APICAL MICROLEAKAGE OF VARIOUS BIOMATERIALS IN SIMULATED IMMATURE APICES

Fatih Tulumbacı; Volkan Arıkan; Aylin Akbay Oba; İşıl Sönmez Şaroğlu

doi:10.15311/selcukdentj.376326

Research Article

APICAL MICROLEAKAGE OF VARIOUS BIOMATERIALS IN SIMULATED IMMATURE APICES

Year 2019, Volume: 6 Issue: 3, 247 - 253, 17.12.2019

Fatih Tulumbacı Volkan Arıkan Aylin Akbay Oba İşıl Sönmez Şaroğlu

https://doi.org/10.15311/selcukdentj.376326

Abstract

Background:: In
the treatment of open apex teeth, one-step apexiﬁcation has been reported as an
alternative method to the use of long-term calcium hydroxide.

Methods:The
present study evaluated and compared apical microleakage when ProRoot MTA
(Dentsply) (Group I), DiaRoot BioAggregate (Diadent) (Group II) and Biodentine
(Septodont) (Group III) were used in the endodontic treatment of the teeth with
simulated immature apices. In order to simulate immature teeth, 57 bovine
maxillary incisor roots were prepared and randomly divided into three groups (n
= 15 per group). The remaining teeth were included in negative (n=6) and
positive (n=6) control groups. The materials were prepared according to the
manufacturers instructions and a radiograph was taken for each sample to
confirm proper obturation of the samples. Apical microleakage was assessed
using the dye penetration technique. Linear dye penetration was measured at 30X
magnification and the data were analyzed using ANOVA.

Results:Group
I showed the lowest apical leakage with a mean dye penetration of 4.64 mm,
whereas the leakage was highest in Group II with a mean dye penetration of 5.45
mm. The difference between the leakage in Group I and II was statistically
signiﬁcant (p<0.05), but the differences between other groups (Group I-III
and Group II-III) were not (p > 0.05).

Conclusions:The
ﬁndings of the present study suggest that MTA has the best sealing ability when
used for the obturation of immature apices.

