Comparative analysis of bond strength to root dentin and compression of bioceramic cements used in regenerative endodontic procedures
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Objectives: This study compared the Biodentine, MTA Repair HP, and Bio-C Repair bioceramics in terms of bond strength to dentin, failure mode, and compression. Materials and Methods: Fifty-four slices obtained from the cervical third of 18 single-rooted human mandibular premolars were randomly distributed (n = 18). After insertion of the bioceramic materials, the push-out test was performed. The failure mode was analyzed using stereomicroscopy. Another set of cylindrically-shaped bioceramic samples (n = 10) was prepared for compressive strength testing. The normality of data distribution was analyzed using the Shapiro-Wilk test. The Kruskal-Wallis and Friedman tests were used for the push-out test data, while compressive strength was analyzed with analysis of variance and the Tukey test, considering a significance level of 0.05. Results: Biodentine presented a higher median bond strength value (14.79 MPa) than MTA Repair HP (8.84 MPa) and Bio-C Repair (3.48 MPa), with a significant difference only between Biodentine and Bio-C Repair. In the Biodentine group, the most frequent failure mode was mixed (61%), while in the MTA Repair HP and Bio-C Repair groups, it was adhesive (94% and 72%, respectively). Biodentine showed greater resistance to compression (29.59 ± 8.47 MPa) than MTA Repair HP (18.68 ± 7.40 MPa) and Bio-C Repair (19.96 ± 3.96 MPa) (p < 0.05). Conclusions: Biodentine showed greater compressive strength than MTA Repair HP and Bio-C Repair, and greater bond strength than Bio-C Repair. The most frequent failure mode of Biodentine was mixed, while that of MTA Repair HP and Bio-C Repair was adhesive.
Abstract
Objectives: This study compared the Biodentine, MTA Repair HP, and Bio-C Repair bioceramics in terms of bond strength to dentin, failure mode, and compression. Materials and Methods: Fifty-four slices obtained from the cervical third of 18 single-rooted human mandibular premolars were randomly distributed (n = 18). After insertion of the bioceramic materials, the push-out test was performed. The failure mode was analyzed using stereomicroscopy. Another set of cylindrically-shaped bioceramic samples (n = 10) was prepared for compressive strength testing. The normality of data distribution was analyzed using the Shapiro-Wilk test. The Kruskal-Wallis and Friedman tests were used for the push-out test data, while compressive strength was analyzed with analysis of variance and the Tukey test, considering a significance level of 0.05. Results: Biodentine presented a higher median bond strength value (14.79 MPa) than MTA Repair HP (8.84 MPa) and Bio-C Repair (3.48 MPa), with a significant difference only between Biodentine and Bio-C Repair. In the Biodentine group, the most frequent failure mode was mixed (61%), while in the MTA Repair HP and Bio-C Repair groups, it was adhesive (94% and 72%, respectively). Biodentine showed greater resistance to compression (29.59 ± 8.47 MPa) than MTA Repair HP (18.68 ± 7.40 MPa) and Bio-C Repair (19.96 ± 3.96 MPa) (p < 0.05). Conclusions: Biodentine showed greater compressive strength than MTA Repair HP and Bio-C Repair, and greater bond strength than Bio-C Repair. The most frequent failure mode of Biodentine was mixed, while that of MTA Repair HP and Bio-C Repair was adhesive.
참고문헌 (40)
- Cvek M, "Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. A retrospective clinical study", Endod Dent Traumatol, 8, pp.45~55 (1992)
- Nosrat A, "Regenerative endodontic treatment (revascularization) for necrotic immature permanent molars: a review and report of two cases with a new biomaterial", J Endod, 37, pp.562~567 (2011)
- Bansal R, "Regenerative endodontics: a state of the art", Indian J Dent Res, 22, pp.122~131 (2011)
- Diogenes A, "Regenerative endodontic procedures: clinical outcomes", Dent Clin North Am, 61, pp.111~125 (2017)
- Téclès O, "Human tooth culture: a study model for reparative dentinogenesis and direct pulp capping materials biocompatibility", J Biomed Mater Res B Appl Biomater, 85, pp.180~187 (2008)
- Zhao X, "Mineral trioxide aggregate promotes odontoblastic differentiation via mitogen-activated protein kinase pathway in human dental pulp stem cells", Mol Biol Rep, 39, pp.215~220 (2012)
- Zhu Q, "Adhesion of human osteoblasts on root-end filling materials", J Endod, 26, pp.404~406 (2000)
- Parirokh M, "Mineral trioxide aggregate: a comprehensive literature review--Part I: chemical, physical, and antibacterial properties", J Endod, 36, pp.16~27 (2010)
- Neha K, "Management of immature teeth by dentin-pulp regeneration: a recent approach", Med Oral Patol Oral Cir Bucal, 16, pp.e997~e1004 (2011)
