PDF herunterladen
CC BY-NC-ND 4.0 · Eur J Dent 2016; 10(02): 188-192
DOI: 10.4103/1305-7456.178301
Original Article
Dental Investigation Society

Fracture resistance of simulated immature teeth after apexification with calcium silicate-based materials

Evren Ok
1   Department of Endodontics, Faculty of Dentistry, Sifa University, Izmir, Turkiye
,
Mustafa Altunsoy
2   Department of Pedodontics, Faculty of Dentistry, Sifa University, Izmir, Turkiye
,
Mehmet Tanriver
2   Department of Pedodontics, Faculty of Dentistry, Sifa University, Izmir, Turkiye
,
Ismail Davut Capar
3   Department of Endodontics, Faculty of Dentistry, Izmir Katip Celebi University, Izmir, Turkiye
,
Abdussamed Kalkan
1   Department of Endodontics, Faculty of Dentistry, Sifa University, Izmir, Turkiye
,
Tuba Gok
3   Department of Endodontics, Faculty of Dentistry, Izmir Katip Celebi University, Izmir, Turkiye
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
23. September 2019 (online)

Auch verfügbar auf
  als PDF herunterladen Lizenzen und Reprints

ABSTRACT

Objective: To compare the fracture resistance of simulated immature teeth filled with an apical barrier of mineral trioxide aggregate (MTA), Biodentine, and calcium-enriched mixture (CEM). Materials and Methods: Fifty-two single-rooted human maxillary central incisors were used. For standardization, the teeth were sectioned 6 mm above and 9 mm below the cementoenamel junction to simulate immature apex. Simulations of roots into immature apices were carried out using 1.5 mm diameter drills. The specimens were then randomly divided into three experimental groups (n = 13) and one control group (n = 13). In experimental groups, MTA, Biodentine, and CEM were placed to apical 4 mm of the simulated immature roots. The samples were stored at 37°C and 100% humidity for 1 week. A load was applied on the crown of all teeth at 135° to their long axis until fracture. The data were analyzed using one-way analysis of variance and Tukey post-hoc tests. Results: No statistically significant differences were found among MTA, CEM, and Biodentine (P > 0.05), and these groups demonstrated higher fracture resistance than control group (P < 0.05). Conclusions: Using any of the MTA, Biodentine, and CEM as an apical plug and restoring with fiber post and composite resin increases the fracture resistance of immature teeth.

Key words:

Biodentine - calcium-enriched mixture - immature teeth - mineral trioxide aggregate - vertical root fracture
 

