Obturation by Fahad

OBTURATION OF CLAEANED
AND SHAPED ROOT

CANAL SYSTEM
DR. GIK
IS B A C T E R IA T H E M A IN C A U S E O F F A IL U R E
• Study showed that the incidence of failure in canals with

no bacteria ,that has been properly cleaned and shaped
was less than in canals that has residual bacteria.
• i.e
• 28% in non bacterial canals
• 79 % in canals with bacteria
WHY ACHIEVING A PERFECT
CLEAN CANAL IS SOMETIMES
DIFFICULT
• Procedural errors
• Incorrect estimation of working length
• Irregular canal dimension
• Missed and lateral canals
WHAT IS MEANT BY PROPER CLEANING AND
OBTURATION
• Complete disinfection of canal space
• 3D sealing of the canal space
• Adequate and impermeable coronal restoration
• Radiographic Obturation assessment
• Length
• Taper
• Density
• Level of GP removal
• Coronal seal
THE WORD HERMATIC SEAL
IS A MISCONCEPTION
Root canal seals are mainly evaluated for fluid

leakage rather than air so,,,,,infact the word fluid
tight,fluid impervious or bacterial tight seals should
be used rather.
TIMING OF OBTURATION
VITAL
PULPS
OBTURATION CAN BE
UNDERTAKEN IN ONE
VISIT DEPENDING
UPON PULP VITALITY, IN MOST OF CASES
AND PRETREAMENT TX IS SUCCESFUL
DIAGNOSIS,UNDER
ASEPTIC
CONDITIONS.
NECROTIC
PULP
CHRONIC
PULPAL MANY RESEARCHERS
CONDITIONSi,e ACUTE CONDITIONS SUPPORTED A
CHRONIC LIKE ACUTE SINGLE VISIT TX IN
PERIAPICAL ABSCESS ABSCESS,SWEELING ACUTE SWELLING
,CHRONIC PEIAPICAL DEMAND THE DELAY FOLLOWED BY
PERIODONTITIS ETC OF PROCEDURE TILL INCISION AND
THE SYMPTOMS ARE DRAINAGE AND A
CAN BE OBTURATED
RELIEVED STONG ANTIBIOTIC
IN A SINGLE VISIT
COURSE
DEPRNDING UPON
GIVEN CONDITIONS
EFFECTS OF CA(OH)2 ON TX
OUTCOME
• Ca(OH)2 reduces chances of failure

• Produces excellent periapicapl healing
• Reduces the number of bacerial load
• It has less inflammation than one visit group
in general obturation can be performed when canal is dry and free of
any superimposing condition
Obturation in wet or weeping canal
LENGTH OF OBTURATION
• Traditionally 1mm of radiographic apex
• Ideallly it should be upto apical constriction i.e apical constriction is

some times 0.5 -2mm from the foramen and its location is variable
OBTURATION OF LATERAL
CANALS
• Cold lateral technique

• Warm vertical compaction
• Carrier based thermoplasticized GP
• Continuous wave compaction
• Vertical warm compaction was more effective than warm lateral compaction
in obturating lateral canals
• Moreover use of sealer produces good results in obturation
-- -- --
Ideal Obturation less
obturation In vital teeth
than 2mm or
should be obturation with
beyond the
2mm within 3mm of apex is
apex leads to
the also acceptable
more chances
radiographic
of failure
apex
IDEAL ROOT CANAL FILLING
• Biocompatible
• Good sealing ability
• Should reflect original canal shape
• Allow the errors of obturation to be corrected
• Radio-opaque
• Ideally antibacterial
TYPES OF SEALERS
• Properties of ideal sealer

