Efficacy of Mineral Trioxide Aggregate and Biodentine As Apical Barriers in Immature Permanent Teeth: A Microbiological Study

Overview

Journal Int J Clin Pediatr Dent

Specialty Pediatrics

Date 2021 May 12

PMID 33976492

Citations 10

Authors

Akhila Abbas

Balaji Kethineni

Ravindar Puppala

Uday C Birapu

Kumar J Raghavendra

Praveenkanth Reddy

Affiliations

Soon will be listed here.

Abstract

Aim: To compare the bacterial leakage of mineral trioxide aggregate (MTA) and biodentine when used as an apical plug in immature permanent teeth.

Materials And Methods: It was a randomized double-blind study. A total of 60 teeth were divided into 2 groups of MTA and biodentine, which were further divided into 2 subgroups ( = 30) each based on the apical plug thickness of 2 and 4 mm. The teeth were cleaned and shaped; root-end resection and canal preparation were done. Mineral trioxide aggregate and biodentine were mixed and filled as apical plugs of 2 or 4 mm thickness. was used to assess the bacterial leakage of the filled samples.

Statistical Analysis: The comparison between the two groups was done by Chi-square test for categorical data. All values <0.05 were considered as statistically significant.

Results: A 4 mm apical plug of biodentine showed the least amount of bacterial leakage followed by 2 mm MTA and 4 mm MTA. A 2 mm apical plug of biodentine showed the maximum bacterial leakage. But this was not statistically significant over a period of 3 months. There was a statistically significant difference ( value = 0.042) among the total number of samples that leaked in the 2 and 4 mm biodentine group.

Conclusion: Mineral trioxide aggregate and biodentine had a similar apical sealing ability. The apical sealing ability of biodentine at 4 mm thickness was greater than 2 mm thickness.

Clinical Significance: The apical leakage of the materials used in apexification is one of the main causes of endodontic failures in immature necrotic teeth. Materials like MTA and biodentine have overcome various drawbacks of calcium hydroxide as apexification material. The thickness of the apical plug plays an important role in preventing any microorganism from entering the periapical area, hence maintaining an adequate seal.

How To Cite This Article: Abbas A, Kethineni B, Puppala R, Efficacy of MTA and Biodentine as Apical Barriers in Immature Permanent Teeth: A Microbiological Study. Int J Clin Pediatr Dent 2020;13(6):656-662.

Citing Articles

The effect of varying thicknesses of mineral trioxide aggregate (MTA) and Biodentine as apical plugs on the fracture resistance of teeth with simulated open apices: a comparative study.

Panjwani P, Banga K, Atram J, Wahjuningrum D, Luke A, Shetty K PeerJ. 2024; 12:e18691.

PMID: 39713144 PMC: 11662899. DOI: 10.7717/peerj.18691.

Evaluation of Microleakage of Orthograde Root-Filling Materials in Immature Permanent Teeth: An In Vitro Study.

Das U, Gautam V, Shubham S, Raut S Int J Biomater. 2024; 2024:8867854.

PMID: 39502809 PMC: 11537741. DOI: 10.1155/2024/8867854.

Evaluation of microleakage of mineral trioxide aggregate and biodentine as apical barriers in simulated young permanent teeth.

Roy M, Bailwad S, Bhatnagar A, Singh S, Assiry A, Mohamed R BMC Oral Health. 2024; 24(1):1100.

PMID: 39285402 PMC: 11406731. DOI: 10.1186/s12903-024-04817-2.

Marginal adaptation of customized gutta percha cone with calcium silicate based sealer versus MTA and biodentine apical plugs in simulated immature permanent teeth (an in vitro study).

Mina M, Moussa S, Aboelseoud M BMC Oral Health. 2024; 24(1):1069.

PMID: 39261838 PMC: 11391803. DOI: 10.1186/s12903-024-04765-x.

Comparing the technical quality and clinical outcomes of root canal treatment on immature permanent incisors in children: a retrospective evaluation of three bioceramic plug materials.

Donnell C, Kandiah P Eur Arch Paediatr Dent. 2024; 25(6):821-835.

PMID: 39254785 PMC: 11576660. DOI: 10.1007/s40368-024-00941-3.

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