scholarly journals An In-vitro Study to Determine the Sealing Ability of Biodentine when used as a Class II Restorative Material

Author(s):  
Deebah Choudhary

Introduction: Microleakage is a major setback to restorative dentistry. Leakage at the tooth/restoration interface may lead to numerous problems like postoperative sensitivity, recurrent caries, marginal sealing and later total failure of restoration. Aim: To determine the sealing ability (microleakage) of a new hydraulic calcium silicate cement (Biodentine) as a base material and a bulk filling material. Materials and Methods: An in-vitro study was conducted with ten freshly extracted maxillary molars from March 2019 to June 2019. Standardised Class II cavities were prepared on mesial and distal proximal surfaces. The twenty prepared samples were randomly divided into two groups (n=10)- G1 (BiodentineTM group) and G2 (BiodentineTM + Tetric N-Ceram group). The samples were subjected to thermocycling, followed by 1% methylene blue dye immersion. They were subsequently sectioned both buccolingually and mesiodistally in order to separate to proximal restorations (mesial and distal) and appreciate the amount of dye penetration at tooth/restoration interface respectively. Microleakage was evaluated by observing the samples under a stereomicroscope (30x). The data obtained was analysed using one-way ANOVA test and compared using Post-hoc test. p-value <0.05 to be considered significant. Results: Biodentine showed no significant difference between the sealing ability as a bulk filling and a base material. Group G2 (0.35) indicated comparatively less microleakage as compared to Group G1 (0.6) but the difference in microleakages in both groups was insignificant (p-value 0.083467). Conclusion: BiodentineTM exhibits microleakage when used as a bulk filling material and as a dentin substitute in Class II cavities since there is no significant difference in both the groups.

2016 ◽  
pp. 28-32
Author(s):  
Xuan Anh Ngoc Ho ◽  
Thien Man Tran

Background: Overcoming the obstacles of Class II restoration, especially the microleakage, is a polemic issue. The present study was performed to evaluate the microleakage of Class II restorations using three different techniques. Aims: The aim of this in vitro study was to evaluate the microleakage of Class II restorations using three different techniques. Materials and methods: The study was carried out in the laboratory with paired comparision between groups. Thirty Class II cavities were prepared on extracted non-carious human permanent molars, randomly divided into 3 groups, which were then restored with 3 different methods. Group 1: indirect composite inlay (Tetric N-Ceram) cemented with resin-modified glass ionomer cement (Fuji Plus); Group 2 indirect composite inlay (Tetric N-Ceram) cemented flowable composite (Tetric N-flow); Group 3: direct composite restoration using Tetric N-Ceram. Before immersed to 2% methylene blue solution for 12 hours, all restorations were subjected to thermal cycling (100 cycles 50C – 55 0C). The extent of dye penetration along the gingival wall was assessed using a grade scale from 0 to 3 under 40 times magnification using digital camera Nikon D7000. Results: All types of restorations showed some rate of microleakage. In comparing the three techniques, group 1 demonstrated the significantly higher rate of leakage compared to the others (p<0.05), whereas group 2 and 3 showed no significant difference. Conclusion: Different luting materials have different influences on the microleakage degree along gingival wall of Class II restoration. Key word: composite inlay, class II restoration, microleakage


2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
M. Tielemans ◽  
I. Saloukas ◽  
D. Heysselaer ◽  
Ph. Compere ◽  
C. Nyssen-Behets ◽  
...  

The aim of this in vitro study is to compare the microleakage of a root perforation sealed with MTA (mineral trioxide aggregate) (group M) to that sealed with MTA following Er:YAG laser irradiation (group ML). Forty-two recently extracted human monoroot teeth were used. Two cavities were prepared on each root surface. Randomly, on each root, the exposed dentine of one cavity was irradiated prior to MTA filling using an Er:YAG laser with the following settings: 200 mJ/pulses under an air water spray, 10 Hz, pulse duration of 50 μsec, and 0.7 mm beam diameter. All cavities were then sealed with MTA. submitted to thermocycling and immersed in 2% methylene blue dye solution for 12 h. The penetration of methylene blue in the microleakage of cavity was observed and recorded. The mean value dye penetration in cavities sealed with MTA following Er:YAG laser irradiation (%) was lower than that of unlased cavities sealed only with MTA (%). No significant difference was noted. The use of an Er:YAG laser beam for dentinal conditioning prior to MTA filling of perforated roots did not decrease significantly the microleakage of MTA sealing when compared to the conventional use of MTA filling.


Author(s):  
Dr. Ravi Nag ◽  
Dr. Jagjeet Singh ◽  
Dr. Abhilasha Masih Gottlieb ◽  
Dr. Ponnanna A. A. ◽  
Dr. Nikhil Verma ◽  
...  

