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Doctoral Thesis
DOI
https://doi.org/10.11606/T.25.2021.tde-04022022-174850
Document
Author
Full name
Lorena de Mello Alcantara Garrido
Institute/School/College
Knowledge Area
Date of Defense
Published
Bauru, 2021
Supervisor
Committee
Bramante, Clovis Monteiro (President)
Andrade, Flaviana Bombarda de
Kuga, Milton Carlos
Pinto, Lidiane de Castro
Title in Portuguese
Análise de protocolos de desobturação de canais radiculares para colocação de pino
Keywords in Portuguese
Canal radicular
Clearsonic
Easy Clean
Endodontia
Irrisonic
Preparo para pino
Abstract in Portuguese
O objetivo desta pesquisa foi avaliar protocolos de limpeza de material obturador no espaço preparado para pino do canal radicular, a quantidade de desgaste da dentina radicular e a resistência de união e tipo de fratura predominante em incisivos centrais superiores. O artigo I avaliou-se a limpeza das paredes do canal radicular após diferentes protocolos de remoção de obturação para preparo para pino e preservação de estrutura remanescente; e, no artigo II avaliou-se a resistência de união por meio do teste push out e o tipo de falha predominante em dentes com tratamento endodôntico e reabilitados com pino de fibra de vidro. No artigo I, os grupos foram distribuídos de acordo com os instrumentos e protocolos utilizados na remoção do material obturador realizado com guta-percha e cimento Sealer 26 pela técnica de condensação lateral: brocas de Gates Glidden e broca de Largo, inserto para ultrassom Clearsonic, inserto Clearsonic + instrumento Easy Clean e Insertos Clearsonic + Irrisonic. Como solução irrigadora foram utilizados o hipoclorito de sódio a 1%, água deionizada e EDTA a 17%, porém, o protocolo de irrigação final foi diferente para os grupos. A avaliação foi realizada em Micro CT e Microscopia eletrônica de Varredura. No artigo II, foi avaliada a resistência de união por meio do teste push out e o tipo de falha predominante observada por meio de microscopia eletrônica de varredura (MEV) com aumento de 25x e por meio do Estereomicroscópio. Os resultados do artigo I o grupo Clearsonic demonstrou melhor desempenho em preparos para pino promovendo paredes mais limpas. Não houve diferença estatisticamente significante entre os grupos quanto ao desgaste de dentina radicular remanescente. No artigo II, os melhores resultados foram para o grupo do inserto Clearsonic, apresentando maiores valores de resistência de união. O tipo de falha predominante para os dois grupos foi a adesiva na interface entre o cimento e a dentina. Conclusão: os dois artigos mostraram que o inserto Clearsonic foi mais efetivo na remoção de material obturador no preparo para pino sem desgaste de dentina remanescente e, promoveu maiores valores de resistência de união em pinos de fibra de vidro cimentados com cimentos autoadesivos.
Title in English
Analysis of root canal filling material removal protocols for post placement
Keywords in English
Clearsonic
Easy Clean
Endodontics
Irrisonic
Post space preparation
Root canal
Abstract in English
The objective of this study was to evaluate protocols for cleaning filling material space prepared for the root canal post, the amount of root dentin wear and the bond strength and type of fracture predominant in maxillary central incisors. Article 1 evaluated the cleaning of the root canal walls after different protocols of obturation removal for post space preparation and preservation of the remaining structure; and, in Article 2, the bond strength was evaluated through the push out test and the predominant type of failure in teeth with endodontic treatment and rehabilitated with a fiberglass post. In article 1, the groups were distributed according to the instruments and protocols used to remove the filling material performed with gutta-percha and Sealer 26 cement by the lateral condensation technique: Gates Glidden drills, Largo drill, Clearsonic ultrasound insert, Clearsonic insert + Easy Clean instrument and Clearsonic + Irrisonic insert. As irrigating solutions, 1% sodium hypochlorite, deionized water and 17% EDTA were used, however, the final irrigation protocol was different for the groups. The evaluation was performed using Micro CT and Scanning Electron Microscopy. In Article 2, the bond strength was evaluated through the push out test and the predominant type of failure observed through scanning electron microscopy (SEM) with 25x magnification and through the stereomicroscope. The results of Article 1 the Clearsonic group demonstrated better performance in post space preparations promoting cleaner walls. There was no statistically significant difference between groups regarding the wear of remaining root dentin. In Article 2, the best results were for the Clearsonic insert group, with higher bond strength values. The predominant type of failure for both groups was adhesive at the interface between cement and dentin. Conclusion: the two articles showed that the Clearsonic insert was more effective in removing filling material without wear from remaining dentin in post space preparation and promoted higher bond strength values in fiberglass posts cemented with self-adhesive cements.
 
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Publishing Date
2022-02-08
 
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