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      Sealing ability of retrograde obturation materials containing calcium hydroxide or MTA

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          Abstract

          Newly available materials for retrograde obturation should have their sealing properties evaluated. The goal of this study was to evaluate the sealing ability of Endo CPM sealer, an MTA-based endodontic cement. Single-rooted extracted human teeth were endodontically treated. After apical sectioning, retrograde cavities were prepared. Teeth were divided into five experimental groups (n=12), in which the following materials were used: Sealer 26 (S26), white Mineral Trioxide Aggregate (MTA), Endo CPM Sealer (CPM1), Endo CPM Sealer in thicker consistency (CPM 2), and zinc oxide and eugenol cement (ZOE), and two control groups (n=3). After retrograde obturation, the teeth were immersed in 0.2% rhodamine B dye for 48 hours in a vacuum chamber. Marginal leakage data were subjected to ANOVA and Tukey tests at 5% significance level. S26 presented greater sealing ability (p<0.05) than ZOE, MTA, CPM1, and CPM2, all of which had similar results (p>0.05). We concluded that Sealer 26 has the greatest sealing ability. Endo CPM Sealer, with sealing ability similar to MTA, could be used as a retrograde obturation material.

          Translated abstract

          Materiais recentemente disponiveis para obturacao retrograda devem ter suas propriedades seladoras avaliadas. O objetivo deste estudo foi avaliar a capacidade seladora do Endo CPM sealer, um cimento endodontico a base de MTA. Dentes unirradiculares humanos extraidos foram tratados endodonticamente. Apos seccao apical, foram preparadas cavidades retrogradas. Os dentes foram divididos em cinco grupos experimentais (n=12), nos quais foram utilizados os seguintes materiais: Sealer 26 (S26), Mineral Trioxide Aggregate branco (MTA), Endo CPM Sealer (CPM1), Endo CPM Sealer na consistencia mais espessa (CPM 2), cimento de oxido de zinco e eugenol (ZOE) e dois grupos controle (n=3). Apos obturacao retrograda, os dentes foram imersos em rodamina B a 0,2% por 48 horas em uma camara a vacuo. Os dados da infltracao marginal foram submetidos aos testes ANOVA e Tukey com nivel de significancia de 5%. O S26 apresentou maior capacidade seladora (p<0,05) que ZOE, MTA, CPM1 e CPM2, os quais tiveram resultados semelhantes (p>0,05). Conclui-se que o Sealer 26 apresenta maior capacidade seladora. Endo CPM Sealer promove selamento similar ao MTA, podendo ser utilizado como material retrobturador.

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          Most cited references29

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          Sealing ability of a mineral trioxide aggregate when used as a root end filling material.

          This in vitro study used rhodamine B fluorescent dye and a confocal microscope to evaluate the sealing ability of amalgam, super EBA, and a mineral trioxide aggregate when used as root end filling materials. Thirty single-canal teeth were cleaned, shaped, and obturated with gutta-percha and root canal sealer. After application of nail polish to the external surface, the apical 3 mm of each root was resected and 3-mm deep root end preparations were made. The roots were randomly divided into three groups and the root end preparations filled with the experimental materials. All roots were then exposed to an aqueous solution of rhodamine B fluorescent dye for 24 h, longitudinally sectioned, and the extent of dye penetration measured using a confocal microscope. Statistical analysis showed that the mineral trioxide aggregate leaked significantly less than amalgam and super EBA.
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            Mineral trioxide aggregate (MTA) solubility and porosity with different water-to-powder ratios.

            This study tested mineral trioxide aggregate (MTA) solubility and porosity with different water-to-powder proportions. The study also determined the chemical composition of the salts dissolved by MTA. Four sets of specimens using the following water-to-powder proportions were prepared: 0.26, 0.28, 0.30, and 0.33 grams of water per gram of cement. The latter is the ratio recommended by the manufacturer. It was determined that the degree of solubility and porosity increased as the water-to-powder ratio increased. Significant differences were found among the sets of specimens. The chemical analyses of the salts dissolved by MTA in the water identified the presence of calcium as the main chemical compound. The pH level of the solution was highly alkaline, ranging between 11.94 and 11.99. It can be stated that the calcium found in the solution should be in its hydroxide state at this high pH level. This ability to release calcium hydroxide could be of clinical significance because it could be related to the proven capacity of MTA to induce mineralization.
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              The effects of various additives on setting properties of MTA.

              Delayed setting times may limit the use of mineral trioxide aggregate (MTA) in endodontic procedures. The purpose of this study was to identify types and amounts of MTA additives to enhance its setting properties. Additives tested include saline, 2% lidocaine, 3.0% NaOCl gel, chlorhexidine gluconate gel, K-Y Jelly, 3% and 5% CaCl2. The setting times were evaluated using a Vicat apparatus; compressive strengths of set materials were evaluated with an Instron machine. NaOCl gel, K-Y Jelly and 5% CaCl2 decreased the setting time to 20 to 25 min; compressive strengths of these set materials were significantly lower than MTA mixed with water (p < 0.05). Because MTA mixed with NaOCl gel demonstrated good working properties and improved setting time, this combination may be a viable option in single visit procedures where compressive strength of the material is not a critical issue.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                aol
                Acta Odontológica Latinoamericana
                Acta odontol. latinoam.
                Sociedad Argentina de Investigación Odontológica (Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina )
                1852-4834
                April 2011
                : 24
                : 1
                : 110-114
                Affiliations
                [01] Araraquara SP orgnameSão Paulo State University orgdiv1Araraquara Dental School orgdiv2Department of Restorative Dentistry Brazil
                Article
                S1852-48342011000100018
                82031e9a-c453-412b-84b9-c4201f4c585b

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 5
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                SciELO Argentina


                Infiltracao dentaria,Obturacao retrograda,Cimento obturador de canal radicular,Dental leakage,Obturation,Retrograde,Canal sealants,Root

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