Research Article
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The Effect of Different Filling Techniques on the Penetration of AH Plus Bioceramic Paste into Lateral Canals

Year 2025, Volume: 28 Issue: 4, 552 - 557, 29.12.2025
https://doi.org/10.7126/cumudj.1727237

Abstract

Objective

Lateral canals in root canals can cause infection and apical periodontitis, which can complicate endodontic treatment and affect treatment outcomes. The aim of the study was to evaluate the penetration of AH Plus Bioceramic root canal obturating sealer into lateral canals, using different obturation techniques on 3D-printed teeth.

Method

The study used 45 3D-printed lateral incisors with a working length of 22 mm, an apical tip diameter of 0.30 mm and a lateral canal diameter of 0.15 mm at a distance of 3 mm from the apex. All canals were prepared with Endoart Touch Gold files to a size of 35/0.06. The canals were irrigated with distilled water during preparation. After preparation, the main and lateral canal openings were checked with a #10 K file. Teeth were randomly divided into three groups according to obturation technique: Single cone method (n = 15), cold lateral condensation (n = 15) and warm vertical condensation (n = 15). The teeth were obturated with AH Plus Bioceramic root canal filling paste and gutta-percha. After obturation, the teeth were radiographed and scored. The results were statistically analysed using Kruskall-Wallis and Mann-Whitney U tests and a significance level of p < 0.05 was accepted.

Results

The obturation technique affected the penetration depth of the AH Plus Bioceramic root canal filling paste into the lateral canals. When the warm vertical compaction technique was used, the root canal filling paste penetrated better into the lateral canal.

Ethical Statement

No human or animal-derived materials were used in this study. As this study was conducted on 3D-printed teeth, ethical committee approval was not deemed necessary.

