Subscribe to RSS

DOI: 10.1055/s-0039-1695654
Fracture Resistance of Immature Incisors Following Root Filling with Various Bioactive Endodontic Cements Using an Experimental Bovine Tooth Model
Funding This study was supported by a grant from Tehran University of Medical Sciences (grant no. 14667).Publication History
Publication Date:
11 September 2019 (online)

Abstract
Objective The aim of this study was to compare the fracture resistance of immature bovine roots when using ProRoot MTA, CEM Cement, and Biodentine as root filling materials.
Materials and Methods An immature bovine tooth model was developed by removing the coronal and apical portions of 70 bovine incisors 8 mm above and 12 mm below the cementoenamel junction (CEJ). The specimens were then divided into five groups: ProRoot MTA, CEM Cement, Biodentine, gutta-percha/AH26 sealer, and control. All groups received a 5-mm apical plug with a temporary restorative material. Then, the remaining root canal space was filled with one of the afore-mentioned materials. After setting, the specimens were mounted in acrylic resin. Then, 3 mm coronal to the CEJ from the buccal side of the teeth and at a 135°angle to the long axis, the specimens were loaded until fracture.
Results The specimens in the Biodentine (2196 N) and ProRoot MTA (2103 N) groups had significantly greater fracture resistance in comparison to the control group (p = 0.01). No significant difference was found between CEM Cement, gutta-percha and sealer AH26, and control groups. No significant differences occurred between the four experimental groups (p = 0.45).
Conclusion Filling the root canal space with ProRoot MTA and Biodentine contributed to higher fracture resistance values.
-
References
- 1 Bakhtiar H, Esmaeili S, Fakhr TabatabayiS, Ellini MR, Nekoofar MH, Dummer PM. Second-generation platelet concentrate (Platelet-rich fibrin) as a scaffold in regenerative endodontics: a case series. J Endod 2017; 43 (03) 401-408
- 2 Frank AL. Therapy for the divergent pulpless tooth by continued apical formation. J Am Dent Assoc 1966; 72 (01) 87-93
- 3 Andreasen JO, Farik B, Munksgaard EC. Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Traumatol 2002; 18 (03) 134-137
- 4 Cauwels RG, Pieters IY, Martens LC, Verbeeck RM. Fracture resistance and reinforcement of immature roots with gutta percha, mineral trioxide aggregate and calcium phosphate bone cement: a standardized in vitro model. Dent Traumatol 2010; 26 (02) 137-142
- 5 Cvek M. Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. A retrospective clinical study. Endod Dent Traumatol 1992; 8 (02) 45-55
- 6 Pace R, Giuliani V, Pini PratoL, Baccetti T, Pagavino G. Apical plug technique using mineral trioxide aggregate: results from a case series. Int Endod J 2007; 40 (06) 478-484
- 7 Nosrat A, Asgary S, Eghbal MJ, Ghoddusi J, Bayat-Movahed S. Calcium-enriched mixture cement as artificial apical barrier: a case series. J Conserv Dent 2011; 14 (04) 427-431
- 8 Torabinejad M, Parirokh M, Dummer PMH. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview - part II: other clinical applications and complications. Int Endod J 2018; 51 (03) 284-317
- 9 Asgary S, Nosrat A, Seifi A. Management of inflammatory external root resorption by using calcium-enriched mixture cement: a case report. J Endod 2011; 37 (03) 411-413
- 10 Prati C, Gandolfi MG. Calcium silicate bioactive cements: biological perspectives and clinical applications. Dent Mater 2015; 31 (04) 351-370
- 11 Karapinar-Kazandag M, Basrani B, Tom-Kun YamagishiV, Azarpazhooh A, Friedman S. Fracture resistance of simulated immature tooth roots reinforced with MTA or restorative materials. Dent Traumatol 2016; 32 (02) 146-152
- 12 Porter ML, Bertó A, Primus CM, Watanabe I. Physical and chemical properties of new-generation endodontic materials. J Endod 2010; 36 (03) 524-528
- 13 Akbari M, Zebarjad SM, Nategh B, Rouhani A. Effect of nano silica on setting time and physical properties of mineral trioxide aggregate. J Endod 2013; 39 (11) 1448-1451
- 14 Noh YS, Chung SH, Bae KS. et al. Mechanical properties and microstructure analysis of mineral trioxide aggregate mixed with hydrophilic synthetic polymer. J Biomed Mater Res B Appl Biomater 2015; 103 (04) 777-782
