Sealing efficacy of a zinc oxide-eugenol cement, a cyanoacrylate, and a cavity varnish used as root canal cements

Evaluation of Microleakage of Nanoparticle-incorporated Cyanoacrylate Root Canal Sealer Using the Radioisotopic Method: An In Vitro Study

AIM OF THE STUDY

The study aimed to assess the microleakage of nanoparticle-based (NPB) cyanoacrylate sealer and epoxy resin-based (ERB) sealer using radioisotope method and confocal laser scanning microscopy (CLSM).

MATERIALS AND METHODS

A total of 100 single-rooted teeth were collected; specimens were accessed, instrumented, and irrigated, and randomly distributed into 4 groups of 25 samples each: Group I: Positive control, group II: Negative control, group III: Obturated with NPB sealer, and group IV: Obturated with ERB sealer. All samples were immersed in 99mTc pertechnetate solution, for 3 hours after which radioactivity was estimated under a Gamma camera. The radioactivity released by specimens before and after nail varnish removal was statistically analyzed. After 2 weeks, the same samples were used for CLSM analysis. The sealer tubular penetration depth was measured at the deepest level for each group using ZEN lite 2012. Data collected was statistically evaluated.

RESULTS

The amount of radioactivity observed at first in group III and group IV was 194.76 and 599.12 units, respectively, with p-value < 0.001, indicating significant interaction, and after nail varnish removal, it was 89.68 and 468.44 units, respectively, with a p-value < 0.001; again, indicating statistical significance. Hence, the radioactivity of NPB sealer was found to be lower than ERB sealer in both cases, indicating better sealing of the former. The photomicrographs show that mean value of dye penetration in NPB sealer in first, second, and third segment from apex was 85.06, 75.73, and 66.09, respectively; while in the case of ERB sealer, those were 597.28, 461.17, and 195.68, respectively; with p-value < 0.001; signifying that NPB sealer exhibited higher resistance to microleakage than ERB sealer.

CONCLUSION

The NPB sealer can become a potential root canal sealer in future endodontics due to superior physiochemical properties attributed to the cyanoacrylate and incorporated nanoparticles.

CLINICAL SIGNIFICANCE

The study clinically signifies that we can equally use the radioisotopic method along with confocal method while conducting the microleakage studies. In addition, NPB sealer can be an emerging replacement with better properties than gold standard root canal sealers for clinical use. How to cite this article: Shetty C, Qaiser S, Shetty A, et al. Evaluation of Microleakage of Nanoparticle-incorporated Cyanoacrylate Root Canal Sealer Using the Radioisotopic Method: An In Vitro Study. J Contemp Dent Pract 2024;25(4):335-341.

Stereomicroscopic Dye Leakage Measurement of Six Different Root Canal Sealers

INTRODUCTION

Hermetic sealing of the root canal is the most desirable outcome of any root canal treatment, but almost always the filling of the root canal is defective, which is a multifactorial outcome. One such factor majorly influencing the obturation is the root canal sealer used.

AIM

The present study was done for evaluating microleakage in different root canal sealers.

MATERIALS AND METHODS

Sixty extracted human single rooted teeeth were used in this in-vitro study. Sealers tested for microleakage in this study were zinc oxide eugenol based sealer, Sealapex, AH Plus, MTA Plus, EndoRez, Endosequence BC. All the specimens were examined under stereomicroscope for microleakage and the obtained data were statistically analysed using One-way ANOVA test and Tukey's multiple comparision tests using the software GraphPad Prism 7.02.

RESULTS

The Endosequence BC group showed the least dye leakage and the highest leakage was seen in Zinc oxide Eugenol based sealer.

CONCLUSION

Bio ceramic salers being hydrophilic show better sealing ability compared to resin based and eugenol based sealers.

Monomer conversion and hardness of novel dental cements based on ethyl cyanoacrylate

OBJECTIVES

The aim of this work was to study the setting of two novel dental cements: (i) a 'hybrid' cement, incorporating an ethyl cyanoacrylate into a glass-ionomer cement (ECGIC) formulation and (ii) an ethyl cyanoacrylate/hydroxyapatite composite cement (ECHC). The mechanical role of the cyanoacrylate and its curing within the cements have been discussed.

METHODS

The setting of the cements was characterised using Vickers indentation hardness and near-infrared (near-IR) spectroscopy.

RESULTS

The cyanoacrylate component of ECGIC was 100% cured approximately 10min after the initial cement mixing. The ECGIC continued to increase in hardness after the cyanoacrylate component was fully cured. This proved that the fully polymerised network of cyanoacrylate did not prevent the acid-base reactions of the GIC components from continuing. The Vickers hardness number of ECGIC at 18 weeks was approximately 105. The curing of the cyanoacrylate within ECHC was much slower and was still not complete (98%) 18 weeks after the initial cement mixing. The hardness of the ECHC was shown to be correlated with the extent of cyanoacrylate cure. The Vickers hardness number of ECHC at 18 weeks was approximately 21. The primary reasons for the overall lower hardness of ECHC in comparison to ECGIC were the lower powder:liquid ratio and the softer filler type.

