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VOLUME 12 , ISSUE 3 ( May-June, 2021 ) > List of Articles

ORIGINAL RESEARCH

Comparative Evaluation of Sealing Ability of Three Materials Used in Furcal Perforation Repair (In Vitro)

Dania S Zarzour, Adnan A Habib, Mazen Doumani, Kinda Layous, Eman H Aldajani, Duaa S Alhasan, Anfal A Almarzooq

Citation Information :

DOI: 10.5005/jp-journals-10015-1821

License: CC BY-NC 4.0

Published Online: 00-06-2021

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


Abstract

Aim and objective: This study aimed to evaluate the sealing ability of EndoSequence root repair material (ERRM), mineral trioxide aggregate (MTA), and glass ionomer cement (GIC) in the repair of furcal perforation. Materials and methods: Thirty extracted mandibular molars were selected. After access cavity preparation of each molar, artificial perforation was made directly in the center of the pulp chamber floor. The teeth were randomly divided into three groups (N = 10) according to the used root repair material (RRM). The perforation sites were repaired with MTA (G1), ERRM (G2), and GIC (G3). The access opening of the teeth in all groups was filled with composite. Then, all teeth were immersed in 2% methylene blue for 24 hours and sectioned longitudinally to evaluate the maximum apical extent of dye leakage. Data were collected and analyzed statistically using ANOVA, Bonferroni, Kruskal–Wallis, and Mann–Whitney tests (p = 0.05). Results: The less mean value of dye penetration was observed with MTA followed by ERRM and GIC. There was a significant difference among RRMs in relation to dye penetration. Both MTA and ERRM were significantly better than GIC in sealing the perforation site. Conclusion: Mineral trioxide aggregate and ERRM showed a similar dye microleakage and had a better sealing ability when compared to GIC in this in vitro study. Clinical significance: This current study showed the sealing ability of MTA, ERRM, and GIC while using to seal the furcal perforation during root canal treatment.

