Fracture resistance of immature teeth filled with BioAggregate, mineral trioxide aggregate and calcium hydroxide
2011; Wiley; Volume: 27; Issue: 3 Linguagem: Inglês
10.1111/j.1600-9657.2011.00995.x
ISSN1600-9657
AutoresElif Bahar Tuna, Muzaffer Emir Dinçol, Koray Gençay, Oya Aktören,
Tópico(s)Dental Trauma and Treatments
ResumoDental TraumatologyVolume 27, Issue 3 p. 174-178 Fracture resistance of immature teeth filled with BioAggregate, mineral trioxide aggregate and calcium hydroxide Elif Bahar Tuna, Elif Bahar Tuna Departments of PedodonticsSearch for more papers by this authorMuzaffer Emir Dinçol, Muzaffer Emir Dinçol Endodontics, Faculty of Dentistry, Istanbul University, Istanbul, TurkeySearch for more papers by this authorKoray Gençay, Koray Gençay Departments of PedodonticsSearch for more papers by this authorOya Aktören, Oya Aktören Departments of PedodonticsSearch for more papers by this author Elif Bahar Tuna, Elif Bahar Tuna Departments of PedodonticsSearch for more papers by this authorMuzaffer Emir Dinçol, Muzaffer Emir Dinçol Endodontics, Faculty of Dentistry, Istanbul University, Istanbul, TurkeySearch for more papers by this authorKoray Gençay, Koray Gençay Departments of PedodonticsSearch for more papers by this authorOya Aktören, Oya Aktören Departments of PedodonticsSearch for more papers by this author First published: 19 April 2011 https://doi.org/10.1111/j.1600-9657.2011.00995.xCitations: 49 E. Bahar Tuna, Istanbul University Faculty of Dentistry, Department of Pedodontics, 34093, Capa, Istanbul, TurkeyTel.: +90 212 414 2020Fax: +90 212 531 0515e-mail: [email protected] Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Abstract – Background: The aim of this in vitro study was to assess the long-term fracture resistance of human immature permanent teeth filled with BioAggregate (BA), mineral trioxide aggregate (MTA) and calcium hydroxide (CH). Materials and methods: The study consisted of single rooted premolar teeth with immature root formation extracted for orthodontic reasons. A total of 28 immature premolars with average root length of 10.7 mm and apical diameter of 3 mm were included in the study. The pulps were extirpated and the canals were prepared using an apical approach. The teeth were randomly assigned to four groups: Group I: DiaRoot® BA (DiaDent, Burnaby, BC, Canada), Group II: Angelus MTA (MTA-A; Angelus, Londrina, Brazil), Group III: ProRoot® MTA (MTA-PR; Dentsply, Tulsa, OK, USA), Group IV: CH (Sultan Chemists Inc., Englewood, NJ, USA). The teeth were placed in saline solution at 4°C for 1 year. The root of each tooth was then embedded in an acrylic resin block. All specimens were loaded at a crosshead speed of 1 mm min−1 in an Instron testing machine and the peak loads up to fracture were recorded. Data were analysed statistically by Kruskal–Wallis and Mann–Whitney U-tests. Results: Mean (±SD) failure loads (MPa) were: 37.69 ± 14.43 for BA group, 32.94 ± 8.15 for MTA-A group, 28.74 ± 9.49 for MTA-PR group and 23.18 ± 8.48 for CH group. The BA group exhibited the highest fracture resistance and the CH group showed the lowest resistance to fracture. Significant differences (P < 0.05) in fracture resistance were found between the DiaRoot-BA and CH groups, and also between the MTA-A and CH groups. Conclusion: Within the limitations of this study, data suggest that DiaRoot-BA-filled immature teeth demonstrate higher fracture resistance than other groups at 1 year. Considering the long-term risk of cervical root fracture associated with immature teeth, the use of DiaRoot-BA as a root canal filling material appears to be the most advantageous of the materials tested. References 1 Hemalatha H, Sandeep M, Kulkarni S, Yakub SS. Evaluation of fracture resistance in simulated immature teeth using Resilon and Ribbond as root reinforcements – an in vitro study. Dent Traumatol 2009; 25: 433–8. 2 Ravn JJ. Dental injuries in Copenhagen School children, school years 1967–1972. Community Dent Oral Epidemiol 1974; 2: 231–45. 3 Wilkinson KL, Beeson TJ, Kirkpatrick TC. Fracture resistance of simulated immature teeth filled with resilon, gutta-percha, or composite. J Endod 2007; 33: 480–3. 