Comparison of Mineral Trioxide Aggregate, Endosequence Root Repair Material, and Biodentine Used for Repairing Root Perforations: A Systematic Review

Abstract

The root perforation, in spite of being taken as a challenging accident in root canal treatment, has to offer favorable results when exposed to appropriate therapeutic conduct and the usage of materials that have convenient properties. The aim of the current review is to collect all updated and available studies including imperative information concerning the use of Mineral trioxide aggregate, EndoSequence root repair material and Biodentine in the treatment of root perforation approaching some of the key properties for treatment success. A search was performed in the two automated databases (Google Scholar and PubMed use English-language literature) for this systematic review, using specific inclusion and exclusion criteria and keywords. The electronic search was done in December 2018 and update in June 2019. Our inquiry uncovered Twenty-two studies that met the exclusion and inclusion criteria. These studies investigated the use of MTA, EndoSequence ERRM and Biodentine in the root perforation that happened during the endodontic treatment. It was confirmed that there is no unanimity in this review concerning the material that shows the best characteristics, once none of the materials discussed had all the major properties higher than the others, this way it is required the enforcement of further studies aimed at selecting the best characteristics of the material suggested in the root perforation treatment.

Apical Sealing Ability of Different Endodontic Sealers Using Glucose Penetration Test: A Standardized Methodological Approach

“…Bioceramic sealers have recently gained attention in the field of endodontic since they can form anapatite layer, allowing intrafibrillar apatite deposition. 13,27 This promotes the formation of a tag-like structure which plugs along with the dentine bonding interface, thus, creating a strong mineral infiltration zone resulting in a better seal. 28 Although bioceramic sealers (EndoSeal MTA and BioRoot RCS)in the present study demonstrated excellent sealing ability which is in agreement with the other authors [29][30][31] , but several studies found that there is no significant difference when comparing the sealing ability of bioceramic sealers with resin and calcium hydroxide based sealers.…”

Clinical Properties and Efficacy of MTA VS Biodentine VS GIC in Repairing Root Perforations

“…A study by Alghamdi and Aljahdali (2019, P.474) established that there is no unanimity in regards to the most suitable material that can be utilized for the treatment of root perforation [1]. Alghamdi and Aljahdali (2019, P.474) claim that some of the studies reviewed in their research revealed that the assessment of the sealing capacity of biodentine and MTA led to the declaration that no considerable differences were noticed between the two materials, with biodentine being preferred as an alternative to MTA [1]. Mangala (2020) concluded that MTA is better than bioentine in the primary teeth' pulpotomy [14].…”

“…Root perforation is any condition be it pathologic or accidental exposure that leads to direct communication between pulp cavity and periodontal tissues as a result of reabsorption, iatrogenic, or dental caries [1,2]. Root perforation is believed to be one of the most unprecedented accidents that happen during endocrine treatment subsequently several prominent clinicians and endodontic subspecialties see this condition as challenging.…”

“…Therefore, advanced materials were needed to break the current gap that exists when it comes to puncturing, including Mineral Trioxide Aggregate (MTA), Glass Ionomer Cement (GIC), and Biodentine. Alghamdi and Aljahdali (2019, P.471) and Alazrag et al (2020) emphasize that the ideal perforation repair material should be characterized by biocompatibility, radiopaque, proper sealing, not absorbable, and allow for easy manipulation [1,5]. The purpose of this systematic review is to establish the efficacy and clinal properties of MTA, Biodentine, and GIC in repairing root perforations.…”

Biodentine- A Review on Its Properties and Clinical Applications

“…It has also been found that it does not interact with root canal irrigants. The setting time of biodentin also makes it a suitable material for repair of furcal perforations [27] . Study by Mancino D et al, has shown that biodentine is a highly effective repair material even for old infected perforations with a success rate of 94% [28] .…”