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Al-Rayesse R, Al-Jabban O, Eid A, Kabtoleh A, Addiego F, Mancino D, Haikel Y, Kharouf N. Influence of Bioceramic Cements on the Quality of Obturation of the Immature Tooth: An In Vitro Microscopic and Tomographic Study. Bioengineering (Basel) 2024; 11:213. [PMID: 38534487 DOI: 10.3390/bioengineering11030213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2024] [Revised: 02/14/2024] [Accepted: 02/21/2024] [Indexed: 03/28/2024] Open
Abstract
The present in vitro study focuses on the filling ability of three different bioceramic cements with or without the addition of a bioceramic sealer in an open apex model on the marginal apical adaptation, tubule infiltrations, and void distributions as well as the interface between the cement and the sealer materials. To this end, sixty mandibular premolars were used. MTA-Biorep (BR), Biodentine (BD), and Well-Root Putty (WR) were used to obturate the open apex model with or without the addition of a bioceramic sealer, namely TotalFill® BC sealer™ (TF). A digital optical microscope and scanning electron microscope (SEM) were used to investigate the cement-dentin interface, marginal apical adaptation, and the material infiltration into the dentinal tubules. Micro-computed X-ray tomography and digital optical microscopy were used to investigate the cement-sealer interface. The results were analyzed by using the Kruskal-Wallis test. No significant difference was found between the groups for the marginal apical adaptation quality (p > 0.05). Good adaptation of the dentin-cement interface was found for all tested groups and the sealer was placed between the cement material and dentinal walls. All the groups demonstrated some infiltrations into the dentinal tubules at the coronal part except for the BR group. A good internal interface was found between the cement and the sealer with the presence of voids at the external interface. A larger number of voids were found in the case of the BD-TF group compared to each of the other two groups (p < 0.05). Within the limitations of the present in vitro study, all the groups demonstrated good marginal apical adaptation. The use of a sealer in an open apex does not guarantee good filling and, in addition, creates voids at the external interfaces with the dental walls when the premixed sealer is used with powder-liquid cement systems. The use of a premixed bioceramic cement could offer fewer complications than when a powder-liquid cement system is used.
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Affiliation(s)
- Raya Al-Rayesse
- Department of Endodontics and Restorative Dentistry, Damascus University, Damascus 011, Syrian Arab Republic
| | - Ossama Al-Jabban
- Department of Endodontics and Restorative Dentistry, Damascus University, Damascus 011, Syrian Arab Republic
| | - Ammar Eid
- Department of Endodontics and Operative Dentistry, Faculty of Dentistry, International University for Science, Damascus 011, Syrian Arab Republic
| | - Alaa Kabtoleh
- Department of Endodontics and Restorative Dentistry, Damascus University, Damascus 011, Syrian Arab Republic
| | - Frédéric Addiego
- Materials Research and Technology (MRT) Department, Luxembourg Institute of Science and Technology (LIST), L-4362 Esch-sur-Alzette, Luxembourg
| | - Davide Mancino
- Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, Strasbourg University, 67000 Strasbourg, France
- Department of Endodontics, Faculty of Dental Medicine, Strasbourg University, 67000 Strasbourg, France
- Pôle de Médecine et Chirurgie Bucco-Dentaire, Hôpital Civil, Hôpitaux Universitaire de Strasbourg, 67000 Strasbourg, France
| | - Youssef Haikel
- Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, Strasbourg University, 67000 Strasbourg, France
- Department of Endodontics, Faculty of Dental Medicine, Strasbourg University, 67000 Strasbourg, France
- Pôle de Médecine et Chirurgie Bucco-Dentaire, Hôpital Civil, Hôpitaux Universitaire de Strasbourg, 67000 Strasbourg, France
| | - Naji Kharouf
- Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, Strasbourg University, 67000 Strasbourg, France
- Department of Endodontics, Faculty of Dental Medicine, Strasbourg University, 67000 Strasbourg, France
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ElReash AA, Grawish M, Abdo W, Abdelghany AM, Junsi L, Xiaoli X, Hamama H. Intramedullary bone tissue reaction of ion-releasing resin-modified glass-ionomer restoration versus two calcium silicate-based cements: an animal study. Sci Rep 2023; 13:9812. [PMID: 37330550 PMCID: PMC10276832 DOI: 10.1038/s41598-023-36949-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Accepted: 06/13/2023] [Indexed: 06/19/2023] Open
Abstract
This comparative study was conducted to assess the intramedullary bone tissue reaction of an ion-releasing resin modified glass-ionomer cement with claimed bioactivity (ACTIVA bioactive resin) restorative material versus Mineral Trioxide Aggregate High Plasticity (MTA HP) and bioceramic putty iRoot BP Plus. Fifty-six adult male Wistar rats were assigned into 4 equal groups (14 rats each). A surgical intramedullary bi-lateral tibial bone defects were performed in rats of the control group I (GI) and left without any treatment to be considered as controls (n = 28). The rats of groups II, III and IV were handled as group I except that the tibial bone defects were filled with ACTIVA, MTA HP and iRoot BP, respectively. In all groups, rats were euthanized after one month and specimens were processed to histological investigation, SEM examination and EDX elemental analysis. In addition, semi-quantitative histomorphometric scoring system was conducted for the following parameters; new bone formation, inflammatory response, angiogenesis, granulation tissue, osteoblasts and osteoclasts. The clinical follow-up outcome of this study revealed the recovery of rats after 4 days post-surgical procedure. It was observed that the animal subjects returned to their routine activities, e.g., walking, grooming and eating. The rats showed normal chewing efficiency without any weight loss or postoperative complications. Histologically, the control group sections showed scanty, very thin, new bone trabeculae of immature woven type located mostly at the peripheral part of the tibial bone defects. These defects exhibited greater amount of thick bands of typically organized granulation tissue with central and peripheral orientation. Meanwhile, bone defects of ACTIVA group showed an empty space surrounded by thick, newly formed, immature woven bone trabeculae. Moreover, bone defects of MTA HP group were partially filled with thick newly formed woven bone trabeculae with wide marrow spaces presented centrally and at the periphery with little amount of mature granulation tissue at the central part. The iRoot BP Plus group section exhibited an observable woven bone formation of normal trabecular structures with narrow marrow spaces presented centrally and at the periphery showed lesser amount of well-organized/mature granulation tissue formation. Kruskal Wallis test revealed total significant differences between the control, ACTIVA, MTAHP and iRoot BP Plus groups (p < 0.05). Meanwhile, Mann-Whitney U test showed significant difference between control and ACTIVA groups, Control and MTA HP groups, control and iRoot BP Plus groups. ACTIVA and MTA HP groups, ACTIVA and iRoot BP Plus (p ˂ 0.05) with no significant difference between MTA HP and iRoot BP Plus (p > 0.05). The elemental analysis outcome showed that the lesions of the control group specimens were filled with recently created trabecular bone with limited marrow spaces. EDX tests (Ca and P analysis) indicated a lower degree of mineralization. Lower amounts of Ca and P was expressed in the mapping analysis compared with other test groups. Calcium silicate-based cements induce more bone formation when compared to an ion-releasing resin modified glass-ionomer restoration with claimed bioactivity. Moreover, the bio-inductive properties of the three tested materials are likely the same. Clinical significance: bioactive resin composite can be used as a retrograde filling.
