Peripheral dentin thickness after root-end cavity preparation

Oral Surg Oral Med Oral Pathol Oral Radiol Endod 105(2):4 (2008) PMID 18230396

Objective: The objective of this study was to determine if it was possible to retain 2 mm of dentin around the periphery of root-end cavity preparations in maxillary central incisor and maxillary canine teeth. Study design: Thirty teeth of each type were root filled. Three millimeters of root end was resected and conservative root-end cavities ultrasonically prepared. Root ends were photographed and measured using a computer program. Teeth without 2 mm of peripheral dentin were sectioned for up to 3 further 1-mm increments. Results: None of the central incisors had 2 mm of dentin remaining at the 3-mm resection level, and none of the canines had 2 mm of dentin remaining even after resecting to 6 mm. Conclusions: Recommendations to preserve 2 mm of structure around the root-end cavities of these teeth are unrealistic.

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