Effect of root canal filling/sealer systems on apical endotoxin penetration: a coronal leakage evaluation

J Endod. 2005 Aug;31(8):599-604. doi: 10.1097/01.don.0000153843.25887.69.

Abstract

Endotoxin, elaborated by gram-negative organisms, is an important factor in apical periodontitis. The objective of this study was to evaluate the magnitude of endotoxin penetration through root canal treated teeth using a dual chamber model system. Forty-four maxillary anterior teeth were prepared endodontically and canals filled either by lateral condensation or a warm thermoplasticized technique in combination with either Roth's 801 or AH 26 sealer. Teeth were suspended in the model system with a mixed anaerobic bacterial suspension in the upper chamber and HBSS in the lower chamber. The QCL-1000 LAL assay was used to measure endotoxin at 0, 1, 7, 14, and 21 days. Response feature analysis using trapezoidal area under the curve was performed; the four treatment groups were compared using nonparametric methods. Groups differed (p = 0.028), with thermoplasticized root canal filling/Roth's 801 sealer permitting the least apical endotoxin penetration. Results suggest that Roth's 801 sealer may have a role in inhibiting endotoxin penetration.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analysis of Variance
  • Bacteria, Anaerobic
  • Bismuth
  • Dental Leakage*
  • Drug Combinations
  • Endotoxins*
  • Epoxy Resins
  • Gutta-Percha
  • Root Canal Filling Materials*
  • Root Canal Obturation / methods*
  • Silver
  • Statistics, Nonparametric
  • Titanium
  • Tooth Apex
  • Zinc Oxide-Eugenol Cement

Substances

  • Drug Combinations
  • Endotoxins
  • Epoxy Resins
  • Root Canal Filling Materials
  • Zinc Oxide-Eugenol Cement
  • Silver
  • epoxy resin AH-26
  • Roth's 801 Sealer
  • Gutta-Percha
  • Titanium
  • Bismuth