Morphological and Spectroscopic Study of an Apatite Layer Induced by Fast-Set Versus Regular-Set EndoSequence Root Repair Materials.

Sawsan T Abu Zeid,Abeer A Mokeem Saleh,Ruaa A Alamoudi,Ensanya A Abou Neel

doi:10.3390/ma12223678

Abstract

This study aimed to evaluate the morphology and chemistry of an apatite layer induced by fast-set versus regular-set EndoSequence root repair materials using spectroscopic analysis. Holes of a 4 mm diameter were created in the root canal dentin, which were filled with the test material. Fetal calf serum was used as the incubation medium, and the samples incubated in deionized water were used as controls. The material-surface and material-dentin interfaces were analyzed after 28 days using Raman and infrared spectroscopy, scanning electron microscopy/energy dispersive X-ray, and X-ray diffraction. After incubation in fetal calf serum, both materials formed a uniform layer of calcium phosphate precipitate on their surfaces, with the dentinal interface. This precipitated layer was a combination of hydroxyapatite and calcite or aragonite, and had a high mineral maturity with the regular-set paste. However, its crystallinity index was high with the fast-set putty. Typically, both consistencies (putty and paste) of root repair material have an apatite formation ability when they are incubated in fetal calf serum. This property could be beneficial in improving their sealing ability for root canal dentin.

Highlights

Root perforation is an undesired iatrogenic endodontic mishap
This study evaluates the morphology and chemistry of an apatite layer induced by fast-set versus regular-set EndoSequence root repair materials after incubation in simulated tissue fluid [11]
At the end of the experiment, the samples were washed with deionized water and left to dry for 48 h in an incubator. They were analyzed with Raman Spectroscopy, Fourier transform infrared spectroscopy (FTIR), and a scanning electron microscope/energy dispersive X-ray (SEM/EDX)

Summary

Introduction

Root perforation is an undesired iatrogenic endodontic mishap. It may occur on a lateral root surface or in a furcal area. It provides direct communication between pulp space and periodontal tissue, and leads to a loss of root integrity and endodontic failure [1]. Since the early 1990s, mineral trioxide aggregates (MTA) have been a popular material in root repair [2]. Different root repair materials have been introduced into the market to overcome the drawbacks of traditional mineral trioxide aggregates, such as the long setting time and poor handling. EndoSequence root repair materials (ERRM) are mainly composed of calcium silicate and calcium phosphate [4]

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