Ultrasonic vibration and thermo-hydrodynamic technique for filling root canals: Technical overview and a case series

Int Endod J. 2021 Sep;54(9):1668-1676. doi: 10.1111/iej.13566. Epub 2021 Jun 12.

Abstract

Aim: To present a novel root canal filling technique: Ultrasonic Vibration & Thermo-Hydrodynamic Obturation (VibraTHO), and its rationale with a series of cases.

Summary: The VibraTHO technique was used to fill the root canals of three clinically challenging cases: A C-shaped mandibular molar with complex anatomy, a C-shaped mandibular molar with an infected root canal system and a periapical lesion that required retreatment, and apically bifurcating mesiobuccal canals with a common orifice in a maxillary second molar. The cases were followed up for 15, 7 and 37 months, respectively. After follow-up, normal periapical status was observed without any noticeable radiographic change in the root canal fillings in each case. Periapical radiographs revealed complete healing of the periapical area in cases with pre-operative periapical lesions.

Keywords: VibraTHO technique; hydraulic pressure; root canal filling; root canal sealer; ultrasonic sealer activation.

Publication types

  • Review

MeSH terms

  • Dental Pulp Cavity* / diagnostic imaging
  • Gutta-Percha
  • Humans
  • Hydrodynamics
  • Root Canal Filling Materials*
  • Root Canal Obturation
  • Root Canal Preparation
  • Ultrasonic Waves*

Substances

  • Root Canal Filling Materials
  • Gutta-Percha