  • REFERENCES

  • 1 Ravn JJ. Dental injuries in Copenhagen schoolchildren, school years 1967-1972. Community Dent Oral Epidemiol 1974; 2: 231-45
    CrossrefPubMedGoogle Scholar
  • 2 Bortoluzzi EA, Souza EM, Reis JM, Esberard RM, Tanomaru-Filho M. Fracture strength of bovine incisors after intra-radicular treatment with MTA in an experimental immature tooth model. Int Endod J 2007; 40: 684-91
    CrossrefPubMedGoogle Scholar
  • 3 Hemalatha H, Sandeep M, Kulkarni S, Yakub SS. Evaluation of fracture resistance in simulated immature teeth using Resilon and Ribbond as root reinforcements – An in vitro study. Dent Traumatol 2009; 25: 433-8
    CrossrefPubMedGoogle Scholar
  • 4 Cvek M. Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. A retrospective clinical study. Endod Dent Traumatol 1992; 8: 45-55
    CrossrefPubMedGoogle Scholar
  • 5 Kontakiotis E, Nakou M, Georgopoulou M. In vitro study of the indirect action of calcium hydroxide on the anaerobic flora of the root canal. Int Endod J 1995; 28: 285-9
    CrossrefPubMedGoogle Scholar
  • 6 Mohammadi Z, Dummer PM. Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int Endod J 2011; 44: 697-730
    CrossrefPubMedGoogle Scholar
  • 7 Andreasen JO, Farik B, Munksgaard EC. Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Traumatol 2002; 18: 134-7
    CrossrefPubMedGoogle Scholar
  • 8 Fuss Z, Lustig J, Katz A, Tamse A. An evaluation of endodontically treated vertical root fractured teeth: Impact of operative procedures. J Endod 2001; 27: 46-8
    CrossrefPubMedGoogle Scholar
  • 9 Torabinejad M, Pitt FordTR, McKendry DJ, Abedi HR, Miller DA, Kariyawasam SP. Histologic assessment of mineral trioxide aggregate as a root-end filling in monkeys. J Endod 1997; 23: 225-8
    CrossrefPubMedGoogle Scholar
  • 10 Torabinejad M. Clinical applications of mineral trioxide aggregate. Alpha Omegan 2004; 97: 23-31
    PubMedGoogle Scholar
  • 11 Lee SJ, Monsef M, Torabinejad M. Sealing ability of a mineral trioxide aggregate for repair of lateral root perforations. J Endod 1993; 19: 541-4
    CrossrefPubMedGoogle Scholar
  • 12 Parirokh M, Torabinejad M. Mineral trioxide aggregate: A comprehensive literature review – Part I: Chemical, physical, and antibacterial properties. J Endod 2010; 36: 16-27
    CrossrefPubMedGoogle Scholar
  • 13 Fridland M, Rosado R. MTA solubility: A long term study. J Endod 2005; 31: 376-9
    CrossrefPubMedGoogle Scholar
  • 14 Parirokh M, Torabinejad M. Mineral trioxide aggregate: A comprehensive literature review – Part III: Clinical applications, drawbacks, and mechanism of action. J Endod 2010; 36: 400-13
    CrossrefPubMedGoogle Scholar
  • 15 White JD, Lacefield WR, Chavers LS, Eleazer PD. The effect of three commonly used endodontic materials on the strength and hardness of root dentin. J Endod 2002; 28: 828-30
    CrossrefPubMedGoogle Scholar
  • 16 Koubi G, Colon P, Franquin JC, Hartmann A, Richard G, Faure MO. et al. Clinical evaluation of the performance and safety of a new dentine substitute, Biodentine, in the restoration of posterior teeth – A prospective study. Clin Oral Investig 2013; 17: 243-9
    CrossrefPubMedGoogle Scholar
  • 17 Laurent P, Camps J, About I. Biodentine (TM) induces TGF-ß1 release from human pulp cells and early dental pulp mineralization. Int Endod J 2012; 45: 439-48
    CrossrefPubMedGoogle Scholar
  • 18 Asgary S, Shahabi S, Jafarzadeh T, Amini S, Kheirieh S. The properties of a new endodontic material. J Endod 2008; 34: 990-3
    CrossrefPubMedGoogle Scholar
  • 19 Asgary S, Eghbal MJ, Parirokh M, Ghoddusi J, Kheirieh S, Brink F. Comparison of mineral trioxide aggregate's composition with Portland cements and a new endodontic cement. J Endod 2009; 35: 243-50
    CrossrefPubMedGoogle Scholar
  • 20 Tuna EB, Dinçol ME, Gençay K, Aktören O. Fracture resistance of immature teeth filled with BioAggregate, mineral trioxide aggregate and calcium hydroxide. Dent Traumatol 2011; 27: 174-8
    CrossrefPubMedGoogle Scholar
  • 21 Katebzadeh N, Dalton BC, Trope M. Strengthening immature teeth during and after apexification. J Endod 1998; 24: 256-9
    CrossrefPubMedGoogle Scholar
  • 22 Nur BG, Ok E, Altunsoy M, Tanriver M, Capar ID. Fracture strength of roots instrumented with three different single file systems in curved root canals. Eur J Dent 2015; 9: 189-93
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 23 Brito-Júnior M, Pereira RD, Veríssimo C, Soares CJ, Faria-e-Silva AL, Camilo CC. et al. Fracture resistance and stress distribution of simulated immature teeth after apexification with mineral trioxide aggregate. Int Endod J 2014; 47: 958-66
    CrossrefPubMedGoogle Scholar
  • 24 Soares CJ, Pizi EC, Fonseca RB, Martins LR. Influence of root embedment material and periodontal ligament simulation on fracture resistance tests. Braz Oral Res 2005; 19: 11-6
    CrossrefPubMedGoogle Scholar
  • 25 Lawley GR, Schindler WG, Walker 3rd WA, Kolodrubetz D. Evaluation of ultrasonically placed MTA and fracture resistance with intracanal composite resin in a model of apexification. J Endod 2004; 30: 167-72
    CrossrefPubMedGoogle Scholar
  • 26 Wilkinson KL, Beeson TJ, Kirkpatrick TC. Fracture resistance of simulated immature teeth filled with resilon, gutta-percha, or composite. J Endod 2007; 33: 480-3
    CrossrefPubMedGoogle Scholar
  • 27 Cauwels RG, Pieters IY, Martens LC, Verbeeck RM. Fracture resistance and reinforcement of immature roots with gutta percha, mineral trioxide aggregate and calcium phosphate bone cement: A standardized in vitro model. Dent Traumatol 2010; 26: 137-42
    CrossrefPubMedGoogle Scholar
  • 28 Grech L, Mallia B, Camilleri J. Investigation of the physical properties of tricalcium silicate cement-based root-end filling materials. Dent Mater 2013; 29: e20-8
    PubMedGoogle Scholar
  • 29 Torabinejad M, Hong CU, McDonald F, Pitt FordTR. Physical and chemical properties of a new root-end filling material. J Endod 1995; 21: 349-53
    CrossrefPubMedGoogle Scholar
  • 30 Chng HK, Islam I, Yap AU, Tong YW, Koh ET. Properties of a new root-end filling material. J Endod 2005; 31: 665-8
    CrossrefPubMedGoogle Scholar
  • 31 El-Ma'aita AM, Qualtrough AJ, Watts DC. The effect of smear layer on the push-out bond strength of root canal calcium silicate cements. Dent Mater 2013; 29: 797-803
    CrossrefPubMedGoogle Scholar