4 Katebzadeh N, Dalton BC, Trope M. Strengthening immature teeth during and after apexification. J Endod 1998; 24: 256–9. 5 Rafter M. Apexification: a review. Dent Traumatol 2005; 21: 1–8. 6 Cvek M. Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with guttapercha. Endod DentTraumatol 1992; 8: 45–55. 7 Andreasen JO, Farik B, Munksgaard EC. Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Traumatol 2002; 18: 134–7. 8 Khayat A. Calcium hydroxide plug as an alternative to apexification. Med J Iran Hosp 1999; 2: 49–51. 9 Hatibovic-Kofman S, Raimundo L, Chong L, Moreno J, Zheng L. Mineral trioxide aggregate in endodontic treatment for immature teeth. Conf Proc IEEE Eng Med Biol Soc 2006; 1: 2094–7. 10 Morse DR, O’Larnic J, Yesilsoy C. Apexification: review of the literature. Quintessence Int 1990; 21: 589–98. 11 Cvek M. Endodontic management of traumatized teeth. In: JO Andreasen, FM Andreasen, editors. Textbook and color atlas of traumatic injuries of teeth, 3rd edn. Copenhagen, Denmark: Munksgaard; 1994. p. 543–52. 12 Kerekes K, Heide S, Jacobsen I. Follow-up examination of endodontic treatment in traumatized juvenile incisors. J Endod 1980; 6: 744–8. 13 Cauwels RG, Pieters IY, Martens LC, Verbeeck RM. Fracture resistance and reinforcement of immature roots with gutta percha, mineral trioxide aggregate and calcium phosphate bone cement: a standardized in vitro model. Dent Traumatol 2010; 26: 137–42. 14 Shabahang S, Torabinejad M, Boyne PP, Abedi H, McMillan P. A comparative study of root-end induction using osteogenic protein-1, calcium hydroxide, and mineral trioxide aggregate in dogs. J Endod 1999; 25: 1–5. 15 Schwarz R, Mauger M, Clement D, Walker W. Mineral trioxide aggregate: a new material for endodontics. J Am Dent Assoc 1999; 130: 967–75. 16 Torabinejad M, Watson TF, Pitt FTR. The sealing ability of a mineral trioxide aggregate as a retrograde root filling material. J Endod 1993; 19: 591–5. 17 Torabinejad M, Pitt Ford TR, Mc Kendry DJ, Abedi HR, Miller DA, Kariyawasam SP. Histologic assessment of mineral trioxide aggregate as a root-end filling in monkeys. J Endod 1997; 23: 225–8. 18 Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. J Endod 1999; 25: 197–205. 19 White JD, Lacefield WR, Chavers LS, Eleazer PD. The effect of three commonly used endodontic materials on the strength and hardness of root dentin. J Endod 2002; 28: 828–30. 20 Carvalho CA, Valera MC, Oliveira LD, Camargo CH. Structural resistance in immature teeth using root reinforcements in vitro. Dent Traumatol 2005; 21: 155–9. 21 Trope M, Maltz DO, Tronstad L. Resistance to fracture of restored endodontically treated teeth. Endod Dent Traumatol 1985; 1: 108–11. 22 Goldberg F, Kaplan A, Roitman M, Manfre′ S, Picca M. Reinforcing effect of a glass ionomer in the restoration in immature roots in vitro. Dent Traumatol 2002; 18: 70–2. 23 Park JW, Hong SH, Kim JH, Lee SJ, Shin SJ. X-Ray diffraction analysis of white ProRoot MTA and Diadent BioAggregate. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 155–8. 24 Andreasen FM, Andreasen JO, Bayer T. Prognosis of root fractured permanent incisors-prediction of healing modalities. Endod Dent Traumatol 1989; 5: 11–22. 25 Rosenberg B, Murray PE, Namerow K. The effect of calcium hydroxide root filling on dentin fracture strength. Dent Traumatol 2007; 23: 26–9. 26 Andreasen JO, Munksgaard EC, Bakland LK. Comparison of fracture resistance in root canals of immature sheep teeth after filling with calcium hydroxide or MTA. Dent Traumatol 2006; 22: 154–6. 27 Hatibovic-Kofman S, Raimundo L, Zheng L, Chong L, Friedman M, Andreasen JO. Fracture resistance and histological findings of immature teeth treated with mineral trioxide aggregate. Dent Traumatol 2008; 24: 272–6. 28 Cheuk J, Cheuk S, Theriot ST, Sarkar NK. In vitro biomineralizing ability of a new endodontic material. J Dent Res 2008; 87(Spec Iss A): 308. ( http://www.dentalresearch.org ). Citing Literature Volume27, Issue3June 2011Pages 174-178 ReferencesRelatedInformation
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