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Affiliation(s)
- Ashraf Abou ElReash
- Department of Conservative Dentistry. Faculty of Oral and Dental Medicine, Delta University for Science and Technology, Mansoura, Egypt
| | - Mohamed Grawish
- Department of Oral Biology, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
- Department of Oral Biology, Faculty of Oral and Dental Medicine, Delta University for Science and Technology, Mansoura, Egypt
| | - Walied Abdo
- Department of Pathology, Faculty of Veterinary Medicine, Kafr Elsheikh University, Kafr El Sheikh, Egypt
| | - Amr M Abdelghany
- Department of Spectroscopy, Physics Research Institute, National Research Centre, Giza, Egypt
| | - Luo Junsi
- Department of Endodontic. Xiangya School of Stomatology. Central, South University, Changsha, Hunan Province, China
| | - Xie Xiaoli
- Department of Endodontic. Xiangya School of Stomatology. Central, South University, Changsha, Hunan Province, China
| | - Hamdi Hamama
- Department of Conservative Dentistry, Faculty of Dentistry, Mansoura University, Mansoura, 35516, Egypt.
- Faculty of Dentistry, New-Mansoura University, New-Mansoura, Egypt.
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Das M, Malwi AAA, Mohapatra A, Kader MMA, Ali ABM, Shetty SC, Baig MM. In Vitro Assessment of Sealing Ability of Various Materials Used for Repair of Furcal Perforation: A SEM Study. J Contemp Dent Pract 2023; 23:1136-1139. [PMID: 37073937 DOI: 10.5005/jp-journals-10024-3425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/19/2023]
Abstract
AIM The aim of the current in vitro research was to evaluate the sealing capacity of three different agents employed for the repair of perforations at the furcation area. MATERIALS AND METHODS Recently 60 extracted human mandibular permanent molars having well apart plus fully formed roots, and intact furcation were chosen. The 60 samples were allocated at random to three groups of 20 samples: Group I: Furcation perforation repair by means of mineral trioxide aggregate (MTA)-Angelus, Group II: Furcal perforation repair using Biodentine, Group III: Furcal perforation repair by EndoSequence. The specimens were subjected to sectioning with a hard tissue microtome and the sectioned parts of the samples were then examined. The specimens were subjected to gold sputtering and visualizing beneath scanning electron microscope (SEM) at 2000× magnification for assessing the sealing capacity of the agents. RESULTS The highest sealing capacity was noted with the use of Biodentine at 0.96 ± 0.10, in pursuit by EndoSequence use at 1.18 ± 0.14 and MTA-Angelus use at 1.74 ± 0.08. The disparity amid the three groups was statistically significant with p < 0.001. CONCLUSION In conclusion, it may be inferred that Biodentine exhibited the finest sealing capacity than EndoSequence and MTA- Angelus. It may thus be given consideration as a substance of preference for the repair of furcal perforation. CLINICAL SIGNIFICANCE Using biologically compatible substances may be suggested to amend perforations thereby decreasing the occurrence of inflammatory response in the neighboring tissues. The sealing capacity is a significant feature in supporting the result of a root canal treatment of a tooth.
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Affiliation(s)
- Maneesha Das
- Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | | | - Abinash Mohapatra
- Department of Pedodontics and Preventive Dentistry, Kalinga Institute of Dental Sciences KIIT (Deemed to be University), Bhubaneswar, Odisha, India
| | | | | | - Shriya C Shetty
- Central Research Laboratory, KS Hegde Medical Academy, NITTE (Deemed to be University), Mangaluru, Karnataka, India
| | - Mirza Muzaamill Baig
- Department of Conservative Dentistry and Endodontics, Sri Balaji Dental College, Moinabad, Telangana, India, Phone: +91 9177231919, e-mail:
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Moazzami F, Ghorbani Jahandizi N, Shokouhi MM, Ghahramani Y. Sealing Ability of Nano-fast Cement vs. Mineral Trioxide Aggregate as Retrograde Apical Plugs: An In-vitro Microleakage Study. IRANIAN ENDODONTIC JOURNAL 2023; 18:206-210. [PMID: 37829831 PMCID: PMC10566006 DOI: 10.22037/iej.v18i4.41642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/08/2023] [Revised: 07/04/2023] [Accepted: 07/17/2023] [Indexed: 10/14/2023]
Abstract
Introduction Apical surgery aims to eradicate the apical part of the root and the lesion to enhance the healing. The sealing ability of retrograde filling material is an essential factor affecting the success rate of the surgery. Mineral trioxide aggregate (MTA) is the gold standard of retrograde filling materials, with approved sealing capability and biocompatibility. Newly introduced root repair material with an approved antibacterial effect similar to MTA is Nano-fast cement (NFC) which should be investigated for its sealing ability. This study aimed to evaluate the sealing ability of NFC vs. MTA. Materials and Methods Root apices of 48 single-rooted teeth were resected at 90 degrees and were prepared at 3 mm depth. The teeth were randomly divided into 2 experimental groups (n=21), negative control group (n=3), and positive control group (n= 3). MTA and NFC plugs were condensed as retrograde filling material. The samples were evaluated by a modified fluid filtration device for 1 hour. The measurement was conducted at 24 h, 1, and 3 months. Data were analyzed by Friedman Test and Kruskal-Wallis test. Results According to the results, NFC at 3-months interval showed the least microleakage, and MTA had the highest at the baseline. However, the results between the two groups were not statistically significant in all intervals. NFC reached the ideal sealing ability within 1 month, which was reached for MTA after 3 months. Conclusions The results of this in vitro study showed that the microleakage value of NFC is comparable to MTA. In light of current findings, NFC shows characteristics of a suitable calcium silicate-based cement. Further clinical researches are needed to introduce the NFC as retrograde apical plug or for other endodontic applications.
