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VOLUME 22 , ISSUE 1 ( January, 2021 ) > List of Articles


Evaluation of Sealing Potential of Different Repair Materials in Furcation Perforations Using Dye Penetration: An In Vitro Study

Dennis Mohan, Abhinav K Singh, Feby Kuriakose, Reema Malik, Joseph Joy, Dhanya John

Keywords : Biodentine, Dye penetration, Perforation, Pro-Root mineral trioxide aggregate, Resin-modified glass-ionomer cement

Citation Information : Mohan D, Singh AK, Kuriakose F, Malik R, Joy J, John D. Evaluation of Sealing Potential of Different Repair Materials in Furcation Perforations Using Dye Penetration: An In Vitro Study. J Contemp Dent Pract 2021; 22 (1):80-83.

DOI: 10.5005/jp-journals-10024-2968

License: CC BY-NC 4.0

Published Online: 19-04-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Aim: The present study aimed to assess the sealing ability of various repair materials in furcation perforations using dye penetration. Materials and methods: A total of 80 human first molars from mandible with unbroken enamel surfaces, which were extracted completely for periodontal reasons, were chosen. All extracted teeth were kept in a sterile solution up until further use. Endo-access bur was used to prepare endodontic access cavity, and a high-speed long shank round bur was used to create a planned perforation on the floor of pulp. All the specimens were randomly grouped (20 teeth in each group): Group I: control; group II: Pro-Root MTA; group III: resin-modified glass-ionomer cement (RM GIC); and group IV: Biodentin. After placement of repair materials in perforated furcation, the chamber of each tooth was accessed with 2% methylene blue dye. Later, a diamond disk was used to split the teeth buccolingually. A stereomicroscope (10×) was used to visualize the highest dye penetration. Results: The least penetration was seen in teeth repaired by Biodentin group (0.88 ± 0.02), next by Pro-Root MTA group (1.24 ± 0.13) and resin-modified glass ionomer cement group (3.62 ± 0.46). A statistically significant difference was seen among different perforation repair materials by analysis of variance. A statistically significant difference (p value < 0.05) was found between each group, excluding group II v/s group IV. Conclusion: This study concluded that reduced dye penetration in perforation repair along the furcations and improved sealing ability are shown by biodentine group in comparison to Pro-Root MTA and resin-modified glass-ionomer cement group. Clinical significance: Root perforations along the furcation that develop due to the endodontic procedures have a remarkable damaging effect on prognosis and frequently result in loss of secondary periodontal attachment, thus resulting in early loss of the involved tooth. Therefore, the selection of biocompatible repair material aids to enhance the treatment prognosis.

  1. Kakani AK, Veeramachaneni C, Majeti C, et al. A Review on perforation repair materials. J Clin Diagnos Res 2015;9(9):ZE09–ZE13.
  2. Mohan TM, Sudha K, Shoba C, et al. Comparative evaluation of sealing ability of ProRoot MTA, biodentine and bone cement in the repair of furcation perforation – an in vitro study. Indian J Dent Adv 2019;10(4):176–180.
  3. Bogaerts P. Treatment of root perforations with calcium hydroxide and Super EBA cement: a clinical report. Int Endod J 1997;30(3):210–219. DOI: 10.1111/j.1365-2591.1997.tb00699.x.
  4. El Tawil SB, El Dokkyl NA, El Hamid DA. 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;7:1037–1043.
  5. Komath M, Varma HK. Fully injectable calcium phosphate cement- a promise to dentistry. Indian J Dent Res 2004;15:89–95.
  6. Daoudi MF. Microscopic management of endodontic procedural errors: perforation repair. Dent Update 2001;28(4):176–180. DOI: 10.12968/denu.2001.28.4.176.
  7. Mangala TM, Pawar RR. Evaluating sealing ability of three different furcation perforation repair materials. JCR 2020;7(7):658–661.
  8. Watts DC, Kisumbi B, Toworfe GK. Dimensional changes of resin/ionomer restoratives in aqueous and neutral media. Dent Mater 2000;16(2):89–96. DOI: 10.1016/S0109-5641(99)00098-6.
  9. Camps J, Pashley DH. Reliability of the dye penetration studies. J Endod 2003;29(9):592–594. DOI: 10.1097/00004770-200309000-00012.
  10. Torabinejad M, Rastegar AF, Kettering JD, et al. Bacterial leakage of mineral trioxide aggregate as a root-end filling material. J Endod 1995;21(3):109–112. DOI: 10.1016/S0099-2399(06)80433-4.
  11. Aggarwal V, Miglani S, Kohli S, et al. Comparative evaluation of push-out bond strength of ProRoot MTA, biodentine, and MTA plus in furcation perforation repair. J Conservat Dentis 2013;16(5):462–465. DOI: 10.4103/0972-0707.117504.
  12. Arora DV, Nikhil V, Sharma N, et al. Bioactive dentin replacement. IOSR-JDMS 2013;12(4):51–57. DOI: 10.9790/0853-1245157.
  13. Bachoo IK, Seymour D, Brunton P. A biocompatible and bioactive replacement for dentine: is this a reality? the properties and uses of a novel calcium-based cement. Br Dent J 2013;214(2):E5. DOI: 10.1038/sj.bdj.2013.57.
  14. Butt N, Bali A, Talwar S, et al. Comparison of physical and mechanical properties of mineral trioxide aggregate and Biodentine. Indian J Dent Res 2014;25(6):692–697. DOI: 10.4103/0970-9290.152163.
  15. Katge FA, Shivasharan PR, Patil D. Sealing ability of mineral trioxide aggregate Plus™ and Biodentine™ for repair of furcal perforation in primary molars: an in vitro study. Contemp Clin Dent 2016;7(4):487–492. DOI: 10.4103/0976-237X.194100.
  16. Sinkar R, Patil S, Jogad N, et al. Comparison of sealing ability of ProRoot MTA, RetroMTA, and Biodentine as furcation repair materials: an ultraviolet spectrophotometric analysis. J Conserv Dent 2015;18(6):445–448. DOI: 10.4103/0972-0707.168803.
  17. Mir A, Misgar OH, Farooq R, et al. Comparison of sealing ability of biodentine, bioactive bone cement and MTA as furcation repair materials. IOSR J Dent Med Sci (IOSR-JDMS) 2017;16:82–86.
  18. Main C, Mirzayan N, Shabahang S, et al. Repair of root perforations using mineral trioxide aggregate: a long-term study. J Endod 2004;30(2):80–83. DOI: 10.1097/00004770-200402000-00004.
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