Ex Vivo Evaluation of Bacterial Leakage and Coronal Sealing Capacity of Six Materials in Endodontically Treated Teeth
Iranian Endodontic Journal,
Vol. 17 No. 4 (2022),
26 October 2022
,
Page 200-204
https://doi.org/10.22037/iej.v17i4.32980
Abstract
Introduction: Successful endodontic treatment requires an effective coronal sealing to prevent the penetration of saliva and microorganisms into the root canal system. We aimed to investigate the sealing capacity of Maxxion R, Intermediate Restorative Material (IRM), Mineral Trioxide Aggregate-like material (Biodentine), White Cimpat, Flow Resin and Z250 Resin against Enterococcus (E.) faecalis infiltrates, when used as coronal sealants after endodontic treatment. Materials and Methods: Sixty-six roots of adult lower premolars were randomly divided into 6 experimental groups with 10 roots each (n=10), and two control groups (positive and negative) with three roots each. The root canals were instrumented to ProTaper F3 file, irrigated with 2.5% NaOCl and 17% EDTA, and filled using Tagger’s Hybrid technique with AH-Plus cement. After removing 2 mm of the coronal third filling with a Gates Glidden #6 drill, the cervical portion of each of the sixty roots was sealed with a 2 mm-thick plug, plus the respective material being tested in this study. All roots were fitted to silicone devices (Eppendorf) with cut extremities and sterilized with ethylene oxide; experimental procedures were performed in a laminar flow chamber for aseptic chain maintenance. All specimens were inoculated with E. faecalis, and the culture medium was renewed every 3 days for 60 days. Medium turbidity was evaluated daily. The obtained data were subsequently submitted to analysis of variance (ANOVA-R) complemented by Student's t-test at a significance level of 5%. Analyzes of variance were calculated using the SAS system GLIMMIX procedure. Results: Biodentine (56.90), Z250 Resin (54.90) and White Cimpat (53.30) resisted contamination for a longer time compared to Maxxion R (51.30), Flow Resin (50.70), and IRM (48.70) over a period of 60 days. Conclusion: Biodentine, Resin Z 250 and White Cimpat presented the lowest infiltration averages when compared to the other tested materials.
- Coronal Sealing; Dental Pulp Cavity; Enterococcus faecalis; Ethylene Oxide; MTA-like Materials
How to Cite
References
2. Yamauchi S, Shipper G, Buttke T, Yamauchi M, Trope M. Effect of orifice plugs on periapical inflammation in dogs. J Endod. 2006;32:524-6.
3. Jenkins S, Kulild J, Williams K, Lyons W, Less C. Sealing ability of three materials in the orifice of root canal systems obturated with gutta-percha. J Endod. 2006;32:225-7.
4. Yoshinari GH, 2001. Análise in Vitro da Microinfiltração coronária em dentes obturados com três técnicas, utilizando no topo da obturação adesivo dentinário e resina composta [tese], 2001. Piracicaba. Universidade Estadual de Campinas. Unicamp
5. Carvalho GL, Habitante SM, Jorge AOC, Marques JLL. Cimentos provisórios utilizados no selamento entre sessões do tratamento endodôntico- estudo microbiológico. J Bras Endod 2003;4(15):297-300.
6. ÇeliK EU, Yapar AGD, Artes M, Sem BH. Barterial Microleakage of Barrier Materials in Obturated Root Canals. J Endod. 2006;32(11):1074-6.
7. Fathi B, Bahcall J, Maki JS. An In Vitro Comparison of Bacterial Leakage of Three Common Restorative Materials Used as an Intracoronal Barrier. J.Endo. 2007;33(7):872-4.
8. Estrela CRA, Ribeiro RG, Moura MS, Estrela C. Infiltração microbiana em dentes portadores de restaurações procisórias. Robrac. 2008;17:138-45.
9. Craveiro MA, Fontana CE, Martin A S, Bueno CES. Influence of Coronal Restoration and Root Canal Filling Quality on Periapical Status: Clinical and Radiographic Evaluation. JOE. 2015(41):836-40.
10. Viana PGS. Influência de diferentes métodos de esterilização de esmalte dental sobre sua morfologia, composição química, estrutura e formação de biofilme in vitro. [ Tese]. Araraquara: Universidade Estadual Paulista- Unesp ;2013.
11. Morais AP, De Souza JPR, De Chevitarese O. Estudo in situ do esmalte dental humano após aplicação de tetrafluoreto de titânio. Pesq Odont Bras; 2000;14(2):137-43.
