Fracture resistance of endodontically treated root obturated with AH plus, MTA Fillapex, OneFill and Neosealer (A comparative in vitro study)
DOI:
https://doi.org/10.32828/mdj.v20i1.1044Keywords:
bioceramic sealer, edge file X7, fracture resistance, OneFill sealer, Neosealer, AH plusAbstract
Aim: The aim of this study is to evaluate and compare the fracture resistance of endodontically treated root obturated with four different root canal sealers..
Methods: Sixty extracted palatal root of upper molars were collected and sectioned to get a 11mm root length. All root canals were instrumented using edge endo X7 system rotary files and 35# size was the final size used to finish all the canals.
After instrumentation the samples were divided into four groups of 15 samples in each according to the type of sealer used, a single cone obturation technique was used:
Group 1: obturated with AH Plus sealer and gutta-percha. Group 2: obturated with Neosealer BC sealer and gutta-percha. Group 3: Obturated with MTA-Fillapex sealer and gutta-percha.
Group 4: Obturated with OneFill BC sealer and gutta-percha.
After incubation period of 7 days at 37°C and 100% humidity the samples covered with thin layer polyvinylsiloxane impression material to simulate a periodontal membrane and then molded in acrylic blocks so as to set the samples ready for fracture resistance test using universal testing machine at a cross head speed of 0.5mm/min., One-way ANOVA and Posthoc tests assessed the data statistically.
Results: The results showed that fracture resistance was significantly higher in those canals that were filled with Neosealer BC sealer (69.90N) in comparison to the other different sealers used in the study (p≤0.05).
Conclusion: Under the condition of this study, the following conclusions can be derived:
- The application of any root canal sealers resulted in an enhancement of the resistance to fractures in teeth that have undergone endodontic treatment.
- Neosealer Bioceramic sealer group showed the highest fracture resistance than other groups. Followed by Onefill bioceramic, MTA Fillapex and Ah plus.
References
Akcay, M., Arslan, H., Durmus, N., Mese, M. and Capar, I.D. Dentinal tubule penetration of AH Plus, iRoot SP, MTA fillapex, and guttaflow bioseal root canal sealers after different final irrigation procedures: A confocal microscopic study. Lasers in surgery and medicine. 2016 48(1), pp.70-76.
Assmann E, Scarparo RK, Böttcher DE, Grecca FS. Dentin bond strength of two mineral trioxide aggregate–based and one epoxy resin–based sealers. Journal of endodontics. 2012 1;38(2):219-21.
Bhat SS, Hegde SK, Rao A, Mohammed AS. Evaluation of resistance of teeth subjected to fracture after endodontic treatment using different root canal sealers: An: in vitro: study. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2012 Oct 1;30(4):305-9.
Bier CA, Shemesh H, Tanomaru-Filho M, Wesselink PR, Wu MK. The ability of different nickel-titanium rotary instruments to induce dentinal damage during canal preparation. Journal of endodontics. 2009 1;35(2):236-8.
Chadha R, Taneja S, Kumar M, Sharma M. An in vitro comparative evaluation of fracture resistance of endodontically treated teeth obturated with different materials. Contemporary Clinical Dentistry. 2010 Apr;1(2):70.
Çobankara FK, Üngör M, Belli S. The effect of two different root canal sealers and smear layer on resistance to root fracture. Journal of Endodontics. 2002 Aug 1;28(8):606-9.
Dibaji F, Afkhami F, Bidkhori B, Kharazifard MJ. Fracture resistance of roots after application of different sealers. Iranian endodontic journal. 2017;12(1):50.
Fisher MA, Berzins DW, Bahcall JK. An in vitro comparison of bond strength of various obturation materials to root canal dentin using a push-out test design. Journal of endodontics. 2007 Jul 1;33(7):856-8.
Gade VJ, Belsare LD, Patil S, Bhede R, Gade JR. Evaluation of push-out bond strength of endosequence BC sealer with lateral condensation and thermoplasticized technique: An in vitro study. Journal of conservative dentistry: JCD. 2015;18(2):124.
Gomes-Filho JE, Watanabe S, Bernabé PF, de Moraes Costa MT. A mineral trioxide aggregate sealer stimulated mineralization. Journal of endodontics. 2009 Feb 1;35(2):256-60.
Gulsahi K, Cehreli ZC, Kuraner T, Dagli FT. Sealer area associated with cold lateral condensation of gutta‐percha and warm coated carrier filling systems in canals prepared with various rotary NiTi systems. International Endodontic Journal. 2007 Apr;40(4):275-81.
Gurgel-Filho ED, Leite FM, Lima JB, Montenegro JP, Saavedra F, Silva EJ. Comparative evaluation of push-out bond strength of a MTA-based root canal sealer. Brazilian Journal of Oral Sciences. 2014 ;13:114-7.
