Assessing fracture resistance of endodontically treated teeth obturated with four different root canal sealers: An in-vitro study

Pankaj Priyadarshi; Asheesh Sawhny; Baljeet Singh Hora; Saakshi Agarwal; Rohit Kumar; Sumedha Sumbria

doi:10.53730/ijhs.v6nS2.8337

Authors

Pankaj Priyadarshi Senior Lecturer, Department of Conservative Dentistry & Endodontics, Rama Dental College, Kanpur, UP, India
Asheesh Sawhny HOD & Professor, Department of Conservative Dentistry & Endodontics, Rama Dental College, Kanpur, UP, India
Baljeet Singh Hora Professor, Department of Conservative Dentistry & Endodontics, Rama Dental College, Kanpur, UP, India
Saakshi Agarwal
saakshi96agarwal@gmail.com
PG Student, Department of Conservative Dentistry & Endodontics, Rama Dental College, Kanpur, UP, India
Rohit Kumar PG Student, Department of Conservative Dentistry & Endodontics, Rama Dental College, Kanpur, UP, India
Sumedha Sumbria PG Student, Department of Conservative Dentistry & Endodontics, Rama Dental College, Kanpur, UP, India

Keywords:

intra-canal sealer, fracture resistance, MTA based sealer, resin-based sealer

Abstract

Background: This study aims to evaluate fracture resistance on endodontically treated teeth when four unique sealers are being used. Materials and Methods: 75 human premolars (mandibular) recently extracted were utilised for this analysis. Random categorization of selected samples into 5 different groups depending on the type of sealer applied in the canal. Group 1: RCTpex sealer, Group 2: MTA Fillapex sealer, Group 3: Seal-Pex sealer, Group 4: Traditional zinc oxide-eugenol sealer, Group 5: Control (un-obturated tooth). Universal testing equipment (IIT, Kanpur) was used to assess fracture force after the teeth were inserted in acrylic cubes. Statistical analysis used one way ANOVA and test of post-hoc. All the groups had significant findings (P < 0.05) statistically. Results: Groups one and two presented more excellent fracture endurance as compared to other groups. Furthermore, there was no noteworthy difference between group three and four or group four and five statistically. Conclusion: The group of resin sealer was found to be more successful than other groups in this in vitro study. The ZOE sealer group and the control group, however, showed no significant differences.

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References

Bhat SS, Hegde SK, Rao A, Shaji Mohammed AK. Evaluation of resistance of teeth subjected to fracture after endodontic treatment using different root canal sealers: An in vitro study. J Indian Soc Pedod Prev Dent 2012;30:305-9.

Uppalapati LV, Mandava J. Evaluation of push-out bond strength of two different adhesive root canal obturation systems: An in vitro study. J Dr NTR Univ Health Sci 2012;1:111-5.

Kumar RV, Shruthi C. Evaluation of the sealing ability of resin cement used as a root canal sealer: An in vitro study. J Conserv Dent 2012;15:274-7.

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. J Conserv Dent 2013;16:238-42.

Spanberg LS, Haapasalo M. Rationale and efficacy of root canal medicaments and root filling materials with emphasis on treatment outcome. Endod Topics 2002;2:35-58.

Shantiaee Y, Dianat O, Janani A, Kolahi Ahari G. In vitro evaluation of the antibacterial activity of three root canal sealers. Iran Endod J 2010;5:1-5.

Khedmat S, Sedaghati M. Comparison of the tensile strength of four root canal sealers. J Dent (Tehran) 2006;3:1-5.

McMichen FR, Pearson G, Rahbaran S, Gulabivala K. A comparative study of selected physical properties of five root-canal sealers. Int Endod J 2003;36:629-35.

MTA Fillapex. Vol. 30. The Dental Advisor; 2013. Available from: https://www.dentaladvisor.com/evaluations/mtafillapex. [Last Accessed on 2015 Oct 10].

Sönmez IS, Sönmez D, Almaz ME. Evaluation of push-out bond strength of a new MTA-based sealer. Eur Arch Paediatr Dent 2013;14:161-6.

Sagsen B, Ustün Y, Demirbuga S, Pala K. Pushout bond strength of two new calcium silicate-based endodontic sealers to root canal dentine. Int Endod J 2011;44:1088-91.

MTA Fillapex – Endodontic Sealer. Scientific Profile. Available from: https://www.clinicalresearchdental.com/marketing/ mta%20fillapex%20‑%20scientific%20profile_medium.pdf. [Last Accessed on 2015 Oct 25].

