World Journal of Dentistry

Register      Login

VOLUME 10 , ISSUE 5 ( September-October, 2019 ) > List of Articles

ORIGINAL RESEARCH

Sealing Ability of Two Different Furcal Perforation Repair Materials with and without Internal Matrix: An In Vitro Study

Pooja Keshrani, Nimisha Shah, Nishtha Patel, Kamal Bagda, Payal Patel

Keywords : Furcation perforation, ProGide, ProRoot MTA

Citation Information : Keshrani P, Shah N, Patel N, Bagda K, Patel P. Sealing Ability of Two Different Furcal Perforation Repair Materials with and without Internal Matrix: An In Vitro Study. World J Dent 2019; 10 (5):359-363.

DOI: 10.5005/jp-journals-10015-1657

License: CC BY-NC 4.0

Published Online: 01-06-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Aim: To evaluate the sealing ability of mineral trioxide aggregate (MTA) and resin-modified glass ionomer cement (RMGIC) to seal the furcal perforation with and without internal matrix. Materials and methods: Sixty freshly extracted intact human permanent mandibular molars were selected. After creating furcal perforation, the teeth were randomly divided into four experimental groups containing 15 teeth each according to the furcal perforation repair materials used. Group I—RMGIC without internal matrix. Group II—RMGIC with internal matrix. Group III—MTA without internal matrix. Group IV—MTA with internal matrix. To evaluate the sealing ability of furcal perforation, dye extraction method was performed using 2% methylene blue dye and 65% concentrated nitric acid. Spectrophotometer was used for measuring dye absorbance at 550 nm. Results: Group I (RMGIC without internal matrix) showed highest microleakage followed by group II (RMGIC with internal matrix), group III (MTA without internal matrix), and group IV (MTA with internal matrix). There was a significant difference found between group I and group II, but there was no significant difference seen between group III and group IV. Conclusion: Mineral trioxide aggregate has excellent sealing ability and can be used with and without internal matrix in repair of furcation perforation. Resin-modified glass ionomer cement should be used with internal matrix to repair furcation perforations. Clinical significance: Mineral trioxide aggregate with and without internal matrix whereas RMGIC with internal matrix have been successfully used in repair of furcation perforation.


PDF Share
  1. Ingle JI, Bakland KI. Endodontics, 5th ed, London: BC Decker Inc.; 2002.
  2. Saini D, Saini R. Accidents in endodontics: a case report. J Nep Dent Assoc 2009;10(1):61–64.
  3. Lsmann MH. Mechanical preparation of root canals: shaping goals, techniques and means. Endod Topics 2005;12(1):52–70. DOI: 10.1111/j.1601-1546.2005.00194.x.
  4. Ford TR, Torabinejad M, McKendry DJ, et al. Use of mineral trioxide aggregate for repair of furcal perforations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;79(6):756–762. DOI: 10.1016/S1079-2104(05)80313-0.
  5. Snyder WR, Hoover J, Khoury J, et al. Effect of agents used in perforation repair on osteoblastic cells. J Endod 1997;23(3):158–161. DOI: 10.1016/S0099-2399(97)80266-X.
  6. Fuss Z, Trope M. Root perforations: classification and treatment choices based on prognostic factors. Endod Dent Traumatol 1996;12(6):255–264. DOI: 10.1111/j.1600-9657.1996.tb00524.x.
  7. Louise H, Scott L, et al. American association of endodontists, glossary of endodontic terms, 7th ed., Chicago, IL; 2003.
  8. Cauder T, Shin S. Repair of perforations with MTA: clinical applications and mechanisms of action. Endod Topics 2009;15(1):32–55. DOI: 10.1111/j.1601-1546.2009.00242.x.
  9. Grossman LI, Oliet S, Del CE. Endodontic practice, 11th ed., 1988.
  10. Sinai IH. Endodontic perforations: their prognosis and treatment. J Am Dent Assoc 1977;95(1):90–95. DOI: 10.14219/jada.archive.1977.0531.
  11. Eldeeb ME, Eldeeb M, Tabibi A, et al. An evaluation of the use of amalgam, cavit and calcium hydroxide in the repair of furcation perforations. J Endod 1982;8(10):459–466. DOI: 10.1016/S0099-2399(82)80151-9.
  12. Aguirre R, Eldeeb ME. Evaluation of the repair of mechanical furcation perforations using amalgam, gutta-percha or indium foil. J Endod 1986;12(6):249–256. DOI: 10.1016/S0099-2399(86)80256-4.
  13. Ruddle JC. Nonsurical endodontic treatment. In Cohen S, Burns RC, ed. Pathways of the pulp, 8th ed. St Louis: Mosby Inc.; 2002. p. 919.
  14. Alhadainy HA, Abdalla AI. Artificial floor technique used for the repair of furcation perforations: a microleakage study. J Endod 1998;24(1):33–35. DOI: 10.1016/S0099-2399(98)80209-4.
  15. Torabinejad M, Hong CU, Mcdonald F, et al. Physical and chemical properties of a new root end fillin material. J Endod 1995;21(7):349–353. DOI: 10.1016/S0099-2399(06)80967-2.
  16. Daoudi MF, Saunders WP. In vitro evaluation of furcal perforation repair using MTA or RMIC with and without the use of operating microscope. J Endod 2002;28(7):512–515. DOI: 10.1097/00004770-200207000-00006.
  17. Lemon RR. Nonsurgical repair of furcation defects (internal matrix concept). Dent Clin North Am 1992;36(2):439–457.
  18. Kvinnsland I, Oswald RJ, Hasle A, et al. A clinical roentgenological study of 55 cases of root perforation. Int Endod J 1989;22(2):75–84. DOI: 10.1111/j.1365-2591.1989.tb00509.x.
  19. Lee YL, Lee BS, Lin FH, et al. Effects of physiological environments on the hydration behavior of mineral trioxide aggregate. Biomaterials 2004;25(5):787–793. DOI: 10.1016/S0142-9612(03)00591-X.
  20. Nishtha P, Kiran P, Suheel MB, et al. Comparing gray and white mineral trioxide aggregate as a repair material for furcation perforation: an in vitro dye extraction study. J Clin Diagn Res 2014;8(10):ZC70–ZC73. DOI: 10.7860/JCDR/2014/9517.5046.
  21. Camilleri J, Motesin FE, Papaioannou S, et al. Biocompatibility of two commercial forms of mineral trioxide sggregate. Int Endod J 2004;37(10):699–704. DOI: 10.1111/j.1365-2591.2004.00859.x.
  22. Hashem AA, Hassanien EE. ProRoot MTA, MTA angelus and IRM used to repair large furcation perforations: sealability study. J Endod 2008;34(1):59–61. DOI: 10.1016/j.joen.2007.09.007.
  23. Taylor MJ, Lynch E. Review microleakage. J Dent 1992;20(1):3–10. DOI: 10.1016/0300-5712(92)90002-T.
  24. www.Spectrophotometer.com accessed on 5/01/2010, 8:15 pm.
  25. Krupalini KS, Udayakumar, Jayalakshmi KB. A comparative evaluation of medicated calcium sulphate, hydroxylapatite, mineral trioxide aggregate as barrier and their effect on the sealing ability of furcation perforation repair material – an in vitro study. Int J Dent Res 2003;14(3):156–161.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.