Comparative evaluation of calcium release of the apical plugs formed by mineral trioxide aggregate, Biodentine, and EndoSequence root repair material with and without 2% triple antibiotic powder: An in vitro study

Background: Apical plug formation by mineral trioxide aggregate (MTA), Biodentine, and EndoSequence root repair material (RRM) is an excellent alternative technique to the conventional apexification procedure. Several antimicrobial agents have been incorporated in MTA and Biodentine to boost their a...

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Main Authors: Pooja Nitin Mapara, N D Shashikiran, Sachin Gugawad, Namrata Gaonkar, Savita Hadakar, Swapnil Taur, Dhanshri Khade
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Indian Society of Pedodontics and Preventive Dentistry
Subjects:
Online Access:http://www.jisppd.com/article.asp?issn=0970-4388;year=2020;volume=38;issue=2;spage=132;epage=137;aulast=Mapara
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author Pooja Nitin Mapara
N D Shashikiran
Sachin Gugawad
Namrata Gaonkar
Savita Hadakar
Swapnil Taur
Dhanshri Khade
author_facet Pooja Nitin Mapara
N D Shashikiran
Sachin Gugawad
Namrata Gaonkar
Savita Hadakar
Swapnil Taur
Dhanshri Khade
author_sort Pooja Nitin Mapara
collection DOAJ
description Background: Apical plug formation by mineral trioxide aggregate (MTA), Biodentine, and EndoSequence root repair material (RRM) is an excellent alternative technique to the conventional apexification procedure. Several antimicrobial agents have been incorporated in MTA and Biodentine to boost their antimicrobial efficacy. Considering the polymicrobial nature of root canal infection, a combination of potent antimicrobials like triple antibiotic powder (TAP) would be needed to address the diverse flora encountered. Calcium release is the consequential factor in the clinical excellence of these cements. Aim: The aim of the study was to evaluate and compare the calcium released from the apical plugs formed by MTA, Biodentine, and EndoSequence RRM with and without incorporation of 2% TAP. Methods: Ninety single-rooted teeth were divided into (n = 15) Group A: MTA + 2% TAP, Group B: MTA, Group C: Biodentine + 2% TAP, Group D: Biodentine, Group E: EndoSequence RRM + 2% TAP, and Group F: EndoSequence RRM to form the 4 mm apical plugs. Each sample tooth was then immersed in 10 ml of deionized water. Evaluation of calcium release was done on days 7, 15, and 30 using an atomic absorption spectrophotometer. Data were analyzed using one-way analysis of variance, post hoc test, and unpaired t-test. Results: Calcium released was maximum for Group E compared to Group F (P < 0.05), maximum for Group C compared to Group D, and was maximum for Group A compared to Group B (P < 0.05) at days 7, 15 and 30. Conclusion: Incorporation of 2% TAP resulted in increased calcium ions released from MTA, Biodentine, and EndoSequence RRM.
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spelling doaj.art-8492fa9a47474a79b1190cde067094472022-12-22T02:04:47ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Pedodontics and Preventive Dentistry0970-43881998-39052020-01-0138213213710.4103/JISPPD.JISPPD_74_20Comparative evaluation of calcium release of the apical plugs formed by mineral trioxide aggregate, Biodentine, and EndoSequence root repair material with and without 2% triple antibiotic powder: An in vitro studyPooja Nitin MaparaN D ShashikiranSachin GugawadNamrata GaonkarSavita HadakarSwapnil TaurDhanshri KhadeBackground: Apical plug formation by mineral trioxide aggregate (MTA), Biodentine, and EndoSequence root repair material (RRM) is an excellent alternative technique to the conventional apexification procedure. Several antimicrobial agents have been incorporated in MTA and Biodentine to boost their antimicrobial efficacy. Considering the polymicrobial nature of root canal infection, a combination of potent antimicrobials like triple antibiotic powder (TAP) would be needed to address the diverse flora encountered. Calcium release is the consequential factor in the clinical excellence of these cements. Aim: The aim of the study was to evaluate and compare the calcium released from the apical plugs formed by MTA, Biodentine, and EndoSequence RRM with and without incorporation of 2% TAP. Methods: Ninety single-rooted teeth were divided into (n = 15) Group A: MTA + 2% TAP, Group B: MTA, Group C: Biodentine + 2% TAP, Group D: Biodentine, Group E: EndoSequence RRM + 2% TAP, and Group F: EndoSequence RRM to form the 4 mm apical plugs. Each sample tooth was then immersed in 10 ml of deionized water. Evaluation of calcium release was done on days 7, 15, and 30 using an atomic absorption spectrophotometer. Data were analyzed using one-way analysis of variance, post hoc test, and unpaired t-test. Results: Calcium released was maximum for Group E compared to Group F (P < 0.05), maximum for Group C compared to Group D, and was maximum for Group A compared to Group B (P < 0.05) at days 7, 15 and 30. Conclusion: Incorporation of 2% TAP resulted in increased calcium ions released from MTA, Biodentine, and EndoSequence RRM.http://www.jisppd.com/article.asp?issn=0970-4388;year=2020;volume=38;issue=2;spage=132;epage=137;aulast=Maparaapexificationapical plugatomic absorption spectrophotometrybioceramic cementsbiodentinecalcium releaseendosequence root repair materialimmature toothmineral trioxide aggregatetriple antibiotic powder
spellingShingle Pooja Nitin Mapara
N D Shashikiran
Sachin Gugawad
Namrata Gaonkar
Savita Hadakar
Swapnil Taur
Dhanshri Khade
Comparative evaluation of calcium release of the apical plugs formed by mineral trioxide aggregate, Biodentine, and EndoSequence root repair material with and without 2% triple antibiotic powder: An in vitro study
Journal of Indian Society of Pedodontics and Preventive Dentistry
apexification
apical plug
atomic absorption spectrophotometry
bioceramic cements
biodentine
calcium release
endosequence root repair material
immature tooth
mineral trioxide aggregate
triple antibiotic powder
title Comparative evaluation of calcium release of the apical plugs formed by mineral trioxide aggregate, Biodentine, and EndoSequence root repair material with and without 2% triple antibiotic powder: An in vitro study
title_full Comparative evaluation of calcium release of the apical plugs formed by mineral trioxide aggregate, Biodentine, and EndoSequence root repair material with and without 2% triple antibiotic powder: An in vitro study
title_fullStr Comparative evaluation of calcium release of the apical plugs formed by mineral trioxide aggregate, Biodentine, and EndoSequence root repair material with and without 2% triple antibiotic powder: An in vitro study
title_full_unstemmed Comparative evaluation of calcium release of the apical plugs formed by mineral trioxide aggregate, Biodentine, and EndoSequence root repair material with and without 2% triple antibiotic powder: An in vitro study
title_short Comparative evaluation of calcium release of the apical plugs formed by mineral trioxide aggregate, Biodentine, and EndoSequence root repair material with and without 2% triple antibiotic powder: An in vitro study
title_sort comparative evaluation of calcium release of the apical plugs formed by mineral trioxide aggregate biodentine and endosequence root repair material with and without 2 triple antibiotic powder an in vitro study
topic apexification
apical plug
atomic absorption spectrophotometry
bioceramic cements
biodentine
calcium release
endosequence root repair material
immature tooth
mineral trioxide aggregate
triple antibiotic powder
url http://www.jisppd.com/article.asp?issn=0970-4388;year=2020;volume=38;issue=2;spage=132;epage=137;aulast=Mapara
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