Journal of Dental Medicine

One of the major goals of periradicular surgery is to create a good apical sea! at the apex. This is done by sectioning of 2 to 3mm from the apex, preparation of a class I cavity and filling with a biocompatible material.The purpose of this in vitro study was to determine whether ultrasonic units used for root end preparations could change the surface & structure of resected root ends, as competed to common methods of retropreparation. Eighty-five extracted single rooted teeth were divided into five similar groups. Then instrumented and filled with lateral condensation method. Then three millimeter of apex was resected, retropreparaiions in two groups were done with low speed handpiece and round V) ^ur and cavities in two other groups prepared with the highest power of dentspiay ultrasonic unit with TFI-10 tip and in one other group prepared with the highest power of neo sonic ultrasonic unit with diamond coated CT-1 retro tip.Following root resection and retropreparation the surface of resected root ends were examined for the presence of any cracks or structural changes on the surface of resected root ends with stereo microscope 50x.The results of this study showed thai high power settings of ultrasonic units can increase the potential of crack formation on resected root surfaces. In conclusion it is better to use low power setting of ultrasonic for retropreparation.

Statement of Problem: The goal of a successful endodontic surgery is to establish an adequate seal in apical region. Therefore during surgery, root-end resection is essential for an appropriate situation and proper access.
Purpose: The aim of this study was to determine the most appropriate root-end resection angle to establish adequate apical seal in periapical surgery
Materials and Methods: Forty-five intact extracted human maxillary central incisors were randomly divided into three 15-tooth groups. The root canals were instrumented and then obturated using lateral condensation technique. AM roots were resected at 3mm from apical portion. Angles of root resection for each group were 0, 30 and 45 degrees. Then all teeth surfaces, except the cut ones, were covered with nail polish and immersed in methylen blue for 7 days. After 7 days, nail polish was removed from the surfaces and samples were split in buccolingual direction. Then, dye penetration (mm) was measured using a stereozoom microscope (Loupe) [X4 magnification] and eye lens. In order to analyze the data, unilateral variance analysis was used.
Results: The values of dye penetration were: 7.23±3.34 (0°), 8.46±3.01(30°) and 9.74±4.11 (45°). There
was no significant difference between three groups (P>0.05).

Conclusion: It is suggested that the angle of root-end resection put a limited effect on apical seal if retrograde cavity depth is increased.