Sealing Ability of Four Calcium Containing Cements used for Repairing Furcal Perforations in Primary Molars: An in vitro study
Heba M El-Khodary, Deema J Farsi, Najat M Farsi, Ahmed Z Zidan
Citation Information :
El-Khodary HM, Farsi DJ, Farsi NM, Zidan AZ. Sealing Ability of Four Calcium Containing Cements used for Repairing Furcal Perforations in Primary Molars: An in vitro study. J Contemp Dent Pract 2015; 16 (9):733-739.
The aim of this study was to compare the sealing ability of mineral trioxide aggregate (MTA), Portland cement (PC), BiodentineTM and Tech biosealer in repairing furcal perforations in primary molars using the fluid-filtration technique.
Materials and methods
Fifty freshly extracted maxillary second primary molars were sectioned horizontally at the furcation region to create dentin disks of 1.5 mm (+ 0.1 mm) thickness. Five disks were not perforated and served as negative controls. In the remaining 45 disks, furcation perforations were prepared. Five disks did not receive furcation repair and served as positive controls. The remaining 40 disks were then randomly divided into four equal groups (10 disks in each group). Perforations were repaired with: MTA, PC, BiodentineTM or Tech Biosealer. The sealing ability of the tested materials was evaluated by measuring microleakage for each disk after four different storage periods: 24-hour, 1-month, 6-month and 1-year storage using fluid-filtration. Comparisons between the four materials and the four time periods were done using the two-way analysis of variance and the Scheffe multiple comparisons test.
There was no significant difference between the mean microleakage values obtained in the four tested materials after 24 hours, 1, 6 month and 1 year. However, microleakage values for each individual material were significantly higher at 24 hours than at the other time intervals.
Mineral trioxide aggregate, PC, BiodentineTM and Tech biosealer showed similar capabilities in sealing the furcal perforations of the primary molars, where the sealing ability improved over time for each individual material.
How to cite this article
El-Khodary HM, Farsi DJ, Farsi NM, Zidan AZ. Sealing Ability of Four Calcium Containing Cements used for Repairing Furcal Perforations in Primary Molars: An in vitro study. J Contemp Dent Pract 2015;16(9):733-739.
Ex vivo assessment of genotoxicity and cytotoxicity in murine fibroblasts exposed to white MTA or white Portland cement with 15% bismuth oxide. Int Endod J 2010 Oct;43(10):843-848.
Histologic evaluation of pulpotomies in dog using two types of mineral trioxide aggregate and white Portland cements as wound dressings. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont 2004;98:376-399.
The use of white Portland cement as an apical plug in a tooth with a necrotic pulp and wideopen apex: a case report. Int Endod J 2007 Aug;40(8):653-660.
Pulpotomies with Portland cement in human primary molars. J Appl Oral Sci 2009 Jan-Feb;17(1):66-69.
Pulpotomy of human primary molars with MTA and Portland cement: a randomised controlled trial. Br Dent J 2009 Aug 8;207(3):128-129.
Portland cement use in dental root perforations: a long term follow-up. Case Rep Dent 2014.
The properties of a new endodontic material. J Endodont 2008;34:990-993.
Modification of mineral trioxide aggregate. Physical and mechanical properties. Int Endodont J 2008;41:843-849.
Innovative silicate-based cements for endodontics: a study of osteoblast-like cell response. J Biomed Materials Res A 2008;87:477-486.
Chemical and physical surface and bulk material characterization of white ProRoot MTA and two Portland cements. Dent Materials 2005;21:731-738.
Investigation of the physical properties of tricalcium silicate cement-based root-end filling materials. Dent Mater 2013 Feb;29(2):e20-28.
In vitro cytotoxicity of four calcium silicate-based endodontic cements on human monocytes, a colorimetric MTT assay. Restor Dent Endod 2014 Aug;39(3):149-154.
A review on biodentine, a contemporary dentine replacement and repair material. Biomed Res Int 2014 (2014), article ID 160951, p. 10. Available at: http://dx.doi.org/10.1155/2014/160951
1st Ed. 2010; Jaypee Medical Publishers: New Delhi. p 185-197.