References

  • 1. Schilder H. Filling root canals in three dimensions. J Endod 1967;11(3):723-744.
  • 2. Ørstavik D. Materials used for root canal obturation: technical, biological and clinical testing. Endod Topics 2005;12(1):25-38.
  • 3. Ricucci D, Siqueira Jr JF, Bate AL, Ford TRP. Histologic investigation of root canal–treated teeth with apical periodontitis: a retrospective study from twenty-four patients. J Endod 2009;35(4):493-502.
  • 4. Ricucci D, Loghin S, Siqueira Jr JF. Exuberant biofilm infection in a lateral canal as the cause of short-term endodontic treatment failure: report of a case. J Endod 2013;39(5):712-718.
  • 5. Weine FS. The enigma of the lateral canal. Dent Clin North Am 1984;28(4):833-852.
  • 6. De Deus Q. Frequency, location, and direction of the lateral, secondary, and accessory canals. J Endod 1975;1(11):361-366.
  • 7. Seltzer S, Bender I, Ziontz M. The interrelationship of pulp and periodontal disease. Oral Surg Oral Med Oral Pathol 1963;16(12):1474-1490.
  • 8. Xu G, Zhang Z. Filling of the lateral canal: report of two cases. Oral Surg, Oral Med, Oral Pathol 1984;58(2):221-224.
  • 9. Kum K-Y, Spängberg L, Cha BY, Il-Young J, Seung-Jong L, Chan-Young L. Shaping ability of three ProFile rotary instrumentation techniques in simulated resin root canals. J Endod 2000;26(12):719-723.
  • 10. Karatekin AÖ, Keleş A, Gençoğlu N. Comparison of continuous wave and cold lateral condensation filling techniques in 3D printed simulated C-shape canals instrumented with Reciproc Blue or Hyflex EDM. PLoS One 2019;14(11):e0224793.
  • 11. Liu H, Shen Y, Wang Z, Haapasalo M. The ability of different irrigation methods to remove mixtures of calcium hydroxide and barium sulphate from isthmuses in 3D printed transparent root canal models. Odontology 2022;110(1):27-34.
  • 12. Lin L, Fang Y, Liao Y, Chen G, Gao C, Zhu P. 3D printing and digital processing techniques in dentistry: a review of literature. Adv Eng Mater 2019;21(6):1801013.
  • 13. Whitworth J. Methods of filling root canals: principles and practices. Endod Topics 2005;12(1):2-24.
  • 14. Hörsted-Bindslev P, Andersen MA, Jensen MF, Nilsson JH, Wenzel A. Quality of molar root canal fillings performed with the lateral compaction and the single-cone technique. J Endod 2007;33(4):468-471.
  • 15. Budd CS, Weller RN, Kulild JC. A comparison of thermoplasticized injectable gutta-percha obturation techniques. J Endod 1991;17(6):260-264.
  • 16. Shemesh H, Wesselink P, Wu MK. Incidence of dentinal defects after root canal filling procedures. Int Endod J 2010;43(11):995-1000.
  • 17. Sanz JL, López‐García S, Rodríguez‐Lozano FJ, Melo M, Lozano A, Llena C, et al. Cytocompatibility and bioactive potential of AH Plus Bioceramic Sealer: an in vitro study. Int Endod J 2022;55(10):1066-1080.
  • 18. Arslan H, Abbas A, Karatas E. Influence of ultrasonic and sonic activation of epoxy-amine resin-based sealer on penetration of sealer into lateral canals. Clin Oral Investig 2016;20:2161-2164.
  • 19. Nair P. On the causes of persistent apical periodontitis: a review. Int Endod J 2006;39(4):249-281.
  • 20. Baldasso FER, Kopper PMP, Morgental RD, Steier L, Figueiredo JAPd, Scarparo RK. Biological tissue response to a new formulation of a silicone based endodontic sealer. Braz Dent J 2016;27(6):657-663.
  • 21. Reader CM, Himel VT, Germain LP, Hoen MM. Effect of three obturation techniques on the filling of lateral canals and the main canal. J Endod 1993;19(8):404-408.
  • 22. De Gregorio C, Paranjpe A, Garcia A, Navarrete N, Estevez R, Esplugues E, et al. Efficacy of irrigation systems on penetration of sodium hypochlorite to working length and to simulated uninstrumented areas in oval shaped root canals. Int Endod J 2012;45(5):475-481.
  • 23. Spoorthy E, Velmurugan N, Ballal S, Nandini S. Comparison of irrigant penetration up to working length and into simulated lateral canals using various irrigating techniques. Int Endod J 2013;46(9):815-822.
  • 24. Andrade-Junior CV, Batista RM, Marceliano-Alves M, Alves FRF, Silva E. Efficacy of a new activation device in irrigant penetration into simulated lateral canals. Eur Endod J 2016;1(1):1-4.
  • 25. Himel VT, Cain CW. An evaluation of the number of condenser insertions needed with warm lateral condensation of guttapercha. J Endod 1993;19(2):79-82.
  • 26. DuLac KA, Nielsen CJ, Tomazic TJ, Ferrillo Jr PJ, Hatton JF. Comparison of the obturation of lateral canals by six techniques. J Endod 1999;25(5):376-380.
  • 27. de Souza LC, Neves GST, Kirkpatrick T, Letra A, Silva R. Physicochemical and biological properties of AH plus bioceramic. J Endod 2023;49(1):69-76.
  • 28. Kandemir Demirci G, Çöven FO, Güneri P, Karavana SY, Nalbantsoy A, Köse T, et al. The solubility, pH value, chemical structure, radiopacity, and cytotoxicity of four different root canal sealers: an in vitro study. Clin Oral Investig 2023;27(9):5413-5425.
  • 29. Kwak SW, Koo J, Song M, Jang IH, Gambarini G, Kim H-C. Physicochemical properties and biocompatibility of various bioceramic root canal sealers: in vitro study. J Endod 2023;49(7):871-879.
  • 30. Brayton SM, Davis SR, Goldman M. Gutta-percha root canal fillings: an in vitro analysis. Part I. Oral Surg, Oral Med, Oral Pathol 1973;35(2):226-231.
  • 31. Eguchi DS, Peters DD, Hollinger JO, Lorton L. A comparison of the area of the canal space occupied by gutta-percha following four gutta-percha obturation techniques using Procosol sealer. J Endod 1985;11(4):166-175.
  • 32. Wolf TG, Willems L, Briseño‐Marroquín B. An in vitro endodontic model to quantify the accessory canal filling potential of the vertical and lateral condensation techniques. Aust Endod J 2021;47(2):245-251.
  • 33. Brothman P. A comparative study of the vertical and the lateral condensation of gutta-percha. J Endod 1981;7(1):27-30.
  • 34. Juha W, Sarkis E, Alsayed Tolibah Y. Three-dimensional assessment of obturation volume in lateral canals after three obturation techniques with bioceramic sealer: an in vitro comparative study. BDJ Open 2024;10(1):50.
  • 35. Zan R, Demir AŞ. Contemporary endodontic obturation techniques: a comprehensive literature review. Cumhuriyet Dent J 2021;24(3):310-317.
  • 36. Robberecht L, Colard T, Claisse-Crinquette A. Qualitative evaluation of two endodontic obturation techniques: tapered single-cone method versus warm vertical condensation and injection system an in vitro study. J Oral Sci 2012;54(1):99-104.
  • 37. Yang R, Tian J, Huang X, Lei S, Cai Y, Xu Z, et al. A comparative study of dentinal tubule penetration and the retreatability of EndoSequence BC Sealer HiFlow, iRoot SP, and AH Plus with different obturation techniques. Clin Oral Investig 2021;25:4163-4173.
  • 38. Ricucci D, Loghin S, Siqueira Jr JF. Exuberant biofilm infection in a lateral canal as the cause of short-term endodontic treatment failure: report of a case. J Endod 2013;39(5):712-718.
There are 38 citations in total.

Details

Primary Language English
Subjects Endodontics
Journal Section Research Article
Authors

Nazife Maide Dayıcan 0009-0000-0053-8458

Sevinç Aktemur Türker 0000-0001-8740-2480

Submission Date June 25, 2025
Acceptance Date October 25, 2025
Publication Date December 29, 2025
Published in Issue Year 2025 Volume: 28 Issue: 4

Cite

EndNote Dayıcan NM, Aktemur Türker S (December 1, 2025) The Effect of Different Filling Techniques on the Penetration of AH Plus Bioceramic Paste into Lateral Canals. Cumhuriyet Dental Journal 28 4 552–557.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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