Jainaen A, Palamara JE, Messer HH. The effect of resin‐based sealers on fracture properties of dentine. International endodontic journal. 2009 Feb;42(2):136-43.
Kala M, Mds SP, Allappanavarkeerti S, Gupthanagendra VR. A comparative Evaluation of Fracture Resistance of Endodontically Treated Teeth obturated with AH PLUS and guttapercha, gutaflow and guttapercha and resilon epiphany and guttapercha an in vitro Study. 2014 1;30(4):305-9.
Langalia AK, Dave B, Patel N, Thakkar V, Sheth S, Parekh V. Comparative evaluation of fracture resistance of endodontically treated teeth obturated with resin based adhesive sealers with conventional obturation technique: an in vitro study. Journal of International Oral Health: JIOH. 2015 Feb;7(2):6.
Lee YL, Lin FH, Wang WH, Ritchie HH, Lan WH, Lin CP. Effects of EDTA on the hydration mechanism of mineral trioxide aggregate. Journal of dental research. 2007 ;86(6):534-8.
Lertchirakarn V, Timyam A, Messer HH. Effects of root canal sealers on vertical root fracture resistance of endodontically treated teeth. Journal of Endodontics. 2002 Mar 1;28(3):217-9.
Mandava J, Chang PC, Roopesh B, Faruddin MG, Anupreeta A, Uma C. Comparative evaluation of fracture resistance of root dentin to resin sealers and a MTA sealer: An in vitro study. Journal of Conservative Dentistry: JCD. 2014 Jan;17(1):53.
Mandava J, Chang PC, Roopesh B, Faruddin MG, Anupreeta A, Uma C. Comparative evaluation of fracture resistance of root dentin to resin sealers and a MTA sealer: An in vitro study. Journal of Conservative Dentistry: JCD. 2014 Jan;17(1):53.
Mohammed YT, Al-Zaka IM. Fracture resistance of endodontically treated teeth obturated with different root canal sealers (a comparative study). J Contemp Dent Pract. 2020 May 1;21(5):490-3.
Nunes VH, Silva RG, Alfredo E, Sousa-Neto MD, Silva-Sousa YT. Adhesion of Epiphany and AH Plus sealers to human root dentin treated with different solutions. Brazilian dental journal. 2008;19:46-50.
Patil P, Banga KS, Pawar AM, Pimple S, Ganeshan R. Influence of root canal obturation using gutta-percha with three different sealers on root reinforcement of endodontically treated teeth. An in vitro comparative study of mandibular incisors. Journal of conservative dentistry: JCD. 2017 Jul;20(4):241.
Patil SA, Dodwad PK, Patil AA. An in vitro comparison of bond strengths of Gutta-percha/AH Plus, Resilon/Epiphany self-etch and EndoREZ obturation system to intraradicular dentin using a push-out test design. Journal of Conservative Dentistry: JCD. 2013 May;16(3):238.
Phukan AH, Mathur S, Sandhu M, Sachdev V. The effect of different root canal sealers on the fracture resistance of endodontically treated teeth-in vitro study. Dental research journal. 2017 Nov;14(6):382.
Reinhardt RA, Krejci RF, Pao YC, Stannard JG. Dentin stresses in post-reconstructed teeth with diminishing bone support. Journal of Dental Research. 1983 Sep;62(9):1002-8.
Reyes-Carmona JF, Felippe MS, Felippe WT. Biomineralization ability and interaction of mineral trioxide aggregate and white portland cement with dentin in a phosphate-containing fluid. Journal of endodontics. 2009 May 1;35(5):731-6.
Ribeiro FC, Souza-Gabriel AE, Marchesan MA, Alfredo E, Silva-Sousa YT, Sousa-Neto MD. Influence of different endodontic filling materials on root fracture susceptibility. Journal of Dentistry. 2008 Jan 1;36(1):69-73.
Sagsen B, Ustün Y, Demirbuga S, Pala K. Push‐out bond strength of two new calcium silicate‐based endodontic sealers to root canal dentine. International endodontic journal. 2011 Dec;44(12):1088-91.
Saleh IM, Ruyter IE, Haapasalo MP, Ørstavik D. Adhesion of endodontic sealers: scanning electron microscopy and energy dispersive spectroscopy. Journal of endodontics. 2003 Sep 1;29(9):595-601.
Sarkar NK, Caicedo R, Ritwik P, Moiseyeva R, Kawashima I. Physicochemical basis of the biologic properties of mineral trioxide aggregate. Journal of endodontics. 2005 1;31(2):97-100.
Sedgley CM, Messer HH. Are endodontically treated teeth more brittle?. Journal of endodontics. 1992 Jul 1;18(7):332-5.
Shantiaee Y, Dianat O, Janani A, Ahari GK. In vitro evaluation of the antibacterial activity of three root canal sealers. Iranian endodontic journal. 2010;5(1):1.
