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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Wolters Kluwer Medknow Publications
2022-01-01
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Series: | Indian Journal of Dental Research |
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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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issn | 0970-9290 1998-3603 |
language | English |
last_indexed | 2024-04-11T10:54:28Z |
publishDate | 2022-01-01 |
publisher | Wolters Kluwer Medknow Publications |
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series | Indian Journal of Dental Research |
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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