Ex vivo analysis of marginal apical sealing ability of a mta Fillapex®
DOI:
https://doi.org/10.15448/1980-6523.2015.1.16456Keywords:
Dental cements, Root canal obturation, Root canal therapyAbstract
Objective: The present ex vivo study aimed to assess the apical sealing ability of the endodontic sealer MTA FILLAPEX® compared to Sealapex, Pulp Canal Sealer, and AH26.
Methods: The ability to prevent leakage of a culture of Enterococcus faecalis through the root canal obturation was assessed. Forty-eight single-rooted teeth that had been extracted from humans were used. Following instrumentation and obturation using the warm gutta-percha vertical condensation technique, the teeth were allocated into one of four experimental groups (n=10), a positive control group (n=4), or a negative control group (n=4). The microbial inoculation was performed every three days over 60 days. The data were tabulated and subjected to statistical survival analysis, whereby the performance of the four investigated sealers was compared using the log-rank test.
Results: The results revealed that all of the samples in the group in which MTA FILLAPEX® was used exhibited leakage. Sealapex and Pulp Canal Sealer exhibited leakage in 90 and 80% of the samples, respectively. The sealer AH26 was significantly superior in delaying leakage, although 30% of the samples exhibited leakage.
Conclusion: MTA FILLAPEX® permitted the most Enterococcus faecalis leakage compared to the other investigated sealers.
References
Saunders W, Saunders E. Coronal leakage as a cause of failure in rootcanal therapy: a review. Endod Dent Traumatol. 1994; 10:105-8.
Schilder H. Cleaning and shapping the root canal. Dent Clin North Am. 1974; 18:269-96.
Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. J Endod. 1999; 26:197-205.
Camilleri, J. Hydration mechanisms of mineral trioxide aggregate. Int Endod J. 2007; 40:462-70.
Camilleri, J. Characterization of hydration products of mineral trioxide aggregate. Int Endod J. 2008; 41:408-17.
Valadares MAA, Soares JA, Nogueira C C, Cortes MIS, Leite MEA, Nunes E. et al. The efficacy of a cervical barrier in preventing microleakage of Enterococcus faecalis in endodontically teeth. Gen Dent. 2011; 59:e32-7.
Kokkas AB, Boutsioukis ACH,Vassiliadis LP, Stavrianos CK. The influence of the smear layer on dentinal tubule penetration depth by three different root canal sealers: an in vitro study. J Endod. 2004; 30:100-2.
Dultra F, Barroso JM, Carrasco LD, Capelli A, Guerisoli DMZ, Pecora JD. Evaluation of apical microleakage of teeth sealed with four differents root canal sealers. J Appl Oral Sci. 2006;14:341-5.
Camps J, Pashley D. Reability of the dye penetration studies. J Endod. 2003; 29:592-4.
Torabinejad M, Ung B, Kettering JD. In vitro bacterial penetration of coronally unsealed endodontically treated teeth. J Endod. 1990; 16:566-9 .
Chailertvanitkul P, Saunders WP, Mackenzie D. Coronal leakage of obturated root canals after long-term storage using a polymicrobial marker. J Endod. 1997; 23: 610-3.
Pisano DM, Difiori PM, Mcclanahan SB, Lautenschlager EP, Ducan JL. Intraorifice sealing of gutta-percha obturated root Canals to prevent coronal microleakage. J Endod. 1998; 24: 659-62.
Wolcott JF, Hicks ML, Himel VT. Evaluation of pigmented intraorifice barrires in endodontically treated teeth. J Endod. 1999; 25: 589-92.
Nup C, Boylan R, Ippolito G, Ahn SH, Erakin C, Rosenberg PA. An evaluation of resin-ionomers to prevent coronal microleakage in endodontically treated teeth. The J Clin Dent. 2000; 11: 16-9.
Siqueira Júnior JF, Roças IN, Favieri A, Abadi EC, Castro AJR, Gayva SM. Bacterial leakage in coronal unsealed root canals obturated with 3 different techniques. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90:647-50.
Wolanek GA, Loushine RJ, Weller RN, Kimbrough WF, Volkmann KR. In vitro bacterial penetration of endodoncally treated teeth coronally sealed with a dentin bonding agent. J Endod. 2001;27:354-7.
Tselnik M, Baumgartner JC, Marshall JG. Bacterial leakeage with mineral trioxide aggregate or a resin-modified glass ionomer used as a coronal
barrier. J Endod. 2004;30:782-4.
Chailertvanitkul P, Saunders WP, Mackenzie D, Weetman DA. An in vitro
study of the coronal leakage of two root canal sealers using an obligate
anaerobe microbial marker. Int Endod J. 1996;29:249-55.
Sunde PT, Olsen I, Debelian GJ, Tronstad L. Microbiota of Periapical Lesions Refractory to Endodontic Therapy. J Endod. 2002;28:304-10.
Abid V, Spratt D, Gulabivala K, Y.-L Ng. Cultivable microbial flora associated with persistent periapical disease and coronal leakage after root canal treatment: a preliminary study. Int Endod J. 2004;37:542-51.
Saleh IM, Ruyter IE, Haapasalo M, Orstavik D. Survival of Enterococcus faecalis in infected dentinal tubules after root canal filling with different root canal sealers in vitro. Int Endod J. 2004;37:193-8.
Grecca FS, Rosa AR, Gomes, MS, Parolo, CF, Bemfica JR, Frasca LC. et al. Effect of timing and method of post space preparation on sealing ability of remaining root filling material: in vitro microbiological study. J Can Dent Assoc. 2009;5:583.
Almeida J, Gomes BP, Ferraz CC, Souza-Filho FJ, Zaia AA. Filling of artificial lateral canals and microleakage and flow of five endodontic sealers. Int Endod J. 2007;40:692-9.
Bodrumlu E, Tunga U. The apical sealing ability of a new root canal filling material. Am J Dent. 2007;20:295-8.
De Moor RJ, De Bruyne MA. The long-term sealing ability of AH 26 and AH plus used with three gutta-percha obturation techniques. Quintessence Int. 2004;35:326-31.
Downloads
Published
Issue
Section
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.