Background: Prolonged retention of provisional restoration is depends upon the long term affinity between restoration and teeth structures which depend upon the use of good mechanical characteristics, low solubility, and superior adhesion  quality of luting cement which also resist bacterial and molecular penetration. Hence, assessment of marginal leakage of provisional restorative materials sealed with provisional cements using the standardized procedures is essential. Aim: This study aimed at in vitro study of microleakage of 4 provisional cements, a cavity base compound and a zinc-phosphate luting cement in provisional acrylic resin crowns fixed on extracted human teeth. Material & Methods:  The teeth with acrylic restorations were randomly divided into 6 groups of 6 specimens each. Each group received different types of temporary cement. Acrylic resin crowns were made and fitted on intact human premolars with the 4 cements. All restorations were applied in a standardized manner. Specimen were submerged in a 2% methylene blue solution, then sectioned and observed under a stereomicroscope for the detection of marginal microleakage. Obtained data were subjected to ANNOVA and Chi –square test to know statistical significant difference between different groups.  P value less than 0.05 was considered significant. Results and observation: Mean frequency of microleakage was statistically significant among all the groups under study with Pvalue<0.017. Conclusion: Among all the temporary cement, Zinc-phosphate cements has the best property with reduced microleakage. Even it is used as cavity base but can be used as good temporary cement as far as microleakage is concerned. Key words, Microleakage, provisional cement, restorations, crowns, in vitro


2020 ◽  
Vol 8 (11) ◽  
pp. 894-900
Author(s):  
Deebah Choudhary ◽  

Background:Marginal microleakage occurs when restorations are poorly adapted to the cavity walls which leads to penetration of bacteria, fluid and nutrient into the marginal gap. Aim: The study aimed to evaluate the effect of thermocycling on marginal sealing ability of two root-end filling materials i.e. MTA Plus and Biodentine. Materials and Methods: An in vitro study was conducted at Department of Conservative Dentistry and Endodontics in Institute of Dental Sciences (IDS), Jammu, Jammu and Kashmir, India. Forty extracted teeth with single root were decoronated maintaining a standardized length of 16mm. Biomechanical preparation and obturation was done for all the teeth. Samples were stored at 37oC and 100% humidity for seven days. Apical 3mm was resected and cavities were prepared which were randomly divided into two experimental groups with twenty samples each. The cavities were filled with MTA Plus in group I and Biodentine in group II. These groups were further divided into two subgroups of ten each (n=10). The second subgroup of both the groups did not receive any treatment and the first subgroup samples were subjected to 500 thermocycles in water bath at temperature ranges between 5oC and 55oC with a dwell time of 30 second. The samples were immersed in methylene blue dye and after through washing they were sectioned longitudinally. Examination was done under stereomicroscope to measure the depth of penetration. Statistical Analysis: The data collected were put to statistical analysis by one-way ANOVA (analysis of variance) and post hoc tests. Results: The average depth of dye penetration was least for Biodentine when thermocycling treatment was not given (0.13mm) and maximum value was depicted by MTA Plus when undergone thermal cycles (0.57mm). It is also noted that no significant difference is seen in Biodentine with or without artificial aging procedure. Conclusion:Biodentine showed least amount of microleakage, thus a better sealing ability.Alsothere was little effect of thermocycling onmicroleakage of both the materials.


2009 ◽  
Vol 33 (4) ◽  
pp. 305-310 ◽  
Author(s):  
Nikita Lolayekar ◽  
Sham Bhat ◽  
Sundeep Hegde

Endodontic treatment of the pulpless tooth with an immature root apex poses a special challenge for the clinician due to lack of an apical stop against which to compact an interim dressing of calcium hydroxide, or the final obturation material. A one-visit apexification protocol with MTA (Mineral Trioxide Aggregate) has be seen as an alternative to the traditional treatment practices with calcium hydroxide [Ca(OH)2]. The aim of this study was to investigate the use of MTA as a 5mm apical barrier by comparing sealing ability of ProRoot MTA to that of MTA-Angelus. 50 freshly extracted Maxillary and Mandibular single canal sound human incisor teeth were used in this study, which were decoronated to standardized 10mm root lengths. The root segments were prepared to simulate the clinical situation of an open apex with Gates Glidden burs # 5-1 and randomly assigned into 2 experimental groups of 20 samples each (Group A: ProRoot MTA, Group B: MTA-Angelus) and 10 root segments were used as control (Group C) where no apical barrier was used. After obturation the coronal portion of all samples were sealed with Glass Ionomer and stored at 37°C and 100% humidity for 4 weeks. The root segments were then double coated with nail varnish except for the apical 1mm and apical ends of all root segments were suspended vertically in methylene blue dye for 48 hours at room temperature. After removal from the dye, the samples were sectioned longitudinally and linear dye penetration was measured using a Grid and stereomicroscope. The measurements were tabulated and statistically analyzed. The mean percentage of dye leakage for Group A was 55.5% and for Group B was 53.25%. The results showed no statistically significant difference in the sealing ability of ProRoot MTA and MTA-Angelus when used as apical barriers.


