Comparative evaluation of four endodontic biomaterials and calcium hydroxide regarding their effect on fracture resistance of simulated immature teeth

Yükleniyor...
Küçük Resim

Tarih

2020

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

ARIESDUE SRL

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Aim Single-session apexification treatment with MTA is an alternative to the root-canal treatment of immature teeth. Since its results are far from ideal, research with MTA-derivative biomaterials continues; however, the number of studies is limited as of yet. This study aimed to compare the fragilities of in vitro-simulated immature teeth in single-session apexification with MTA and newly-developed calcium-silicate-based MTA derivatives. Materials and methods Two hundred seventy human permanent upper incisors were randomly divided into study (n = 180), positive control (Ca (OH)(2)) (n = 45), and negative control (NC-intact) (n = 45) groups. The study groups used ProRoot MTA (MTA-PR), MM-MTA, NeoMTA-Plus, and Biodentine (BD). Two-week, two-month, and one-year follow-ups data were recorded. A fracture resistance (FR) test was performed at the end of each period. The results of the biomaterials at the different follow-up timepoints were statistically analysed and compared. Results The two-week FR medians were significantly lower in MM-MTA, NEO, MTA-PR, and Ca (OH)(2) groups (p<0.001, p<0.001, p=0.003, and p<0.001. respectively), compared to NC. The two-month FR medians were significantly lower in BD, MM-MTA, NEO, MTA-PR, and Ca (OH)(2) , (p=0.005, p<0.001, p<0.001, p<0.001, and p<0.001, respectively) compared to NC. The one-year FR medians were significantly lower in the BD, MM-MTA, NEO, MTA-PR, and Ca (OH)(2) groups (p=0.002, p<0.001, p<0.001, p<0.001, and p<0.001, respectively) compared to NC. For all groups, FR at the one-year mark was significantly lower compared to the two-week and two-month marks (p<0.001, p<0.001). Statistics: All groups were compared with each other regarding fracture resistance at two weeks, two months, and one year. Also, for each group follow-up data on fracture resistance were compared. Conclusions Since FR was significantly higher at the two-week and the two-month mark compared to the one-year mark for each material, filling the root canal completely with biomaterials used in our study leads to tooth denaturation over time, with effects like Ca (OH)(2).

Açıklama

Anahtar Kelimeler

Immature teeth, Trauma

Kaynak

EUROPEAN JOURNAL OF PAEDIATRIC DENTISTRY

WoS Q Değeri

Q2

Scopus Q Değeri

Q1

Cilt

21

Sayı

1

Künye

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