Evaluation of Intracanal Medicaments on Pushout Bond Strength of Calcium Silicate Based

Main Article Content

Foram Patel
Megha Patel
Rohan Bhatt
Chhaya Patel
Darshan Jethva
Disha Makwani

Abstract

Background: The disinfection of canal and optimal coronal and apical seal forms the mainstay for success of any endodontic treatment. Cements made of calcium silicate, such as Biodentine and Mineral Trioxide Aggregate (MTA), are gaining popularity as apical plug restorations. However, their pushout bond strength can be affected by the intracanal medicaments used due to the surface changes they produce on root dentin.
Aim: To assess the impact of medications for intracanal use such as Calcium Hydroxide (CH) and Triple Antibiotic Paste (TAP) placed for different time periods on the pushout bond strength (PBS) of MTA and Biodentine.
Materials and Methodology: One hundred single rooted teeth were prepared to simulate open apex. Teeth were divided into 5 groups (n = 20) namely CH for 1 week, TAP for 1 week, CH for 3 weeks, TAP for 3 weeks and a control group. 2mm discs were prepared from each specimen and filled with MTA and Biodentine and subjected to universal testing machine for measuring the values of pushout bond strength in Mega pascals. Collected data was subjected to statistical analysis. Tests used were ANOVA and post hoc Tukey.
Results: The result between all the groups was statistically highly significant and group 3b (CH- 3 week + BD) showed highest pushout bond  strength and the least push out bond strength was observed in group 5a (control + MTA). The higher pushout bond strength was observed when the CH was used as an intracanal medicament. The pushout bond strength of the apical plugs improved when the intracanal medicaments were used for a longer duration of 3 weeks than the 1-week application.

Conclusion: The use of TAP as intracanal medicament for 3 weeks and Biodentine as apical plug material can be recommended for one visit apexification technique as they have a higher pushout bond strength.

Article Details

How to Cite
Foram Patel, Megha Patel, Rohan Bhatt, Chhaya Patel, Darshan Jethva, & Disha Makwani. (2023). Evaluation of Intracanal Medicaments on Pushout Bond Strength of Calcium Silicate Based. Journal of Coastal Life Medicine, 11(2), 481–490. Retrieved from https://www.jclmm.com/index.php/journal/article/view/1038
Section
Articles

References

Camp JH. Diagnosis Dilemmas in Vital Pulp Therapy: Treatment for the Toothache Is Changing, Especially in Young, Immature Teeth. Pediatr Dent. 2008; 30: 197-205

Nerwich A, Figdor D, Messer H. pH changes in root dentine over a 4-week period following root canal dressing with calcium hydroxide. Journal of Endodontics 1993; 19:302-6. 6.

Prasanti ED, Margono A, Djauharie N. Effect of triple antibiotic paste, calcium hydroxide, ledermix on viability of pulp mesenchymal stem cells. Int J App Pharm 2019;11:49-53

Yassen GH, Chu T-MG, Eckert G, Platt JA. Effect of medicaments used in endodontic regeneration technique on the chemical structure of human immature radicular dentin: an in vitro study. J Endod. 2013;39(2):269–73)

Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review – part III: clinical applications, drawbacks, and mechanism of action. J. Endod. 2010;36:400–413.

Laurent P, Camps J, About I. BiodentineTM induces TGF-β1 release from human pulp cells and early dental pulp mineralization. Int. Endod. J. 2012;45:439–448.

Saghiri MA, Lotfi M, Saghiri AM, Vosoughhosseini S, Fatemi A, Shiezadeh V, Ranjkesh B. Effect of pH on Sealing Ability of White Mineral Trioxide Aggregate as a Root-end Filling Material. J Endod. 2008;34(10):1226-9. 24.

Yildirim T, Oruçoğlu H, Çobankara FK. Long-term Evaluation of the Influence of Smear Layer on the Apical Sealing Ability of MTA. J Endod. 2008;34(12):1537-40.

Prather BT, Ehrlich Y, Spolnik K, et al. Effects of two combinations of triple antibiotic paste used in endodontic regeneration on root microhardness and chemical structure of radicular dentine. J Oral Sci 2014;56:245–51.

Patel MC, Sujan SG. The prevalence of traumatic dental injuries to permanent anterior teeth and its relation with predisposing risk factors among 8-13 years school children of Vadodara city: an epidemiological study. J Indian Soc Pedod Prev Dent. 2012 Apr-Jun;30(2):151-7

Simpson ST. Treatment of the open apex - pulp involvement through trauma, Australian Dental Journal Oct.1970; Vol. 15: 392-395.

Torabinejad M, Watson TF, Pitt Ford TR. Sealing ability of mineral trioxide aggregate when used as a root end filling material. J Endod 1993;19:591–5.

Witherspoon DE, Ham K. One-visit apexification: technique for inducing root end barrier formation in apical closures. Pract Proced Aesthet Dent 2001;13:455–60.

Bachoo IK, Seymour D, Brunton P. Clinical case reports using a novel calciumbased cement. Br Dent J 2013; 214:61-64.

El-Ma’aita AM, Qualtrough AJ, Watts DC. The effect of smear layer on the pushout bond strength of root canal calcium silicate cements. Dent Mater 2013;29:797– 803.

Hasheem AA, Wannes Amin SA. The effect of acidity on dislodgment resistance of mineral trioxide aggregate and bioaggregate in furcation perforations: an in vitro comparative study. J Endod. 2012;38:245_249.

Guneser MB, Akbulut MB, Eldeniz AU. Effect of various endodontic irrigants on the push-out bond strength of biodentine and conventional root perforation repair materials. J Endod 2013;39(3):380-4.

Yassen GH, Chu TM, Eckert G, Platt JA. Effect of medicaments used in endodontic regeneration technique on the chemical structure of human immature radicular dentin: an in vitro study. J Endod 2013;39:269–73.

Liu WN, Chang J, Zhu YQ, Zhand M. Effect of tricalcium aluminate mixtures: setting time, mechanical strength and biocompatibility. Int Endod J 2011;44(1):41-50.

Sarkar NK, Caicedo R, Ritwik P, et al. Physicochemical basis of the biologic properties of mineral trioxide aggregate. J Endod. 2005;31:97_100.

Han L, Okiji T. Bioactivity evaluation of three calcium silicate-based endodontic materials. Int Endod J. 2013;46:808–14.