2020 ◽  
Vol 8 (11) ◽  
pp. 569-575
Author(s):  
Pooja Yadav ◽  
◽  
Ashish Jain ◽  
Rahul Rao ◽  
Harshil Patel ◽  
...  

Aims: This is an vitro study compares and evaluates the effect of magnification tools on frequency and extent of iatrogenic damage to approximal tooth surface during conservative Class II cavity preparations. Methods and Material: 30 Typodont teeth were divided into 3 groups 10 typodont teeth in each group and were mounted on Phantom head. Teeth were prepared for class II (MO) cavity on 36 with conservative design using airotor with naked eye, loupes and microscope and iatrogenic damage was assessed on tooth no 35. Assessment of iatrogenic damage of all the groups was done by profilometer test. Statistical analysis used:Statistical analysis was done using one-way analysis of variance (ANOVA). Post-hoc pair-wise comparisons were done using Dunnetts test. Results: Results revealed that tooth preparation was better under microscopes and loupes with statistical significant difference for samples with loupes and microscope on comparison with naked eye. Study also expressed the difficulty faced during tooth preparation with microscope and loupes for the first time. Conclusions: Magnifying tools helps in better vision and less iatrogenic damage while preparing the tooth for restoration.


2018 ◽  
Vol 21 (4) ◽  
pp. 363 ◽  
Author(s):  
Preeti Mishra ◽  
Shikha Jaiswal ◽  
Vineeta Nikhil ◽  
Sachin Gupta ◽  
Padmanabh Jha ◽  
...  

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Amira Kikly ◽  
Sabra Jaâfoura ◽  
Dorra Kammoun ◽  
Saida Sahtout

The root canal system must be obturated using a hermetic seal to prevent the penetration of microorganisms and bacterial toxins into the endodontic system. The principles of adhesive dentistry have been increasingly used in endodontics. In fact, resin-based sealers are increasingly used. The objective of this study was to evaluate, in vitro, the sealing ability of resin cement in comparison with calcium hydroxide-based cement. Materials and Methods. Eighty root canals were prepared with the Tilos system and were randomly divided into four groups according to the filling material. The best combination was evaluated on the basis of its sealing ability. The dye infiltration degree was evaluated using both a stereomicroscope after diaphanization and the dye rise test. Results. A significant difference was observed between the four obturation systems with regard to the number of infiltrated walls (p=0.014) and the infiltration depth (p=0.025). The group of teeth obturated with EndoREZ® and EndoREZ® gutta cones differ significantly from the group obturated with EndoREZ® cement and gutta-percha cones in terms of apical sealing (p=0.011). A significant difference was also observed between the group of teeth obturated using EndoREZ® gutta cones and EndoREZ® cement and the group of teeth obturated with EndoREZ® cement (p=0.026). Conclusion. When used with EndoREZ® gutta cones, EndoREZ® cement showed the best sealing ability, particularly in the apical region. When used with gutta-percha cones, Acroseal and EndoREZ® cements exhibited similar sealing abilities.


2019 ◽  
Vol 9 (19) ◽  
pp. 4197
Author(s):  
Shahabe Saquib ◽  
AlQarni Abdullah ◽  
Das Gotam ◽  
Naqash Talib ◽  
Sibghatullah Muhammad ◽  
...  

Splinting of the mobile teeth is a critical part of periodontal management to improve the prognosis and longevity of stable results of periodontally compromised teeth with increased mobility. Different types of splints are used in the dental field based on their mechanical and physical properties.The objective of the current in vitro study was to evaluate the flexure strength and flexural modulus of different types of splinting materials, such as: composite block, ligature wire, Ribbond®, InFibra®, and F-splint-Aid® bonded utilizing Flowable composites resin material. Seventy-five bar specimens were prepared with the dimensions of 25 × 4 × 2 mm, utilizing split metallic mold. Specimens were divided equally (n = 15) into five groups (one control group, four test groups). Different layers of splinting material were placed in between the layers of composite before curing. All the specimens were subjected to a three-point bending test by using a universal testing machine to calculate the flexural strength and flexural modulus. The entire data was subjected to statistical tests to evaluate the significance. Specimens from composite block groups showed the least mean value for flexural strength (89.15 ± 9.70 MPa) and flexural modulus (4.310 ± 0.912 GPa). Whereas, the highest mean value for flexural strength (168.04 ± 45.95 MPa) and flexural modulus (5.861 ± 0.501 GPa) were recorded by Ribbond® specimens. Inter group comparison of flexural strength showed statistically significant differences (P-value < 0.05), whereas comparison of flexural modulus showed non-significant difference among the groups (P-value > 0.05). Within the limitation of the present study, it was concluded that the Ribbond® exhibits maximum flexural strength and flexural modulus, whereas the composite blocks recorded the least values. Still, the decision making depends on the clinical scenario and the unique characteristic of each splint material.


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