Influence of different final irrigation regimens and various endodontic filling materials on vertical root fracture resistance

Abstract

Aim: The aim of this study was to evaluate the influence of different endodontic materials and final irrigation regimens on vertical root fracture (VRF) resistance.
Materials and Methods: Eighty human teeth were prepared then assigned into two groups (n = 40) according to the final irrigations. G1: 5 mL, 5.25% sodium hypochlorite (NaOCl), G2: 5 mL, 2% chlorhexidine gluconate (CHX). Each group was assigned into four subgroups according to the obturation system used (n = 10): A: iRoot SP/single gutta‑percha cone (SGP), B: Only iRoot SP, C: Mineral trioxide aggregate (MTA)‑Fillapex/SGP, D: AH26/SGP. The specimens were embedded in acrylic molds and subjected to compressive loading at a rate of 1 mm min until VRF occurred. Data were analyzed via three‑way ANOVA tests.
Results: The statistically significant difference was found among groups (P < 0.05). The G1A and G1B and G1D revealed significantly higher‑VRF values than G1C (P = 0.023). The roots filled with MTA‑Fillapex revealed lower‑VRF values than the other subgroups (P < 0.05). Groups irrigated with NaOCl had significantly lower‑VRF values than the groups irrigated with CHX (P < 0.05).
Conclusion: Final irrigation regimens could alter VRF resistance of root canals filled with different obturation technique and root canal sealers.

Key words: Chlorhexidine gluconate, root canal sealers, sodium hypochlorite, vertical root fracture