Resistance to leakage of various thicknesses of apical plugs of Bioaggregate using liquid filtration model.

Abstract

The aim of this study was to compare the resistance to leakage of different thicknesses of Bioaggregate (BA) and 4-mm-thick white mineral trioxide aggregate (WMTA) in an apexification model using liquid filtration. 32 extracted mandibular premolar teeth were sectioned at the cemento-enamel junction and 3-4mm from the tooth apex to obtain 12-mm-long root segments. The apical and coronal thirds were prepared with size two through six Gates Glidden burs. The teeth were divided into four groups according to material and thickness, as follows: Group 1: 2-mm BA; Group 2: 4-mm BA; Group 3: 12-mm (total length) BA; Group 4: 4-mm WMTA (control). The empty parts of the roots in Groups 1, 2, and 4 were filled with gutta-percha and root canal sealer, and leakage was measured using fluid filtration. The data were analyzed using the Kruskal-Wallis H-test. No statistical differences in microleakage were observed between Groups 1, 2, and 4 (P>0.05). Group 3 (roots filled completely with BA) showed significantly less leakage than the other groups tested (P<0.01). The findings of this study showed that 12mm of BA exhibited the best resistance to leakage. At the same time, 2-4mm of BA showed similar results when compared to 4-mm MTA. In light of these results, this study suggests that BA may be a good candidate for further clinical studies when used as an apical barrier for apexification.