Keywords:BioAggregate,
Biodentine, Endodontic treatment, Microleakage, MTA

Keywords

BioAggregate, Biodentine, Endodontic treatment, Microleakage

References

1. Simon S, Rilliard F, Berdal A, Machtou P. The use of mineral trioxide aggregate in one‐visit apexification treatment: a prospective study. International Endodontic Journal. 2007;40(3):186-97.
2. 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. Dental Traumatology. 2011;27(3):166-73.
3. Topçuoğlu HS, Kesİm B, Düzgün S, Tuncay Ö, Demİrbuga S, Topçuoğlu G. The effect of various backfilling techniques on the fracture resistance of simulated immature teeth performed apical plug with Biodentine. International Journal of Paediatric Dentistry. 2014.
4. Tuna EB, Dinçol ME, Gençay K, Aktören O. Fracture resistance of immature teeth filled with BioAggregate, mineral trioxide aggregate and calcium hydroxide. Dental Traumatology. 2011;27(3):174-8.
5. Andreasen FM, Andreasen JO, Bayer T. Prognosis of root‐fractured permanent incisors—prediction of healing modalities. Dental Traumatology. 1989;5(1):11-22.
6. Kerekes K, Heide S, Jacobsen I. Follow-up examination of endodontic treatment in traumatized juvenile incisors. Journal of Endodontics. 1980;6(9):744-8.
7. Torabinejad M, Abu‐Tahun I. Management of teeth with necrotic pulps and open apices. Endodontic Topics. 2010;23(1):105-30.
8. Coviello J, Brilliant JD. A preliminary clinical study on the use of tricalcium phosphate as an apical barrier. Journal of endodontics. 1979;5(1):6-13.
9. Endodontics D. Materials safety data sheet (MSDS): ProRoot MTA (mineral trioxide aggregate) root canal repair material. Effective March. 2001;1.
10. Torabinejad M, Hong CU, McDonald F, Ford TRP. Physical and chemical properties of a new root-end filling material. Journal of endodontics. 1995;21(7):349-53.
11. Torabinejad M, Pitt Ford TR, McKendry DJ, Abedi HR, Miller DA, Kariyawasam SP. Histologic assessment of Mineral Trioxide Aggregate as a root‐end filling in monkeys‡. International endodontic journal. 2009;42(5):408-11.
12. Güneş B, Aydinbelge HA. Mineral trioxide aggregate apical plug method for the treatment of nonvital immature permanent maxillary incisors: Three case reports. Journal of conservative dentistry: JCD. 2012;15(1):73.
13. Tawil PZ, Duggan DJ, Galicia JC. Mineral Trioxide Aggregate (MTA): Its History, Composition, and Clinical Applications. Compendium of continuing education in dentistry (Jamesburg, NJ: 1995). 2015;36(4):247-52.
14. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--Part III: Clinical applications, drawbacks, and mechanism of action. J Endod. 2010;36(3):400-13.
15. Chang SW. Chemical characteristics of mineral trioxide aggregate and its hydration reaction. Restorative dentistry & endodontics. 2012;37(4):188-93.
16. Nayak G, Hasan MF. Biodentine-a novel dentinal substitute for single visit apexification. Restorative dentistry & endodontics. 2014;39(2):120-5.
17. Alsubait SA, Hashem Q, AlHargan N, AlMohimeed K, Alkahtani A. Comparative evaluation of push-out bond strength of ProRoot MTA, bioaggregate and biodentine. The journal of contemporary dental practice. 2014;15(3):336-40.
18. Yuan Z, Peng B, Jiang H, Bian Z, Yan P. Effect of bioaggregate on mineral-associated gene expression in osteoblast cells. J Endod. 2010;36(7):1145-8.
19. Park J-W, Hong S-H, Kim J-H, Lee S-J, Shin S-J. X-Ray diffraction analysis of white ProRoot MTA and Diadent BioAggregate. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2010;109(1):155-8.
20. Septodont SF. Biodentine Active Biosilicate Technology, Paris 2010. 2012.
21. Laurent P, Camps J, De Meo M, Dejou J, About I. Induction of specific cell responses to a Ca(3)SiO(5)-based posterior restorative material. Dental materials : official publication of the Academy of Dental Materials. 2008;24(11):1486-94.
22. Andreasen JO, Farik B, Munksgaard EC. Long‐term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dental Traumatology. 2002;18(3):134-7.
23. Shabahang S. Treatment options: apexogenesis and apexification. Journal of endodontics. 2013;39(3):S26-S9.
24. Ćetenović B, Marković D, Petrović B, Perić T, Jokanović V. Use of mineral trioxide aggregate in the treatment of traumatized teeth in children: Two case reports. Vojnosanitetski pregled. 2013;70(8):781-4.
25. 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. Journal of Endodontics. 1999;25(1):1-5.
26. Tait CME, Ricketts DNJ, Higgins AJ. Weakened anterior roots–intraradicular rehabilitation. British dental journal. 2005;198(10):609-17.
27. Wongkornchaowalit N, Lertchirakarn V. Setting time and flowability of accelerated Portland cement mixed with polycarboxylate superplasticizer. J Endod. 2011;37(3):387-9.
28. Bani M, Sungurtekin-Ekçi E, Odabaş ME. Efficacy of Biodentine as an Apical Plug in Nonvital Permanent Teeth with Open Apices: An In Vitro Study. BioMed research international. 2015;2015.
29. Nanjappa AS, Ponnappa KC, Nanjamma KK, Ponappa MC, Girish S, Nitin A. Sealing ability of three root-end filling materials prepared using an erbium: Yttrium aluminium garnet laser and endosonic tip evaluated by confocal laser scanning microscopy. Journal of conservative dentistry: JCD. 2015;18(4):327.
30. 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. International endodontic journal. 2013;46(7):632-41.
31. Khetarpal A, Chaudhary S, Talwar S, Verma M. Endodontic management of open apex using Biodentine as a novel apical matrix. Indian Journal of Dental Research. 2014;25(4):513.
32. Memiş Özgül B, Bezgin T, Şahin C, Sarı Ş. Resistance to leakage of various thicknesses of apical plugs of Bioaggregate using liquid filtration model. Dental Traumatology. 2015;31(3):250-4.
33. El Sayed M, Saeed M. In vitro comparative study of sealing ability of Diadent BioAggregate and other root-end filling materials. Journal of conservative dentistry : JCD. 2012;15(3):249-52.
34. Kontakiotis EG, Georgopoulou MK, Morfis AS. Dye penetration in dry and water-filled gaps along root fillings. Int Endod J. 2001;34(2):133-6.
35. Oliver CM, Abbott PV. Correlation between clinical success and apical dye penetration. International Endodontic Journal. 2001;34(8):637-44.
36. Gerhards F, Wagner W. Sealing ability of five different retrograde filling materials. J Endod. 1996;22(9):463-6.
37. Sarkar NK, Caicedo R, Ritwik P, Moiseyeva R, Kawashima I. Physicochemical basis of the biologic properties of mineral trioxide aggregate. J Endod. 2005;31(2):97-100.
38. Hashem AAR, Amin SAW. The effect of acidity on dislodgment resistance of mineral trioxide aggregate and bioaggregate in furcation perforations: an in vitro comparative study. Journal of endodontics. 2012;38(2):245-9.