- 15 Asgary S, Eghbal MJ, Parirokh M. Sealing ability of a novel endodontic cement as a root-end filling material. J Biomed Mater Res A 2008; 87 (03) 706-709
- 16 Nekoofar MH, Aseeley Z, Dummer PM. The effect of various mixing techniques on the surface microhardness of mineral trioxide aggregate. Int Endod J 2010; 43 (04) 312-320
- 17 Melo MP, Valle AL, Pereira JR, Bonachela WC, Pegoraro LF, Bonfante G. Evaluation of fracture resistance of endodontically treated teeth restored with prefabricated posts and composites with varying quantities of remaining coronal tooth structure. J Appl Oral Sci 2005; 13 (02) 141-146
- 18 Marchi GM, Mitsui FH, Cavalcanti AN. Effect of remaining dentine structure and thermal-mechanical aging on the fracture resistance of bovine roots with different post and core systems. Int Endod J 2008; 41 (11) 969-976
- 19 Goldberg F, Kaplan A, Roitman M, Manfré S, Picca M. Reinforcing effect of a resin glass ionomer in the restoration of immature roots in vitro. Dent Traumatol 2002; 18 (02) 70-72
- 20 Katebzadeh N, Dalton BC, Trope M. Strengthening immature teeth during and after apexification. J Endod 1998; 24 (04) 256-259
- 21 Talati A, Disfani R, Afshar A, Fallah RastegarA. Finite element evaluation of stress distribution in mature and immature teeth. Iran Endod J 2007; 2 (02) 47-53
- 22 Sano H, Ciucchi B, Matthews WG, Pashley DH. Tensile properties of mineralized and demineralized human and bovine dentin. J Dent Res 1994; 73 (06) 1205-1211
- 23 Nakamichi I, Iwaku M, Fusayama T. Bovine teeth as possible substitutes in the adhesion test. J Dent Res 1983; 62 (10) 1076-1081
- 24 Ruse ND, Smith DC. Adhesion to bovine dentin--surface characterization. J Dent Res 1991; 70 (06) 1002-1008
- 25 Saunders WP. The shear impact retentive strengths of four dentine bonding agents to human and bovine dentine. J Dent 1988; 16 (05) 233-238
- 26 Schilke R, Lisson JA, Bauss O, Geurtsen W. Comparison of the number and diameter of dentinal tubules in human and bovine dentine by scanning electron microscopic investigation. Arch Oral Biol 2000; 45 (05) 355-361
- 27 Bortoluzzi EA, Souza EM, Reis JM, Esberard RM, Tanomaru-Filho M. Fracture strength of bovine incisors after intra-radicular treatment with MTA in an experimental immature tooth model. Int Endod J 2007; 40 (09) 684-691
- 28 Carvalho CA, Valera MC, Oliveira LD, Camargo CH. Structural resistance in immature teeth using root reinforcements in vitro. Dent Traumatol 2005; 21 (03) 155-159
- 29 Schmoldt SJ, Kirkpatrick TC, Rutledge RE, Yaccino JM. Reinforcement of simulated immature roots restored with composite resin, mineral trioxide aggregate, gutta-percha, or a fiber post after thermocycling. J Endod 2011; 37 (10) 1390-1393
- 30 Bolhari B, Nekoofar MH, Sharifian M, Ghabrai S, Meraji N, Dummer PM. Acid and microhardness of mineral trioxide aggregate and mineral trioxide aggregate-like materials. J Endod 2014; 40 (03) 432-435
- 31 Kadić S, Baraba A, Miletić I. et al. Push-out bond strength of three different calcium silicate-based root-end filling materials after ultrasonic retrograde cavity preparation. Clin Oral Investig 2018; 22 (03) 1559-1565
- 32 Kaur M, Singh H, Dhillon JS, Batra M, Saini M. MTA versus Biodentine: review of literature with a comparative analysis. J Clin Diagn Res 2017; 11 (08) ZG01-ZG05
- 33 Laurent P, Camps J, De Méo M, Déjou J, About I. Induction of specific cell responses to a Ca(3)SiO(5)-based posterior restorative material. Dent Mater 2008; 24 (11) 1486-1494
- 34 Reyes-Carmona JF, Felippe MS, Felippe WT. Biomineralization ability and interaction of mineral trioxide aggregate and white Portland cement with dentin in a phosphate-containing fluid. J Endod 2009; 35 (05) 731-736
- 35 Sarkar NK, Caicedo R, Ritwik P, Moiseyeva R, Kawashima I. Physicochemical basis of the biologic properties of mineral trioxide aggregate. J Endod 2005; 31 (02) 97-100
- 36 Asgary S, Eghbal MJ, Parirokh M, Ghoddusi J. Effect of two storage solutions on surface topography of two root-end fillings. Aust Endod J 2009; 35 (03) 147-152
- 37 Kim JR, Nosrat A, Fouad AF. Interfacial characteristics of Biodentine and MTA with dentine in simulated body fluid. J Dent 2015; 43 (02) 241-247