11/8/2017 Endodontic Obturation

HealthMantra | Endo homepage |Dentist Page |

Custom Search Search

International Academy For Rotary Endodontics, USA

Endo Course | Rotary Types | About Academy
| Contac Us | Dentists

Endodontic Obturation
Although periapical healing starts after Root canal cleaning, shaping and disinfection is done, it is an accepted scientific fact that good obturation is
needed for it to stay healed over the years.

An Obturation should :-

Prevent recolonization of the root canal system with microorganisms that can produce destructive functions by the host tissues
Prevent Periapical disease in teeth with vital pulps.
Prevent Periapical Disease in teeth with
necrotic pulps and no radiolucency
Heal Periapical disease in teeth with obvious clinical and radiographic symptoms

Proper root canal filling should achieve three dimensional obturation of the endodontics space to prevent micro organisms from entering and reinfecting
the root canal system and to prevent tissue fluids from percolating back into the root canal system to provide a culture medium for any residual bacteria. It
should seal all portals of exit to impede any sort of communication or exchan- ge between the endodontium and periodontium.

It is clear from the objectives that the most critical area is the apical terminus of the root canal. While attempting to provide a hermetic seal in this region,
we have to keep in mind that when heated gutta percha cools, always there is contraction. Even though thermo plasticized gutta percha techniques are
fast and good enough for obturating the body of the root canal, it cannot give a hermetic seal in the apical third.

Most dentist do not understand correct tug back. It is very important not to confuse Apical Tug back with Taper Lock or Curve Lock which can
misguide you and then increase your case Failure. Come join learn World Class Rotary Endo NOW...CLICK HERE

http://www.healthmantra.com/rotary/endodontic_obturation.shtml 1/13
11/8/2017 Endodontic Obturation

Another important consideration is that if a post space is to be prepared or in the event of a re- root canal treatment, we should be able to remove the
obturation without jeopardizing the integrity of the remaining tooth structure. So it is preferable to use a technique that doesnt leave a difficult to remove
carrier in the root canal.

Obturation Techniques:-
-The most commonly used techniques are lateral condensation and vertical compaction using gutta percha.

-Warm gutta percha techniques:-

Thermocompaction technique (McSpadden)
Ultrasonic Compaction technique
Thermoplasticized injection techniques (Obtura and Ultrafil)
Gutta percha carrier systems (Thermafill and SimpliFill)

Lateral condensation :-
Lateral condensation is a good technique where it is indicated, and it has withstood the test of time.
Root canal spreaders for lateral condensation:

Vertical condensation:-

http://www.healthmantra.com/rotary/endodontic_obturation.shtml 2/13
11/8/2017 Endodontic Obturation

Advocated by Herbert Schilder, vertical condensation requires a set of variable diameter pluggers.

Warm gutta percha techniques:-

1.JS Quick-Fill
Alpha phase gutta -percha, on special design titanium carrier, JS Quick-Fill gives you a control, smooth obturation all in a single step.

No heating units or open flame.

Works with friction heat.
Fit in your low speed handpiece.
Chairside efficiency.

Disadvantages:

The operator cannot control extrusion of obturating material

The instruments can break
If the file is turning in reverse, it can screw itself into the canal and periapical tissues

http://www.healthmantra.com/rotary/endodontic_obturation.shtml 3/13
11/8/2017 Endodontic Obturation

2. Thermoplasticized injection techniques (Obtura and Ultrafil)

Length control is a disadvantage

Canal preparation must be sufficient to permit placement of the needle to within 4-6 mm of the apical preparation

The Obtura II Warm Gutta Percha System

This warm gutta percha-delivery system can be quickly and efficiently incorp-orated with all down-packing techniques. It is helpful in cases of internal

resorption.

3. System B - The Continuos Wave of Condensation (L. S. Buchanan, 1987) The System B heat source can monitor the temperature at the tip of its heat
carrier device, delivering a precise amount of heat for an indefinite time without overheating the gutta-percha. These heat carriers are designed to soften
the gutta-percha and at the same time condense it. The Continous Wave Technique requires only one plugger versus four or five when utilizing the Vertical

http://www.healthmantra.com/rotary/endodontic_obturation.shtml 4/13
11/8/2017 Endodontic Obturation

Condensation Technique as described by Dr. Schilder.

Sybron has just come out with the New Cordless System B, see the pic below

CLICK HERE FOR MORE INFO

SimpiFill obturation :-

http://www.healthmantra.com/rotary/endodontic_obturation.shtml 5/13
11/8/2017 Endodontic Obturation

SimpliFill is the only carrier system where the carrier is not left in the canal. We all know that removal of carrier is not a pleasant job if we have to go for a
post or a retreatment has to be done. It is the best hermetic seal you can obtain for your well prepared canal. When you push a 5mm of .02 tapered gutta
percha into a 4mm of parallel apical preparation, you can understand that we are providing a cork like tight seal for the apical third.
To me the best advantage of SimpliFill is the opportunity to finish the post cementation in the same sitting. Because of the tight apical seal, I dont have to
worry that the vibration during the post space preparation may dislodge the gutta percha or compromise the apical seal. Equally important are cases with
severely curved root canals and canals with curvatures in two planes. LightSpeed LSX system makes possible cleaning and enlarging the canal and it is
only SimpliFill that can make sure the gutta percha reaches to the apical extent and a hermetic seal is provided. We cant push a gutta percha point into
such canals because they will buckle and wont reach till the full working length

HotShot Cordless Obturation device

http://www.healthmantra.com/rotary/endodontic_obturation.shtml 6/13
11/8/2017 Endodontic Obturation

Completely cordless
Multiple Uses on Single charge
Easy to Clean
Minimal heat tranmittance
Wide range of temperature settings

