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Push-out bond strength and marginal adaptation of apical plugs with bioactive endodontic cements in simulated immature teeth

Restorative Dentistry & Endodontics 2021³â 46±Ç 4È£ p.53 ~ 53
Maria Aparecida Barbosa de Sa, Eduardo Nunes, Alberto Nogueira da Gama Antunes, Brito Manoel Junior, Martinho Campolina Rebello Horta, Rodrigo Rodrigues Amaral, Stephen Cohen, Frank Ferreira Silveira,
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 ( Maria Aparecida Barbosa de Sa ) - Pontifical Catholic University of Minas Gerais Department of Dentistry
 ( Eduardo Nunes ) - Pontifical Catholic University of Minas Gerais Department of Dentistry
 ( Alberto Nogueira da Gama Antunes ) - Pontifical Catholic University of Minas Gerais Department of Dentistry
 ( Brito Manoel Junior ) - Brazil University of Montes Claros Department Dentistry
 ( Martinho Campolina Rebello Horta ) - Pontifical Catholic University of Minas Gerais Department of Dentistry
 ( Rodrigo Rodrigues Amaral ) - Pontifical Catholic University of Minas Gerais Department of Dentistry
 ( Stephen Cohen ) - University of the Pacific Arthur School of Dentistry Department of Endodontics
 ( Frank Ferreira Silveira ) - Pontifical Catholic University of Minas Gerais Department of Dentistry

Abstract


Objectives: This study evaluates the bond strength and marginal adaptation of mineral trioxide aggregate (MTA) Repair HP and Biodentine used as apical plugs; MTA was used as reference material for comparison.

Materials and Methods: A total of 30 single-rooted teeth with standardized, artificially created open apices were randomly divided into 3 groups (n = 10 per group), according to the material used to form 6-mm-thick apical plugs: group 1 (MTA Repair HP); group 2 (Biodentine); and group 3 (white MTA). Subsequently, the specimens were transversely sectioned to obtain 2 (cervical and apical) 2.5-mm-thick slices per root. Epoxy resin replicas were observed under a scanning electron microscope to measure the gap size at the material/dentin interface (the largest and smaller gaps were recorded for each replica). The bond strength of the investigated materials to dentin was determined using the push-out test. The variable bond strengths and gap sizes were evaluated independently at the apical and cervical root dentin slices. Data were analyzed using descriptive and analytic statistics.

Results: The comparison between the groups regarding the variables¡¯ bond strengths and gap sizes showed no statistical difference (p > 0.05) except for a single difference in the smallest gap at the cervical root dentin slice, which was higher in group 3 than in group 1 (p < 0.05).

Conclusions: The bond strength and marginal adaptation to root canal walls of MTA HP and Biodentine cement were comparable to white MTA.

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Apexification; Calcium Silicate Materials; Marginal Adaptation; Mineral Trioxide Aggregate; Push-out Bond Strength; Scanning Electron Microscopy

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