Three-dimensional helical computed tomographic evaluation of three obturation techniques: In vitro study.
OBJECTIVE
The purpose of this study was to evaluate the adequacy of three obturation techniques namely lateral condensation, EQ Fil (backfill obturation) and thermafil (core carrier obturation) techniques using three-dimensional (3D) helical computed tomography (CT) by volume rendering method.


METHODS
Thirty freshly extracted teeth were randomly divided into three groups of 10 teeth each. Biomechanical preparation was done in all the teeth using rotary instruments. All three sets of teeth were placed in helical CT slice scanner and were imaged before obturation. The three sets were then obturated by following methods: Group I: lateral condensation, Group II: EQ Fil (backfill) and Group III: thermafil (core carrier obturation).Volume of the pulp chamber and gutta-percha after obturation were calculated using volume rendering technique and adequacy of the obturation techniques were calculated.


METHODS
One-way ANOVA and Multiple-Range Tukey Test by Tukey-HSD procedure


RESULTS
Mean change in lateral condensation (0.005±0.002) was significantly higher than that of thermafil obturation (0.002±0.001) [P<0.05].


CONCLUSIONS
Conventional lateral condensation technique showed maximal inadequacy of obturation and thermafil obturation technique showed the least inadequacy of obturation when the volume of the specimens were calculated and reconstructed.
Department of Conservative Dentistry and Endodontics, VMS Dental College, Salem, India.
M
M
Chokkalingam
Ramaprabha
D
D
Kandaswamy