- Bortoluzzi EA, "Marginal gingiva discoloration by gray MTA: a case report", J Endod, 33, pp.325~327 (2007)
- Marconyak LJ Jr, "A comparison of coronal tooth discoloration elicited by various endodontic reparative materials", J Endod, 42, pp.470~473 (2016)
- Lee YL, "Effects of physiological environments on the hydration behavior of mineral trioxide aggregate", Biomaterials, 25, pp.787~793 (2004)
- Han L, "Bioactivity evaluation of three calcium silicate-based endodontic materials", Int Endod J, 46, pp.808~814 (2013)
- Shokouhinejad N, "Effect of acidic environment on the push-out bond strength of mineral trioxide aggregate", J Endod, 36, pp.871~874 (2010)
- Hashem AA, "The effect of acidity on dislodgment resistance of mineral trioxide aggregate and bioaggregate in furcation perforations: an in vitro comparative study", J Endod, 38, pp.245~249 (2012)
- Shahi S, "Effects of various mixing techniques on push-out bond strengths of white mineral trioxide aggregate", J Endod, 38, pp.501~504 (2012)
- Kurtz JS, "Bond strengths of tooth-colored posts, effect of sealer, dentin adhesive, and root region", Am J Dent, 16, pp.31A~36A (2003)
- Fisher MA, "An in vitro comparison of bond strength of various obturation materials to root canal dentin using a push-out test design", J Endod, 33, pp.856~858 (2007)
- Tagger M, "Measurement of adhesion of endodontic sealers to dentin", J Endod, 28, pp.351~354 (2002)
- Lucas CP, "Physicochemical properties and dentin bond strength of a tricalcium silicate-based retrograde material", Braz Dent J, 28, pp.51~56 (2017)
- Abramson JH, "WINPEPI updated: computer programs for epidemiologists, and their teaching potential", Epidemiol Perspect Innov, 8, pp.1~9 (2011)
- Topçuoğlu HS, "The effect of medicaments used in endodontic regeneration technique on the dislocation resistance of mineral trioxide aggregate to root canal dentin", J Endod, 40, pp.2041~2044 (2014)
- Rosatto CM, "Mechanical properties, shrinkage stress, cuspal strain and fracture resistance of molars restored with bulk-fill composites and incremental filling technique", J Dent, 43, pp.1519~1528 (2015)
- Aguiar BA, "Influence of ultrasonic agitation on bond strength, marginal adaptation, and tooth discoloration provided by three coronary barrier endodontic materials", Clin Oral Investig, 23, pp.4113~4122 (2019)
- "AAE Clinical Considerations for a Regenerative Procedure" (2018)[URL]
- Iwaya SI, "Revascularization of an immature permanent tooth with apical periodontitis and sinus tract", Dent Traumatol, 17, pp.185~187 (2001)
- Akcay M, "Spectrophotometric analysis of crown discoloration induced by various antibiotic pastes used in revascularization", J Endod, 40, pp.845~848 (2014)
- Tagelsir A, "Effect of antimicrobials used in regenerative endodontic procedures on 3-week-old Enterococcus faecalis biofilm", J Endod, 42, pp.258~262 (2016)
- Arnold WH, "Qualitative and quantitative assessment of intratubular dentin formation in human natural carious lesions", Calcif Tissue Int, 69, pp.268~273 (2001)
- Lo Giudice G, "Dentin morphology of root canal surface: a quantitative evaluation based on a scanning electronic microscopy study", BioMed Res Int, 2015, pp.164065~ (2015)
- Brichko J, "Design variability of the push-out bond test in endodontic research: a systematic review", J Endod, 44, pp.1237~1245 (2018)
- Zanatta RF, "Effect of punch and orifice base sizes in different push-out test setups: stress distribution analysis", J Adhes Dent, 17, pp.45~50 (2015)
- Nagas E, "Effect of several intracanal medicaments on the push-out bond strength of ProRoot MTA and Biodentine", Int Endod J, 49, pp.184~188 (2016)
- Turk T, "Effect of medicaments used in endodontic regeneration technique on push-out bond strength of MTA and Biodentine", Biotechnol Biotechnol Equip, 30, pp.140~144 (2016)
- Majeed A, "Push-out bond strength and surface microhardness of calcium silicate-based biomaterials: an in vitro study", Med Princ Pract, 26, pp.139~145 (2017)
- Silva EJ, "Push-out bond strength of MTA HP, a new high-plasticity calcium silicate-based cement", Braz Oral Res, 30, pp.1~5 (2016)
- Ørstavik D, "Physical properties of root canal sealers: measurement of flow, working time, and compressive strength", Int Endod J, 16, pp.99~107 (1983)
- Çelik D, "Push-out bond strength of three calcium silicate cements to root canal dentine after two different irrigation regimes", Clin Oral Investig, 18, pp.1141~1146 (2014)
- Benetti F, "Cytotoxicity, biocompatibility and biomineralization of a new ready-for-use bioceramic repair material", Braz Dent J, 30, pp.325~332 (2019)
- Soares CJ, "Finite element analysis and bond strength of a glass post to intraradicular dentin: comparison between microtensile and push-out tests", Dent Mater, 24, pp.1405~1411 (2008)
