Effect of Varying the Depth of Heat Application on the Adaptability of Gutta-Percha During Warm Vertical Compaction
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Richard S. Smith DDS, R. Norman Weller DMD, MS, Robert J. Loushine DDS and W. Frank Kimbrough DDS, MS
Dr. Smith is a former postgraduate student, Department of Endodontics, School of Dentistry, Medical College of Georgia, Augusta, GA. He is also currently practicing with the United States Navy, Great Lakes, IL. Dr. Weller is associate professor, chairman; Dr. Loushine is assistant professor and program director, Postgraduate Endodontics; and Dr. Kimbrough is associate professor, Department of Endodontics, School of Dentistry, Medical College of Georgia, Augusta, GA 30912-1244.
Available online 17 December 2005.
The purpose of this study was to compare the adaptability of gutta-percha after varying the depth of heat application in the obturation of a set of standard root canals. A split-tooth model was constructed using a human maxillary central incisor. The root canal was cleaned and shaped using a step-back preparation to a size #60 FlexOFile at the working length (WL). Five shallow depressions were produced on the root canal wall. Twenty obturations without sealer were performed for each technique (thermoplasticized injectable (TI), lateral condensation, and warm vertical compaction (WVC) with heat applications at 3, 4, 5, and 7 mm from the WL). After each obturation the model was separated and the mesial and distal sides of each obturation were examined and videotaped at ×32 magnification. The quality of the obturation was graded based on the replication to the WL, replication of the artificial depressions, surface adaptation, and homogenicity of the gutta-percha. The Kruskal-Wallis analysis and the Student-Newman-Keuls tests indicated that all the techniques were significantly different from each other (p < 0.05) except for the TI group versus the WVC group with the heat application to within 3 mm from the WL (p > 0.05). The TI technique was ranked best followed by the WVC with heat applications at 3, 4, 5, and 7 mm. The lateral condensation technique received the lowest ranking.
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