Comparative evaluation of the apical leakage of different bioceramic retrofilling materials with and without smear layer: A stereomicroscopic study

Objective: Present in-vitro study aimed to evaluate the apical leakage of different bioceramic retrofilling materials with and without smear layer. Materials and Methods: Sixty human single-rooted teeth were decoronated at a standardized root length of 13 mm, chemo-mechanically prepared and obturate...

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Main Authors: Sheikh Shahbaz, Huma Iftekhar, Sharique Alam, Surendra Kumar Mishra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Dental Research
Subjects:
Online Access:http://www.ijdr.in/article.asp?issn=0970-9290;year=2022;volume=33;issue=1;spage=46;epage=51;aulast=Shahbaz
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author Sheikh Shahbaz
Huma Iftekhar
Sharique Alam
Surendra Kumar Mishra
author_facet Sheikh Shahbaz
Huma Iftekhar
Sharique Alam
Surendra Kumar Mishra
author_sort Sheikh Shahbaz
collection DOAJ
description Objective: Present in-vitro study aimed to evaluate the apical leakage of different bioceramic retrofilling materials with and without smear layer. Materials and Methods: Sixty human single-rooted teeth were decoronated at a standardized root length of 13 mm, chemo-mechanically prepared and obturated. After obturation, root-end resection was done and root-end cavities were prepared using ultrasonic tips. The specimens with prepared retro cavities were randomly assigned into 2 groups (n = 30) based on the smear layer removal protocol used. Each group was further subdivided into 3 subgroups (n = 10) based on the bioceramic retrofilling material MTA (Mineral Trioxide Aggregate; Proroot Dentsply/Tulsa), CEM (Calcium-Enriched Mixture; Bionique Dent, Tehran) and ERRM (EndoSequence® Root Repair Material; Brasseler USA, Savannah, GA). The extension of dye (2% Rhodamine B) penetration was measured in millimetre using a stereomicroscope at 10× zoom. Results were statistically analysed using one-way ANOVA (analysis of variance) test and unpaired Student's t test. Results: In the presence of smear layer, MTA demonstrated maximum mean apical leakage value (1.70 ± 0.30), followed by CEM (1.40 ± 0.37) and ERRM (1.40 ± 0.23), which was statistically not significant. Without the smear layer, ERRM demonstrated the least mean apical leakage value, which was statistically significant as compared with CEM (P <.05) and MTA (P <.01). Conclusion(s): All bioceramic retrofilling materials demonstrated apical leakage irrespective of the presence or absence of the smear layer. The presence of a smear layer is beneficial for the sealing ability of MTA and CEM, whereas, the absence of the smear layer is advocated while using ERRM.
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spelling doaj.art-a878cc295a6a4671b289420ede54adf22022-12-22T04:28:48ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032022-01-01331465110.4103/ijdr.ijdr_313_21Comparative evaluation of the apical leakage of different bioceramic retrofilling materials with and without smear layer: A stereomicroscopic studySheikh ShahbazHuma IftekharSharique AlamSurendra Kumar MishraObjective: Present in-vitro study aimed to evaluate the apical leakage of different bioceramic retrofilling materials with and without smear layer. Materials and Methods: Sixty human single-rooted teeth were decoronated at a standardized root length of 13 mm, chemo-mechanically prepared and obturated. After obturation, root-end resection was done and root-end cavities were prepared using ultrasonic tips. The specimens with prepared retro cavities were randomly assigned into 2 groups (n = 30) based on the smear layer removal protocol used. Each group was further subdivided into 3 subgroups (n = 10) based on the bioceramic retrofilling material MTA (Mineral Trioxide Aggregate; Proroot Dentsply/Tulsa), CEM (Calcium-Enriched Mixture; Bionique Dent, Tehran) and ERRM (EndoSequence® Root Repair Material; Brasseler USA, Savannah, GA). The extension of dye (2% Rhodamine B) penetration was measured in millimetre using a stereomicroscope at 10× zoom. Results were statistically analysed using one-way ANOVA (analysis of variance) test and unpaired Student's t test. Results: In the presence of smear layer, MTA demonstrated maximum mean apical leakage value (1.70 ± 0.30), followed by CEM (1.40 ± 0.37) and ERRM (1.40 ± 0.23), which was statistically not significant. Without the smear layer, ERRM demonstrated the least mean apical leakage value, which was statistically significant as compared with CEM (P <.05) and MTA (P <.01). Conclusion(s): All bioceramic retrofilling materials demonstrated apical leakage irrespective of the presence or absence of the smear layer. The presence of a smear layer is beneficial for the sealing ability of MTA and CEM, whereas, the absence of the smear layer is advocated while using ERRM.http://www.ijdr.in/article.asp?issn=0970-9290;year=2022;volume=33;issue=1;spage=46;epage=51;aulast=Shahbazapical leakagecalcium enriched mixtureendosequence root repair materialmineral trioxide aggregatesmear layer
spellingShingle Sheikh Shahbaz
Huma Iftekhar
Sharique Alam
Surendra Kumar Mishra
Comparative evaluation of the apical leakage of different bioceramic retrofilling materials with and without smear layer: A stereomicroscopic study
Indian Journal of Dental Research
apical leakage
calcium enriched mixture
endosequence root repair material
mineral trioxide aggregate
smear layer
title Comparative evaluation of the apical leakage of different bioceramic retrofilling materials with and without smear layer: A stereomicroscopic study
title_full Comparative evaluation of the apical leakage of different bioceramic retrofilling materials with and without smear layer: A stereomicroscopic study
title_fullStr Comparative evaluation of the apical leakage of different bioceramic retrofilling materials with and without smear layer: A stereomicroscopic study
title_full_unstemmed Comparative evaluation of the apical leakage of different bioceramic retrofilling materials with and without smear layer: A stereomicroscopic study
title_short Comparative evaluation of the apical leakage of different bioceramic retrofilling materials with and without smear layer: A stereomicroscopic study
title_sort comparative evaluation of the apical leakage of different bioceramic retrofilling materials with and without smear layer a stereomicroscopic study
topic apical leakage
calcium enriched mixture
endosequence root repair material
mineral trioxide aggregate
smear layer
url http://www.ijdr.in/article.asp?issn=0970-9290;year=2022;volume=33;issue=1;spage=46;epage=51;aulast=Shahbaz
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AT humaiftekhar comparativeevaluationoftheapicalleakageofdifferentbioceramicretrofillingmaterialswithandwithoutsmearlayerastereomicroscopicstudy
AT shariquealam comparativeevaluationoftheapicalleakageofdifferentbioceramicretrofillingmaterialswithandwithoutsmearlayerastereomicroscopicstudy
AT surendrakumarmishra comparativeevaluationoftheapicalleakageofdifferentbioceramicretrofillingmaterialswithandwithoutsmearlayerastereomicroscopicstudy