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

Main Article Content

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.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
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 2023 Jan. 29];24(1):66-75. Available from: https://he01.tci-thaijo.org/index.php/KDJ/article/view/243343
Section
Research Articles
Share |

References

Haavikko K. The formation and the alveolar and clinical eruption of the permanent teeth. An orthopantomographic study. Fin Lakaresallsk Handl 1970;66(3):103.

Andreasen J, Ravn J. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Sci 1972;1(5):235-39.

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(2):45-55.

Okabe T, Sakamoto M, Takeuchi H, Matsushima K. Effects of pH on mineralization ability of human dental pulp cells. J endod 2006;32(3):198-201.

Siqueira Jr J, Lopes H. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J 1999;32(5):361-69.

Endodontics AAo. AAE Clinical considerations for a regenerative procedure. 2018.

Simon S, Rilliard F, Berdal A, Machtou P. The use of mineral trioxide aggregate in one visit apexification treatment: a prospective study. Int Endod J 2007; 40(3): 186-97.

Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review part I: chemical, physical, and antibacterial properties. J endod 2010; 36(1): 16-27.

Storm B, Eichmiller FC, Tordik PA, Goodell GG. Setting expansion of gray and white mineral trioxide aggregate and Portland cement. J endod 2008;34(1):80-82.

Pace R, Giuliani V, Pini Prato L, Baccetti T, Pagavino G. Apical plug technique using mineral trioxide aggregate: results from a case series. Int Endod J 2007;40(6):478-84.

Gaddalay S, Gite S, Kale A, Ahirrao Y, Mohani S, Badgire A. A comparative evaluation of fracture resistance of simulated immature teeth using different obturating material: An in-vitro study. Int J Sci Res 2019;9(1):106-11.

Çiçek E, Yılmaz N, Koçak MM, Saglam BC, Koçak S, Bilgin B. Effect of mineral trioxide aggregate apical plug thickness on fracture resistance of immature teeth. J endod 2017;43(10):1697-700.

Escribano-Escrivá B, Micó-Muñoz P, Manzano-Saiz A, Giner-Lluesma T, Collado-Castellanos N, Muwaquet-Rodríguez S. MTA apical barrier: In vitro study of the use of ultrasonic vibration. J Clin Exp Dent 2016; 8(3):e318.

Elnaghy AM, Elsaka SE. Fracture resistance of simulated immature teeth filled with Biodentine and white mineral trioxide aggregate–an in vitro study. Endod Dent Traumatol 2016;32(2):116-20.

Torabi K, Fattahi F. Fracture resistance of endodontically treated teeth restored by different FRC posts: an in vitro study. Indian J Dent Res 2009; 20(3):282.

Wilkinson KL, Beeson TJ, Kirkpatrick TC. Fracture resistance of simulated immature teeth filled with resilon, gutta-percha, or composite. J endod 2007;33(4):480-83.

Hatibovic‐Kofman Š, Raimundo L, Zheng L, Chong L, Friedman M, Andreasen JO. Fracture resistance and histological findings of immature teeth treated with mineral trioxide aggregate. Endod Dent Traumatol 2008; 24(3):272-76.

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): 1390-93.

Bortoluzzi E, Souza E, Reis J, Esberard R, Tanomaru M. Fracture strength of bovine incisors after intra radicular treatment with MTA in an experimental immature tooth model. Int Endod J 2007;40(9):684-91.

Tuna EB, Dinçol ME, Gençay K, Aktören O. Fracture resistance of immature teeth filled with BioAggregate, mineral trioxide aggregate and calcium hydroxide. Endod Dent Traumatol 2011;27(3):174-78.

Cohen S, Hargreaves KM. Pathways of the pulp. 9th ed. New York: Mosby;2006.

Torabinejad M, Hong C, McDonald F, Ford TP. Physical and chemical properties of a new root-end filling material. J endod 1995;21(7):349-53.

Islam I, Chng HK, Yap AUJ. Comparison of the physical and mechanical properties of MTA and Portland cement. J endod 2006;32(3):193-97.

Tanomaru-Filho M, Morales V, da Silva GF, Bosso R, Reis JM, Duarte MA, et al. Compressive strength and setting time of MTA and Portland cement associated with different radiopacifying agents. ISRN dent 2012;2012.

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(7): 632-41.

Sinkar RC, Patil SS, Jogad NP, Gade VJ. Comparison of sealing ability of ProRoot MTA, Retro MTA, and Biodentine as furcation repair materials: An ultraviolet spectrophotometric analysis. J Conserv Dent 2015;18(6): 445.

Andrews LF. The six keys to normal occlusion. Am J Orthod 1972;62(3):296-09.

Haecker CJ, Garboczi E, Bullard J, Bohn R. Modeling the linear elastic properties of Portland cement paste. Cem Concr Res 2005;35(10):1948-60.

Han L, Okiji T. Bioactivity evaluation of three calcium silicate based endodontic materials. Int Endod J 2013; 46(9):808-14.

Kang JY, Kim JS, Yoo SH. Comparison of setting expansion and time of OrthoMTA, ProRoot MTA and Portland cement. J Korean Acad Pediatr Dent 2011;38(3): 229-36.

EL-Ma'aita AM, Qualtrough AJ, Watts DC. Resistance to vertical fracture of MTA filled roots. Endod Dent Traumatol 2014;30(1):36-42.

Tay FR, Pashley DH. Monoblocks in root canals: a hypothetical or a tangible goal. J endod 2007;33(4):391-98.

Kinney J, Marshall S, Marshall G. The mechanical properties of human dentin: a critical review and re-evaluation of the dental literature. Crit Rev Oral Biol Med 2003;14(1):13-29.

Health NIo. Stem cell basics. Stem Cell Information. 2009 [cited 2009 Apr 18].Available from: http://stemcells nih gov/info/basics/basics6 asp.

Torabinejad M, Smith PW, Kettering JD, Ford TRP. Comparative investigation of marginal adaptation of mineral trioxide aggregate and other commonly used root end filling materials. J endod 1995;21(6):295-99.

Hoshino E, Kurihara Ando N, Sato I, Uematsu H, Sato M, et al. In vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of ciprofloxacin, metronidazole and minocycline. Int Endod J 1996; 29(2):125-30.