Analysis of the sealing ability of Portland cement and mineral trioxide aggregate in molars furcation perforations

Authors

  • José Umberto Bampa University Center of the Educational Foundation of Barretos
  • Fabiane Oliveira Lima Gianoto University Center of the Educational Foundation of Barretos
  • Maria José Pereira de Almeida University Center of the Educational Foundation of Barretos
  • Devanir de Araújo Cervi University Center of the Educational Foundation of Barretos, São Paulo, Brazil.
  • Devanir de Araújo Cervi University Center of the Educational Foundation of Barretos
  • Fabiano de Sant’Ana dos Santos University Center of the Educational Foundation of Barretos

DOI:

https://doi.org/10.15448/1980-6523.2015.3.14146

Keywords:

Furcation defects, Dental leakage, Endodontics, Dental materials

Abstract

Objective: To analyze the sealing ability of Mineral Trioxide Aggregate (MTA) and Portland Cement (PC) in furcation perforations of human molars through three techniques.
Methods: Ninety upper and lower extracted human molars with formed roots and not fused were selected. Perforations were performed on the floors of pulpal chambers by means of spherical burs. Specimens were randomly divided into two experimental groups of forty-five teeth each, using PC for Group I and white MTA for Group II. Group I was divided into 3 subgroups, called IA, IB, IC with fifteen samples each. Group II was also divided into 3 subgroups, called IIA, IIB, IIC with fifteen samples each. The checks of infiltration were carried out through a stereoscope with 5X magnification. The Kruskall-Wallis and Mann-Whitney tests were used for statistical analysis.
Results: The use of MTA and PC inserted by three different techniques did not prevent the occurrence of leakage into furcation of extracted human molars. It is also clear that the CP accommodated in furcation perforations through ultrasound had better performance.
Conclusion: Further studies should be carried out to improve the performance of the sealing material for application in critical dental regions.

Author Biographies

José Umberto Bampa, University Center of the Educational Foundation of Barretos

Professor of the Specialization Course in Endodontics, University Center of the Educational Foundation of Barretos, São Paulo, Brazil.

Fabiane Oliveira Lima Gianoto, University Center of the Educational Foundation of Barretos

Specialist in Endodontics at the University Center of the Educational Foundation of Barretos, São Paulo, Brazil.

Maria José Pereira de Almeida, University Center of the Educational Foundation of Barretos

Professor of the Specialization Course in Endodontics, University Center of the Educational Foundation of Barretos, São Paulo, Brazil.

Devanir de Araújo Cervi, University Center of the Educational Foundation of Barretos, São Paulo, Brazil.

Professor of the Specialization Course in Endodontics, University Center of the Educational Foundation of Barretos, São Paulo, Brazil.

References

Farzaneh M, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto study – phases I and II: Orthograde retreatment. J Endod. 2004;30:627-33.

Torabinejad M, Hong CU, McDonald F, Pitt Ford TR. Physical and chemical properties of a new root-end filling material. J Endod. 1995;21:349-53.

Torabinejad M, Watson TF, Pitt Ford TR. Sealing ability of a mineral trioxide aggregate when used as a root end filling material. J Endod. 1993;19: 591-5.

Estrela C, Bammann LL, Estrela CR, Silva RS, Pécora JD. Antimicrobial and chemical study of MTA, Portland cement, calcium hydroxide paste, Sealapex and Dycal. Braz Dent J. 2000;11:3-9.

Santos FS, Bampa JU, Bampa GBT, Silva RF, Pereira AM, Scannavino FLF, Martins AT. Reparação de lesão periapical por meio da utilização do agregado de trióxido mineral. Relato de caso. Rev Ciênc Cult. 2008; 3:71-6.

Pace R, Giuliani V and Pagavino G (2008). Mineral trioxide aggregate as repair material for furcal perforation: case series. J Endod. 34:1130-3.

Pereira MV, Leonardi DP, Baratto Filho F, Tomazinho FSF, Anele J, Marques da Silva B, et al. Capacidade seladora do agregado de trióxido mineral em perfurações de furca após irrigação final com diferentes soluções. Rev Inst Ciênc Saúde. 2009;27:269-72.

Cogo DM, Vanni JR, Reginatto T, Fornari V, Baratto Filho F. Materiais utilizados no tratamento das perfurações endodônticas. RSBO. 2009;6:195-203.

Main C, Mirzayan N, Shabahang S, Torabinejad M. Repair of root perforations using mineral trioxide aggregate: a long-term study. J Endod. 2004;30:80-3.

Cervi DA, Santos FS, Bampa JU, Almeida MJP, Bampa GBT, Fonseca NS. Avaliação in vitro da infiltração marginal em perfurações de furcas de molares humanos e o cimento de Portland e agregado trióxido mineral. Rev Ciênc Cult. 2012;8(1):87-94.

Belardinelli B, Lemos EM, Shimabuko DM. In vitro evaluation of the sealing in furcal perforation using mineral trioxide aggregate and composite resin. Rev Odontol Univ Cidad S Paul. 2007;19:250-6.

Oliveira TM, Sakai VT, Silva TC, Santos CF, Machado MA, Abdo RC. Repair of furcal perforation treated with mineral trioxide aggregate in a primary molar tooth: 20-month follow-up. J Dent Child. 2008;75:188-91.

Unal GC, Maden M, Isidan T. Repair of furcal iatrogenic perforation with mineral trioxide aggregate: two years follow-up of fwo cases. Eur J Dent. 2010;4:475-81.

De-Deus G, Petruccelli V, Gurgel-Filho E, Coutinho-Filho T. MTA versus Portland cement as repair material for furcal perforations: a laboratory study using a polymicrobial leakage model. Int Endod J. 2006;39:293-8.

Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review-Part I: chemical, physical, and antibacterial properties. J Endod. 2010;36:16-27.

Daoudi MF, Saunders WP. In vitro evaluation of furcal perforation repair using mineral trioxide aggregate or resin modifield glass ionomer cement with and without the use of the operating microscope. J Endod. 2002;28:512-5.

Juárez Broon N, Bramante CM, Assis JF, Bortoluzzi EA, Bernardineli N, Moraes IG, et al. Healing of root perfurations treated with mineral trioxide aggregate (MTA) e Portland ciment. J Appl Oral Sci. 2006;14: 305-11.

Moraes HS. Aplicação clínica do cimento de Portland no tratamento de perfurações de furca. JBC. 2002;6:223-6.

Santos FS, Silva RF, Bampa JU, Martins AT, Scannavino FLF. Apicectomia seguida de obturação retrógrada com cimento de Portland. Casos clínicos. Rev ABO Nac. 2011;19:281-4.

Santos FS. Clinical application of Portland cement. Dental Press Endod. 2012;2:59-62.

Downloads

Published

2015-09-01

Issue

Vol. 30 No. 3 (2015)

Section

Original Article

License

COPYRIGHT
The submission of originals to Odonto Ciência implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Odonto Ciência as the site of original publication.

CREATIVE COMMONS LICENSE
As this journal is open access, the articles are allowed free use in scientific and educational applications, with citation of the source.
According to the type of Creative Commons License (CC-BY 4.0) adopted by Odonto Ciência, the user must respect the requirements below.

You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.

However, only under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests Odonto Ciência endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.

For more details on the Creative Commons license, please follow the link in the footer of this website.