Evaluation and comparison of microleakage of CEM cement apical plug in three different media

Document Type : Original Article

Authors

1 Assistant Professor, Department of Endodontics, Dental Faculty, ShahidSadoughiuniversity of medical sciences. Yazd, Iran

2 Assistant, Department of Pediatric Dentistry, Dental Faculty, ShahidSadoughi University of medical sciences. Yazd, Iran

Abstract

Objective:
Proper seal is needed for successful endodontic treatments such as apical plug treatment. Some of studies have been shown that tissue fluid can affect the sealing ability adversely. The purpose of this study was to evaluate the sealing ability of CEM cement apical plug in dry, blood contaminated and saliva contaminated canals.
Methods and materials:
70 single root and single canal extracted human teeth were decornated from CEJ. preparation of apical area were done up to #40 K-file using step back method and coronal area was enlarged up to #80 k-File.
After open apex condition reconstruction and creation of dry, blood contaminated and saliva contaminated canal condition, CEM cement apical plug was inserted into the canal. After full setting of CEM cement, the remnant of canal space was obturated using gutta percha and AH26 sealer. Microleaksge value was evaluated with fluid filtration method and data were analyzed using and kruskalwalis and Mann-whitney tests.
Results:
Based on our data, the microleakage value was 26.96, 44.36 and 27.00 in dry, blood contaminated and saliva contaminated canal, respectively. The micro leakage value in blood contaminated condition was significant lesser than dry and saliva contaminated condition ( P-value= 0.000)
Conclusion:
It seems that however, sealing ability of CEM cement reduce in blood contaminated condition; but dose not affected by saliva contamination. Of course, more invitro and animal study are recommended to confirm these results.

Keywords

References

1-Corbella S, Ferrara G, El Kabbaney A, Taschieri S. Apexification, apexogenesis and regenerative endodontic procedures: a review of the literature. Minerva stomatologica. 2014;63(11-12):375-89. Epub 2014/12/17.
2-Cohem S HK E. Pathways of  the pulp 10th EditionSt Louis : Mosby ; 2010:P.847.
3-Rosenberg B, Murray PE, Namerow K. The effect of calcium hydroxide root filling on dentin fracture strength. Dental traumatology : official publication of International Association for Dental Traumatology. 2007;2.9-26:(1) Epub 2007/01/18.
4-Simon S, Rilliard F, Berdal A, Machtou P. The use of mineral trioxide aggregate in one-visit apexification treatment: a prospective study. International endodontic journal. 2007;40(3):186-97. Epub 2007/02/20.
5-Walton RE TM. Management of incompletely formed roots. 3rd ed: Philadelphia:WB Saunders; 2002.
6-Morse DR, O'Larnic J, Yesilsoy C. Apexification: review of the literature. Quintessence international (Berlin, Germany : 1985). 1990;21(7):589-98. Epub 1990/07/01.
7-Silva RV, Silveira FF, Nunes E. Apexification in non-vital teeth with immature roots: report of two cases. Iranian endodontic journal. 2015;10(1):79-81. Epub 2015/01/20.
8-Camp JH. Diagnosis dilemmas in vital pulp therapy: treatment for the toothache is changing, especially in young, immature teeth. Pediatric dentistry. 2008;30(3):197-205. Epub 2008/07/12.
9-Moazami F MF, Sahebi F. Apical Microleakage of Obturated Canals with Apical Plug and Customized ConeTechniques in Open Apices Models. Shiraz Univ Dent J 2007; 15(2): 10-20
10-Chala S, Abouqal R, Rida S. Apexification of immature teeth with calcium hydroxide or mineral trioxide aggregate: systematic review and meta-analysis. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2011;112(4):e36-42. Epub 2011/07/23.
11-Torabinejad M, Hong CU, McDonald F, Pitt Ford TR. Physical and chemical properties of a new root-end filling material. Journal of endodontics. 1995;21(7):349-53. Epub 1995/07/01.
12-Asgary S, Eghbal MJ, Parirokh M. Sealing ability of a novel endodontic cement as a root-end filling material. Journal of biomedical materials research Part A. 2008;87(3):706-9. Epub 2008/01/18.
13-Ghoddusi J, Tavakkol Afshari J, Donyavi Z, Brook A, Disfani R, Esmaeelzadeh M. Cytotoxic effect of a new endodontic cement and mineral trioxide aggregate on L929 line culture. Iranian endodontic journal. 2008;3(2):17-23. Epub 2008/04/01.
14-Asgary S, Moosavi SH, Yadegari Z, Shahriari S. Cytotoxic effect of MTA and CEM cement in human gingival fibroblast cells. Scanning electronic microscope evaluation. The New York state dental journal. 2012;78(2):51-4. Epub 2012/06/13.
15-de Chevigny C, Dao TT, Basrani BR, Marquis V, Farzaneh M, Abitbol S, et al. Treatment outcome in endodontics: the Toronto study--phases 3 and 4: orthograde retreatment. Journal of endodontics. 2008;34(2):131-7. Epub 2008/01/25.
16-Zmener O, Pameijer CH, Serrano SA, Vidueira M, Macchi RL. Significance of moist root canal dentin with the use of methacrylate-based endodontic sealers: an in vitro coronal dye leakage study. Journal of endodontics. 2008;34(1):76-9. Epub 2007/12/25.
17-Kuhre AN, Kessler JR. Effect of moisture on the apical seal of laterally condensed gutta-percha. Journal of endodontics. 1993;19(6):277-80. Epub 1993/06/01.
18-Torabinejad M, Higa RK, McKendry DJ, Pitt Ford TR. Dye leakage of four root end filling materials: effects of blood contamination. Journal of endodontics. 1994;20(4):159-63. Epub 1994/04/01.
19-Moradi S, Lomee M, Gharechahi M. Comparison of fluid filtration and bacterial leakage techniques for evaluation of microleakage in endodontics. Dental research journal. 2015;12(2):109-14. Epub 2015/04/17.
20-Hasheminia M, Loriaei Nejad S, Asgary S. Sealing Ability of MTA and CEM Cement as Root-End Fillings of Human Teeth in Dry, Saliva or Blood-Contaminated Conditions. Iranian endodontic journal. 2010;5(4):151-6. Epub 2010/10/01.
21-Adel M, Nima MM, Shivaie Kojoori S, Norooz Oliaie H, Naghavi N, Asgary S. Comparison of endodontic biomaterials as apical barriers in simulated open apices. ISRN dentistry. 2012;2012:359873. Epub 2012/07/14.
22-Soheilipour E, Kheirieh S, Madani M, Akbarzadeh Baghban A, Asgary S. Particle size of a new endodontic cement compared to Root MTA and calcium hydroxide. Iranian endodontic journal. 2009;4(3):112-6. Epub 2009/07/01.
23-Amini Ghazvini S, Abdo Tabrizi M, Kobarfard F, Akbarzadeh Baghban A, Asgary S. Ion release and pH of a new endodontic cement, MTA and Portland cement. Iranian endodontic journal. 2009;4.8-74:(2)4. Epub 2009/04/01.
24-Asgary S, Eghbal MJ, Parirokh M, Ghoddusi J. Effect of two storage solutions on surface topography of two root-end fillings. Australian endodontic journal: the journal of the Australian Society of Endodontology Inc. 2009;35.52-147:(3). Epub 2009/12/08.
Jundishapur Scientific Medical Journal
Volume 17, Issue 6 - Serial Number 117
March and April 2019
Pages 573-581

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History

  • Receive Date: 16 December 2018
  • Revise Date: 01 March 2019
  • Accept Date: 02 March 2019

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