Effects of Apical Barriers and Root Filling Materials on Stress Distribution in Immature Teeth: Finite Element Analysis Study

Chun, Minna; Silvestrin, Tory; Savignano, Roberto; Roque‐Torres, Gina Delia

doi:10.1016/j.joen.2023.03.009

Cited by 4 publications

(5 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Turker et al assessed the fracture resistance of teeth with simulated perforating internal resorption cavities repaired with different calcium silicate-based cement and backfilling materials such as MTA, MTA Plus, and Biodentine [11]. The fracture-resistant property of MTA was also evaluated by Chunn et al who compared MTA with Biodentine as a root-filling material using the finite element method and concluded that MTA is better than Biodentine [14].…”

Section: Discussionmentioning

confidence: 99%

A Comparative Evaluation of the Fracture Resistance of Mineral Trioxide Aggregate (MTA) Plus and MTA Angelus: An In Vitro Study

Joshi,

Gandage,

Thakare

et al. 2023

Cureus

View full text Add to dashboard Cite

BackgroundMineral trioxide aggregate (MTA) is a biocompatible dental material used for root-end filling in endodontics. A wide variety of literature has been published on the assessment of fracture resistance of MTA. However, the results were conflicting in the reported studies, and the sample size used was insufficient to conclude the efficacy of materials such as MTA Plus and MTA Angelus. Therefore, this study was designed to compare and evaluate the effectiveness of two commercially available MTAs, namely, MTA Plus (Avalon Biomed Inc. by Prevest Denpro Ltd, Jammu, India) and MTA Angelus (Angelus Dental Solutions, Brazil) in terms of fracture resistance. MethodologyTo determine fracture resistance, 300 freshly extracted healthy human teeth with single roots and canals were collected by simple random sampling. Teeth were decoronated, the apical third was enlarged, and root canals were prepared to receive MTA as a 5 mm apical filling. The root segments were randomly categorized into two experimental groups of 100 samples each, namely, group A (MTA Plus) and group B (MTA Angelus), and the remaining 100 root segments were used as control (unfilled). Fracture resistance was determined using the Instron Universal testing machine. ResultsThe results of our study showed statistically significant increased fracture resistance for MTA Plus (532.14 ± 5.19 N) than MTA Angelus (540.81 ± 3.56 N) and the control group (460.63 ± 7.91 N). ConclusionsThe control group showed the least fracture resistance. The composition and structure of MTA Angelus (group B) containing Portland cement, with a 4:1 addition of bismuth oxide, make it more fracture resistant than MTA Plus (group A).

show abstract

Section: Discussionmentioning

confidence: 99%

A Comparative Evaluation of the Fracture Resistance of Mineral Trioxide Aggregate (MTA) Plus and MTA Angelus: An In Vitro Study

Joshi,

Gandage,

Thakare

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…75 In various studies that evaluated fracture resistance of immature teeth, no significant differences were found between MTA, Biodentine, Bioaggragate and CEM cement, 76,77 while in a study using finite element analysis, MTA was found to induce less stress on apical root dentine of immature teeth than Biodentine. 73 A CSC barrier of at least 4 mm thickness 75 can be placed in the apical portion of the root canal using appropriate pluggers. Because of the open apex, the plug material can be inadvertently extruded into the periradicular tissues.…”

Section: Apical Barriersmentioning

confidence: 99%

“…A study using a dynamic fluid‐flow monitoring technique reported that there was no difference between a 4‐mm MTA apical plug and a full‐length MTA root filling after cyclic loading 75 . In various studies that evaluated fracture resistance of immature teeth, no significant differences were found between MTA, Biodentine, Bioaggragate and CEM cement, 76,77 while in a study using finite element analysis, MTA was found to induce less stress on apical root dentine of immature teeth than Biodentine 73 …”

Section: Introductionmentioning

confidence: 98%

“…According to laboratory studies, an apical barrier with CSCs increases the fracture resistance and reduces the stresses within the root compared with root filling with gutta‐percha and sealer, 70 filling with Ca(OH) 2 , 71 or no treatment 72 . To increase the fracture resistance of immature teeth, one study recommended the filling of the entire canal with CSCs, 73 while another study suggested using MTA as an apical plug rather than in the entire root canal 74 . A study using a dynamic fluid‐flow monitoring technique reported that there was no difference between a 4‐mm MTA apical plug and a full‐length MTA root filling after cyclic loading 75 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical applications of calcium silicate‐based materials: a narrative review

Küçükkaya Eren

2023

Australian Dental Journal

View full text Add to dashboard Cite

Calcium silicate‐based materials are hydrophilic materials with biocompatibility and bioactivity properties. Despite many advantages, they might present some problems related to discolouration, setting time, manipulation and solubility depending on the composition of the product and the type of clinical application. Calcium silicate‐based materials can be evaluated under two types according to their intended use: calcium silicate‐based cements (CSCs) and calcium silicate‐based sealers (CSSs). CSCs can be used in many endodontic procedures including perforation repair, resorption repair, apical barriers, guided endodontic repair, vital pulp treatment, endodontic surgery, root fractures and root canal filling as a core obturation material. CSSs are available for use with gutta‐percha to obturate root canals using cold and warm techniques, including the sealer‐based obturation technique. The purpose of this review is to evaluate the available literature on CSCs and CSSs and to provide up‐to‐date information and recommendations for their clinical applications.

