CC BY-NC-ND 4.0 · Eur J Dent 2016; 10(02): 220-224
DOI: 10.4103/1305-7456.178310
Original Article
Dental Investigation Society

Fracture resistance of immature teeth filled with mineral trioxide aggregate, bioaggregate, and biodentine

Emre Bayram
1   Department of Endodontics, University of Gaziosmanpaşa, Tokat, Turkiye
,
Huda Melike Bayram
1   Department of Endodontics, University of Gaziosmanpaşa, Tokat, Turkiye
› Author Affiliations
Further Information

Publication History

Publication Date:
23 September 2019 (online)

ABSTRACT

Objective: The purpose of this study was to evaluate fracture resistance of teeth with immature apices treated with coronal placement of mineral trioxide aggregate (MTA), bioaggregate (BA), and Biodentine. Materials and Methods: Forty-one freshly extracted, single-rooted human premolar teeth were used for the study. At first, the root length was standardized to 9 mm. The crown-down technique was used for the preparation of the root canals using the rotary ProTaper system (Dentsply Maillefer, Ballaigues, Switzerland) of F3 (30). Peeso reamer no. 6 was stepped out from the apex to simulate an incompletely formed root. The prepared roots were randomly assigned to one control (n = 5) and three experimental (n = 12) groups, as described below. Group 1: White MTA (Angelus, Londrina, Brazil) was prepared as per the manufacturer's instructions and compacted into the root canal using MAP system (Dentsply Maillefer, Ballaigues, Switzerland) and condensed by pluggers (Angelus, Londrina, Brazil). Group 2: The canals were filled with DiaRoot-BA (DiaDent Group International, Canada). Group 3: Biodentine (Septodont, Saint Maur des Fosses, France) solution was mixed with the capsule powder and condensed using pluggers. Instron was used to determine the maximum horizontal load to fracture the tooth, placing the tip 3 mm incisal to the cementoenamel junction. Mean values of the fracture strength were compared by ANOVA followed by a post hoc test. P < 0.05 was considered statistically significant. Results: No significant difference was observed among the MTA, BA, and biodentine experimental groups. Conclusion: All the three materials tested, may be used as effective strengthening agents for immature teeth.