Olgunlaşmamış Dişlerde Kullanılan Çeşitli Biyomateryallerin Mikrosızıntısının Değerlendirilmesi

Year 2019, Volume: 6 Issue: 3, 247 - 253, 17.12.2019

Fatih Tulumbacı Volkan Arıkan Aylin Akbay Oba İşıl Sönmez Şaroğlu

https://doi.org/10.15311/selcukdentj.376326

Abstract

Amaç: Açık
apeksli dişlerinin tedavisinde, uzun süreli kalsiyum hidroksit tedavisine
alternatif bir yöntem olarak tek aşamalı apeksifikasyon yöntemi bildirilmektedir.

Gereç ve Yöntemler:Bu
çalışmada, taklit edilen olgunlaşmamış açık apeksli dişlerin endodontik
tedavisinde ProRoot MTA (Dentsply) (Grup I), DiaRoot BioAggregate (Diadent)
(Grup II) ve Biodentine (Septodont) (Grup III) kullanıldığında dişlerde meydana
gelen apikal mikrosızıntı değerlendirildi. Olgunlaşmamış dişlerin taklit
edilmesi için, 57 sığır maksiller keser diş kökü hazırlanmış ve rasgele üç
gruba ayrılmıştır (grup başına n = 15). Kalan dişler negatif (n = 6) ve pozitif
(n = 6) kontrol grubuna dahil edilmiştir. Malzemeler, üretici firma talimatlarına
göre hazırlandı ve örneklerin uygun şekilde doldurulduğunu doğrulamak için her örnekten
bir radyograf alındı. Apikal
mikrosızıntı, boya nüfuz etme tekniği kullanılarak değerlendirildi. Doğrusal
boya penetrasyonu 30X büyütmede ölçüldü ve veriler ANOVA kullanılarak analiz
edildi.

Bulgular:Grup
I, ortalama boya penetrasyonu 4.64 mm ile en düşük apikal sızıntıyı
gösterirken, sızıntı Grup II'de 5.45 mm boya penetrasyonu ile en yüksekti. Grup
I ve II'deki apikal sızıntı arasındaki fark istatistiksel olarak anlamlı (p
<0.05), ancak diğer gruplar arasındaki istatistiksel farklar (Grup I-III ve
Grup II-III) anlamlı değildi (p> 0.05).

Sonuçlar:Bu
çalışmanın bulguları, MTA'nın olgunlaşmamış apeksli dişlerin tıkanmasında
kullanıldığında en iyi sızdırmazlık kabiliyetine sahip olduğunu düşündürmektedir.

