Root canal retreatment of root canals filled with "Neo MTA 2" and epoxy resin, using continuous and asymmetric...

The study aimed to compare the amount of extrusion, the time taken to achieve apical patency and duration for removing filling material during the retreatment of teeth filled with NeoMTA 2® (Avalon Biomed, Houston, TX, USA), a calcium silicate hydraulic cement and AHPlus™ (Denstsply, Konstanz, Germany), a resin-based cement, using continuous rotation and asymmetric reciprocating rotation instruments.

60 monoradicular human teeth were selected and instrumented with Race #35.06 (FKG Dentaire, La Chaux-de-Fonds, Switzerland). The teeth were randomly assigned to two groups based on the cement used for filling (n = 30 each) AHPlus™ and NeoMTA 2®. Both groups were obturated with gutta-percha, using the lateral condensation technique. During non-surgical retreatments, each group was further divided into two subgroups: D-Race (FKG) and Reciproc (VDW, Munich, Germany) (n = 15 each). The total time to achieve apical patency and complete the retreatment were recorded. Extruded debris were collected and weighted. Student t-tests were employed for mean comparisons to assess significant differences between variables.

No statistically significant differences were found in terms of type of cement and apical extrusion. Regarding the rotation system, using the Reciproc system resulted in longer time to achieve patency and retreatment times compared to D-Race system, with statistically significant differences (P< 0.05).

All systems used in retreatment led to apical extrusion. Apical patency was achieved in all cases. Key words:D-Race, Reciproc, calcium silicate-based cement, root canal retreatment.