Sealing ability of MTA, CPM, and MBPc as root-end filling materials: a bacterial leakage study

Medeiros, Paulo José de; Bernardineli, Norberti; Cavenago, Bruno Cavalini; Torres, Sérgio Aparecido; Duarte, Marco Antônio Húngaro; Bramante, Clóvis Monteiro; Marciano, Marina Angélica

doi:10.1590/1678-775720130103

Cited by 9 publications

(11 citation statements)

References 32 publications

(47 reference statements)

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“…Razavian concluded that AH-26 has a greater sealing ability as compared with MTA Fillapex. In agreement with the data of this study [26], Medeiros et al [23] also reported statistically significant data in favor of epoxy resins (MBPc) as compared with MTA. Data in partial agreement with these studies but with no statistically significant results as reported by the forest plots of the two outcomes are the studies by Oliveira Oliviera et al compared the 2 types of cements and also cements based on methacrylates and zinc oxide-eugenol, for a period up to 120 days, and concluded that the cements with the best sealing ability were AH Plus and Sealapex, while MTA was the cement that presented the worst sealing ability [25].…”

Section: Discussionsupporting

confidence: 93%

“…The included studies for the quantitative analysis were: For Outcome 1, Jafari (2016) [12], Medeiros (2016) [23], Milani (2019) [24], Oliveira (2011) [25], Razavian (2016) [26], and Reyhani (2015) [27]; for Outcome 2, Yanpiset (2018) [11], Amezcua (2015) [28], Medeiros (2016) [23], Oliveira (2011) [25], Razavian (2016) [26], Reyhani (2015) [27], and Antunovic (2021) [29].…”

Section: Study Characteristics and Data Extractionmentioning

confidence: 99%

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Sealing ability and microbial leakage of root-end filling materials: MTA versus epoxy resin: A systematic review and meta-analysis

Dioguardi

Alovisi

Sovereto

et al. 2021

Heliyon

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The purpose of this systematic review of the literature is to investigate which of the epoxy-based cements and those based on Tricalciumsilicate (MTA, Bioceramic) have the best sealing capacity through the analysis of studies that have provided a survey model in vitro of bacteria leakage. Source: The articles were identified using electronic databases such as PubMed, Scopus, the search was conducted between 8.12.2020 and 31.12.2020 and a last search was conducted on 2.12.2021. Study selection: 678 records were identified and after removing the duplicates we obtain 481 records, with the first phase of screening and selection of records we reached 204 and with the application of the inclusion and exclusion criteria we selected 31 articles, only 9 studies made a direct comparison between the two endodontic cement categories and presented data that could be included in the metaanalysis. Data: The meta-analysis of first outcome shows an odds ratio of 2.70 C.I.(Confidence Interval) [1.54, 4.73], the test for overall effect has a p value ¼ 0.0005 with a heterogeneity index of I 2 of 9%; The second outcome metaanalysis shows an Odds Ratio of 1.50 C.I. (Confidence Interval) [0.92, 2.46] with a p value of 0.10 with an I 2 of 79%. Conclusion: the sealing ability is higher for epoxy resins than for tricalcium silicate-based cements, for observation periods longer than 90 days. Clinical relevance: The knowledge of the cement that determines the best sealing ability and resistance to microbial leakage, can be of help for the dentist who has to face clinical situations such as endodontic retreatments whose failure is determined by the persistence of bacteria in the endodontic canals.

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Section: Discussionsupporting

confidence: 93%

Section: Study Characteristics and Data Extractionmentioning

confidence: 99%

Sealing ability and microbial leakage of root-end filling materials: MTA versus epoxy resin: A systematic review and meta-analysis

Dioguardi

Alovisi

Sovereto

et al. 2021

Heliyon

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“…Failure of the endodontic treatment results from the contamination of the pulp chamber, which serves as a reservoir for bacteria. 37 As bacterial leakage is more clinically relevant, 9 , 28 it is widely used to evaluate the sealing ability of root canal sealers and root canal filling materials.…”

Section: Discussionmentioning

confidence: 99%

“…The molecular size of radioisotope tracers and dye particles being smaller than that of bacteria is a major drawback of the radioisotope and dye penetration technique. 9 Fluid filtration through a non-destructive method lacks standardization in the materials and methods used. Besides, equipment and devices may not be found everywhere.…”