• Exhibit tackiness
• Hermetic seal
• Radiopaque
• No shrinkage
• No staining
• Bacteriostatic
• Insoluble
• Tissue tolerant
Roth modifie
ZNO EUGENOL Introduced by ricket and d the
formula in 1
• Slow setting Dixon 958
• Safe Non stainabl
P/L e sealer
• Solubility Catalyst/Bas
• Shrinkage Silver particles for e
• Antimicrobial activity radiopacity WATCH SEA
LER
Stain tooth structure Added CAN
A
for tackiness DA balsam
CA(OH)2 sealer
CALCIBIOTIC ROOT CANAL
SEALER(CRCS)
ZNO(E)+CA(OH)2
SEALPEX (BASE –CATYLST APEXIT AND APEXIT PLUS
Therapeutic
SYSTEM) ACTIVATOR(DISALIYLATE,BIS
Antimicrobial BASE(ZNO,CAOH2,BUTYL MUTH,HYDROOXIDE
Osteogenic –cementogenic BENZENE,SULFONAMIDE,ZN CARBONATE AND FILLERS
potential STEARATE)
BASE(CAOH2,HYDRATED
CATALYST(BARIUM COLOPHONIUM,FILLERS)
SULPHATE,TITANIUM
OXIDE,RESIN,ISOBUTYL
SALICYLATE,AEROSOL)
NON EUGENOL SEALERS
GIC SEALERS
• DENTIN BONDING PROPERTIES
• MINIMAL ANTIMICROBIAL ACTIVITY
• ACTIV GP
• CONSISTS OF GI-IMPREGNATED GP CONE WITH A GI OUTER COATAND GI SEALER
• AVAILIBLE IN .04-.06 TAPERED CONES
• MONOBLOCK (SINGLE CONE USED TO PRODUCE ADHESION BETWEEN THE GP AND
DENTINAL WALLS
RESIN
Adhesion
AH-26(EPOXY RESIN +FORMALDEHYDE)
AH(No formaldehyde)
ENDOREZ(METHACRYLATE RESIN WITH HYDROPHILAC ROPERTIES)
Used with endorez resin coated GP,S for a adhesive bond
DIAKET(POLYVINYL RESIN)
EPHIPHANY
RESILON
SILICONE SEALER
• ROEKO SEAL
• POLYVINL SILOXANE,expand on setting
 GUTTA FLOW
 Cold flowable matrix
 Provided in capsules
 Injected in canal
 Workimg time is 15 min and cure in25-30
 Setting time is delayed by NAOCL irrigation
BIOCERAMIC AND MEDICATED SEALERS
• BIOCERAMIC
• Composed of(zirconium oxide,calcium silicates,ca,phosphate monobasic,caoh2,filling
and thickening agents
• Premixed in syringe with various size tips
• Doesn’t shrink
• Hydrophilic
• Anti microbial
• RC2B,N-2,SPAD Are some of mediated sealers that contains paraformaldehyde.also
endomethasone.
• Peiapical extrusion causes ,oseolysis,paraesthesia,neurotoxicity etc
HOW SEALER SHOULD BE PLACED
• Mastercones
• Lentullospirals
• Ultrasonics
• Files and reamers
• Study showed that ultrasonics produce the best sealer
placement
CORE MATERIALS
• GP
• SILVER CONES(introduced by JASPER)
• Rigid
• Produce corrosion products
• Incomplete seal produce leakage
• TX failure in various cases
GUTTA PERCHA
• Advantages
• Ease of use
• Minimal toxicity
• Radioopacity
• Ease of removal
• Disadvantages
• Lack of adhesion to dentin
• Shrinkage on cooling
• Exists in two forms alpha n beta.
ACTIV GP AND RESILON
• Activ gp
• GP cone impregnated with GIC externally
• Used with GIC sealer
• .04-.06 tapered cones
• No actibacterial action dominance over other materials
• RESILON
• Brand names (REAL SEAL,RESINATE,EPIPHANY)
• Used with resin sealer which bonds to resin core
• Creates a monoblock obturation
• Availible in standardized and non-standardized sizes and pellets for themoplasticized
techniques
OBTURATION TECHNIQUES
• LATERAL COMPACTION
• Good length control
• DISADV(cant fill irregularities of canal)
• TECHNIQUE
• Selection of a standardized cone
• Measured to working length
• Tugback is noticed
• Confirmed with radiograph
• Canal is irrigated ,dried with paper points
• Appropriate size spreaders are selected
WARM VERTICAL COMPACTION
• Introduced by schillder
• Done in continuous tapering canal
• Requires a heat source and schillders pluggers(no.4=.04mm,no.81/2=.5mm in
increasing diameter
• TECHNIQUE
• Tugback in master cone 05-2mm short of W.L
• Sealer is applied to GP
• Fitted in the canal the coronal GP is removed
• The remaining apical GP is heated and then compacted vertically
• Once filled the coronal portion is filled in segmental manner till whole canal is filled
Touch n heat System B SYSTEM B
plugger
Set of system
B pluggers
System B plugger fit
Back fill by OBTURA SYSTEM B

WARM LATERAL COMPACTION
• ENDOTEC II device is used

• Provide for adequate length control
• Superior to lateral compaction,lateral thermocompaction,and ULTRAFILL 3D
• ENDOTWINN(a warm lateral compaction device with vibrating showed better

sealing ability than cold techniques
• Warm lateral compaction produce less stress than cold technique
• TECHNIQUE
• Master cone
• ENDOTEC TIP SELECTION(NO.02/20,,.02/40,,)
• Insertion of tip wihin 2-4mm beside master cone