Soares CJ, Pizi EC, Fonseca RB, Martins LR. Influence of root embedment material and periodontal ligament simulation on fracture resistance tests. Brazilian oral research. 2005;19:11-6.
Sornkul E, Stannard JG. Strength of roots before and after endodontic treatment and restoration. Journal of Endodontics. 1992 Sep 1;18(9):440-3.
Sousa‐Neto MD, Silva Coelho FI, Marchesan MA, Alfredo E, Silva‐Sousa YT. Ex vivo study of the adhesion of an epoxy‐based sealer to human dentine submitted to irradiation with Er: YAG and Nd: YAG lasers. International endodontic journal. 2005 Dec;38(12):866-70.
Timpawat S, Vongsavan N, Messer HH. Effect of removal of the smear layer on apical microleakage. Journal of endodontics. 2001 1;27(5):351-3.
Topçuoğlu HS, Tuncay Ö, Karataş E, Arslan H, Yeter K. In vitro fracture resistance of roots obturated with epoxy resin–based, mineral trioxide aggregate–based, and bioceramic root canal sealers. Journal of endodontics. 2013 Dec 1;39(12):1630-3.
Torabinejad M, Parirokh M, Dummer PM. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview–part II: other clinical applications and complications. International endodontic journal. 2018 Mar;51(3):284-317.
Trope M, Ray Jr HL. Resistance to fracture of endodontically treated roots. Oral surgery, oral medicine, oral pathology. 1992 Jan 1;73(1):99-102.
Ungor M, Onay EO, Orucoglu H. Push‐out bond strengths: the Epiphany–Resilon endodontic obturation system compared with different pairings of Epiphany, Resilon, AH Plus and gutta‐percha. International endodontic journal. 2006 ;39(8):643-7.
Upadhyay ST, Purayil TP. Comparative evaluation of fracture resistance of endodontically treated teeth obturated with pozzolan-based MTA sealer and epoxy resin-based sealer: an in vitro study. World Journal of Dentistry. 2013 Jun 1;8:37-40.
Yendrembam B, Mittal A, Sharma N, Dhaundiyal A, Kumari S, Abraham A. Relative Assessment of Fracture Resistance of Endodontically Treated Teeth with Epoxy Resin-Based Sealers, AH Plus, MTA Fillapex, and Bioceramic Sealer: An: In vitro: Study. Indian Journal of Dental Sciences. 2019 Jan 1;11(1):46-50.
Yendrembam B, Mittal A, Sharma N, Dhaundiyal A, Kumari S, Abraham A. Relative Assessment of Fracture Resistance of Endodontically Treated Teeth with Epoxy Resin-Based Sealers, AH Plus, MTA Fillapex, and Bioceramic Sealer: An: In vitro: Study. Indian Journal of Dental Sciences. 2019 1;11(1):46-50.
Yildirim T, Oruçoğlu H, Çobankara FK. Long-term evaluation of the influence of smear layer on the apical sealing ability of MTA. Journal of endodontics. 2008 Dec 1;34(12):1537-40.
Zamin C, Silva‐Sousa YT, Souza‐Gabriel AE, Messias DF, Sousa‐Neto MD. Fracture susceptibility of endodontically treated teeth. Dental Traumatology. 2012 ;28(4):282-6.
Sobh YT, Deen NE, Mohsen A, Hashem AA. Effect of Different Contemporary Rotary Nickel Titanium Systems on Root Canal Geometry. Al-Azhar Dental Journal for Girls. 2021 Oct 1;8(4):527-34
Majumdar TK, Chowdhury M, Mukherjee S, Mazumdar P. Cone-beam computed tomography assessment of root canal transportation and evaluation of canal centering using Protaper Gold, XP Endoshaper, and Edgefile X7. Endodontology. 2022 Apr 1;34(2):121-6.
Hassan N, Hassan R. Fracture Resistance of Roots Obturated with Bioceramic and Epoxy Resin-Root Canal Sealers Using Different Obturation Techniques: An Ex-vivo study. Egyptian Dental Journal. 2023 Oct 1;69(4):3217-24.
Mandava J, Chang PC, Roopesh B, Faruddin MG, Anupreeta A, Uma C. Comparative evaluation of fracture resistance of root dentin to resin sealers and a MTA sealer: An in vitro study. Journal of Conservative Dentistry: JCD. 2014;17(1):53
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2024 Mustansiria Dental Journal
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Journal of Mustansiria Dental Journal is an open-access journal that all contents are free of charge. Articles of this journal are licensed under the terms of the Creative Commons Attribution International Public License CC-BY 4.0 (https://creativecommons.org/licenses/by/4.0/legalcode) that licensees are unrestrictly allowed to search, download, share, distribute, print, or link to the full texts of the articles, crawl them for indexing and reproduce any medium of the articles provided that they give the author(s) proper credits (citation). The journal allows the author(s) to retain the copyright of their published article.
Creative Commons-Attribution (BY)