SIGNIFICANCE

Careful consideration is needed when incorporating cyanoacrylates into dental cements, as speed of cure and hardness are particularly important.

Surface coating and leakage of dentin-bonded resin composite restorations

OBJECTIVES

To compare the marginal leakage of dentin-bonded resin composite restorations in tooth sections coated with nail varnish and similarly restored sections coated with cyanoacrylate cement.

METHODS

MO and DO cavities were prepared with the gingival floor below the CEJ in 11 non-carious extracted human molars. Each cavity was restored with a dentin adhesive and resin composite. Sectioning yielded four specimens per tooth (N=44). One specimen from each restoration was coated with varnish. The other specimen was coated with cyanoacrylate cement. The coatings were applied to all surfaces except that a 1mm window on either side of the interproximal gingival margin was left uncoated. Specimens were thermocycled and stained with silver nitrate. Silver penetration into the gingival margin of each section was measured with a measuring microscope. The predominant leakage path for each coating type was determined by scanning electron microscopy.

RESULTS

There was no significant difference between the leakage of the varnish-coated and cyanoacrylate-coated specimens. No marginal gaps were observed either by optical or by electron microscopy. However, the both optical and electron microscopy revealed leakage in nearly all specimens. This leakage was confined to either the dentin/hybrid layer interface or the adhesive resin/hybrid layer interface.

CONCLUSIONS

The results suggest that these coating materials are not confounding factors in laboratory investigations of marginal leakage along dentin-bonded interfaces of resin composite restorations. Although marginal gaps were undetectable even at high magnification, leakage was observed along the gingival margin of almost all of these Class II resin composite restorations.

Dentine permeability and tracer tests

OBJECTIVES

This paper reviews the evidence for dentine's permeability in order to clarify and emphasize its confounding effect on leakage test measurements, and hence the need to use special test designs to avoid its effects.

METHODS

The literature on the subject between 1887 and 1997, including 249 articles.

CONCLUSIONS

The prerequisite condition for any tracer penetration test is that unflawed specimens are themselves impermeable to tracer. Entry of tracer then can be used to indicate correctly the location or severity of flaws. The relative impermeability of intact dental enamel permits such testing of the enamel-restoration interface seal, but the same is not true when using dentine, which is usually frankly porous to most tracers through its tubules. False positive results are very likely. Recent intense interest in dentine bonding agents has increased the need and frequency of these tests with dentine, but this serious confounding factor has so far generally remained unstated, and has only been controlled adequately in one study. If tracer penetration test results are to be meaningful, then adequate control is required.

Endodontic leakage studies reconsidered. Part I. Methodology, application and relevance

An increasing number of endodontic leakage studies have been published. In the 1990 volumes of Journal of Endodontics and International Endodontic Journal, there was one leakage study to every 4.3 scientific articles. The most popular method was linear measurement of tracer (dye or radioisotope) penetration along a root filling. Comparing some data on linear measurement of dye penetration following the cold lateral condensation of gutta-percha that were published between 1980 and 1990, a high level of variation has been found, although the experimental methods used in these studies were quite similar. In almost all studies evaluating various techniques, the cold lateral condensation technique has been used as a standard control for comparison. The reliability of these results is questionable. The problems with such studies are discussed. It seems that more research should be done on leakage study methodology, instead of continuing to evaluate the sealing ability of different materials and techniques by methods that may give little relevant information.

Using cyanoacrylate to facilitate rubber dam isolation of teeth

Cyanoacrylate is an extremely strong bonding agent which has many applications in medicine. It is also effective in obtaining a leakproof seal of rubber dam around a structurally compromised tooth requiring endodontic therapy.

Comparison of apical leakage in teeth obturated with a polyamide varnish or zinc oxide and eugenol cement using lateral condensation

The sealing ability of copal varnish has been investigated when used as an adjunct in restorative procedures, retrofilling procedures, and dontic obturation procedures. Barrier, a polyamide-type polymer cavity varnish, has been compared with copal varnishes in restorative dentistry. This investigation compared the apical sealing properties of a zinc oxide and eugenol sealer (Roth) with a polyamide varnish (Barrier). Twenty-four teeth were instrumented and divided into two groups, one obturated with gutta-percha and Roth sealer and one with gutta-percha and Barrier, using submersion in methylene blue dye to demonstrate apical leakage. Roth sealer exhibited less dye penetration than Barrier when used as an endodontic sealant (p < 0.02).