• Lateral compaction for 5-8 sec
• Accessory placed and canal filled
EL DOWNPARK ENDOTEC II DEVICE

DEVICE
THERMOPLASTIC INJECTION TECHNIQUES
• OBTUTA II
• Consist of a hand held gun with silver tips and a heating element
• GP is dispensed in form of rolls
• Temperature of device can be adjusted
• TECHNIQUE
• Apical terminus should be small
• Canal is cleaned and sealer applied with paper point
• Tip of gun inserted within 3-5 mm of canal and GP is extruded till there is backfill
• Plugger dipped in alcochol provides vertical compaction

• Canal filled to full length
ELEMENTS ULTRAFILL 3D
OBTURATION
UNIT
BATTERY
POWERED
HOTSHOT UNIT
• ULTRAFILL 3D
• GP Cannulas,injection syringe,heating unit
• Gp canunulas available in 3 sets
• Low viscosity(sets in 30 min,
• Low viscosity(sets in 4 min)
• Endoset (high viscosity,sets in 2 min)
• Heater present at 90 C
• Each cannula has 22 gauge stainless steel needle of 21mm
• Take 10-15 min for cold unit to heat
• CALAMUS
• Thermoplastic device with cartridges
• 20-23 gauge needle
• Pluggers are also available for this system
• ELEMENTS
• Sytem b unit+pluggers+handpiece
• Handpiece extruder for delivering gp or REALSEAL
• HOTSHOT
• Cordless,150-230C heating range,20,23,25 gauge needle
• GUTTAFLOW
CARRIER BASED GUTTA PERCHA
• THERMAFIL,PROFILE GT OBTURATORS,GT SERIES X,PROTAPER
UNIVERSAL OBTURATORS
• Contains a metallic carrier with gp wraparound
• ADVANTAGES
• Ease of placement
• Pliable properties of gp
• DISADVANTAGES
• Retreatment difficult
• Post placement difficult
THERMAFILL CARRIER SUCCESFILL
PLACED IN
CANAL
SIMPLIFILL
THERMOMECHANICAL COMPACTION
• MCSPADDEN COMPACTER SIMILAR TO H-FILE BUT FLUTES IN
REVERSE
• Slow handpiece
• Gp moves under frictional heat
• TECHNIQUE
• Master cone short of length
• Compacter is inserted 3-4 mm of prepared length
• Gp is forced apically and laterally in canal under frictional heat
• ADVANTAGES
• Simple
• Produce a better seal
• DISADVANTAGES
• Extrusion of material
• Instrument fracture
• Gouging of canal walls
• Cant be used in curved canals
• Heat production
SOLVENT TECHNIQUES
• Chloroform ,eucalyptol,xylol
• DISADVANTAGES
• Shrinkage
• Voids
• Irritation to periradicular tissues
• Gp dissolved in solvent is placed in canal followed by master cone
placement
• This technique is now not recommended
PASTES
• ADVANTAGES
• Adapt to internal anatomy
• DISADVANTAGES
• Extrusion
• Incomplete obturation
• Paraformaldehyde in paste produce toxicity
CORONAL ORIFICE SEAL
• Adequate coronal seal is essential to prevent microleakage

• CAVIT and SUPEREBA reduce the coronal leakage by 85%
• Composite resin and MTA decreased periapical inflammation
• Liner also reduces coronal leakage

• 1mm of RMGIC over the pulp chamber has been shown
toprevent leakage
IMMEDIATE OBTURATION IN
CENTRAL INCISOR

Obturation by Fahad

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Obturation by Fahad

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OBTURATION OF CLAEANED

AND SHAPED ROOT

• Study showed that the incidence of failure in canals with

Root canal seals are mainly evaluated for fluid

• Ca(OH)2 reduces chances of failure

• Traditionally 1mm of radiographic apex

• Ideallly it should be upto apical constriction i.e apical constriction is

• Cold lateral technique

• Properties of ideal sealer

Back fill by OBTURA SYSTEM B

• ENDOTEC II device is used

• ENDOTWINN(a warm lateral compaction device with vibrating showed better

• Insertion of tip wihin 2-4mm beside master cone

EL DOWNPARK ENDOTEC II DEVICE

• Plugger dipped in alcochol provides vertical compaction

• Adequate coronal seal is essential to prevent microleakage

• Liner also reduces coronal leakage

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