RESUMO
Mineral trioxide aggregate (MTA) has been proposed as one of the materials which can be used in a one-visit apexification technique. Recently conventional grey MTA has been replaced by a new white MTA formula. The aim of this study was to compare the root canal adaptation of white MTA to that of grey MTA when used as an apical barrier in teeth with open apices. We also examined whether a previous calcium hydroxide intracanal medication affects MTA's sealing ability and investigated the ability to remove calcium hydroxide from the root canal walls. Forty-nine teeth were prepared in a manner to simulate a divergent open apex of immature teeth. Four teeth were used in a preliminary experiment to demonstrate the inefficacy of calcium hydroxide removal from the canal walls in teeth with open apices. Four groups of 10 teeth each were created: groups A and B were treated with calcium hydroxide intracanal medication and then received an apical plug of grey and white MTA respectively. Groups C and D received an apical plug of grey and white MTA respectively without previous intracanal medication. Four teeth served as negative and one as a positive control. The marginal adaptation and sealing ability of the apical barrier were tested by means of a dye tracer (basic fuchsine) after longitudinal sectioning. It was found that MTA apical barrier resisted displacement during gutta-percha condensation. Calcium hydroxide pretreatment, adversely affected white MTA sealing ability (P < 0.05).
Assuntos
Compostos de Alumínio/química , Compostos de Cálcio/química , Hidróxido de Cálcio/efeitos adversos , Óxidos/química , Materiais Restauradores do Canal Radicular/química , Irrigantes do Canal Radicular/efeitos adversos , Obturação do Canal Radicular/métodos , Silicatos/química , Ápice Dentário/efeitos dos fármacos , Compostos de Alumínio/farmacologia , Análise de Variância , Compostos de Cálcio/farmacologia , Infiltração Dentária/etiologia , Adaptação Marginal Dentária , Cavidade Pulpar , Combinação de Medicamentos , Guta-Percha , Humanos , Óxidos/farmacologia , Materiais Restauradores do Canal Radicular/farmacologia , Silicatos/farmacologia , Estatísticas não ParamétricasRESUMO
OBJECTIVES: In this study the sealing ability of various materials used to repair furcation perforations was evaluated. DESIGN: Ninety human molars were endodontically treated and a perforation was made in the pulp chamber floor using a round bur. The teeth were inserted into a moistened flower sponge and perforation sites were sealed with one of the following materials: Mineral Trioxide Aggregate (ProRootM), Super-EBA, Vitremer, Hemarcol together with Super-EBA, Hemarcol together with Vitremer, Tricalcium phosphate together with AH26, Cavit W and amalgam. After eight months, the sealing effectiveness of the materials was evaluated in a double-blinded trial under a video-microscope by detecting the penetration of silver nitrate solution (50%w/w) in longitudinal tooth sections. RESULTS: Perforation sites filled with Hemarcol together with Vitremer or with MTA exhibited statistically less silver stain penetration while Cavit W or Tricalcium phosphate together with AH26 sealer failed to effectively seal the perforation sites. CONCLUSIONS: MTA alone or Vitremer in combination with a collagen sponge can be used effectively in the treatment of perforations in a furcation area.
