Comparison of MTA and CEM Cement Microleakage in Repairing Furcal Perforation, an In Vitro Study

Abstract

Statement of Problem: Sealing the perforation defect is an important factor to reduce inflammation in the area and to perform healing. Selecting the appropriate material to repair the defect is an important concern. Among the various available materials, MTA and CEM are used recently for achieving this purpose. In the current study we compare the sealing ability of these materials by evaluating their microleakage by fluid filtration method.

Purpose: The purpose of this study was to compare the microleakage of MTA and CEM cement in furcal perforation in different periods of time.

Materials and Method: Forty one mandibular molars were selected for this experimental study. The perforation defects were created perpendicular to the long axis of the teeth, on the furcation of the teeth and the samples were divided into 2 experimental and two control groups. The defects were sealed by CEM and MTA in each experimental group. The samples were undergone the fluid filtration test with 20 cm H2O pressure. The amount of fluid filtration was measured for each sample at 24, 72 and 168 hrs and the data were analyzed by using ANOVA and T test.

Results: The experimental groups which were sealed with CEM exhibited significantly less microleakage in all determined periods of time (24, 72 and 168 hrs) than MTA groups (p< 0.001).

Conclusion: Based on the results of this study, CEM cement has a better sealing ability compared with MTA using fluid filtration method.