Effects of ultrasonic refinement on endodontic access cavity walls: A microcomputed tomography analysis

Carla Zogheib; Reina Roumi; Gaël Bourbouze; Alfred Naaman; Issam Khalil; Gianluca Plotino

doi:10.4103/JCD.JCD_599_20

Effects of ultrasonic refinement on endodontic access cavity walls: A microcomputed tomography analysis

J Conserv Dent. 2021 Jan-Feb;24(1):29-35. doi: 10.4103/JCD.JCD_599_20. Epub 2021 Jul 5.

Authors

Carla Zogheib¹, Reina Roumi¹, Gaël Bourbouze², Alfred Naaman¹, Issam Khalil¹, Gianluca Plotino³

Affiliations

¹ Department of Endodontics, Faculty of Dentistry, Saint Joseph University, Beirut, Lebanon.
² Laboratoire CRT, Morlaix, France.
³ Private Practice, Rome, Italy.

Abstract

Objectives: The present study aimed in assessing the coronal defects after access cavity finishing and refinement by micro.

Methods: Access cavities on thirty molars were prepared using a diamond bur. To finish and refine the access cavity, the Endo-Z was used in group 1 (n=15) and Start X 1 in group 2. Preparation time was recorded. A micro-CT scan was done before and after access preparation. Formation and location of the new defects were registered, the extension of defects calculated and the direction of the extension registered, preparation time and surface roughness determined (P < 0.05).

Results: Preparation time was significantly higher with ultrasonics (P <0.001). Internal walls showed smoother surfaces for Endo-Z group. Newly counts and extension length of defects weren't significantly different between groups (P > .05).

Conclusion: Ultrasonic tips induced new cracks. Both instruments caused the extension of cracks. Ultrasonic tips requires more time and results in significantly rougher surfaces.

Keywords: Defects; endodontic access cavity; high-speed burs; microcomputed tomography; ultrasonic tips.