Anahtar Kelimeler:Biodentine,
BioAggregate, Endodontik tedavi, Mikrosızıntı, MTA

Keywords

Biodentine, BioAggregate, Endodontik tedavi, Mikrosızıntı

References

1. Simon S, Rilliard F, Berdal A, Machtou P. The use of mineral trioxide aggregate in one‐visit apexification treatment: a prospective study. International Endodontic Journal. 2007;40(3):186-97.
2. 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. Dental Traumatology. 2011;27(3):166-73.
3. Topçuoğlu HS, Kesİm B, Düzgün S, Tuncay Ö, Demİrbuga S, Topçuoğlu G. The effect of various backfilling techniques on the fracture resistance of simulated immature teeth performed apical plug with Biodentine. International Journal of Paediatric Dentistry. 2014.
4. Tuna EB, Dinçol ME, Gençay K, Aktören O. Fracture resistance of immature teeth filled with BioAggregate, mineral trioxide aggregate and calcium hydroxide. Dental Traumatology. 2011;27(3):174-8.
5. Andreasen FM, Andreasen JO, Bayer T. Prognosis of root‐fractured permanent incisors—prediction of healing modalities. Dental Traumatology. 1989;5(1):11-22.
6. Kerekes K, Heide S, Jacobsen I. Follow-up examination of endodontic treatment in traumatized juvenile incisors. Journal of Endodontics. 1980;6(9):744-8.
7. Torabinejad M, Abu‐Tahun I. Management of teeth with necrotic pulps and open apices. Endodontic Topics. 2010;23(1):105-30.
8. Coviello J, Brilliant JD. A preliminary clinical study on the use of tricalcium phosphate as an apical barrier. Journal of endodontics. 1979;5(1):6-13.
9. Endodontics D. Materials safety data sheet (MSDS): ProRoot MTA (mineral trioxide aggregate) root canal repair material. Effective March. 2001;1.
10. Torabinejad M, Hong CU, McDonald F, Ford TRP. Physical and chemical properties of a new root-end filling material. Journal of endodontics. 1995;21(7):349-53.
11. Torabinejad M, Pitt Ford TR, McKendry DJ, Abedi HR, Miller DA, Kariyawasam SP. Histologic assessment of Mineral Trioxide Aggregate as a root‐end filling in monkeys‡. International endodontic journal. 2009;42(5):408-11.
12. Güneş B, Aydinbelge HA. Mineral trioxide aggregate apical plug method for the treatment of nonvital immature permanent maxillary incisors: Three case reports. Journal of conservative dentistry: JCD. 2012;15(1):73.
13. Tawil PZ, Duggan DJ, Galicia JC. Mineral Trioxide Aggregate (MTA): Its History, Composition, and Clinical Applications. Compendium of continuing education in dentistry (Jamesburg, NJ: 1995). 2015;36(4):247-52.
14. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--Part III: Clinical applications, drawbacks, and mechanism of action. J Endod. 2010;36(3):400-13.
15. Chang SW. Chemical characteristics of mineral trioxide aggregate and its hydration reaction. Restorative dentistry & endodontics. 2012;37(4):188-93.
16. Nayak G, Hasan MF. Biodentine-a novel dentinal substitute for single visit apexification. Restorative dentistry & endodontics. 2014;39(2):120-5.
17. Alsubait SA, Hashem Q, AlHargan N, AlMohimeed K, Alkahtani A. Comparative evaluation of push-out bond strength of ProRoot MTA, bioaggregate and biodentine. The journal of contemporary dental practice. 2014;15(3):336-40.
18. Yuan Z, Peng B, Jiang H, Bian Z, Yan P. Effect of bioaggregate on mineral-associated gene expression in osteoblast cells. J Endod. 2010;36(7):1145-8.
19. Park J-W, Hong S-H, Kim J-H, Lee S-J, Shin S-J. X-Ray diffraction analysis of white ProRoot MTA and Diadent BioAggregate. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2010;109(1):155-8.
20. Septodont SF. Biodentine Active Biosilicate Technology, Paris 2010. 2012.