Section: Introductionmentioning

confidence: 99%

“…Enterococcus faecalis ( E. faecalis ) is the organism used to assess bacterial leakage as it is the most common organism to be detected in endodontic failures. 9 This gram-positive, facultative, anaerobic organism can persist with an inadequate source of nutrition and can invade the dentinal tubules. 11 Therefore, the bacterial leakage of the MTA and biodentine apical plugs were carried out using E. faecalis .…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of Mineral Trioxide Aggregate and Biodentine as Apical Barriers in Immature Permanent Teeth: A Microbiological Study

Abbas

Balaji

Puppala

et al. 2020

International Journal of Clinical Pediatric Dentistry

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Aim To compare the bacterial leakage of mineral trioxide aggregate (MTA) and biodentine when used as an apical plug in immature permanent teeth. Materials and methods It was a randomized double-blind in vitro study. A total of 60 teeth were divided into 2 groups of MTA and biodentine, which were further divided into 2 subgroups ( n = 30) each based on the apical plug thickness of 2 and 4 mm. The teeth were cleaned and shaped; root-end resection and canal preparation were done. Mineral trioxide aggregate and biodentine were mixed and filled as apical plugs of 2 or 4 mm thickness. Enterococcus faecalis was used to assess the bacterial leakage of the filled samples. Statistical analysis The comparison between the two groups was done by Chi-square test for categorical data. All p values <0.05 were considered as statistically significant. Results A 4 mm apical plug of biodentine showed the least amount of bacterial leakage followed by 2 mm MTA and 4 mm MTA. A 2 mm apical plug of biodentine showed the maximum bacterial leakage. But this was not statistically significant over a period of 3 months. There was a statistically significant difference ( p value = 0.042) among the total number of samples that leaked in the 2 and 4 mm biodentine group. Conclusion Mineral trioxide aggregate and biodentine had a similar apical sealing ability. The apical sealing ability of biodentine at 4 mm thickness was greater than 2 mm thickness. Clinical significance The apical leakage of the materials used in apexification is one of the main causes of endodontic failures in immature necrotic teeth. Materials like MTA and biodentine have overcome various drawbacks of calcium hydroxide as apexification material. The thickness of the apical plug plays an important role in preventing any microorganism from entering the periapical area, hence maintaining an adequate seal. How to cite this article Abbas A, Kethineni B, Puppala R, et al. Efficacy of MTA and Biodentine as Apical Barriers in Immature Permanent Teeth: A Microbiological Study. Int J Clin Pediatr Dent 2020;13(6):656–662.

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Scanning electron microscopy analysis of marginal adaptation of mineral trioxide aggregate, tricalcium silicate cement, and dental amalgam as a root end filling materials

Jovanović

Bajkin

2021

Microscopy Res & Technique

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The aim of this research was to examine marginal adaptation of three root end filling materials mineral trioxide aggregate (MTA), Biodentine and amalgam. Ninety single‐rooted extracted human teeth of the maxillary intercanine sector were used in the study. After the endodontic treatment and retrograde preparation, teeth were divided into three groups, depending on the root‐end filling material. Teeth were cut in longitudinal manner. Measurements of the total width of the marginal gap in micrometers were performed using scanning electron microscopy. The results showed that MTA and Biodentine have better marginal adaptation compared to amalgam expressed through the mean value of the measured edge crack, however without significant difference (p > .05). Mean value of the measured edge crack in Group 1 (MTA) was 8.17 μm, in Group 2 (Biodentine) 8.53 μm, and in Group 3 (amalgam) 9.13 μm. All tested materials show a satisfactory degree of marginal adaptation, but MTA and Biodentine proved to be superior to amalgam.

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Sealing ability of MTA, CPM, and MBPc as root-end filling materials: a bacterial leakage study

Cited by 9 publications

References 32 publications

Sealing ability and microbial leakage of root-end filling materials: MTA versus epoxy resin: A systematic review and meta-analysis

Sealing ability and microbial leakage of root-end filling materials: MTA versus epoxy resin: A systematic review and meta-analysis

Efficacy of Mineral Trioxide Aggregate and Biodentine as Apical Barriers in Immature Permanent Teeth: A Microbiological Study

Scanning electron microscopy analysis of marginal adaptation of mineral trioxide aggregate, tricalcium silicate cement, and dental amalgam as a root end filling materials

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