GuttaFlow

GuttaFlow is a completely novel filling system for root canals that combines two products in one: gutta-percha in powder form with a particle size of less
than 30 m, and sealer. This new filling system works with cold free-flow gutta-percha, and uses an application system developed to enable an absolutely
simple, safe and hygienic procedure. More HERE
Gutta flow is by Coltene, same company also sells another injectable guttapercha obturation system name Ultrafil 3 D

Resilon

Resilon is a thermoplastic synthetic polymer based root canal filling material. Based on polymers of polyester, Resilon Material contains bioactive glass
and radiopaque fillers. It performs like gutta-percha, has the same handling properties, and for retreatment purposes may be softened with heat, or
dissolved with solvents like chloroform. Similar to gutta-percha, there are master cones in all ISO sizes and accessory cones in different sizes available. It
can be bonded with tooth. There is still not enough evidence that Resilon performs better than Guttapercha. GP with lateral condensation continues to be
GOLD standard for Endo obturation.

The Thermafil System- some call it Thermafilth, So Now it is called Guttacore

http://www.healthmantra.com/rotary/endodontic_obturation.shtml 7/13
11/8/2017 Endodontic Obturation

The Thermafil obturator consists of two parts, the carrier and the gutta-percha. The carrier is similar to a manual endodontic instrument without the blades,
made from a special radio-opaque plastic. Carrier is coated with GP. Thermafil obturators have a taper of .04 and are available in various tip sizes starting
from size 20 to 140. The chosen size is placed in a special oven and this warm cone is then pushed into canal giving a 3D filling. However cooling does
lead to some shrinkage.

Disadvantages of Thermafil

This technique leaves a plastic carrier in the canal which poses a problem should you have to place post or retreat the case.
Special oven (therma prep plus oven) is required to heat thermafil cones.
In curved canals carrier usually gets stripped of GP in curvature.
You needs special technique and time to remove nasty carrier in cases which need post core or retreatment.
Many companies have copied this product, "Stay away from Thermafil and its likes"

Thermaflo is similar to Thermafil, CLICK HERE TO SEE

SmartSeal- Obturation system with claim that on contact with canal fluids the obturation point will expand and seal the canal. MORE HERE

Calamus 3 D obturation System by Dentsply

http://www.healthmantra.com/rotary/endodontic_obturation.shtml 8/13
11/8/2017 Endodontic Obturation

Calamus offers downpack and backfill obturation techniques. With the Pack and Flow positioned side-
by-side, dentists can move smoothly from one step to the next. Use the Pack to create an effective and dense apical plug, then use the Flow to deliver the
gutta-percha backfill at the perfect temperature and flow rate. Each ergonomically-designed handpiece features a 360-degree activation cuff providing
ultimate control whether delivering a smooth, continuous expression of gutta-percha or successfully placing an apical plug.

For Technique details and Videos CLICK HERE

Elements Obturation Unit by Sybronendo

The Elements Obturation Unit combines our System B technology with a motor-driven extruder handpiece to make obturation efficient, predictable, and
accurate. From downpack to backfill, the Elements Obturation Unit puts the Continuous Wave of Condensation Technique into one simple-to-operate

http://www.healthmantra.com/rotary/endodontic_obturation.shtml 9/13
11/8/2017 Endodontic Obturation

device that takes up only 1/3 the space of two separate machines.

Ultrasonic lateral condensation:

Example technique (use common sense)Insert ultrasonic spreader (F 88 009 S04, Satelec by Acteon Group, Mrignac Cedex, France)alongside the
master cone and activated with an ultrasonic unit (P-MAX, Satelec) for 3 seconds, push apically, and activate again for 3 seconds. Repeat until the
spreader reaches 3mm short of the working length. Briefly activate (setting 3-5) and remove spreder and put a size 35 standardized gutta-percha cone,
coated with sealer.Continue condensation until the canal is filled. Excess gutta-percha is seared off and the heated gutta-percha vertically condensed with
an ultrasonic plugger (F 00 250-5, Satelec). LINK HERE

Endodontic sealers

Sealers play an important role in the obturation (filling) of a root canal. The sealer coats the walls of the canals and fills the space between the root canal
filling material and the root. Their antimicrobial activity likely plays an important role in the overall documented success of endodontic therapy.

http://www.healthmantra.com/rotary/endodontic_obturation.shtml 10/13
11/8/2017 Endodontic Obturation

There are many kinds of endodontics sealers. They can be grouped into these categories: 1. Zinc Oxide-Eugenol
2. Calcium Hydroxide (Sealapex, CRCS, Apexit)
3. Resin modified sealer (AH26, AHPlus, Diaket, Endofill, Resilon)

Sealers may contain different medicaments for antibacterial activity etc. KeyPOINT: Canal has to be cleaned well, dirty apex can not be healed by sealer.

Share Tweet

Apply For Fellowship

Single File Endo

Goal of RCT

Training and Courses

Different Rotary Systems

Techniques RCT preparation

Endodontic Irrigation

Endodontic Obturation

Apical Gauging

Endodontic Access

Electronic Apex locators

Endodontic Retreatment

Lasers in Endodontics

Endodontics journals and links

Endo Tips

Dental Articles

Endodontic Diagnosis

http://www.healthmantra.com/rotary/endodontic_obturation.shtml 11/13
11/8/2017 Endodontic Obturation

Rotary Endo Reviews

Case Examples

CONTACT Us

Associates

Get Blessings for Peace/Prosperity

Food for Thought

Reiki in Bengaluru

Site

Freebies

Sitemap

Contact

Advertise

http://www.healthmantra.com/rotary/endodontic_obturation.shtml 12/13
11/8/2017 Endodontic Obturation

http://www.healthmantra.com/rotary/endodontic_obturation.shtml 13/13