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Affiliation(s)
- Fariborz Moazzami
- Department of Endodontics, Dental School, Shiraz University of Medical Sciences, Shiraz, Iran;
| | | | - Mohammad Mehdi Shokouhi
- Department of Endodontics, Dental School, Shiraz University of Medical Sciences, Shiraz, Iran;
| | - Yasamin Ghahramani
- Department of Endodontics, Faculty of Dentistry, Oral and Dental Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
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Kararia N, Yadav A, Adyanthaya BR, Kararia V, Poonia S, Jain S. Comparison of sealing ability of MTA and retroplast as root end filling materials evaluated under a stereomicroscope using rhodamine B dye: An In vitro study. Indian J Dent Res 2022; 33:318-322. [PMID: 36656196 DOI: 10.4103/ijdr.ijdr_357_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
Aim The aim of the study was to compare the sealing ability of Mineral Trioxide Aggregate (MTA) and Retroplast as root end filling materials using the Rhodamine B dye penetration method in vitro. Methodology Forty freshly extracted human single-rooted teeth were randomly divided into two groups of 20 teeth each, and standard root-end cavities were prepared in all teeth. The cavities were filled with MTA and Retroplast in groups 1 and 2, respectively. The specimens were then stored in 1% Rhodamine B dye for a week, following which the dye penetration with all samples was analysed under a stereomicroscope and scored according to Tronstad's criteria. The observations were compared with Chi square test at a 0.220 level of significance. Results 5% of the samples in both the groups showed no significant leakage. The leakage was deeper with the Retroplast group than with the MTA group; however, there was no statistically significant difference between the two groups. Conclusion Both MTA and Retroplast are similar in their sealing potential as root-end cavity fillings with Retroplast reporting slightly deeper microleakage than MTA within the limits of the present study.
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Affiliation(s)
- Nitin Kararia
- Department of Conservative Dentistry and Endodontics, NIMS Dental College and Hospital, Jaipur, Rajasthan, India
| | - Anushka Yadav
- Department of Conservative Dentistry and Endodontics, Rajasthan Dental College and Hospital, Jaipur, Rajasthan, India
| | - B R Adyanthaya
- Department of Conservative Dentistry and Endodontics, Rajasthan Dental College and Hospital, Jaipur, Rajasthan, India
| | - Vandana Kararia
- Department of Orthodontics, RUHS College of Dental Sciences, Jaipur, Rajasthan, India
| | - Suman Poonia
- Department of Conservative Dentistry and Endodontics, Rajasthan Dental College and Hospital, Jaipur, Rajasthan, India
| | - Sachin Jain
- Conservative Dentistry and Endodontics, Vardhman Multispecialty Dental Clinic, Meerut, Uttar Pradesh, India
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Toia CC, Teixeira FB, Cucco C, Valera MC, Cavalcanti BN. Volumetric Evaluation of Voids and Gaps of Different Calcium-Silicate Based Materials Used in Furcal Perforations: A Micro-CT Study. Dent J (Basel) 2022; 10:dj10030041. [PMID: 35323243 PMCID: PMC8947349 DOI: 10.3390/dj10030041] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 02/28/2022] [Accepted: 03/04/2022] [Indexed: 02/04/2023] Open
Abstract
This study aimed at evaluating volumetrically gaps and voids of calcium-silicate based materials of different generations and handling properties (BC—Endosequence BC RRM-Fast Set Condensable Putty, MTA—ProRoot MTA, and BIO—Biodentine) in simulated furcal perforations in an ex vivo setup by microcomputed tomography (Micro-CT) analysis. Thirty-six extracted human mandibular molars with sound furcation areas were selected. Standardized perforations were created in the furcation area of the pulp chamber using #4 diamond burs. The specimens were randomly assigned to three groups (BC, MTA and BIO; n = 12). Samples were then scanned (SkyScan 1172; Bruker-microCT, Kontich, Belgium), and three-dimensional (3D) images reconstructed. The relative volume of gaps (VG%) and voids (VV%) present on each material was calculated. Data were analyzed using one-way analysis of variance (ANOVA) and Tukey’s HSD test (p < 0.05). Mean VG% for BC, MTA, and BIO groups were, respectively, 0.513%, 1.128%, 1.460%, with BC presenting statistically (p < 0.05) fewer gaps formation than the other groups. Mean VV% were, respectively, 0.018%, 0.037%, and 0.065%. The was no statistical difference regarding VV%. There were no gap-free and void-free samples. BC group had the lowest VG% among the groups with a significant statistical difference (p < 0.05).
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Affiliation(s)
- Cassia Cestari Toia
- Department of Operative Dentistry, Endodontics Division, Institute of Science and Technology, São Paulo State University (UNESP), Sao Jose dos Campos 12245-000, Brazil; (C.C.T.); (M.C.V.)
| | - Fabricio Batista Teixeira
- Department of Endodontics, University of Iowa College of Dentistry and Dental Clinics, Iowa City, IA 52242, USA; (F.B.T.); (C.C.)
| | - Carolina Cucco
- Department of Endodontics, University of Iowa College of Dentistry and Dental Clinics, Iowa City, IA 52242, USA; (F.B.T.); (C.C.)
| | - Marcia Carneiro Valera
- Department of Operative Dentistry, Endodontics Division, Institute of Science and Technology, São Paulo State University (UNESP), Sao Jose dos Campos 12245-000, Brazil; (C.C.T.); (M.C.V.)