12. Thomas RZ, Ruben JL, ten Bosch JJ, Huysmans MC. Effect of ethylene oxide sterilization on enamel and dentin demineralization in vitro. J Dent. 2007;35(7):547-51.
13. Mozini ACA. Influência do remanescente de obturação, após preparo para contenção intra-radicular, na infiltração cervical de Enterococcus faecalis [dissertação]. Ribeirão Preto: Universidade de Ribeirão Preto; 2006
14. Madarati A, Rekab MS, Wats DC,Qualtrangh A. Time–dependence of coronal seal of temporary materials used in endodontics. Aust Endod J. 2008;34:89-93.
15. Fachin EVF, Perondi M, Grecca FS. Comparação da capacidade de selamento de diferentes materiais restauradores provisórios. RPG Rev Pós Grad. 2007;13(4):292-8.
16. Sauáia TS, Gomes BPFA, Pinheiro ET, Zaia AA, Ferraz CCR, Filho FJS. Microleakage evaluation of intraorifice sealing materials in endodonically treated teeth. Oral Surg Oral Med Oral Pathol 2006;8(102):242-6.
17. Babu NSV, Bhanushali PV, Bhanushali NV, Pastel P. Comparative analysis of microleakage of temporary filling materials used for multivisit endodontic treatment sessions in primary teeth: an in vitro study. Eur Arch Paediatr Dent. 2019 Apr 17. doi: 10.1007/s40368-019-00436-6.
18. Fidel, RAS et al. Selamento Provisório em Endodontia – Estudo Comparativo de Infiltração marginal. Rev. Bras Odontol. 2000;57(6):35-7.
19. Tselnik M, Craig BC, Marshall GJ. Bacterial Leakage with Mineral Trioxide Aggregator a Resin-Modified Glass Ionomer Used as a Coronal Barrier. J Endod. 2004;30(11):782-84.
20. Mah T, Basrani B, Santos JM, Pascon EA, Tjaderhane L, Yared G, et al 2010. Periapical inflammation affecting coronally inoculated dog teeth with root fillings augmented by white MTA orifice plugs. J Endod. 2003;29: 442-
21. Zaia AA, Nakagawa R, De Quadros I, Gomes BP, Ferraz CC, Teixeira FB, et al. An in vitro evaluation of four materials as barriers to coronal microleakage in root-filled teeth. Int Endod J. 2002;35(9):729-34.
22. Gadê Neto CR. InfluIência do Selamento Coronário na Obturação Endodôntica [Tese]. Piracicaba: Universidade Estadual de Campinas –Unicamp; 2004.
23. Couto, Paulo Henrique Amêndola et al. Avaliação in vitro da microinfiltração coronária em cinco materiais seladores temporários usados em endodontia. Arqu Bras Odontol, São Luiz, p.78- 88, 2010.
24. Cortez, DGN. Estudo in vivo da infiltração coronária em dentes de cães Piracicaba: Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas; 2005
25. Guimarães VBS, Veira CC, Souza NF, Santos LGP, Gomes FA, Pappen FG. Is it a possible to achieve coronary shielding in endodontically treated teeth? – Literature review. RSBO. 2019. Jan-Jun; 16(1):37-45.
26. Ramezanali F, Aryanezhadb S, Mohammadian F, Dibaji F, Kharazifardc. JM In Vitro Microleakage of Mineral Trioxide Aggregate, CalciumEnriched Mixture Cement and Biodentine Intra-Orifice Barriers IEJ Iranian Endodontic Journal 2017;12(2):211-21.
27. França V, Portella FF, Reston GE, Arossi AG, Restauração de dentes tratados endodonticamente com resinas bulk-fill: revisão integrativa Endodontically treated teeth restored with bulk-fill resins: integrative review. RFO UPF, Passo Fundo. 2018;23(3):348-52.
28. Rashmi N, Shinde SV, Moiz AA, Vyas T, Shaik JA, Guramm G. Evaluation of Mineral Trioxide Aggregate, Resin-modified Glass lonomer Cements, and Composite as a Coronal Barrier: An in vitro Microbiological Study. J Contemp Dent Pract. 2018;19(3):292-5.
29. Rodrigues KD, Paiva SSM.The influence of coronary sealing in the success of endodontically treatment. Revista da JOPIC. 2020; 02(4) :15-27.
30. Stenhagen S, SKeie H, Bardsen A, Laegreid T.Influence of the coronal restorarion on the outcome of endodontically treated teeth.. Acta Odontol Scand. 2020. Mar; 78(2) :81-86.
- Abstract Viewed: 502 times
- PDF Downloaded: 321 times