The Journal of Contemporary Dental Practice

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 19 , ISSUE 12 ( December, 2018 ) > List of Articles


Cement AH Plus Adhesiveness Assessment Associated with Mineral Trioxide Aggregate in Different Proportions (Push-out Test)

Carlos AM Falcão, Elayne MO de Lima, José D de M Júnior, Sérgio AP Freitas, Eduardo S de L Veras, Luana KB Moura, Lucas F Falcão

Keywords : Adhesion, Dental cement, Dentistry

Citation Information : Falcão CA, de Lima EM, Júnior JD, Freitas SA, Veras ES, Moura LK, Falcão LF. Cement AH Plus Adhesiveness Assessment Associated with Mineral Trioxide Aggregate in Different Proportions (Push-out Test). J Contemp Dent Pract 2018; 19 (12):1444-1448.

DOI: 10.5005/jp-journals-10024-2447

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Aim: The aim of the study is to evaluate the adhesiveness of the AH Plus plug cement, plus the mineral trioxide aggregate (MTA) in different proportions, through the push-out test. Materials and methods: The authors utilized fifty premolars with a single conduit, which were divided into five groups with 10 teeth. In group 1, the authors performed an obturation with AH Plus cement, group 2 was filled with AH Plus cement with 10% of MTA, group 3 was filled with AH Plus cement plus 20% MTA, group 4 was filled with AH Plus with 30% of MTA and group 5 filling was performed with the MTA Fillapex endodontic cement. The specimens were sectioned in 2 mm slices and submitted to the push-out test in a universal testing machine. The authors cataloged the data and follow through with statistical analysis based on T-test for independent samples, with a significance level of 5%. Results: There was no statistical difference in group 2. Groups 3 and 4 presented better adhesion than AH Plus cement and MTA Fillapex. There was no statistical difference between the AH Plus cement and the MTA Fillapex. Conclusion: The authors concluded that the addition of MTA in the proportion of 10% to the AH Plus does not alter its adhesive property. They also observed that when the MTA increased by 20% and 30% there was an increase in the adhesiveness of the material when submitted to the push-out test. Clinical significance: The relevance of this study refers to the MTA inducing the deposition of mineralized tissue. However, it is necessary to compare it to the AH Plus cement considered “Gold Standard” in physical-chemical properties tests.

PDF Share
  1. Bueno CES, Pelegrine RA, Silveira CFM, Bueno VCPS, Alves, Cunha VORS, Pereira GDS, Paulillo LAMS. The impact of endodontic irrigating solutions on the push-out shear bond strength of glass fiber posts luted with resin cements. General Dentistry, 2016;64(1):26-30.
  2. Reiss-Araujo C, Araújo SS, Baratto FF, Carvalho LR, Fidel SR. Comparação da infiltração apical entre os cimentos obturadores AH Plus, Sealapex, Sealer 26 e Endofill por meio da diafanização. RSBO Revista Sul-Brasileira de Odontologia, 2009;6(1):21-28.
  3. Gomes-Filho JE, Rodrigues G, Watanabe S, Bernabe PFE, Lodi CS, Gomes AC, Faria MD, Santos AD, Moraes JCS. Evaluation of the Tissue Reaction to Fast Endodontic Cement (CER) and Angelus MTA. J Endod. 2009; 35(10):1377-1380.
  4. Chang SW, Bae WJ, Lee JK Yi, S, Lee DW, Kum KY, Kim EC. Odontoblastic Differentiation, Inflammatory Response, and Angiogenic Potential of 4 Calcium Silicate–based Cements: Micromega MTA, ProRoot MTA, etroMTA, and Experimental Calcium Silicate Cement. J Endod. 2015;41(9):1524-1529.
  5. Ungor M, Onay EO, Orucoglu H. Push-out Bond strengths: the Epiphany-resilon endodontic obturation system compared with different pairings of Epiphany, Resilon, AH Plus and gutta-percha. Int Endod J. 2006;39(8):643-47.
  6. Huffman BP, Mai S, Pinna L, Weller RN, Primus CM, Gutmann Jl, et al. Dislocation resistance of ProRoot Endo Sealer, a calcium silicate-based root canal sealer, from radicular dentine. Int Endod J. 2009;42(1):34-46.
  7. Sousa-Neto, MD.; Passarinho-Neto, JG.; Carvalho-Junior, JR, Cruzfilho, AM, Pécora, JD, Saquy PC. Evaluation of the effect of EDTAC, EGTAC and CDTA on dentin adhesiveness and microleakage with root canal sealers. Braz. Dent. J., 2002, 13: 123-128.
  8. Assmann E, Scarparo RK, Bottcher DE, Grecca FS. Dentin bond strength of two mineral trioxide aggregate-based and one epoxy resin-based sealers. J Endod. 2012;38(2):219-221.
  9. NUNES, V H et al. Adhesion of Epiphany and AH Plus sealers to human root dentin treated with different solutions. Braz. Dent. J.; 2008;19(1):46-50.
  10. Casanova VS. Influence of chemical auxiliaries on the resistance to displacement of ah plus to root dentin. Federal University of Rio Grande do Sul, Faculty of Dentistry, completion work of dentistry course. Porto alegre, 2010.
  11. Mota CCBDO, Brasil CDMV, Carvalho NRD, Beatrice LCD, Teixeira HM, Nascimento ABLD, Silva CHV. Properties and biological aspects of aggregate mineral trioxide: review and literature. Rev Odontol UNESP. 2010;39(1):49-54.
  12. Chakmakchi M, Karoni C, Meliou H, Kerezoudis NP. Sealing effectiveness of white ProRoot MTA in furcation perforations. Int. Endod J. 2003; 36(12): 929-930.13. Fridland M, Rosado R. Mineral trioxide aggregate (MTA) Solubility and porosity with different water-to-powder ratios. J Endod. 2003; 29(12):814-817.
  13. Correia V. Aggregate mineral trioxide and its use in pediatric dentistry. [dissertation]. Porto. Faculty of Dental Medicine. University of Porto. 2010.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.