21. Laurent P, Camps J, De Meo M, Dejou J, About I. Induction of specific cell responses to a Ca(3)SiO(5)-based posterior restorative material. Dental materials : official publication of the Academy of Dental Materials. 2008;24(11):1486-94.
22. Andreasen JO, Farik B, Munksgaard EC. Long‐term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dental Traumatology. 2002;18(3):134-7.
23. Shabahang S. Treatment options: apexogenesis and apexification. Journal of endodontics. 2013;39(3):S26-S9.
24. Ćetenović B, Marković D, Petrović B, Perić T, Jokanović V. Use of mineral trioxide aggregate in the treatment of traumatized teeth in children: Two case reports. Vojnosanitetski pregled. 2013;70(8):781-4.
25. 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. Journal of Endodontics. 1999;25(1):1-5.
26. Tait CME, Ricketts DNJ, Higgins AJ. Weakened anterior roots–intraradicular rehabilitation. British dental journal. 2005;198(10):609-17.
27. Wongkornchaowalit N, Lertchirakarn V. Setting time and flowability of accelerated Portland cement mixed with polycarboxylate superplasticizer. J Endod. 2011;37(3):387-9.
28. Bani M, Sungurtekin-Ekçi E, Odabaş ME. Efficacy of Biodentine as an Apical Plug in Nonvital Permanent Teeth with Open Apices: An In Vitro Study. BioMed research international. 2015;2015.
29. Nanjappa AS, Ponnappa KC, Nanjamma KK, Ponappa MC, Girish S, Nitin A. Sealing ability of three root-end filling materials prepared using an erbium: Yttrium aluminium garnet laser and endosonic tip evaluated by confocal laser scanning microscopy. Journal of conservative dentistry: JCD. 2015;18(4):327.
30. 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. International endodontic journal. 2013;46(7):632-41.
31. Khetarpal A, Chaudhary S, Talwar S, Verma M. Endodontic management of open apex using Biodentine as a novel apical matrix. Indian Journal of Dental Research. 2014;25(4):513.
32. Memiş Özgül B, Bezgin T, Şahin C, Sarı Ş. Resistance to leakage of various thicknesses of apical plugs of Bioaggregate using liquid filtration model. Dental Traumatology. 2015;31(3):250-4.
33. El Sayed M, Saeed M. In vitro comparative study of sealing ability of Diadent BioAggregate and other root-end filling materials. Journal of conservative dentistry : JCD. 2012;15(3):249-52.
34. Kontakiotis EG, Georgopoulou MK, Morfis AS. Dye penetration in dry and water-filled gaps along root fillings. Int Endod J. 2001;34(2):133-6.
35. Oliver CM, Abbott PV. Correlation between clinical success and apical dye penetration. International Endodontic Journal. 2001;34(8):637-44.
36. Gerhards F, Wagner W. Sealing ability of five different retrograde filling materials. J Endod. 1996;22(9):463-6.
37. Sarkar NK, Caicedo R, Ritwik P, Moiseyeva R, Kawashima I. Physicochemical basis of the biologic properties of mineral trioxide aggregate. J Endod. 2005;31(2):97-100.
38. Hashem AAR, Amin SAW. The effect of acidity on dislodgment resistance of mineral trioxide aggregate and bioaggregate in furcation perforations: an in vitro comparative study. Journal of endodontics. 2012;38(2):245-9.

There are 38 citations in total.

Details

Primary Language	English
Subjects	Dentistry
Journal Section	Research
Authors	Fatih Tulumbacı Volkan Arıkan Aylin Akbay Oba İşıl Sönmez Şaroğlu This is me
Publication Date	December 17, 2019
Submission Date	January 8, 2018
Published in Issue	Year 2019 Volume: 6 Issue: 3

Cite

Vancouver	Tulumbacı F, Arıkan V, Akbay Oba A, Sönmez Şaroğlu İ. APICAL MICROLEAKAGE OF VARIOUS BIOMATERIALS IN SIMULATED IMMATURE APICES. Selcuk Dent J. 2019;6(3):247-53.

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