| | - Bruno Neves Cavalcanti
- Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USA
- Correspondence: ; Tel.: +1-(734)-548-2743
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Mody A, Arora R, Chauhan P, Gautam K, Taneja P, Marya CM. A Scanning Electron Microscopic Study on Effect of Blood and Artificial Salivary Contamination on Marginal Adaptation of Mineral Trioxide Aggregate, When Used as a Retrograde Filling Material: An In Vitro Study. Int J Clin Pediatr Dent 2021; 14:674-680. [PMID: 34934282 PMCID: PMC8645609 DOI: 10.5005/jp-journals-10005-2012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Aim and objective The present study was conducted to evaluate the marginal adaptability of mineral trioxide aggregate (MTA) as a root-end filling material when manipulated using two different IV fluids intended for pediatric usage; in the presence of blood and salivary contamination. Materials and methods Sixty single-rooted teeth were selected. Conventional endodontic root canal preparation was performed on all specimens followed by root-end resection and retrograde cavity preparation. The roots were randomly divided into two groups (n = 30). In the specimens of group I, fresh blood was used as a contaminant and in group II artificial saliva was used as a contaminant. In both groups, MTA (e-MTA, Kids-e-Dental®) manipulated using either Ringer's lactate IV fluid (n = 15) or Tetraspan IV fluid (n = 15) was used for root-end filling in blood or artificial saliva-coated retrocavities. Furthermore, these roots were placed in beakers pooled with fresh phlebotomized blood or artificial saliva. After incubating for 48 hours, the roots were divided longitudinally to expose the retrofilled cavities and were then sputter-coated with gold-platinum dust. To assess the marginal adaptation of MTA to radicular dentin "maximum gap width" and "gap perimeter" were measured in images obtained from scanning electron microscopy of root specimens. SPSS 21 was employed for statistical analysis at (p < 0.05). Mann-Whitney U test and ANOVA were used for analyzing the data obtained. Results The gap width was more among samples exposed to blood (p < 0.05) than artificial saliva. No significant difference was reported in the gap perimeter when cavities were filled with MTA mixed with either IV fluids (p > 0.05). Conclusion Exposure to blood during setting had a negative effect on gap width when retrocavities were filled with MTA using Tetraspan. No effect was seen on the arch perimeter in retrocavities filled with MTA mixed with Ringer's lactate or Tetraspan. Clinical significance For avoiding failure, it is critical to select a biocompatible root-end filling material with high sealing ability. Hence, by doing the same, the clinical situation can be simulated. How to cite this article Mody A, Arora R, Chauhan P, et al. A Scanning Electron Microscopic Study on Effect of Blood and Artificial Salivary Contamination on Marginal Adaptation of Mineral Trioxide Aggregate, When Used as a Retrograde Filling Material: An In Vitro Study. Int J Clin Pediatr Dent 2021;14(5):674-680.
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Affiliation(s)
- Anuja Mody
- Department of Pediatric and Preventive Dentistry, Private Practice, Prabhadevi, Worli, Mumbai, Maharashtra, India
| | - Ruchi Arora
- Department of Pediatric and Preventive Dentistry, Darshan Dayal Dental College and Hospital, Loyara, Udaipur, Rajasthan, India
| | - Prabhav Chauhan
- Department of Pediatric and Preventive Dentistry, Private Practice, Greater Noida, Uttar Pradesh, India
| | - Kompal Gautam
- Department of Periodontology and Implantology, Siyaram Hospital, Jaipur, Rajasthan, India
| | - Pratibha Taneja
- Department of Public Health Dentistry, Private Practice, Gurugram, Haryana, India
| | - C M Marya
- Department of Public Health Dentistry, Sudha Rustagi College of Dental Science and Research, Faridabad, Haryana, India
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Jardine AP, Rosa KFV, Matoso FB, Quintana RM, Grazziotin-Soares R, Kopper PMP. Marginal gaps and internal voids after root-end filling using three calcium silicate-based materials: A Micro-CT analysis. Braz Dent J 2021; 32:1-7. [PMID: 34787245 DOI: 10.1590/0103-6440202104096] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Accepted: 05/24/2021] [Indexed: 11/22/2022] Open
Abstract
This study evaluated the 3D quality of root-end filling, assessing the presence (volume and percentage) of marginal gaps and internal voids formed after retro-filling with three calcium silicate-based materials: MTA Angelus (Angelus Soluçoes Odontologicas, Londrina, PR, Brazil), Biodentine (Septodont Ltd., Saint Maur-des-Faussés, France) and Neo MTA Plus (Avalon Biomed Inc., Bradenton, Florida, US). Thirty human, extracted, single rooted teeth were used. Orthograde root canal treatment, root resection (3mm shorter than the apex) and retrograde cavity preparation with ultrasonic tips were performed. Teeth were divided into 3 groups (n =10 each) following a stratified randomization according to the initial volume of the root-end cavity. After retrofilling, samples were stored for 7 days. Then, two rounds of micro-CT scans were performed: soon after root-end preparation (with the cavity still empty) and 7 days after root-end filling. Marginal gaps, internal voids volume (mm3 and %), as well as, the overall defects (sum of gaps and voids) were evaluated. Statistics compared the three groups in relation to those defects. There was not statistical difference between groups regarding the marginal gaps (P≥ 0.05), the internal voids (P≥ 0.05), and the overall defects (P≥ 0.05). Median (mm3) and % of overall air-entrapment defects (gaps and/or voids) was: 0.004mm3 and 1.749% for MTA Angelus, 0.018mm3 and 6.660% for Biodentine, and 0.012mm3 and 4.079% for Neo MTA Plus. All materials had gaps and/or voids. No differences were found between MTA Angelus, Biodentine and Neo MTA Plus.
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Affiliation(s)
- Alexander Pompermayer Jardine
- Graduate Program of School of Dentistry/Endodontics, Federal University of Rio Grande do Sul(UFRGS), Porto Alegre, RS, Brazil
| | - Ketsia Fernanda Váz Rosa
- Department of Conservative Dentistry/Endodontics, School of Dentistry, Federal University of Rio Grande do Sul(UFRGS), Porto Alegre, RS, Brazil
| | - Felipe Barros Matoso
- Graduate Program of School of Dentistry/Endodontics, Federal University of Rio Grande do Sul(UFRGS), Porto Alegre, RS, Brazil
| | - Ramiro Martins Quintana
- Graduate Program of School of Dentistry/Endodontics, Federal University of Rio Grande do Sul(UFRGS), Porto Alegre, RS, Brazil
| | | | - Patricia Maria Poli Kopper
- Graduate Program of School of Dentistry/Endodontics, Federal University of Rio Grande do Sul(UFRGS), Porto Alegre, RS, Brazil.,Department of Conservative Dentistry/Endodontics, School of Dentistry, Federal University of Rio Grande do Sul(UFRGS), Porto Alegre, RS, Brazil
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Jovanović LZ, Bajkin BV. Scanning electron microscopy analysis of marginal adaptation of mineral trioxide aggregate, tricalcium silicate cement, and dental amalgam as a root end filling materials. Microsc Res Tech 2021; 84:2068-2074. [PMID: 33772962 DOI: 10.1002/jemt.23762] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 02/19/2021] [Accepted: 03/16/2021] [Indexed: 11/09/2022]
Abstract
The aim of this research was to examine marginal adaptation of three root end filling materials mineral trioxide aggregate (MTA), Biodentine and amalgam. Ninety single-rooted extracted human teeth of the maxillary intercanine sector were used in the study. After the endodontic treatment and retrograde preparation, teeth were divided into three groups, depending on the root-end filling material. Teeth were cut in longitudinal manner. Measurements of the total width of the marginal gap in micrometers were performed using scanning electron microscopy. The results showed that MTA and Biodentine have better marginal adaptation compared to amalgam expressed through the mean value of the measured edge crack, however without significant difference (p > .05). Mean value of the measured edge crack in Group 1 (MTA) was 8.17 μm, in Group 2 (Biodentine) 8.53 μm, and in Group 3 (amalgam) 9.13 μm. All tested materials show a satisfactory degree of marginal adaptation, but MTA and Biodentine proved to be superior to amalgam.
