Evaluation of the Marginal Adaptation of Two Hydraulic Calcium Silicate Cements Used in Apical Plugs: An In Vitro Study

Background: The emergence of new hydraulic calcium silicate cements has revolutionized endodontics, addressing the limitations of mineral trioxide aggregate (MTA). The aim of this study is to assess and compare the marginal adaptation of two calcium silicate-based cements (White ProRoot MTA® and Tot...

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Published in:Applied sciences 2024-01, Vol.14 (2), p.480
Main Authors: Filipe, Sara, Martinho, José Pedro, Paulo, Siri, Carvalho, Catarina, Coelho, Ana, Amaro, Inês, Carrilho, Eunice, Paula, Anabela, Marto, Carlos Miguel, Girão, Henrique, Zuzarte, Mónica, Pires, Ana S., Ferreira, Manuel Marques
Format: Article
Language:English
Subjects:
apexification
apical plug
Biocompatibility
Cement
Dentin
Endodontics
Ethylenediaminetetraacetic acid
Fractures
hydraulic calcium silicate cements
Hydraulics
Hydroxyapatite
marginal adaptation
mineral trioxide aggregate
Root canal therapy
Silica
Teeth
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Summary:Background: The emergence of new hydraulic calcium silicate cements has revolutionized endodontics, addressing the limitations of mineral trioxide aggregate (MTA). The aim of this study is to assess and compare the marginal adaptation of two calcium silicate-based cements (White ProRoot MTA® and TotalFill® BC RRM Fast Set PuttyTM), when creating apical plugs for teeth with open apices. Methods: twenty-four single-rooted teeth were divided into two groups—GMTA (plug with MTA®) and GTBC (plug with TotalFill® BC RRM Fast Set PuttyTM)—and were sectioned at 1 mm and 2 mm from the apex. The transverse sections were analyzed with scanning electron microscopy and the marginal adaptation of the cements was measured with ImageJ® 1.3 software. Statistical analysis (IBM® SPSS® statistics software version 27) was performed and statistical significance was set at 0.05 (p < 0.05). Results: There was a significant difference in the apical region, favoring White ProRoot MTA®, with a lower percentage of marginal adaptation failure (1.32 ± 4.47), presenting a statistically significant difference in the apical region (p = 0.029) but not in the cervical region of the apical plugs (p = 0.774). Conclusions: White ProRoot MTA® showed superior marginal adaptation in the apical section compared to TotalFill® BC RRM Fast Set PuttyTM.
ISSN:2076-3417
2076-3417
DOI:10.3390/app14020480