Download PDF
CC BY-NC-ND 4.0 · Eur J Dent 2016; 10(03): 370-375
DOI: 10.4103/1305-7456.184150
Original Article
Dental Investigation Society

Evaluation of the bond strength of root-end placed mineral trioxide aggregate and Biodentine in the absence/presence of blood contamination

Huseyin Akcay
1   Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Izmir Katip Çelebi University, Izmir, Turkiye
,
Hakan Arslan
2   Department of Endodontics, Faculty of Dentistry, Ataturk University, Erzurum, Turkiye
,
Merve Akcay
3   Department of Pedodontics, Faculty of Dentistry, Izmir Katip Çelebi University, Izmir, Turkiye
,
Merve Mese
3   Department of Pedodontics, Faculty of Dentistry, Izmir Katip Çelebi University, Izmir, Turkiye
,
Naciye Nur Sahin
3   Department of Pedodontics, Faculty of Dentistry, Izmir Katip Çelebi University, Izmir, Turkiye
› Author Affiliations
Further Information

Publication History

Publication Date:
24 September 2019 (online)

  PDF Download Permissions and Reprints

ABSTRACT

Objective: Mineral trioxide aggregate (MTA) has been accepted as an appropriate root-end filling material in endodontic microsurgery because of setting ability in the wet environment. The aim of this study was to assess the bond strength of root-end placed MTA and Biodentine (Septodont, Saint Maur des Fossés, France) in the absence/presence of blood contamination. Materials and Methods: Forty-eight single-rooted maxillary incisors were used. subsequent to root-end resection and apical preparation using ultrasonic retro-tips, the specimens were randomly separated into two groups according to the root-end filling materials: MTA (Cerkamed Medical Company, Stalowa, Poland) or Biodentine. The specimens were then separated into two subgroups according to storage condition (absence/presence of blood) (n = 12). After obtaining 2.0 ± 0.1 mm slices, push-out tests were performed. Each slice was examined under a stereomicroscope to evaluate the failure mode. The data were analyzed using two-way analysis of variance and Tukey's post hoc test for multiple comparisons. The failure modes were analyzed using the Chi-square test (P = 0.05). Results: The bond strength was significantly affected by the presence of blood contamination and root-end filling material type (P < 0.001). Biodentine had better bond strength than MTA (P < 0.001). The most common failure type was adhesive failure. According to the Chi-square test, there were no statistically significant differences among the groups (P = 0.394). Conclusions: Biodentine had better bond strength values compared to MTA, and the bond strength of both MTA and Biodentine as root-end filling materials was negatively affected by the presence of blood.

Key words:

Blood - endodontics - microsurgery - mineral trioxide aggregate - tricalcium silicate
 