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Affiliation(s)
- Lena Z Jovanović
- Faculty of Medicine, University of Novi Sad, Health Center Čačak, Serbia
| | - Branislav V Bajkin
- Faculty of Medicine, University of Novi Sad, Dental Clinic of Vojvodina, Novi Sad, Serbia
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Tang JJ, Shen ZS, Qin W, Lin Z. A comparison of the sealing abilities between Biodentine and MTA as root-end filling materials and their effects on bone healing in dogs after periradicular surgery. J Appl Oral Sci 2019; 27:e20180693. [PMID: 31596370 PMCID: PMC6768120 DOI: 10.1590/1678-7757-2018-0693] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Accepted: 03/27/2019] [Indexed: 12/18/2022] Open
Abstract
Objectives: To compare the sealing ability and biocompatibility of Biodentine with mineral trioxide aggregate (MTA) when used as root-end filling materials. Methodology: The Cell Counting Kit-8 (CCK-8) assay was used to compare the cytotoxicity of MTA and Biodentine. Twenty-one extracted teeth with a single canal were immersed in an acidic silver nitrate solution after root-end filling. Then, the volume and depth of silver nitrate that infiltrated the apical portion of the teeth were analyzed using micro-computed tomography (micro-CT). Seventy-two roots from 3 female beagle dogs were randomly distributed into 3 groups and apical surgery was performed. After six months, the volume of the bone defect surrounding these roots was analyzed using micro-CT. Results: Based on the results of the CCK-8 assay, MTA and Biodentine did not show statistically significant differences in cytotoxicity (P>0.05). The volume and the depth of the infiltrated nitrate solution were greater in the MTA group than in the Biodentine group (P<0.05). The volume of the bone defect was larger in the MTA group than in the Biodentine group. However, the difference was not significant (P>0.05). The volumes of the bone defects in the MTA and Biodentine groups were smaller than the group without any filling materials (P<0.05). Conclusions: MTA and Biodentine exhibited comparable cellular biocompatibility. Biodentine showed a superior sealing ability to MTA in root-end filling. Both Biodentine and MTA promoted periradicular bone healing in beagle dog periradicular surgery models.
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Affiliation(s)
- Jing-Jing Tang
- Sun Yat-sen University, Guanghua School of Stomatology, Department of Operative Dentistry and Endodontics, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.,Sun Yat-sen University, The Sixth Affiliated Hospital of Sun Yat-sen University, Department of Dentistry, Guangzhou, China
| | - Zong-Shan Shen
- Sun Yat-sen University, Guanghua School of Stomatology, Department of Operative Dentistry and Endodontics, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China
| | - Wei Qin
- Sun Yat-sen University, Guanghua School of Stomatology, Department of Operative Dentistry and Endodontics, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China
| | - Zhengmei Lin
- Sun Yat-sen University, Guanghua School of Stomatology, Department of Operative Dentistry and Endodontics, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China
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11
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Zarra T, Lambrianidis T, Vasiliadis L, Gogos C. Effect of curing conditions on physical and chemical properties of MTA+. Int Endod J 2018; 51:1279-1291. [DOI: 10.1111/iej.12938] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2017] [Accepted: 04/04/2018] [Indexed: 12/27/2022]
Affiliation(s)
- T. Zarra
- Department of Endodontology; Dental School; Aristotle University of Thessaloniki; Thessaloniki Greece
| | - T. Lambrianidis
- Department of Endodontology; Dental School; Aristotle University of Thessaloniki; Thessaloniki Greece
| | - L. Vasiliadis
- Department of Endodontology; Dental School; Aristotle University of Thessaloniki; Thessaloniki Greece
| | - C. Gogos
- Department of Endodontology; Dental School; Aristotle University of Thessaloniki; Thessaloniki Greece
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12
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Küçükkaya Eren S, Parashos P. Adaptation of mineral trioxide aggregate to dentine walls compared with other root-end filling materials: A systematic review. AUST ENDOD J 2018; 45:111-121. [PMID: 29450937 DOI: 10.1111/aej.12259] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/12/2018] [Indexed: 11/29/2022]
Abstract
This systematic review analysed the literature comparing marginal adaptation of mineral trioxide aggregate (MTA) with other filling materials in root-end cavities. The PubMed, Ovid, Web of Science, SCOPUS, and Cochrane library databases were searched using appropriate keywords related to root-end filling materials and adaptation. Of 38 articles assessed, 20 met the inclusion criteria. No in vivo study was identified. In 10 studies, MTA gave the best marginal adaptation results, but no significant differences were found between MTA and any of the tested filling materials in seven studies. There was great variability in the study designs including analysed surface, unit of gap measurement and magnification amount during analysis. On the basis of available evidence, MTA presented good marginal adaptation to dentine walls. This review identified the need for the development of standardised methods to evaluate the adaptation property of root-end filling materials in ex vivo studies as well as in clinical studies evaluating outcome.
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Affiliation(s)
- Selen Küçükkaya Eren
- Department of Endodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
| | - Peter Parashos
- Melbourne Dental School, Faculty of Medicine Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia
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13
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Ayatollahi F, Hazeri Baqdad Abad M, Razavi SH, Tabrizizadeh M, Ayatollahi R, Zarebidoki F. Evaluating the Accuracy of Two Microleakage Assessment Methods for Mineral Trioxide Aggregate and Calcium-enriched Mixture Cement. IRANIAN ENDODONTIC JOURNAL 2017; 12:497-501. [PMID: 29225648 PMCID: PMC5722108 DOI: 10.22037/iej.v12i4.17796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
INTRODUCTION Multiple methods for evaluating microleakage have been introduced over the years, but there has been no agreement as to which technique will give more accurate results. The aim of this study was to compare the accuracy and results of fluid filtration and marginal adaptation methods for mineral trioxide aggregate (MTA) and calcium-enriched mixture (CEM) cement apical plugs. METHODS AND MATERIALS A total of 250 single-rooted human teeth were collected. The teeth were decoronated, the root canals were prepared and open apex condition was stimulated by passing #1 to 4 Peeso Reamer drills from apical foramen. Five teeth were selected as the positive and negative controls and the rest of the samples were randomly allocated to two groups of MTA and CEM cement plugs. In each group, apical plug was placed into the canal. After the apical plugs were completely set, microleakage and marginal adaptation of the samples were evaluated using fluid filtration method and scanning electron microscopy (SEM), respectively. The obtained results were analyzed by independent-samples t test. RESULTS Gap between plug and dentin walls and air bubbles displacement was higher in MTA group compared to the CEM cement group, though this difference between MTA group and CEM cement group was not statistically significant. Conclusion: According to the obtained results, it seems that there is a direct relationship between the two methods of microleakage assessment.
