Comparative evaluation of fracture resistance of simulated immature teeth restored with apical plugs of mineral trioxide aggregate, Biodentine, and bone cement: An in vitro study
Aim: This in vitro study aimed to compare the fracture resistance of simulated immature permanent teeth restored with apical plugs of mineral trioxide aggregate (MTA), Biodentine, and bone cement. Methods: Forty-eight single-rooted human maxillary central incisors were selected and decoronated 6 mm...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Endodontology |
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| Online Access: | http://www.endodontologyonweb.org/article.asp?issn=0970-7212;year=2023;volume=35;issue=1;spage=30;epage=34;aulast=Gudapati |
| _version_ | 1797824420127965184 |
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| author | Swapnika Gudapati R Kalyan Satish Girija S Sajjan K Madhu Varma V Santosh Kumar M Sitaram Kumar |
| author_facet | Swapnika Gudapati R Kalyan Satish Girija S Sajjan K Madhu Varma V Santosh Kumar M Sitaram Kumar |
| author_sort | Swapnika Gudapati |
| collection | DOAJ |
| description | Aim: This in vitro study aimed to compare the fracture resistance of simulated immature permanent teeth restored with apical plugs of mineral trioxide aggregate (MTA), Biodentine, and bone cement.
Methods: Forty-eight single-rooted human maxillary central incisors were selected and decoronated 6 mm above and 9 mm below the cementoenamel junction to simulate the immature teeth. Based on weight and homogeneity, the samples were distributed into three experimental groups (n = 12) and one control group (n = 12). In all the experimental group samples, a peeso reamer size 5 was stepped out 1 mm beyond the apex to enlarge the apices to a diameter of 1.5 mm. Apical plugs of MTA Plus (Prevest DenPro Limited, India), Biodentine (Septodont, France), and Bone cement (Surgical Simplex P, Stryker, Australia) were placed to 4 mm, and obturation was done using gutta-percha and AH Plus® sealer (Dentsply DeTrey, Konstanz, Germany). The force was applied at 45° angulation until fracture, using the universal testing machine. The results were analyzed using a one-way analysis of variance followed by Tukey's post hoc test at a 95% confidence level.
Results: The Biodentine group showed a statistically higher fracture resistance value than the MTA Plus and bone cement group (P = 0.014 and P = 0.016, respectively). No statistically significant difference was reported between MTA Plus and the bone cement group.
Conclusion: Within the limitations of this study, using Biodentine as an apical plug increases the fracture resistance of immature teeth. Bone cement can be used as a viable alternative to MTA. |
| first_indexed | 2024-03-13T10:37:42Z |
| format | Article |
| id | doaj.art-149f9bac44464f8c8dd5b8778cc0cace |
| institution | Directory Open Access Journal |
| issn | 0970-7212 |
| language | English |
| last_indexed | 2024-03-13T10:37:42Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Endodontology |
| spelling | doaj.art-149f9bac44464f8c8dd5b8778cc0cace2023-05-18T05:16:26ZengWolters Kluwer Medknow PublicationsEndodontology0970-72122023-01-01351303410.4103/endo.endo_21_22Comparative evaluation of fracture resistance of simulated immature teeth restored with apical plugs of mineral trioxide aggregate, Biodentine, and bone cement: An in vitro studySwapnika GudapatiR Kalyan SatishGirija S SajjanK Madhu VarmaV Santosh KumarM Sitaram KumarAim: This in vitro study aimed to compare the fracture resistance of simulated immature permanent teeth restored with apical plugs of mineral trioxide aggregate (MTA), Biodentine, and bone cement. Methods: Forty-eight single-rooted human maxillary central incisors were selected and decoronated 6 mm above and 9 mm below the cementoenamel junction to simulate the immature teeth. Based on weight and homogeneity, the samples were distributed into three experimental groups (n = 12) and one control group (n = 12). In all the experimental group samples, a peeso reamer size 5 was stepped out 1 mm beyond the apex to enlarge the apices to a diameter of 1.5 mm. Apical plugs of MTA Plus (Prevest DenPro Limited, India), Biodentine (Septodont, France), and Bone cement (Surgical Simplex P, Stryker, Australia) were placed to 4 mm, and obturation was done using gutta-percha and AH Plus® sealer (Dentsply DeTrey, Konstanz, Germany). The force was applied at 45° angulation until fracture, using the universal testing machine. The results were analyzed using a one-way analysis of variance followed by Tukey's post hoc test at a 95% confidence level. Results: The Biodentine group showed a statistically higher fracture resistance value than the MTA Plus and bone cement group (P = 0.014 and P = 0.016, respectively). No statistically significant difference was reported between MTA Plus and the bone cement group. Conclusion: Within the limitations of this study, using Biodentine as an apical plug increases the fracture resistance of immature teeth. Bone cement can be used as a viable alternative to MTA.http://www.endodontologyonweb.org/article.asp?issn=0970-7212;year=2023;volume=35;issue=1;spage=30;epage=34;aulast=Gudapatiapexificationbiodentinebone cementfracture resistanceimmature teethmineral trioxide aggregate |
| spellingShingle | Swapnika Gudapati R Kalyan Satish Girija S Sajjan K Madhu Varma V Santosh Kumar M Sitaram Kumar Comparative evaluation of fracture resistance of simulated immature teeth restored with apical plugs of mineral trioxide aggregate, Biodentine, and bone cement: An in vitro study Endodontology apexification biodentine bone cement fracture resistance immature teeth mineral trioxide aggregate |
| title | Comparative evaluation of fracture resistance of simulated immature teeth restored with apical plugs of mineral trioxide aggregate, Biodentine, and bone cement: An in vitro study |
| title_full | Comparative evaluation of fracture resistance of simulated immature teeth restored with apical plugs of mineral trioxide aggregate, Biodentine, and bone cement: An in vitro study |
| title_fullStr | Comparative evaluation of fracture resistance of simulated immature teeth restored with apical plugs of mineral trioxide aggregate, Biodentine, and bone cement: An in vitro study |
| title_full_unstemmed | Comparative evaluation of fracture resistance of simulated immature teeth restored with apical plugs of mineral trioxide aggregate, Biodentine, and bone cement: An in vitro study |
| title_short | Comparative evaluation of fracture resistance of simulated immature teeth restored with apical plugs of mineral trioxide aggregate, Biodentine, and bone cement: An in vitro study |
| title_sort | comparative evaluation of fracture resistance of simulated immature teeth restored with apical plugs of mineral trioxide aggregate biodentine and bone cement an in vitro study |
| topic | apexification biodentine bone cement fracture resistance immature teeth mineral trioxide aggregate |
| url | http://www.endodontologyonweb.org/article.asp?issn=0970-7212;year=2023;volume=35;issue=1;spage=30;epage=34;aulast=Gudapati |
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