  • REFERENCES

  • 1 von Arx T, Jensen SS, Hänni S, Friedman S. Five-year longitudinal assessment of the prognosis of apical microsurgery. J Endod 2012; 38: 570-9
    CrossrefPubMedGoogle Scholar
  • 2 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
  • 3 Enkel B, Dupas C, Armengol V, Akpe AdouJ, Bosco J, Daculsi G. et al. Bioactive materials in endodontics. Expert Rev Med Devices 2008; 5: 475-94
    CrossrefPubMedGoogle Scholar
  • 4 Moretton TR, Brown Jr. CE, Legan JJ, Kafrawy AH. Tissue reactions after subcutaneous and intraosseous implantation of mineral trioxide aggregate and ethoxybenzoic acid cement. J Biomed Mater Res 2000; 52: 528-33
    CrossrefPubMedGoogle Scholar
  • 5 Al-Hezaimi K, Al-Shalan TA, Naghshbandi J, Simon JH, Rotstein I. MTA preparations from different origins may vary in their antimicrobial activity. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107: e85-8
    CrossrefPubMedGoogle Scholar
  • 6 Camilleri J, Kralj P, Veber M, Sinagra E. Characterization and analyses of acid-extractable and leached trace elements in dental cements. Int Endod J 2012; 45: 737-43
    CrossrefPubMedGoogle Scholar
  • 7 Koh ET, McDonald F, Pitt FordTR, Torabinejad M. Cellular response to mineral trioxide aggregate. J Endod 1998; 24: 543-7
    CrossrefPubMedGoogle Scholar
  • 8 Prado M, Simão RA, Gomes BP. Effect of different irrigation protocols on resin sealer bond strength to dentin. J Endod 2013; 39: 689-92
    CrossrefPubMedGoogle Scholar
  • 9 Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. J Endod 1999; 25: 197-205
    CrossrefPubMedGoogle Scholar
  • 10 Mitchell PJ, Pitt FordTR, Torabinejad M, McDonald F. Osteoblast biocompatibility of mineral trioxide aggregate. Biomaterials 1999; 20: 167-73
    CrossrefPubMedGoogle Scholar
  • 11 Habibi M, Ghoddusi J, Habibi A, Mohtasham N. Healing process following application of set or fresh mineral trioxide aggregate as a root-end filling material. Eur J Dent 2011; 5: 19-23
    Article in Thieme ConnectPubMedGoogle Scholar
  • 12 Saleh IM, Ruyter IE, Haapasalo MP, Orstavik D. Adhesion of endodontic sealers: Scanning electron microscopy and energy dispersive spectroscopy. J Endod 2003; 29: 595-601
    CrossrefPubMedGoogle Scholar
  • 13 Huffman BP, Mai S, Pinna L, Weller RN, Primus CM, Gutmann JL. et al. Dislocation resistance of ProRoot Endo Sealer, a calcium silicate-based root canal sealer, from radicular dentine. Int Endod J 2009; 42: 34-46
    CrossrefPubMedGoogle Scholar
  • 14 Macedo VC, Faria e SilvaAL, Martins LR. Effect of cement type, relining procedure, and length of cementation on pull-out bond strength of fiber posts. J Endod 2010; 36: 1543-6
    CrossrefPubMedGoogle Scholar
  • 15 Ebert J, Leyer A, Günther O, Lohbauer U, Petschelt A, Frankenberger R. et al. Bond strength of adhesive cements to root canal dentin tested with a novel pull-out approach. J Endod 2011; 37: 1558-61
    CrossrefPubMedGoogle Scholar
  • 16 D'Arcangelo C, Cinelli M, De Angelis F, D'Amario M. The effect of resin cement film thickness on the pullout strength of a fiber-reinforced post system. J Prosthet Dent 2007; 98: 193-8
    CrossrefPubMedGoogle Scholar
  • 17 Kremeier K, Fasen L, Klaiber B, Hofmann N. Influence of endodontic post type (glass fiber, quartz fiber or gold) and luting material on push-out bond strength to dentin in vitro . Dent Mater 2008; 24: 660-6
    CrossrefPubMedGoogle Scholar
  • 18 Ertas H, Kucukyilmaz E, Ok E, Uysal B. Push-out bond strength of different mineral trioxide aggregates. Eur J Dent 2014; 8: 348-52
    Article in Thieme ConnectPubMedGoogle Scholar
  • 19 Ari H, Yasar E, Belli S. Effects of NaOCl on bond strengths of resin cements to root canal dentin. J Endod 2003; 29: 248-51
    CrossrefPubMedGoogle Scholar
  • 20 Goracci C, Tavares AU, Fabianelli A, Monticelli F, Raffaelli O, Cardoso PC. et al. The adhesion between fiber posts and root canal walls: Comparison between microtensile and push-out bond strength measurements. Eur J Oral Sci 2004; 112: 353-61
    CrossrefPubMedGoogle Scholar
  • 21 Cekic-Nagas I, Sukuroglu E, Canay S. Does the surface treatment affect the bond strength of various fibre-post systems to resin-core materials?. J Dent 2011; 39: 171-9