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  1. Juárez Broon N, Bramante CM, Assis GF, et al. , Healing of root perforation treated with mineral trioxide aggregate (MTA) and Portland cement. J Appl Oral Sci 2006;14(5):305–311. DOI: 10.1590/S1678-77572006000500002.
  2. 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.
  3. Tsesis I, Fuss Z. Diagnosis and treatment of accidental root perforations. Endod Topics 2006;13(1):95–107. DOI: 10.1111/j.1601-1546.2006.00213.x.
  4. Gahanbari H, Ghoggusi J, Mohtasham N. A comparison between amalgam and MTA in repairing furcal perforations. J Dent 2008;5:115–119.
  5. Shahi S, Rahimi S, Hasan M, et al. Sealing ability of mineral trioxide aggregate and Portland cement for furcal perforation repair: A protein leakage study. J Oral Sci 2009;51(4):601–606. DOI: 10.2334/josnusd.51.601.
  6. Ingle JI. A standardized endodontic technique utilizing newly designed instruments and filling materials. Oral Surg Oral Med Oral Pathol 1961;14(1):83–91. DOI: 10.1016/0030-4220(61)90477-7.
  7. ElDeeb ME, ElDeeb M, Tabibi A, et al. An evaluation of the use of amalgam, Cavit and calcium hydroxide in the repair of furcation perforation. J Endod 1982;8(10):459–466. DOI: 10.1016/S0099-2399(82)80151-9.
  8. Bramante CM, Berbert A. Root perforations dressed with calcium hydroxide or zinc oxide and eugenol. J Endod 1987;13(8):392–395. DOI: 10.1016/S0099-2399(87)80200-5.
  9. Hartwell GR, England MC. Healing of furcation perforations in primate teeth after repair with decalcified freeze-dried bone: a longitudinal study. J Endod 1993;19(7):357–361. DOI: 10.1016/S0099-2399(06)81363-4.
  10. Weldon Jr JK, Pashley DH, Loushine RJ, et al. Sealing Ability of mineral trioxide aggregate and Super-EBA when used as furcation repair materials: a longitudinal study. J Endod 2002;28(6):467–470. DOI: 10.1097/00004770-200206000-00013.
  11. 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.
  12. Jeevani E, Jayaprakash T, Bolla N, et al. Evaluation of sealing ability of MM-MTA, Endosequence, and biodentine as furcation repair materials: UV spectrophotometric analysis. J Conserv Dent 2014;17(4):340–343. DOI: 10.4103/0972-0707.136449.
  13. Ma J, Shen Y, Stojicic S, et al. Biocompatibility of two novel root repair materials. J Endod 2011;37(6):793–798. DOI: 10.1016/j.joen.2011.02.029.
  14. Torabinejad M, Higa RK, McKendry DJ, et al. Dye leakage of four root end filling materials: effects of blood contamination. J Endod 1994;20(4):159–163. DOI: 10.1016/S0099-2399(06)80326-2.
  15. Torabinejad M, Hong CU, Pitt Ford TR, et al. Tissue reaction to implanted Super-EBA and mineral trioxide aggregate in the mandible of guinea pigs: A preliminary report. J Endod 1995;21(11):569–571. DOI: 10.1016/S0099-2399(06)80987-8.
  16. Osorio RM, Hefti A, Vertucci FJ, et al. Cytotoxicity of endodontic materials. J Endod 1998;24(2):91–96. DOI: 10.1016/S0099-2399(98)80084-8.
  17. Pitt-Ford TR, Torabinejad M, McKendry DJ, et al. Use of mineral trioxide aggregate for repair of furcal perforations. Oral Surg Oral Med Oral Pathol 1995;79(6):756–763. DOI: 10.1016/S1079-2104(05)80313-0.
  18. Holland R, Filho JA, de Souza V, et al. Mineral trioxide aggregate repair of lateral root perforations. J Endod 2001;27(4):281–284. DOI: 10.1097/00004770-200104000-00011.
  19. 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.
  20. Roda RS. Root perforation repair: surgical and nonsurgical management. Pract Proced Aesthet Dent 2001;13(6):467–472.
  21. Alanezi AZ, Jiang J, Safavi KE, et al. Cytotoxicity evaluation of endosequence root repair material. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109(3):e122–e125. DOI: 10.1016/j.tripleo.2009.11.028.
  22. Shokouhinejad N, Nekoofar MH, Razmi H, et al. Bioactivity of endosequence root repair material and bioaggregate. Int Endod J 2012;45(12):1127–1134. DOI: 10.1111/j.1365-2591.2012.02083.x.
  23. Nair U, Ghattas S, Saber M, et al. Comparative evaluation of the sealing ability of 2 root-end filling materials: An in vitro leakage study using Enterococcus faecalis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112(2):e74–e77. DOI: 10.1016/j.tripleo.2011.01.030.
  24. Escobar C, Michanowicz AE, Czonstkowsky M, et al. A comparative study between injectable low-temperature (70 degrees C) gutta-percha and silver amalgam as a retroseal. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1986;61(5):504–507. DOI: 10.1016/0030-4220(86)90395-6.
  25. Balachandran J, Gurucharan. Comparison of sealing ability of bioactive bone cement, mineral trioxide aggregate and Super EBA as furcation repair materials: A dye extraction study. J Conserv Dent 2013;16(3):247–251. DOI: 10.4103/0972-0707.111326.
  26. De-Deus G, Reis C, Brandão C, et al. The ability of Portland cement, MTA, and MTA Bio to prevent through-and-through fluid movement in repaired furcal perforations. J Endod 2007;33(11):1374–1377. DOI: 10.1016/j.joen.2007.07.024.
  27. Aggarwal V, Singla M, Miglani S, et al. Comparative evaluation of push-out bond strength of ProRoot MTA, Biodentine, and MTA Plus in furcation perforation repair. J Conserv Dent 2013;16(5):462–465. DOI: 10.4103/0972-0707.117504.
  28. Lee SJ, Monsef M, Torabinejad M. Sealing ability of a mineral trioxide aggregate for repair of lateral root perforation. J Endod 1993;19(11):541–544. DOI: 10.1016/S0099-2399(06)81282-3.
  29. Unal GC, Maden M, Isidan T. Repair of furcal iatrogenic perforation with mineral trioxide aggregate: two years follow-up of two cases. Eur J Dent 2010;4(4):475–481. DOI: 10.1055/s-0039-1697868.
  30. Nagesh B, Jeevani E, Sujana V, et al. Scanning electron microscopy (SEM) evaluation of sealing ability of MTA and EndoSequence as root-end filling materials with chitosan and carboxymethyl chitosan (CMC) as retrograde smear layer removing agents. J Conserv Dent 2016;19(2):143–146. DOI: 10.4103/0972-0707.178693.
  31. Hirschberg CS, Patel NS, Patel LM, et al. Comparison of sealing ability of MTA and EndoSequence bioceramic root repair material: a bacterial leakage study. Quintessence Int 2013;44(5):e157–e162.
  32. Lodiene G, Kleivmyr M, Bruzell E, et al. Sealing ability of mineral trioxide aggregate, glass ionomer cement and composite resin when repairing large furcal perforations. Br Dent J 2011;210(5):E7. DOI: 10.1038/sj.bdj.2011.198.
  33. Singh P, Paul J, Al-Khuraif AA, et al. Sealing ability of mineral trioxide aggregate, calcium phosphate cement, and glass ionomer cement in the repair of furcation perforations. Acta Med (Hradec Kralove) 2013;56(3):97–103. DOI: 10.14712/18059694.2014.16.
  34. Chong BS, Pitt Ford TR, Watson TF. The adaptation and sealing ability of lightcured glass ionomer retrograde root fillings. Int Endod J 1991;24(5):223–232. DOI: 10.1111/j.1365-2591.1991.tb01148.x.
  35. Himel VT, Alhadainy HA. Effect of dentin preparation and acid etching on the sealing ability of glass ionomer and composite resin when used to repair furcation perforations over plaster of Paris barriers. J Endod 1995;21(3):142–145. DOI: 10.1016/S0099-2399(06)80440-1.
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