Panitvisai P, Messer HH. Cuspal deflection in molars in relation to endodontic and restorative procedures. J Endod 1995;21:57-61.

Muñoz HR, Saravia‑Lemus GA, Florián WE, Lainfiesta JF. Microbial leakage of Enterococcus faecalis after post space preparation in teeth filled in vivo with RealSeal versus Gutta-percha. J Endod 2007;33:673-5.

Zielinski TM, Baumgartner JC, Marshall JG. An evaluation of Gutta flow and gutta‑percha in the filling of lateral grooves and depressions. J Endod 2008;34:295-8.

Cobankara FK, Orucoglu H, Sengun A, Belli S. The quantitative evaluation of apical sealing of four endodontic sealers. J Endod 2006;32:66-8.

Venturi M, Di Lenarda R, Prati C, Breschi L. An in vitro model to investigate filling of lateral canals. J Endod 2005;31:877‑81.

Siqueira JF Jr., Rôças IN. Bacterial pathogenesis and mediators in apical periodontitis. Braz Dent J 2007;18:267-80.

Saleh IM, Ruyter IE, Haapasalo MP, Orstavik D. Adhesion of endodontic sealers: Scanning electron microscopy and energy dispersive spectroscopy. J Endod 2003;29:595-601.

Huffman BP, Mai S, Pinna L, Weller RN, Primus CM, Gutmann JL, et al. Dislocation resistance of ProRoot Endo Sealer, a calcium silicate-based root canal sealer, from radicular dentine. Int Endod J 2009;42:34-46.

Sedgley CM, Messer HH. Are endodontically treated teeth more brittle? J Endod 1992;18:332-5.

Johnson ME, Stewart GP, Nielsen CJ, Hatton JF. Evaluation of root reinforcement of endodontically treated teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:360-4.

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. J Endod 2007;33:856-8.

Chadha R, Taneja S, Kumar M, Sharma M. An in vitro comparative evaluation of fracture resistance of endodontically treated teeth obturated with different materials. Contemp Clin Dent 2010;1:70-2.

Gesi A, Raffaelli O, Goracci C, Pashley DH, Tay FR, Ferrari M. Interfacial strength of resilon and gutta-percha to intraradicular dentin. J Endod 2005;31:809-13.

Nagas E, Uyanik MO, Eymirli A, Cehreli ZC, Vallittu PK, Lassila LV, et al. Dentin moisture conditions affect the adhesion of root canal sealers. J Endod 2012;38:240-4.

Sarkar NK, Caicedo R, Ritwik P, Moiseyeva R, Kawashima I. Physicochemical basis of the biologic properties of mineral trioxide aggregate. J Endod 2005;31:97-100.

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. J Endod 2009;35:731-6.

Amin SA, Seyam RS, El-Samman MA. The effect of prior calcium hydroxide intracanal placement on the bond strength of two calcium silicate-based and an epoxy resin-based endodontic sealer. J Endod 2012;38:696-9.

Grossman LI. Solubility of root canal cements. J Dent Res 1978;57:927.

Rothier A, Leonardo MR, Bonetti I Jr., Mendes AJ. Leakage evaluation in vitro of two calcium hydroxide and two zinc oxide-eugenol-based sealers. J Endod 1987;13:336-8.

Siqueira JF Jr., Fraga RC, Garcia PF. Evaluation of sealing ability, pH and flow rate of three calcium hydroxide‑based sealers. Endod Dent Traumatol 1995;11:225-8.

Limkangwalmongkol S, Burtscher P, Abbott PV, Sandler AB, Bishop BM. A comparative study of the apical leakage of four root canal sealers and laterally condensed gutta-percha. J Endod 1991;17:495-9.

Kariem ME, Dalia YI, Wafaa NY. In vitro bond strength of bioceramic root canal sealer in comparison to resin-based and eugenol-based root canal sealers. Endo (Lond Engl) 2015;9:59-3.

McComb D, Smith DC. Comparison of physical properties of polycarboxylate-based and conventional root canal sealers. J Endod 1976;2:228-35.

Gopikrishna V, Venkateshbabu N, Krithikadatta J, Kandaswamy D. Evaluation of the effect of MTAD in comparison with EDTA when employed as the final rinse on the shear bond strength of three endodontic sealers to dentine. Aust Endod J 2011;37:12-7.