    CrossrefPubMedGoogle Scholar
  • 22 Charland T, Hartwell GR, Hirschberg C, Patel R. An evaluation of setting time of mineral trioxide aggregate and EndoSequence root repair material in the presence of human blood and minimal essential media. J Endod 2013; 39: 1071-2
    CrossrefPubMedGoogle Scholar
  • 23 Torabinejad M, Higa RK, McKendry DJ, Pitt FordTR. Dye leakage of four root end filling materials: Effects of blood contamination. J Endod 1994; 20: 159-63
    CrossrefPubMedGoogle Scholar
  • 24 Rahimi S, Ghasemi N, Shahi S, Lotfi M, Froughreyhani M, Milani AS. et al. Effect of blood contamination on the retention characteristics of two endodontic biomaterials in simulated furcation perforations. J Endod 2013; 39: 697-700
    CrossrefPubMedGoogle Scholar
  • 25 Vanderweele RA, Schwartz SA, Beeson TJ. Effect of blood contamination on retention characteristics of MTA when mixed with different liquids. J Endod 2006; 32: 421-4
    CrossrefPubMedGoogle Scholar
  • 26 Nekoofar MH, Stone DF, Dummer PM. The effect of blood contamination on the compressive strength and surface microstructure of mineral trioxide aggregate. Int Endod J 2010; 43: 782-91
    CrossrefPubMedGoogle Scholar
  • 27 Kim Y, Kim S, Shin YS, Jung IY, Lee SJ. Failure of setting of mineral trioxide aggregate in the presence of fetal bovine serum and its prevention. J Endod 2012; 38: 536-40
    CrossrefPubMedGoogle Scholar
  • 28 Han L, Okiji T. Uptake of calcium and silicon released from calcium silicate-based endodontic materials into root canal dentine. Int Endod J 2011; 44: 1081-7
    CrossrefPubMedGoogle Scholar
  • 29 Laurent P, Camps J, De Méo M, Déjou J, About I. Induction of specific cell responses to a Ca (3) SiO (5)-based posterior restorative material. Dent Mater 2008; 24: 1486-94
    CrossrefPubMedGoogle Scholar
  • 30 Caron G, Azérad J, Faure MO, Machtou P, Boucher Y. Use of a new retrograde filling material (Biodentine) for endodontic surgery: Two case reports. Int J Oral Sci 2014; 6: 250-3
    CrossrefPubMedGoogle Scholar
  • 31 Aggarwal V, Singla M, Miglani S, Kohli S. Comparative evaluation of push-out bond strength of ProRoot MTA, Biodentine, and MTA Plus in furcation perforation repair. J Conserv Dent 2013; 16: 462-5
    CrossrefPubMedGoogle Scholar
  • 32 Elnaghy AM. Influence of acidic environment on properties of biodentine and white mineral trioxide aggregate: A comparative study. J Endod 2014; 40: 953-7
    CrossrefPubMedGoogle Scholar
  • 33 Centenaro CF, Santini MF, da Rosa RA, Nascimento AL, Kuga MC, Pereira JR. et al. Effect of calcium hydroxide on the bond strength of two bioactive cements and SEM evaluation of failure patterns. Scanning. 2015 doi: 10.1002/sc. [Epub ahead of print]
    PubMedGoogle Scholar
  • 34 Nagas E, Cehreli ZC, Uyanik MO, Vallittu PK, Lassila LV. Effect of several intracanal medicaments on the push-out bond strength of ProRoot MTA and Biodentine. Int Endod J 2016; 49: 184-8
    CrossrefPubMedGoogle Scholar
  • 35 Han L, Okiji T. Bioactivity evaluation of three calcium silicate-based endodontic materials. Int Endod J 2013; 46: 808-14
    CrossrefPubMedGoogle Scholar
  • 36 Camilleri J, Sorrentino F, Damidot D. Investigation of the hydration and bioactivity of radiopacified tricalcium silicate cement, Biodentine and MTA Angelus. Dent Mater 2013; 29: 580-93
    CrossrefPubMedGoogle Scholar
  • 37 Guneser MB, Akbulut MB, Eldeniz AU. Effect of various endodontic irrigants on the push-out bond strength of biodentine and conventional root perforation repair materials. J Endod 2013; 39: 380-4
    CrossrefPubMedGoogle Scholar
  • 38 Saghiri MA, Garcia-Godoy F, Gutmann JL, Lotfi M, Asatourian A, Ahmadi H. Push-out bond strength of a nano-modified mineral trioxide aggregate. Dent Traumatol 2013; 29: 323-7
    CrossrefPubMedGoogle Scholar
  • 39 Atmeh AR, Chong EZ, Richard G, Festy F, Watson TF. Dentin-cement interfacial interaction: Calcium silicates and polyalkenoates. J Dent Res 2012; 91: 454-9
    CrossrefPubMedGoogle Scholar
  • 40 Zanini M, Sautier JM, Berdal A, Simon S. Biodentine induces immortalized murine pulp cell differentiation into odontoblast-like cells and stimulates biomineralization. J Endod 2012; 38: 1220-6
    CrossrefPubMedGoogle Scholar