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Affiliation(s)
- Fatemeh Ayatollahi
- Department of Endodontics, Dental School, Shahid Sadoughi University of Medical Sciences, Yazd ,Iran;
| | - Milad Hazeri Baqdad Abad
- Department of Orthodontics Dentistry, Dental School, Shahid Sadoughi University of Medical Sciences, Yazd, Iran;
| | - Seyed Hossein Razavi
- Department of oral and maxillofacial radiology, Dental Faculty, Yazd Shahid Sadoughi university of medical sciences. Yazd ,Iran;
| | - Mahdi Tabrizizadeh
- Department of Endodontics, Dental School, Shahid Sadoughi University of Medical Sciences, Yazd ,Iran;
| | - Reza Ayatollahi
- Dental School, Shahid Sadoughi University of Medical Sciences, Yazd, Iran;
| | - Fatemeh Zarebidoki
- Department of Pediatric Dentistry, Dental School, Shahid Sadoughi University of Medical Sciences, Yazd, Iran,Corresponding author: Fatemeh Zarebidoki, Department of Pediatric Dentistry, Dental School, Shahid Sadoughi University of Medical Sciences, Daheye Fajr Boulv, Imam Ave, Yazd, Iran. Tel: +98-917 3121715, E-mail:
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14
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Medeiros PL, Bernardineli N, Cavenago BC, Torres SA, Duarte MAH, Bramante CM, Marciano MA. Sealing ability of MTA, CPM, and MBPc as root-end filling materials: a bacterial leakage study. J Appl Oral Sci 2016; 24:148-52. [PMID: 27119763 PMCID: PMC4836922 DOI: 10.1590/1678-775720130103] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2013] [Accepted: 06/12/2014] [Indexed: 01/28/2023] Open
Abstract
Objectives To evaluate the sealing ability of three root-end filling materials (white MTA, CPM, and MBPc) using an Enterococcus faecalis leakage model. Material and Methods Seventy single-root extracted human teeth were instrumented and root-ends were resected to prepare 3 mm depth cavities. Root-end preparations were filled with white MTA, CPM, and MBPc cements. Enterococcus faecalis was coronally introduced and the apical portion was immersed in BHI culture medium with phenol red indicator. The bacterial leakage was monitored every 24 h for 4 weeks. The statistical analysis was performed using the Wilcoxon-Gehan test (p<0.05). Results All cements showed bacterial leakage after 24 hours, except for the negative control group. The MBPc showed significantly less bacterial leakage compared with the MTA group (p<0.05). No significant differences were found between the CPM and the other groups. Conclusions The epoxy resin-based cement MBPc had lower bacterial leakage compared with the calcium silicate-based cements MTA and CPM.
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Affiliation(s)
- Paulo Leal Medeiros
- Departamento de Dentística, Materiais Odontológicos e Endodontia, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil
| | - Norberti Bernardineli
- Departamento de Dentística, Materiais Odontológicos e Endodontia, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil
| | - Bruno Cavalini Cavenago
- Departamento de Dentística, Materiais Odontológicos e Endodontia, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil
| | - Sérgio Aparecido Torres
- Departamento de Microbiologia e Imunologia, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil
| | - Marco Antonio Hungaro Duarte
- Departamento de Dentística, Materiais Odontológicos e Endodontia, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil
| | - Clovis Monteiro Bramante
- Departamento de Dentística, Materiais Odontológicos e Endodontia, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil
| | - Marina Angélica Marciano
- Departamento de Dentística, Materiais Odontológicos e Endodontia, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil
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15
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Espir CG, Guerreiro-Tanomaru JM, Spin-Neto R, Chávez-Andrade GM, Berbert FLCV, Tanomaru-Filho M. Solubility and bacterial sealing ability of MTA and root-end filling materials. J Appl Oral Sci 2016; 24:121-5. [PMID: 27119759 PMCID: PMC4836918 DOI: 10.1590/1678-775720150437] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2015] [Accepted: 01/18/2016] [Indexed: 11/25/2022] Open
Abstract
Objective To evaluate solubility and sealing ability of Mineral Trioxide Aggregate (MTA) and root-end filling materials. Material and Methods The materials evaluated were: MTA, Calcium Silicate Cement with zirconium oxide (CSC/ZrO2), and zinc oxide/eugenol (ZOE). Solubility test was performed according to ANSI/ADA. The difference between initial and final mass of the materials was analyzed after immersion in distilled water for 7 and 30 days. Retrograde cavities in human teeth with single straight root canal were performed by using ultrasonic tip CVD 9.5107-8. The cavities were filled with the evaluated materials to evaluate sealing ability using the bacterial leakage test with Enterococcus faecalis. Bacterial leakage was evaluated every 24 hours for six weeks observing the turbidity of Brain Heart infusion (BHI) medium in contact with root apex. Data were submitted to ANOVA followed by Tukey tests (solubility), and Kruskal-Wallis and Dunn tests (sealing ability) at a 5% significance level. Results For the 7-day period, ZOE presented highest solubility when compared with the other groups (p<0.05). For the 30-day period, no difference was observed among the materials. Lower bacterial leakage was observed for MTA and CSC/ZrO2, and both presented better results than ZOE (p<0.05). Conclusion MTA and CSC/ZrO2 presented better bacterial sealing capacity, which may be related to lower initial solubility observed for these materials in relation to ZOE.