 
  • REFERENCES

  • 1 Hansen EK, Asmussen E, Christiansen NC. In vivo fractures of endodontically treated posterior teeth restored with amalgam. Endod Dent Traumatol 1990; 6: 49-55
  • 2 Lawley GR, Schindler WG, Walker 3rd WA, Kolodrubetz D. Evaluation of ultrasonically placed MTA and fracture resistance with intracanal composite resin in a model of apexification. J Endod 2004; 30: 167-72
  • 3 Wilkinson KL, Beeson TJ, Kirkpatrick TC. Fracture resistance of simulated immature teeth filled with resilon, gutta-percha, or composite. J Endod 2007; 33: 480-3
  • 4 Damle SG, Bhattal H, Loomba A. Apexification of anterior teeth: A comparative evaluation of mineral trioxide aggregate and calcium hydroxide paste. J Clin Pediatr Dent 2012; 36: 263-8
  • 5 Jeeruphan T, Jantarat J, Yanpiset K, Suwannapan L, Khewsawai P, Hargreaves KM. Mahidol study 1: Comparison of radiographic and survival outcomes of immature teeth treated with either regenerative endodontic or apexification methods: A retrospective study. J Endod 2012; 38: 1330-6
  • 6 Shabahang S, Torabinejad M, Boyne PP, Abedi H, McMillan P. A comparative study of root-end induction using osteogenic protein-1, calcium hydroxide, and mineral trioxide aggregate in dogs. J Endod 1999; 25: 1-5
  • 7 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: 134-7
  • 8 Tanalp J, Dikbas I, Malkondu O, Ersev H, Güngör T, Bayirli G. Comparison of the fracture resistance of simulated immature permanent teeth using various canal filling materials and fiber posts. Dent Traumatol 2012; 28: 457-64
  • 9 Rafter M. Apexification: A review. Dent Traumatol 2005; 21: 1-8
  • 10 Andreasen JO, Munksgaard EC, Bakland LK. Comparison of fracture resistance in root canals of immature sheep teeth after filling with calcium hydroxide or MTA. Dent Traumatol 2006; 22: 154-6
  • 11 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: 478-84
  • 12 Holden DT, Schwartz SA, Kirkpatrick TC, Schindler WG. Clinical outcomes of artificial root-end barriers with mineral trioxide aggregate in teeth with immature apices. J Endod 2008; 34: 812-7
  • 13 Moore A, Howley MF, O'Connell AC. Treatment of open apex teeth using two types of white mineral trioxide aggregate after initial dressing with calcium hydroxide in children. Dent Traumatol 2011; 27: 166-73
  • 14 Oliveira TM, Sakai VT, Silva TC, Santos CF, Abdo RC, Machado MA. Mineral trioxide aggregate as an alternative treatment for intruded permanent teeth with root resorption and incomplete apex formation. Dent Traumatol 2008; 24: 565-8
  • 15 Schwartz RS, Mauger M, Clement DJ, Walker 3rd WA. Mineral trioxide aggregate: A new material for endodontics. J Am Dent Assoc 1999; 130: 967-75
  • 16 Torabinejad M, Hong CU, Pitt FordTR, Kettering JD. Cytotoxicity of four root end filling materials. J Endod 1995; 21: 489-92
  • 17 Torabinejad M, Smith PW, Kettering JD, Pitt FordTR. Comparative investigation of marginal adaptation of mineral trioxide aggregate and other commonly used root-end filling materials. J Endod 1995; 21: 295-9
  • 18 Parirokh M, Torabinejad M. Mineral trioxide aggregate: A comprehensive literature review – Part III: Clinical applications, drawbacks, and mechanism of action. J Endod 2010; 36: 400-13
  • 19 Camilleri J, Grech L, Galea K, Keir D, Fenech M, Formosa L. et al. Porosity and root dentine to material interface assessment of calcium silicate-based root-end filling materials. Clin Oral Investig 2014; 18: 1437-46
  • 20 Celik D, Er K, Serper A, Tasdemir T, Ceyhanli KT. Push-out bond strength of three calcium silicate cements to root canal dentine after two different irrigation regimes. Clin Oral Investig 2014; 18: 1141-6
  • 21 Grech L, Mallia B, Camilleri J. Characterization of set intermediate restorative material, biodentine, bioaggregate and a prototype calcium silicate cement for use as root-end filling materials. Int Endod J 2013; 46: 632-41
  • 22 Desai S, Chandler N. The restoration of permanent immature anterior teeth, root filled using MTA: A review. J Dent 2009; 37: 652-7
  • 23 Carvalho CA, Valera MC, Oliveira LD, Camargo CH. Structural resistance in immature teeth using root reinforcements in vitro . Dent Traumatol 2005; 21: 155-9
  • 24 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: 70-2
  • 25 Sirimai S, Riis DN, Morgano SM. An in vitro study of the fracture resistance and the incidence ofvertical root fracture of pulpless teeth restored with six post-and-coresystems. J Prosthet Dent 1999; 81: 262-9
  • 26 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: 684-91
  • 27 Hatibovic-Kofman S, Raimundo L, Zheng L, Chong L, Friedman M, Andreasen JO. Fracture resistance and histological findings of immature teeth treated with mineral trioxide aggregate. Dent Traumatol 2008; 24: 272-6
  • 28 White JD, Lacefield WR, Chavers LS, Eleazer PD. The effect of three commonly used endodontic materials on the strength and hardness of root dentin. J Endod 2002; 28: 828-30
  • 29 Tuna EB, Dinçol ME, Gençay K, Aktören O. Fracture resistance of immature teeth filled with BioAggregate, mineral trioxide aggregate and calcium hydroxide. Dent Traumatol 2011; 27: 174-8
  • 30 Milani AS, Rahimi S, Borna Z, Jafarabadi MA, Bahari M, Deljavan AS. Fracture resistance of immature teeth filled with mineral trioxide aggregate or calcium-enriched mixture cement: An ex vivo study. Dent Res J (Isfahan) 2012; 9: 299-304
  • 31 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: 1390-3
  • 32 Stuart CH, Schwartz SA, Beeson TJ. Reinforcement of immature roots with a new resin filling material. J Endod 2006; 32: 350-3
  • 33 Cohen BI, Pagnillo M, Musikant BL, Deutsch AS. Comparison of the retentive and photoelastic properties of two prefabricated endodontic post systems. J Oral Rehabil 1999; 26: 488-94
  • 34 Ertas H, Sagsen B, Arslan H, Er O, Ertas ET. Effects of physical and morphological properties of roots on fracture resistance. Eur J Dent 2014; 8: 261-4
  • 35 Kucukyilmaz E, Yasa B, Akcay M, Savas S, Kavrik F. Effects of pulp capping materials on fracture resistance of class II composite restorations. Eur J Dent 2015; 9: 218-23
  • 36 Seto B, Chung KH, Johnson J, Paranjpe A. Fracture resistance of simulated immature maxillary anterior teeth restored with fiber posts and composite to varying depths. Dent Traumatol 2013; 29: 394-8
  • 37 Dikbas I, Tanalp J, Koksal T, Yalniz A, Güngör T. Investigation of the effect of different prefabricated intracanal posts on fracture resistance of simulated immature teeth. Dent Traumatol 2014; 30: 49-54
  • 38 Grech L, Mallia B, Camilleri J. Investigation of the physical properties of tricalcium silicate cement-based root-end filling materials. Dent Mater 2013; 29: e20-8
  • 39 Atmeh AR, Chong EZ, Richard G, Festy F, Watson TF. Dentin-cement interfacial interaction: Calcium silicates and polyalkenoates. J Dent Res 2012; 91: 454-9
  • 40 Guneser MB, Akbulut MB, Eldeniz AU. Effect of various endodontic irrigants on the push-out bond strength of biodentine and conventional root perforation repair materials. J Endod 2013; 39: 380-4
  • 41 Li LL, Wang ZY, Bai ZC, Mao Y, Gao B, Xin HT. et al. Three-dimensional finite element analysis of weakened roots restored with different cements in combination with titanium alloy posts. Chin Med J (Engl) 2006; 119: 305-11