Shetty Shilpa, Hiremath Geeta, Yeli Mahantesh
Department Conservative Dentistry and Endodontics, Terna Dental College and Hospital, Mumbai, Maharashtra, India.
Department Conservative Dentistry and Endodontics, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India.
J Conserv Dent. 2017 Sep-Oct;20(5):307-310. doi: 10.4103/JCD.JCD_122_17.
The aim of this study was to compare and evaluate the sealing ability of four root end filling materials mineral trioxide aggregate (MTA)-Plus, Biodentine, MTA (MTA Angelus) and glass ionomer cement (GIC) using fluid filtration method.
Forty-four extracted, human single-rooted teeth were collected. The crown of each tooth was decoronated 2 mm above the cementoenamel junction. Canals were negotiated, instrumented, obturated using lateral compaction method. The access cavities were sealed with Cavit. Root end resection and apical root end cavity preparations of 4 mm were made in each specimen. The selected roots were then randomly divided into four groups ( = 11) and restored as follows. Group 1 - GIC, Group 2 - MTA (MTA Angelus), Group 3 - Biodentine, and Group 4 - MTA Plus. The apical microleakage of each specimen was assessed using fluid filtration method at 72 h, 1 month and 3 months. Microleakage in each specimen was recorded in mm (millimeter) and converted to μl/min/cm HO.
MTA Angelus showed least microleakage followed by Biodentine and MTA Plus. Least sealing ability was seen with GIC. There was statistically significant difference between all the materials at various time intervals.
MTA Angelus showed superior sealing ability as a retrograde filling material followed by Biodentine and MTA Plus.
本研究旨在采用液体过滤法比较和评估四种根尖充填材料——MTA Plus、生物陶瓷、MTA(MTA Angelus)和玻璃离子水门汀(GIC)的封闭能力。
收集44颗拔除的人单根牙。每颗牙的牙冠在牙骨质牙釉质界上方2mm处截除。根管进行疏通、预备,采用侧向加压法充填。用暂封王封闭髓腔入口。对每个标本进行根尖切除和4mm根尖根管预备。然后将所选牙根随机分为四组(每组n = 11),并按以下方式进行充填。第1组——GIC,第2组——MTA(MTA Angelus),第3组——生物陶瓷,第4组——MTA Plus。在72小时、1个月和3个月时,采用液体过滤法评估每个标本的根尖微渗漏情况。每个标本的微渗漏情况以毫米(mm)记录,并换算为微升/分钟/平方厘米水柱(μl/min/cm²H₂O)。
MTA Angelus的微渗漏最少,其次是生物陶瓷和MTA Plus。GIC的封闭能力最差。在不同时间间隔,所有材料之间均存在统计学显著差异。
MTA Angelus作为逆行充填材料表现出卓越的封闭能力,其次是生物陶瓷和MTA Plus。