RADIOGRAPHIC COMPARISON OF OBTURATION PERFORMED BY CONVENTIONAL METHOD AND OBTURA II

Authors

  • Sheejia Asif Jadoon Department of Operative Dentistry and Endodontics School of Dentistry PIMS Hospital Islamabad-Pakistan
  • Shehrayar Akhtar Khokhar Department of Operative and Paediatric Dentistry, Pakistan Institute of Medical Sciences Islamabad-Pakistan
  • Aqsa Waheed Department of Operative Dentistry and Endodontics School of Dentistry PIMS Hospital Islamabad-Pakistan
  • Samia Ejaz Department of Operative Dentistry and Endodontics School of Dentistry PIMS Hospital Islamabad-Pakistan
  • Ahsen Amin Department of Operative Dentistry and Endodontics School of Dentistry PIMS Hospital Islamabad-Pakistan
  • Abdal Hidayat Sardar Begum Dental College Peshawar-Pakistan

DOI:

https://doi.org/10.55519/JAMC-04-12276

Keywords:

Cold lateral condensation,, Obtura II,, obturation,, radiographic assessment

Abstract

Background: Preventing tooth loss is of utmost importance in maintaining optimal mastication, phonation, and aesthetics. Most commonly, pulpitis occurs as a result of caries, while trauma less frequently causes it. In both cases, it can lead to unbearable pain. To alleviate this pain and preserve the tooth without resorting to extraction, root canal treatment is indicated. To compare the radiographic quality of root canal filling sealing achieved with the Obtura II system and the cold lateral condensation technique. Methods: This randomized clinical trial was conducted at the School of Dentistry with a total of 260 participants. The study focused on single-rooted teeth that required endodontic treatment. Group A was assigned the cold lateral condensationwhile Group B received obturation using the Obtura II system. A radiographic assessment was performed to evaluate the presence of voids and the extent of extension at the apex in both groups. The chi-square test was utilized to compare the occurrence of voids and the extent of extension between the two groups. Results: In the Cold Lateral Compaction cold lateral condensation group, 113 cases (86.92%) achieved optimum extension, while in the Obtura II group, 114 cases (87.69%) achieved the same. A statistically significant difference was observed between the groups in terms of extension (p=0.033). Although the difference in extension quality was not statistically significant, it is worth noting that the Obtura II group had a higher incidence of overextension. The cold lateral condensation group had 104 cases (80.00%) with no voids, whereas the Obtura II group had 121 cases (93.08%) without voids. A statistically significant difference was observed between the groups regarding the presence of voids (p=0.004). Conclusion: Obtura II exhibits a denser sealing and fewer voids compared to the cold lateral condensation technique. However, Obtura II showed a slightly higher tendency to extend beyond the apex compared to the CLC technique.

Author Biographies

Sheejia Asif Jadoon, Department of Operative Dentistry and Endodontics School of Dentistry PIMS Hospital Islamabad-Pakistan

 

Shehrayar Akhtar Khokhar , Department of Operative and Paediatric Dentistry, Pakistan Institute of Medical Sciences Islamabad-Pakistan

 

Aqsa Waheed, Department of Operative Dentistry and Endodontics School of Dentistry PIMS Hospital Islamabad-Pakistan

 

Samia Ejaz, Department of Operative Dentistry and Endodontics School of Dentistry PIMS Hospital Islamabad-Pakistan

 

Ahsen Amin, Department of Operative Dentistry and Endodontics School of Dentistry PIMS Hospital Islamabad-Pakistan

 

Abdal Hidayat, Sardar Begum Dental College Peshawar-Pakistan

 

References

Matsuyama Y, Listl S, Jürges H, Watt RG, Aida J, Tsakos G. Causal effect of tooth loss on functional capacity in older adults in England: a natural experiment. J Am Geriat Soc 2021;69(5):1319–27.

Donnermeyer D, Dammaschke T, Lipski M, Schäfer E. Effectiveness of diagnosing pulpitis: A systematic review. Int Endod J 2023;56(Suppl 3):296–325.

Yong D, Cathro P. Conservative pulp therapy in the management of reversible and irreversible pulpitis. Austral Dent J 2021;66(Suppl 1):S4–14.

Bansal R, Jain A. An insight into patient's perceptions regarding root canal treatment: A questionnaire-based survey. J Family Med Prim Care 2020;9(2):1020–27.

Estrela C, Holland R, Estrela CRdA, Alencar AHG, Sousa-Neto MD, Pécora JD. Characterization of successful root canal treatment. Braz Dental J 2014;25(1):3–11.

AlRahabi MK. Evaluation of complications of root canal treatment performed by undergraduate dental students. Libyan J Med 2017;12(1):1345582.

Jose T, Shashikala K, Prasad BK. Endolight Concept: A Minimally Invasive Endodontic future. J Dent Med Sci 2020;19(7):6–17.

Chu C, Lo E, Cheung G. Outcome of root canal treatment using Thermafil and cold lateral condensation filling techniques. Int Endod J 2005;38(3):179–85.

Guigand M, Glez D, Sibayan E, Cathelineau G, Vulcain JM. Comparative study of two canal obturation techniques by image analysis and EDS microanalysis. Br Dent J 2005;198(11):707–11.

Ansari BB, Umer F, Khan FR. A clinical trial of cold lateral compaction with Obtura II technique in root canal obturation. J Conserv Dent 2012;15(2):156–60.

Anantula K, Ganta AK. Evaluation and comparison of sealing ability of three different obturation techniques—Lateral condensation, Obtura II, and GuttaFlow: An in vitro study. J Conser Dent 2011;14(1):57–61.

Vula V, Ajeti N, Kuçi A, Stavileci M, Vula V. An in vitro comparative evaluation of apical leakage using different root canal sealers. Med Sci Monit Basic Res 2020;26:e928175.

Patri G, Agrawal P, Anushree N, Arora S, Kunjappu JJ, Shamsuddin SV. A Scanning electron microscope analysis of sealing potential and marginal adaptation of different root canal sealers to dentin: an in vitro study. J Contemp Dent Pract 2020;21(1):73–7.

Hwang HK, Park SH, Lee YJ. Comparative study on the apical sealing ability according to the obturation techniques. J Korean Acad Conser Dent 2002;27(3):290–8.

Emmanuel S, Shantaram K, Sushil KC, Manoj L. An in-vitro evaluation and comparison of apical sealing ability of three different obturation technique-lateral condensation, Obtura II, and Thermafil. J Int Oral Health 2013;5(2):35–43.

Douterelo I, Boxall JB, Deines P, Sekar R, Fish KE, Biggs CA. Methodological approaches for studying the microbial ecology of drinking water distribution systems. Water Res 2014;65:134–56.

García AG, Navarro JT. Obturación en endodoncia-Nuevos sistemas de obturación: revisión de literatura. Rev Estomatol Herediana 2011;21(3):166–74.

Jindal D, Sharma M, Raisingani D, Swarnkar A, Pant M, Mathur R. Volumetric analysis of root filling with cold lateral compaction, Obtura II, Thermafil, and Calamus using spiral computerized tomography: An In vitro Study. Ind J Dent Res 2017;28(2):175–9.

Mehrotra A, Gutte NH, Mishra R, Ughade SP, Nanditha SK. Sealing ability of different obturating techniques in apically separated rotary files: An In Vitro study. J Pharma Bioall Sci 2022;14(Suppl 1):S884.

Additional Files

Published

2023-12-22