show abstract

“…Al-Kahtani et al (2014) showed that 4-5 mm of MTA should be placed as an apical barrier to prevent apical leakage. 9,10 MTA is one of the most effective materials for sealing both iatrogenic and pathological communication between endodontic and periodontal spaces. 11 MTA has good sealing ability and biocompatibility and it has the ability to induce cementum-like hard tissue and periodontium around it.…”

Section: Introductionmentioning

confidence: 99%

Root canal treatment of a blunderbuss canal in the maxillary lateral incisor with dens invaginatus with apical plug application: a case report

Natsir,

Siampa,

Nugroh

et al. 2024

J Ked Gi Unpad

View full text Add to dashboard Cite

Introduction: The incidence of anterior dental trauma in young adults is high. The impact of this has been previously reported that pulp necrosis occurs in 50% of young fixed anterior teeth so that the process of apex formation is disrupted and in some cases can cause a blunderbuss shape at the tooth root apex. Root canal treatment of blunderbuss teeth accompanied by dens invaginatus poses a challenge for a dentist. Aims of this case report to explain successful root canal treatment of a blunderbuss canal in the maxillary lateral incisor with dens invaginatus with apical plug application using MTA followed by esthetic rehabilitation. Case report: A 25-year-old female presented to RSKGM with a complaint of pain and swelling of the gingiva. History of trauma at the age of the patient was 10 years old without treatment. Clinical examination revealed a complete crown with dens invaginatus. Radiographic examination showed a periapical lesion and an open apex blunderbuss shape. Treatment performed was treatment with an apical plug using MTA and restoration using a peg crown. Shape root canal with a blunderbuss is an open apex root canal with the root apex diameter greater than the coronal diameter, hence requiring adequate material to form a cap over the root apex (apical plug). It has been reported that MTA is an apical plug material that has good sealing ability, biocompatibility, bacteriostatic activity and the ability to regenerate periradicular tissues. Conclusion: Root canal treatment of a blunderbuss canal in the maxillary lateral incisor with dens invaginatus with apical plug application of MTA material as apical plug is an effective method.Keywordapical plug, blunderbuss canal, dens invaginatus, mineral trioxide aggregatePerawatan saluran akar blunderbuss gigi insicivus lateral rahang atas dengan dens invaginatus dengan aplikasi apical plug: laporan kasusABSTRAKPendahuluan: Insidensi trauma gigi anterior pada pasien usia dewasa muda cukup tinggi. Dampak dari hal ini telah dilaporkan sebelumnya bahwa terjadi nekrosis pulpa pada 50% gigi anterior tetap muda sehingga proses pembentukan apeks terganggu dan pada beberapa kasus dapat menyebabkan bentuk blunderbuss pada apeks akar gigi. Perawatan saluran akar gigi blunderbuss yang disertai dengan dens invaginatus menimbulkan tantangan tersendiri bagi seorang dokter gigi. Tujuan laporan kasus ini melaporkan keberhasilan perawatan saluran akar gigi blunderbuss pada gigi insisivus lateral rahang atas dengan dens invaginatus dengan aplikasi apical plug menggunakan MTA yang dilanjutkan dengan rehabilitasi estetik. Laporan kasus: Seorang perempuan, 25 tahun datang ke RSKGM dengan keluhan nyeri dan pembengkakan pada gingiva. Riwayat trauma pada saat usia pasien 10 tahun tanpa dilakukan perawatan. Pada pemeriksaan klinis terlihat mahkota lengkap dengan dens invaginatus. Pemeriksaan radiografi menunjukkan lesi periapikal dan apeks terbuka berbentuk blunderbuss. Perawatan yang dilakukan adalah perawatan dengan apical plug menggunakan MTA dan restorasi menggunakan mahkota pasak. Bentuk saluran akar dengan blunderbuss adalah saluran akar apeks terbuka dengan diameter apeks akar lebih besar dari diameter koronal, oleh karena itu membutuhkan bahan yang adekuat untuk membentuk menutup ujung apeks akar (apical plug). Telah dilaporkan bahwa MTA adalah bahan apikal plug yang memiliki kemampuan sealing yang baik, biokompatibel, aktivitas bakteriostatik dan kemampuan meregenerasi jaringan periradikular. Simpulan: Perawatan saluran akar blunderbuss pada gigi insisivus lateral rahang atas dengan dens invaginatus dengan pengaplikasian apical plug bahan MTA sebagai apical plug merupakan metode yang efektif.Kata kunciapical plug, blunderbuss canal, dens invaginatus, mineral trioxide agregat

show abstract

Effects of Apical Barriers and Root Filling Materials on Stress Distribution in Immature Teeth: Finite Element Analysis Study

Cited by 4 publications

References 36 publications

A Comparative Evaluation of the Fracture Resistance of Mineral Trioxide Aggregate (MTA) Plus and MTA Angelus: An In Vitro Study

A Comparative Evaluation of the Fracture Resistance of Mineral Trioxide Aggregate (MTA) Plus and MTA Angelus: An In Vitro Study

Clinical applications of calcium silicate‐based materials: a narrative review

Root canal treatment of a blunderbuss canal in the maxillary lateral incisor with dens invaginatus with apical plug application: a case report

Contact Info

Product

Resources

About