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      Effect of ultrasonic tip designs on intraradicular post removal

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          Abstract

          Objectives

          To evaluate the effect of different ultrasonic tip designs on intraradicular post removal.

          Materials and Methods

          The crowns of forty human canine teeth were removed, and after biomechanical preparation and filling, the roots were embedded in acrylic resin blocks. The post spaces were made, and root canal molding was performed with self-cured acrylic resin. After casting (Cu-Al), the posts were cemented with zinc phosphate cement. The specimens were randomly separated into 4 groups ( n = 10), as follows: G1 - no ultrasonic vibration (control); G2 - ultrasonic vibration using an elongated cylindrical-shaped and active rounded tip; G3 - ultrasonic vibration with a flattened convex and linear active tip; G4 - ultrasonic vibration with active semicircular tapered tip. Ultrasonic vibration was applied for 15 seconds on each post surface and tensile test was performed in a Universal Testing Machine (Instron 4444 - 1 mm/min).

          Results

          G4 presented the highest mean values, however, with no statistically significant difference in comparison to G3 ( P > 0.05). G2 presented the lowest mean values with statistically significant difference to G3 and G4 ( P < 0.05).

          Conclusions

          Ultrasonic vibration with elongated cylindrical-shaped and active rounded tip was most effective in reducing force required for intraradicular post removal.

          Related collections

          Most cited references28

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          Nonsurgical retreatment.

          With all the potential for endodontic success, the fact remains clinicians are confronted with posttreatment endodontic disease. When the elected treatment plan is endodontic nonsurgical retreatment, then the goal is to access the pulp chamber and remove materials from the root canal space and if present, address deficiencies or repair defects that are pathologic or iatrogenic in origin. This article provides a literature review with clinical recommendations for one important group of retreatment issues: the removal of posts and broken instruments.
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            Incidence of root fractures and methods used for post removal.

            Jay Abbott (2001)
            This study was undertaken to determine the incidence of root fractures during post removal, as well as the methods used and the success rates achieved with various post removal devices and techniques. Patient records from a specialist endodontic practice were examined. A total of 1600 teeth from which posts were removed were identified. These teeth had no preoperative signs or symptoms to suggest root fractures. The incidence of root fractures was determined and a subset of 234 patient records were examined in detail to determine the methods used to remove different types of posts. Only one tooth fractured during post removal (0.06%) and all posts were successfully removed, typically in about 3 min. Most cast posts were removed with an Eggler post remover but some dislodged when the crown was removed; ultrasonics was used occasionally. Most parallel-sided posts were removed with ultrasonics and threaded posts were unscrewed. The Masserann kit and ultrasonics were combined to remove fractured cast posts and some parallel-sided posts. This study indicates that, with good case selection, post removal is a predictable procedure. If appropriate techniques and devices are used for the particular type of post being removed, then root fracture is a rare occurrence.
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              A survey of methods used for post removal in specialist endodontic practice.

              The aims of this study were to determine the attitudes of endodontists toward the risk of root fracture when removing posts and to determine which methods they commonly used to remove posts from root-filled teeth. A survey was sent to all 74 members of the Australian and New Zealand Academy of Endodontists. The survey was divided into three parts to gather information concerning root canal retreatment performed in specialist endodontic practice, attitudes about the risk of root fracture when removing posts and the methods used to remove different post systems. Responses were received from 62 (84%) of the Academy members. When a post was present in a tooth that required root canal retreatment, 66% of the endodontists preferred to remove the post, whilst 27% considered either post removal or periapical surgery. Forty-five per cent reported that a root fracture had occurred during post removal, but this represented less than 0.002% of the estimated number of posts removed by all respondents. Ultrasonic vibration was the most common method used to remove posts, although post removal devices were used more often in anterior teeth; the Eggler post remover was the most commonly used device. Most endodontists preferred to remove posts rather than perform periapical surgery. Few root fractures were reported. Ultrasonic vibration was the most common method used to remove posts from all tooth types, with the Eggler post remover used most commonly for posts in anterior teeth.
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                Author and article information

                Journal
                Restor Dent Endod
                Restor Dent Endod
                RDE
                Restorative Dentistry & Endodontics
                The Korean Academy of Conservative Dentistry
                2234-7658
                2234-7666
                November 2014
                17 July 2014
                : 39
                : 4
                : 265-269
                Affiliations
                [1 ]Department of Endodontics, School of Dentistry, Federal University of Amazonas, Manaus, Amazonas, Brazil.
                [2 ]Department of Endodontics, School of Dentistry, State University of Amazonas, Manaus, Amazonas, Brazil.
                [3 ]Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
                Author notes
                Correspondence to Lucas da Fonseca Roberti Garcia, DDS, MSc, PhD. Post-Doctorate Researcher, Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo, Rua Siró Kaku, n° 72, apto. 73, Bairro Jardim Botânico, Ribeirão Preto - São Paulo - Brasil 14021-614. TEL, +55-016-3442-7273; FAX, +55-016-3442-7273; drlucas.garcia@ 123456gmail.com
                Article
                10.5395/rde.2014.39.4.265
                4223095
                25383344
                847d72f2-5d76-4bc3-8df3-aa87f5f1d157
                ©Copyights 2014. The Korean Academy of Conservative Dentistry.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 06 February 2014
                : 01 June 2014
                Categories
                Research Article

                post removal,tip design,ultrasonic device
                post removal, tip design, ultrasonic device

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