Does the presence of full-coverage crown interfere with removal of obturation material: A cone-beam computed tomography image segmentation volumetric analysis.

J Conserv Dent Endod

Department of Conservative Dentistry and Endodontics, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India.

Published: July 2023

Aim: The aim of this study was to assess and compare the influence of the presence of full-coverage crown on the obturation material removal efficiency of different retreatment file systems.

Materials And Methods: Sixty extracted, human, maxillary premolars were accessed, instrumented, and obturated with gutta-percha and AH Plus sealer. The samples were scanned with cone-beam computed tomography and volume of obturating material was measured using ITK-SNAP volumetric software. Samples were divided ( = 30) into with and without all metal full-coverage crown groups. Each group was then subdivided into three subgroups ( = 10) based on retreatment file used (ProTaper URS, HyFlex Remover, and NeoEndo). The volume of remnants of obturating material was remeasured by image segmentation using ITK-SNAP volumetric software. One-way analysis of variance, followed by the Tukey's post hoc test, was used for data analysis, with a significance level of 5%.

Results: A significant difference in percentage remnant of obturating material after retreatment file was observed on overall comparison between with (29.84%) and without crown (21.79%) groups ( < 0.05). Each file system removed significantly more obturating material in without crown samples than with crown samples ( < 0.05). The percentage remnant of obturating material after retreatment file use was as follows: ProTaper URS > NeoEndo retreatment file > HyFlex Remover. All file systems showed significantly different ( < 0.05) efficiency in removal of obturating material.

Conclusions: None of the retreatment file systems were able to remove obturating material completely. The presence of full-coverage crown negatively impacted the efficiency of retreatment files for the removal of obturating material. HyFlex Remover performed better than NeoEndo which was better than ProTaper URS.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10497092PMC
http://dx.doi.org/10.4103/jcd.jcd_300_23DOI Listing

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