doi.org/10.5395/rde.2014.39.2.104
AbstractAbstract PDFPubReaderePub
Objectives

To evaluate the effect of passive ultrasonic agitation on the cleaning capacity of a hybrid instrumentation technique.

Materials and Methods

Twenty mandibular incisors with mesiodistal-flattened root shape had their crowns sectioned at 1 mm from the cementoenamel junction. Instrumentation was initiated by catheterization with K-type files (Denstply Maillefer) #10, #15, and #20 at 3 mm from the working length. Cervical preparation was performed with Largo bur #1 (Dentsply Maillefer) followed by apical instrumentation with K-type files #15, #20 and #25, and finishing with ProTaper F2 file (Denstply Maillefer). All files were used up to the working length under irrigation with 1 mL of 2.5% sodium hypochlorite (Biodynâmica) at each instrument change. At the end of instrumentation, the roots were randomly separated into 2 groups (n = 10). All specimens received final irrigation with 1 mL of 2.5% sodium hypochlorite. The solution remained in the root canals in Group 1 for one minute; and ultrasonic agitation was performed in Group 2 for one minute using a straight tip inserted at 1 mm from working length. The specimens were processed histologically and the sections were analyzed under optic microscope (×64) to quantify debris present in the root canal.

Results

The samples submitted to ultrasonic agitation (Group 2) presented significant decrease in the amount of debris in comparison with those of Group 1 (p < 0.05).

Conclusions

The hybrid instrumentation technique associated with passive ultrasonic agitation promoted greater debris removal in the apical third of the root canals.

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Case Report
Endodontic treatment of mandibular molar with root dilaceration using Reciproc single-file system
Daniely Amorin Meireles, Mariana Mena Barreto Bastos, André Augusto Franco Marques, Lucas da Fonseca Roberti Garcia, Emílio Carlos Sponchiado
Restor Dent Endod 2013;38(3):167-171.   Published online August 23, 2013
DOI: https://doi.org/10.5395/rde.2013.38.3.167
AbstractAbstract PDFPubReaderePub

Biomechanical preparation of root canals with accentuated curvature is challenging. New rotatory systems, such as Reciproc, require a shorter period of time to prepare curved canals, and became a viable alternative for endodontic treatment of teeth with root dilaceration. Thus, this study aimed to report a clinical case of endodontic therapy of root with accentuated dilaceration using Reciproc single-file system. Mandibular right second molar was diagnosed as asymptomatic irreversible pulpitis. Pulp chamber access was performed, and glide path was created with #10 K-file (Dentsply Maillefer) and PathFile #13, #16 and #19 (Dentsply Maillefer) up to the temporary working length. The working length measured corresponded to 20 mm in the mesio-buccal and mesio-lingual canals, and 22 mm in the distal canal. The R25 file (VDW GmbH) was used in all the canals for instrumentation and final preparation, followed by filling with Reciproc gutta-percha cones (VDW GmbH) and AH Plus sealer (Dentsply Maillefer), using thermal compaction technique. The case has been receiving follow-up for 6 mon and no painful symptomatology or periapical lesions have been found. Despite the difficulties, the treatment could be performed in a shorter period of time than the conventional methods.

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