The Elimination of Gutta-percha by Chloroform and Orange Oil in Endodontic Retreatment: An Scanning Electron Microscopic Observation

International Journal of Medical Science
© 2022 by SSRG - IJMS Journal
Volume 9 Issue 3
Year of Publication : 2022
Authors : Chowdhury Afrina Parvin, Khandoker Rumon, Sheikh Manjura Hoque, Ridwana Kawsar, Md. Shihab Uddin, Mozammal Hossain
pdf
How to Cite?

Chowdhury Afrina Parvin, Khandoker Rumon, Sheikh Manjura Hoque, Ridwana Kawsar, Md. Shihab Uddin, Mozammal Hossain, "The Elimination of Gutta-percha by Chloroform and Orange Oil in Endodontic Retreatment: An Scanning Electron Microscopic Observation," SSRG International Journal of Medical Science, vol. 9,  no. 3, pp. 15-19, 2022. Crossref, https://doi.org/10.14445/23939117/IJMS-V9I3P103

Abstract:

This study aimed to find morphological differences following removing obturated material using chloroform and orange oil in endodontic retrieval with a Scanning Electron Microscope (SEM). The 30 anterior maxillary teeth are permanently extracted, following biomechanical adjustment using a step back method, closed with gutta-percha and sealer, and keep them in 100% moisture condition at 370 C for 14 days. Teeth were then randomly assigned to 2 groups according to the gutta-percha solvent used to remove the obturated substances: Group I (Chloroform, Obtusol, HAI Dental, Bangladesh) and Group II (Orange Oil, RC Clean, Pyrax Polymers, India). Then came the elimination of the gutta-percha using the Hedstrom file (size: 20 to 40). For the central and lateral incisor teeth, the apical file size was 40, whereas a file size of 35 was used for the lateral incisor to reach the working height. After removal, the opening of the dentinal tubules was checked by scanning electron microscope (SEM). Data were collected through a data collection checklist and coded and analyzed using version SPSS 22. The study revealed that the number of open dentinal tubules under SEM among the two solvent groups was not statistically significant (P> 0.05). It can be concluded that orange oil can be a substitute for chloroform to dissolve gutta-percha in root canal retreatment.

Keywords:

Morphological analysis, Cleaning, Gutta-percha solvent, Dentinal tubules.

References:

[1] H. Lee, G. S. Cheung, and M. C. Wong, “Long-Term Outcome of Primary Non-Surgical Root Canal Treatment,” Clin Oral Invest, vol. 16, no. 6, pp. 1607-1617, 2012.
[2] K. Karamifar, A. Tondari, M. A. Saghiri, “Endodontic Periapical Lesion: An Overview on the Etiology, Diagnosis and Current Treatment Modalities”, EuEndod J, vol. 5, no. 2, pp.54, 2020.
[3] H. De Backer, G. Van Maele, V. Decock, L. Van den Berghe, “Long-Term Survival of Complete Crowns, Fixed Dental Prostheses, and Cantilever Fixed Dental Prostheses with Posts and Cores on Root Canal-Treated Teeth,” Int J Prosthet, vol. 20, no. 3, pp. 229- 234, 2007.
[4] T. Tasdemir, “Comparative Study of Removal of Current Endodontic Fillings,” J Endod, vol. 34, no. 3, pp. 326-329, 2008.
[5] A. Stabholz, S. Friedman, “Endodontic Retreatment - Case Selection and Technique, Part 2: Treatment Planning for Retreatment”, J Endod, vol. 14, no. 12, pp. 607-614, 1988.
[6] S. Seltzer, I. B. Bender, J. Smith, I. Freedman, H. Nazimov, H. Endodontic Failures—An Analysis Based on Clinical, Roentgenographic, and Histologic Findings: PartII, Oral Surg, Oral Med,” Oral Pathol, vol. 23, no. 4, pp. 517-530, 1967.
[7] A. Tamse, U. Unger, Z. Metzger, M. Rosenberg, M. Gutta-percha, “Solvents—A Comparative Study,” J Endod, vol. 12, no. 8, pp. 337-339, 1986.
[8] A. Wennberg, D. Ørstavik, “Evaluation of Alternatives to Chloroform in Endodontic Practice,” Dent Traumatol, vol. 5, no. 5, pp. 234-237, 1989.
[9] E. Ezzie, A. Fleury, E. Solomon, R. Spears, J. He, “Efficacy of Retreatment Techniques for a Resin-Based Root Canal Obturation Material”, J Endod, vol. 32, no. 4, pp. 341-344, 2006.
[10] A. A. Chohayeb, “Comparison of Conventional Root Canal Obturation Techniques with Therafilobturation,” J Endod, vol. 18, no. 1, pp. 10-12, 1992. [11] J. M. Whitworth, E. M. Boursin, “Dissolution of Root Canal Sealer Cements in Volatile Solvents,” IntEndod J, vol. 33, no. 1, pp. 19-24, 2000.
[12] L. R. Wilcox, “Endodotic Retreatment: Ultrasonics and Chloroform as the Final Step in Reinstrumentation,” J Endod, vol. 15, no. 3, pp. 125-128, 1989.
[13] K. V. Krell, J. Neo, “The Use of Ultrasonic Endodontic Instrumentation in the Re-Treatment of a Paste-Filled Endodontic Tooth,” Oral Surg Oral Med Oral Pathol, vol. 60, no. 1, pp. 100-102.
[14] H. Tachinami, I. Katsumi, “Removal of Root Canal Filling Materials Using Er: YAG Laser Irradiation,” Dent Mater J, 2010.
[15] S. V. Barbaso, D. H. Burkard, L. S. Spångberg, “Cytotoxic Effects of Gutta-Percha Solvants,” J Endod, vol. 20, no. 1, pp. 6-8, 1994.
[16] A. V. Masiero, F. B. Barletta, “Effictiveness of Different Techniques for Removing Gutta-Percha during Retreatment,” IntEndod J, vol. 38, no. 1, pp. 2-7, 2005.
[17] M. J. Chutich, E. J. Kaminski, D. A. Miller, E. P. Lautenschlager, “Risk Evaluation of Gutta-Percha Solvants in Endodontic Retreatment,” J Endod, vol. 21, no. 4, pp. 236, 1995.
[18] E. Bodrumlu, O. Er, G. Kayaoglu, Solubility of Root Canal Sealers with Different Organic Solvents,” Oral Surg Oral Med Oral Pathol Oral RadiolEndod, vol. 106, no. 3, pp. 67-69, 2008.
[19] K. R. Hunter, W. Doblecki, G. B. Pelleu Jr, “Halothane and Eucalyptol as Alternatives to Chloroform for Softening Gutta-Percha,” J Endod, vol. 17, no. 7, pp. 310-312, 1991.
[20] G. J. Kolpowitz. “|Evaluation of the Ability of Essential Oils to Dissolve Gutta-Percha,” J Endod, vol. 17, no. 9, pp. 448-449, 1991.
[21] R. W. Ladley, A. D. Champbell, M. L. Hicks, S. H. Li, “Effectiveness of Halothane Used with Ultrasonic or Hand Instrumentation to Remove Gutta-Percha from the Root Canal,” J. Endod, vol. 17, no. 5, pp. 221-224, 1991.
[22] J. D. Pecora, J. C. E. Spanó, E. L. Barbin, “In Vitro Study on the Softening of Gutta-Percha Cones in Endodontic Retreatment,” Br Dent J, vol. 4, no. 1, pp. 43-47, 1993.
[23] D. J. Wourms, A. D. Campbell, M. L. Hicks, G. B. Pelleu, “Alternative Solvants to Chloroform for Gutta-Percha Removal,” J Endod, vol. 16, no. 5, pp.224-226, 1990.
[24] C. Poggio, “Gutta-Percha Solvants Alternative to Chloroform: An in Vitro Comparative Evaluation”, EC Dent Sc., vol. 15, pp.51- 56, 2017.
[25] F. M. Kazi, S. Asghar, M. F. Fahim, “Dissolving Efficacy of Different Endodontic Solvants for Guttapercha with Varying Time Intervals,” J Pak Dent Assoc, vol. 27, pp. 110-114, 2018. 
[26] B. S. Magalhaes, J. E. Johann, R. G. Lund, J. Martos, F. A. B. Del Pino, “Dissolving Efficacy of Some Organic Solvents on GuttaPercha,” Br Oral Res, vol. 21, no. 4, pp. 303-307, 2007.
[27] G. F. de Almeida, A. P. B. Daniel, R. A. Nunes, A. L. N. Fernandes, C. Maniglia-Ferreira, H. R. M. de Matos, T. C. Nepomuceno, “Efficacy of Gutta-Percha Solvents Used in Endodontic Retreatment,” RSBO Revistasull-Brasileira De Odontologia, vol. 10, no. 4, pp. 356-361, 2013.
[28] Oyama KO, Siqueira EL, Santos MD, “In Vitro Study of Effect of Solvent on Root Canal Retreatment,” Br Dent J, vol. 13, pp. 208- 211, 2002.
[29] M. F. Z. Scelza, J. M. Coil, A. C. D. C. Maciel, L. R. L. Oliveira, P. Scelza, “Comparative SEM Evaluation of Three Solvents Used in Endodontic Retreatment: An Ex Vivo Study,” J Aapl Oral Sci., vol. 16, no. 1, pp. 24-29, 2008.
[30] I. D. Capar, H. Ertas, E. Ok, H. Arslan, E. T. Ertas, “Comparative Study of Different Novel Nickel-Titanium Rotary Systems for Root Canal Preparation in Severely Curved Root Canals,” J Endod, vol. 40, no. 6, pp. 852-856, 2014.
[31] N. Imura, M. l. Zuolo, M. O. F. Ferreira, N. F. Novo, “Effectiveness of the Canal Finder and Hand Instrumentation in Removal of Gutta-Percha Root Fillings During Root Canal Retreatment,” IntEndod J, vol. 29, no. 6, pp. 382-386, 1996.
[32] S. D. Horvath, M. J. Naumann, M. Wolkewitz, J. F. Schirrmeister, “Cleanlines of Dential Tubules Following Gutta-Percha Removal with and Without Solvents: A Scanning Electron Microscopic Study,” IntEndod J, vol. 17, no. 1, pp. 1032-1038, 2009.
[33] S. Ahmed, M. Hossain, M. S. Alam, M. A. Moral, “Canal Configuration In Mesiobuccal Root of Permanent Maxillary First Molar Teeth Among Bangladeshi Population-An In Vivo Study,” Int J Med Sci., vol. 7, no. 12, pp. 8-13, 2020