Effect of Blood Contamination on Dislodgment Resistance of Three Calcium Silicate Cements in Furcation Perforation Models

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Arraya Clawvuthinan
Chinalai Piyachon
Kunlanun Dumrongvute

Abstract

The objective of this study is to compare the dislodgement resistance of three calcium silicate cements in the presence and absence of blood contamination. The study was performed on 48 human permanent molar teeth by creating a furcation perforation in the center of the pulpal floor with a diameter of 1.3 mm and a depth of 2 mm. The samples were randomly divided into two groups: the blood-contaminated and the uncontaminated groups. Each group was divided into three subgroups according to the type of material tested: White ProRoot MTA, Biodentine, and Retro MTA. Each subgroup included eight samples. In the blood-contaminated group, the walls of the perforated area were contaminated with blood before being filled with material, while the uncontaminated group was rinsed with saline. The samples were kept in an incubator at 37°C with 100% relative humidity for seven days before testing. The push-out bond strength was determined with a universal testing machine. Data were analyzed using two-way ANOVA and post-hoc Sidak test (p<0.05). A failure pattern was examined using a dental operating microscope at 25x magnification. The results showed that the dislodgement resistance of Biodentine, in the presence and absence of blood contamination, was significantly higher than White ProRoot MTA and Retro MTA. White ProRoot MTA and Retro MTA showed no significant difference in terms of dislodgement resistance. In the presence of blood contamination, the dislodgement resistance of three materials was significantly lower compared to the absence of blood contamination. Most failure patterns were mixed failures (89.58%). This study concluded that blood contamination reduced the dislodgement resistance of three calcium silicate cements. Biodentine had higher dislodgement resistance than White ProRoot MTA and Retro MTA.

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Clawvuthinan A, Piyachon C, Dumrongvute K. Effect of Blood Contamination on Dislodgment Resistance of Three Calcium Silicate Cements in Furcation Perforation Models. Khon Kaen Dent J [Internet]. 2023 Sep. 29 [cited 2024 May 18];26(3):27-36. Available from: https://he01.tci-thaijo.org/index.php/KDJ/article/view/256644
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