In vitro sealing ability of dentin bonding agents and cavity varnish with amalgam as retrofills

A Systematic Review of In Vitro Retrograde Obturation Materials

The purpose of this review was two-fold: (a) to determine which retrograde obturation material(s) best prevents dye/ink penetration in vitro; and (b) to determine whether in vitro results agree with in vivo results. A MEDLINE search was conducted to identify in vitro studies published between January 1966 and October, week 4, 2003, conducted on human teeth, and published in English, German, or French language, testing the resistance to retrograde penetration of retrograde filling materials. The MEDLINE search identified 278 published articles. Of those, 115 studies examined the resistance to penetration of various retrograde filling materials, in vitro. Thirty-four studies met all the inclusion and validity criteria. The results indicate that, beyond 10 days in vitro, the most effective retrofilling materials, when measured by dye/ink penetration are: composites>glass ionomer cement>amalgam>orthograde gutta-percha>EBA. The results of these in vitro studies are not congruent with in vivo study results, suggesting a need to re-evaluate the clinical validity and importance of in vitro studies.

Sealing ability of MTA, Super EBA, Vitremer and amalgam as root-end filling materials

This study evaluated the root-end sealing ability of mineral trioxide aggregate (MTA Angelus), reinforced zinc oxide-eugenol cement (Super EBA), resin-modified glass ionomer (Vitremer) and zinc-free amalgam (GS-80) (control). The root canals of eighty human lower molars were accessed, cleansed, shaped and obturated. Apexes were resected and cavities were prepared. Teeth were divided into 4 groups of 40 cavities, root-end filled with the materials, and immersed in methylene blue for 72 h at 37°C. Roots were then sectioned transversally at each millimeter and evaluated under magnification, observing the dye penetration in each section. Data were evaluated using Kruskal-Wallis test at a 5% level of significance, showing the differences among all materials (p < 0.001). The crescent order of microleakage was MTA < Vitremer < Super EBA < amalgam. Higher leakage levels were observed in the first millimeter sections of amalgam, Vitremer and MTA, when compared with the third millimeter section (p < 0.05).

Transition element contained partial-stabilized cement (PSC) as a dental retrograde-filling material

A modified silicate cement has previously been developed as a dental retrograde filling; it has great sealing ability, good biocompatibility, and anti-bacterial properties. However, its clinical application is limited by a long setting time and poor handling property. In the present study, the setting time has been shortened by raising the preparation temperature of the cement and adding transition elements into the partial-stabilized cement (PSC) to increase the rate of hydration reaction of the cement. The rate of the hydration was evaluated by micro-hardness measurement. Phase transformation and micro-structure were examined by an X-ray diffractometer and a scanning electron microscope, respectively.When the preparation temperature increased (1400 degrees C), the phase content of Ca(2)SiO(5)(C(2)S) and Ca(3)SiO(6)(C(3)S) increased but the CaO decreased. The setting time was shortened and the micro-hardness increased because the increased amplitude of vibration of the atoms about their equilibrium resting positions increased by increasing the heating temperature. When the transition elements were added to PSC, crystal defects were effectively created and monoclinic structure of C(3)S was favored to form, which would increase the hydrated reaction of PSC and shorten the setting time. Co addition is the most effective due to its ability to create more defects and stabilize the monoclinic structure. The micro-hardness of the PSC with Co 5 wt% addition was about 66 in the Vickers scale. It also exhibited an early setting within 20 min. We believe that the modified PSC will have a great potential in its application to perforation repair and retrograde filling in endodontic surgery.