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Affiliation(s)
- Camila Galletti Espir
- Departamento de Odontologia Restauradora, Faculdade de Odontologia de Araraquara, Universidade Estadual Paulista, Araraquara, SP, Brasil
| | - Juliane Maria Guerreiro-Tanomaru
- Departamento de Odontologia Restauradora, Faculdade de Odontologia de Araraquara, Universidade Estadual Paulista, Araraquara, SP, Brasil
| | - Rubens Spin-Neto
- Department of Dentistry, Oral Radiology, Aarhus University, Aarhus, Denmark
| | - Gisselle Moraima Chávez-Andrade
- Departamento de Odontologia Restauradora, Faculdade de Odontologia de Araraquara, Universidade Estadual Paulista, Araraquara, SP, Brasil
| | - Fabio Luiz Camargo Villela Berbert
- Departamento de Odontologia Restauradora, Faculdade de Odontologia de Araraquara, Universidade Estadual Paulista, Araraquara, SP, Brasil
| | - Mario Tanomaru-Filho
- Departamento de Odontologia Restauradora, Faculdade de Odontologia de Araraquara, Universidade Estadual Paulista, Araraquara, SP, Brasil
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16
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Samuel A, Asokan S, Geetha Priya PR, Thomas S. Evaluation of sealing ability of Biodentine™ and mineral trioxide aggregate in primary molars using scanning electron microscope: A randomized controlled in vitro trial. Contemp Clin Dent 2016; 7:322-5. [PMID: 27630495 PMCID: PMC5004544 DOI: 10.4103/0976-237x.188547] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Objective: The aim of this study was to compare the sealing ability of mineral trioxide aggregate (MTA) and Biodentine™ when used to repair the furcal perforations in primary molars using scanning electron microscope (SEM). Study Design: The study sample comprised forty recently extracted primary molars. These teeth were placed in a 5.25% sodium hypochlorite solution for 24 h and washed with tap water. Access cavities were made using a round bur in high-speed handpiece. Perforations were made in the center of the floor of the pulpal chamber using a 0.5 mm round bur. The teeth were randomly assigned into two experimental groups based on the material used to seal the perforation: Group A – MTA and Group B – Biodentine™. The packed materials were allowed to set for 24 h. The samples were sectioned longitudinally and the extent of marginal adaptation was measured by SEM. Wilcoxon-signed rank test was used for statistical analysis using SPSS software. Results: All teeth exhibited microleakage, but Biodentine™ showed significantly less leakage (0.149) compared to MTA (0.583). Conclusion: Based on the results of this study, Biodentine™ showed lesser microleakage compared to MTA and thus may be a good alternative to MTA.
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Affiliation(s)
- Allwyn Samuel
- Department of Pedodontics and Preventive Dentistry, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
| | - Sharath Asokan
- Department of Pedodontics and Preventive Dentistry, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
| | - P R Geetha Priya
- Department of Pedodontics and Preventive Dentistry, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
| | - Seby Thomas
- Department of Pedodontics and Preventive Dentistry, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
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17
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Garcia LDFR, Huck C, Menezes de Oliveira L, Chaves de Souza PP, Alberto de Souza Costa C. Biocompatibility of New Calcium Aluminate Cement: Tissue Reaction and Expression of Inflammatory Mediators and Cytokines. J Endod 2014; 40:2024-9. [DOI: 10.1016/j.joen.2014.08.015] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2014] [Revised: 08/11/2014] [Accepted: 08/22/2014] [Indexed: 10/24/2022]
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18
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AMOROSO-SILVA PA, MARCIANO MA, GUIMARÃES BM, DUARTE MAH, SANSON AF, MORAES IGD. Apical adaptation, sealing ability and push-out bond strength of five root-end filling materials. Braz Oral Res 2014; 28:S1806-83242014000100252. [DOI: 10.1590/1807-3107bor-2014.vol28.0043] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2014] [Accepted: 06/01/2014] [Indexed: 11/22/2022] Open
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19
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Soundappan S, Sundaramurthy JL, Raghu S, Natanasabapathy V. Biodentine versus Mineral Trioxide Aggregate versus Intermediate Restorative Material for Retrograde Root End Filling: An Invitro Study. JOURNAL OF DENTISTRY (TEHRAN, IRAN) 2014; 11:143-9. [PMID: 24910689 PMCID: PMC4043545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/05/2013] [Accepted: 11/27/2013] [Indexed: 11/17/2022]
Abstract
OBJECTIVE The aim of this study was to evaluate the marginal adaptation of Biodentine in comparison with Mineral Trioxide Aggregate (MTA) and Intermediate Restorative Material (IRM), as a root end filling material, using Scanning Electron Microscopy (SEM). MATERIALS AND METHODS Thirty permanent maxillary central incisors were chemo-mechanically prepared and obturated. Three millimetres of the root end were resected and 3mm retro cavity preparation was done using ultrasonic retrotips. The samples were randomly divided into three groups (n=10) and were restored with root end filling materials: Group I - MTA, Group II - Biodentine, Group III - IRM. The root ends were sectioned transversely at 1mm and 2mm levels and evaluated for marginal adaptation using SEM. The gap between dentin and retro filling material was measured at four quadrants. The mean gap at 1mm level and 2mm level from the resected root tip and combined mean were calculated. The data were statistically analyzed, using one-way ANOVA and Tukey's HSD post hoc test for intergroup analysis and paired t-test for intragroup analysis. RESULTS The overall results showed no statistically significant difference between MTA and IRM but both were superior when compared to Biodentine. At 1mm level there was no statistically significant difference among any of the tested materials. At 2mm level MTA was superior to both IRM and Biodentine. CONCLUSION In overall comparison, MTA and IRM were significantly superior when compared to Biodentine in terms of marginal adaptation, when used as retrograde filling material.
