Abstract

Alkaline materials have shown incompatibility with methylene blue dye in leakage experiments. The goal of the present study was to analyze the effect of different dyes on the evaluation of the apical sealing ability of Mineral Trioxide Aggregate root-end fillings. Fifty-six extracted human canines were submitted to root canal instrumentation and obturation. After apical resection, retrograde cavities were prepared and teeth were randomly divided into four experimental (n = 13) and two control groups (n = 2). The following root-end filling materials were used: groups 1 and 2--Pro Root MTA (Dentsply), groups 3 and 4--zinc oxide-eugenol cement (ZOE). Teeth in groups 1 and 3 were immersed in 2% methylene blue solution, while teeth in groups 2 and 4 were immersed in 0.2% rhodamine B in a reduced pressure environment for 48 hours. Teeth were then longitudinally sectioned and leakage was evaluated. Results were submitted to statistical analysis (ANOVA and Tukey's test). Group 1 presented the least leakage (p < 0.05). It was concluded that the evaluation of the sealing ability of MTA is influenced by the dye used, since this material presented better sealing ability when evaluated with Methylene Blue, but was similar to ZOE when evaluated with rhodamine B.

Highlights

  • The purpose of periapical surgery is to treat lesions that are not treatable by conventional endodontic therapy

  • For comparison between pairs of groups, the Tukey’s test was applied and showed significant difference (p < 0.05) between group 1 (MTA with methylene blue) and the others (2, 3, and 4), which were similar when compared with each other (p > 0.05)

  • The mean marginal leakage values in the experimental groups are represented in Graph 1

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Summary

Introduction

The purpose of periapical surgery is to treat lesions that are not treatable by conventional endodontic therapy. Retrograde filling is a modality of periapical surgery[6,7,13] that consists in the preparation and subsequent filling of an apical cavity using a root-end filling material. This material should present adequate physical/chemical properties, as well as biocompatibility, and simultaneously promote a good marginal seal. Mineral Trioxide Aggregate (MTA), composed of tricalcium silicate, tricalcium aluminate, and other mineral oxides, is one among several rootend filling materials. MTA has shown satisfactory sealing ability as a root-end filling material[16,18] and Tanomaru Filho M, Figueiredo FA, Tanomaru JMG.

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