Fracture Resistance of Simulated Open Apex Root with Three Brands of Calcium Silicate Cement as an Apical Plug

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Patara Ancheun
Suwit Wimonchit

Abstract

The aim of this study was to examine the fracture resistance of simulated immature teeth after root canal filling with three brands of calcium silicate cement. A total of sixty single-rooted lower premolars were sectioned to obtain an 8 mm length. An artificial open apex was prepared using a No.1- No.6 Peeso Reamers on entire the length of the tooth. After that, all specimens were randomly allocated into 4 groups of 15 teeth each, according to the type of calcium silicate cement: groups I (control) - completely filled with gutta-percha and AH+ sealer, groups II - ProRoot MTA, groups III - MTA angelus and groups IV - Retro MTA. Each specimen was then subjected to fracture testing using a Universal Testing Machine. The samples were loaded at a crosshead speed of 1 mm/min until the fracture occurred. The maximum force needed to fracture was recorded in newtons. The data were analyzed statistically by One-Way ANOVA with a Scheffe test. Results: The control group showed significantly lower fracture resistance compared to the other groups (P < .05). No significant differences in fracture resistance between the ProRoot MTA, MTA angelus, and Retro MTA groups were revealed (P > .05). The most common fracture level was the 1/3 middle in 27 of 45 teeth. The immature teeth were completely filled with ProRoot MTA , MTA angelus, and  Retro MTA which seemed to increase fracture resistance.

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Ancheun P, Wimonchit S. Fracture Resistance of Simulated Open Apex Root with Three Brands of Calcium Silicate Cement as an Apical Plug. Khon Kaen Dent J [Internet]. 2021 Mar. 28 [cited 2024 Jul. 18];24(1):66-75. Available from: https://he01.tci-thaijo.org/index.php/KDJ/article/view/243343
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