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Affiliation(s)
- Saravanapriyan Soundappan
- Post Graduate Student, Department of Conservative Dentistry and Endodontics, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India
| | - Jothi Latha Sundaramurthy
- Senior Lecturer, Department of Conservative Dentistry and Endodontics, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India,Corresponding author: J. Latha Sundaramurthy, Department of Conservative Dentistry and Endodontics, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India,
| | - Sandhya Raghu
- Senior Lecturer, Department of Conservative Dentistry and Endodontics, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India
| | - Velmurugan Natanasabapathy
- Professor and Head of the Department, Department of Conservative Dentistry and Endodontics, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India
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20
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Bernabé PFE, Gomes-Filho JE, Bernabé DG, Nery MJ, Otoboni-Filho JA, Dezan-Jr E, Cintra LTA. Sealing Ability of MTA Used as a Root End Filling Material: Effect of the Sonic and Ultrasonic Condensation. Braz Dent J 2013; 24:107-10. [DOI: 10.1590/0103-6440201301973] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2012] [Accepted: 04/02/2013] [Indexed: 11/22/2022] Open
Abstract
Despite the excellent properties of mineral trioxide aggregate (MTA), the condensation technique may have some influence in its sealing ability. The purpose of this study was to compare the sealing ability of sonic and ultrasonic setting of MTA. Thirty-four extracted human teeth had their canals prepared and filled with Sealapex sealer and gutta-percha using the active lateral condensation technique. The teeth were rendered waterproof and apicoectomy performed at 3 mm from the apex. Root-end cavities (3.0 mm deep and 1.4 mm diameter) were prepared with diamond ultrasonic tips. The root-end cavities were filled with Pro-Root MTA® with ultrasonic vibration, sonic vibration or no vibration. The positive control group did not receive any material while the negative control group was totally rendered waterproof. After material set, the specimens were immersed in Rodhamine B for 24 h, under vacuum in the first 15 min, then washed, dried and split longitudinally for evaluating the infiltration at the dentin/material interface. Data were analyzed using ANOVA and Tukey's tests at 5% significance level. Sonic vibration promoted the lowest infiltration values (p<0.05). It was concluded that sonic vibration could be considered an efficient aid to improve the sealing ability of MTA when used as root-end filling material.
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21
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Al-Fouzan K, Al-Garawi Z, Al-Hezaimi K, Javed F, Al-Shalan T, Rotstein I. Effect of acid etching on marginal adaptation of mineral trioxide aggregate to apical dentin: microcomputed tomography and scanning electron microscopy analysis. Int J Oral Sci 2013; 4:202-7. [PMID: 23306857 PMCID: PMC3633066 DOI: 10.1038/ijos.2012.77] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
The present investigation assessed the effect of acid etching on marginal adaptation of white- and gray-colored mineral trioxide aggregate (MTA) to apical dentin using microcomputed tomography (micro-CT) and scanning electron microscopy (SEM). Sixty-four extracted single-rooted human maxillary teeth were used. Following root-end resection and apical preparation, the teeth were equally divided into four groups according to the following root end filling materials: (i) white-colored MTA (WMTA), (ii) etched WMTA (EWMTA), (iii) gray-colored MTA (GMTA) and (iv) etched GMTA (EGMTA). After 48 h, the interface between root-end filling materials and the dentinal walls was assessed using micro-CT and SEM. Data were statistically analyzed using the Kruskal-Wallis and Dunn tests. Micro-CT analysis revealed gap volumes between the apical cavity dentin walls and EGMTA, GMTA, EWMTA and WMTA of (0.007 1±0.004) mm(3), (0.053±0.002) mm(3), (0.003 6±0.001) mm(3) and (0.005 9±0.002) mm(3) respectively. SEM analysis revealed gap sizes for EGMTA, WMTA, EWMTA and GMTA to be (492.3±13.8) µm, (594.5±17.12) µm, (543.1±15.33) µm and (910.7±26.2) µm respectively. A significant difference in gap size between root end preparations filled with GMTA and EGMTA was found (P<0.05). No significance difference in gap size between WMTA and EWMTA were found in either SEM or micro-CT analysis. In conclusion, pre-etching of apical dentin can provide a better seal for GMTA but not for WMTA.
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Affiliation(s)
- Khalid Al-Fouzan
- Engineer Abdullah Bugshan Research Chair for Growth Factors and Bone Regeneration, 3D Imaging and Biomechanical Laboratory, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
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22
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Giovarruscio M, Uccioli U, Malentacca A, Koller G, Foschi F, Mannocci F. A technique for placement of apical MTA plugs using modified Thermafil carriers for the filling of canals with wide apices. Int Endod J 2012; 46:88-97. [DOI: 10.1111/j.1365-2591.2012.02115.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2011] [Accepted: 07/06/2012] [Indexed: 11/29/2022]
Affiliation(s)
- M. Giovarruscio
- Department of Conservative Dentistry; Dental Institute; King's College, London; London; UK
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23
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Garcia LDFR, Aguilar FG, Rossetto HL, Sabino MG, Pires-de-Souza FDCP. Staining susceptibility of new calcium aluminate cement (EndoBinder) in teeth: a 1-yearin vitrostudy. Dent Traumatol 2012; 29:383-8. [DOI: 10.1111/edt.12011] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/02/2012] [Indexed: 01/02/2023]
Affiliation(s)
- Lucas da Fonseca Roberi Garcia
- Department of Dental Materials and Prosthodontics; Ribeirão Preto School of Dentistry; University of São Paulo; Ribeirão Preto; SP; Brazil
| | - Fabiano Gamero Aguilar
- Department of Dental Materials and Prosthodontics; Ribeirão Preto School of Dentistry; University of São Paulo; Ribeirão Preto; SP; Brazil
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24
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Cintra LTA, Ribeiro TAA, Gomes-Filho JE, Bernabé PFE, Watanabe S, Facundo ACDS, Samuel RO, Dezan-Junior E. Biocompatibility and biomineralization assessment of a new root canal sealer and root-end filling material. Dent Traumatol 2012; 29:145-50. [DOI: 10.1111/j.1600-9657.2012.01142.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/17/2012] [Indexed: 11/26/2022]
Affiliation(s)
- Luciano Tavares Angelo Cintra
- Faculdade de Odontologia de Araçatuba; UNESP - Univ Estadual Paulista; Department of Endodontics; Araçatuba; São Paulo; Brazil
| | - Thiago Alexandre Alves Ribeiro
- Faculdade de Odontologia de Araçatuba; UNESP - Univ Estadual Paulista; Department of Endodontics; Araçatuba; São Paulo; Brazil
| | - João Eduardo Gomes-Filho
- Faculdade de Odontologia de Araçatuba; UNESP - Univ Estadual Paulista; Department of Endodontics; Araçatuba; São Paulo; Brazil
| | - Pedro Felício Estrada Bernabé
- Faculdade de Odontologia de Araçatuba; UNESP - Univ Estadual Paulista; Department of Endodontics; Araçatuba; São Paulo; Brazil
| | - Simone Watanabe
- Faculdade de Odontologia de Araçatuba; UNESP - Univ Estadual Paulista; Department of Endodontics; Araçatuba; São Paulo; Brazil
| | | | - Renata Oliveira Samuel
- Faculdade de Odontologia de Araçatuba; UNESP - Univ Estadual Paulista; Department of Endodontics; Araçatuba; São Paulo; Brazil
| | - Eloi Dezan-Junior
- Faculdade de Odontologia de Araçatuba; UNESP - Univ Estadual Paulista; Department of Endodontics; Araçatuba; São Paulo; Brazil
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