Effect of phosphate buffer saline on coronal leakage of mineral trioxide aggregate. J Oral Sci 2009 Jun;51(2):187-191.
Evaluation of the sealing ability of amalgam, MTA, Portland cement and Coltozol in the repair of furcal perforations. Iran Endodont J 2006;1(2):60-64.
Furcation perforation repair comparing gray and white MTA: a dye extraction study. J Endodont 2006;32:337-340.
The effect of different surface treatments on dentin and adhesive permeability. PhD. Thesis, Cairo University, Faculty Oral and Dent Medi 2007;p 69.
The ability of Portland cement, MTA, and MTA Bio to prevent throughand- through fluid movement in repaired furcal perforations. J Endodont 2007;33(11):1374-1377.
The effects of oxalate treatment on the smear layer of ground surfaces of human dentin. Arch Oral Biol 1985;30:731-737.
The quantitative evaluation of apical sealing of four endodontic sealers. J Endodont 2006;32:66-68.
Effect of bur cutting patterns and dentin bonding agents on dentin permeability in a fluid flow model. Operat Dentist 2003;28:522-528.
Outward fluid flow reduces inward diffusion of bacterial lipopolysaccharide across intact and demineralized dentin. Arch Oral Biol 2005;50:707-713.
In vitro dentin permeability: The relative effect of a dentine bonding agent on crown preparations. J Dentist 2004;32:413-421.
Short and long-term sealing ability of Gutta flow and AH plus using an ex vivo fluid transport model. Int Endod J 2010;43:377-381.
Basic and clinical biostatistics. 3rd ed. Lange medical book, Appleton and Lange, Norwalk, Connecticut 2001.
Mineral trioxide aggregate versus Portland cement as repair cement material for furcal perforations: a laboratory study using a polymicrobial leakage model. Int Endodont J 2006;39:293-298.
Repair of furcal perforation treated with mineral trioxide aggregate in a primary molar tooth: 20-month followup. J Dentist Children 2008 May-Aug;75(2):188-191.
In vitro neurotoxic evaluation of rootend- filling materials. J Endodont 2003 Nov;29(11):743-746.
Human pulp cells response to Portland cement in vitro. J Endodont 2007;33:163-166.
Sealing ability of MTA versus Portland cement in the repair of furcal perforations of primary molars: A dye extraction leakage model. J Am Sci 2011; 7(12):1037-1043. ISSN: 1545-1003. Available at: http://www.americanscience.org .
Will Portland cement be a cheaper alternative to mineral trioxide aggregate in clinical use?: A comprehensive review of literature. Int J Contemp Dent Med Rev (2015), article ID 110215, p. 7.
Comparative analysis of physicochemical properties of root perforation sealer materials. Restor Dent Endod 2014 Aug;39(3):201-209.
Sealing ability of mineral trioxide aggregate and Portland cement for furcal perforation repair: a protein leakage study. J Oral Sci 2009 Dec;51(4):601.
Guided tissue remineralisation of partially demineralized human dentin. Biomaterials 2008 Mar;29(8):1127-1137.
Biomimetic remineralization of human dentin using promising innovative calcium-silicate hybrid ‘smart’ materials. Dent Materials 2011 Nov;27(11):1055-1069.
Biomineralization ability and interaction of mineral trioxide aggregate and white portland cement with dentin in a phosphate-containing fluid. J Endodont 2009 May;35(5):731-736.
Comparative evaluation of microleakage of various retrograde filling materials: An in vitro study. J Nat Sci Bio Med 2013 Jul;4(2):403-408.
Uptake of calcium and silicon released from calcium silicate-based endodontic materials into root canal dentine. Int Endod J 2011 Dec;44(12):1081-1087.
In vitro cytotoxicity evaluation of a novel root repair material. J Endod 2013 Apr;39(4):478-483.
Use of calcium-containing endodontic sealers as apical barrier in fluid-contaminated wide-open apices. J Appl Biomater Funct Mater 2014 Dec 30;12(3):263-270.