Comparison of Flexural Strength of Mineral Trioxide Aggregate, Calcium-enriched Mixture and BioAggregate

Overview

Journal Iran Endod J

Date 2023 Mar 8

PMID 36883024

Authors

Negar Moghaddam

Morteza Ebadi Jokandan

Masoud Nouri-Vaskeh

Amin Salem Milani

Affiliations

Soon will be listed here.

Abstract

Introduction: The aim of this study was to compare the flexural strength of mineral trioxide aggregate (MTA), calcium-enriched mixture CEM), and BioAggregate (BA).

Methods And Materials: In this study, the flexural strength of materials was measured using a 3-point bend test. After being prepared, MTA, CEM, and BA were inserted into the intra-putty molds using amalgam plugger. The specimens were covered with a sponge wetted with synthetic tissue fluid (STF) and incubated for 96 h. They were then subjected to a 3-point bend test using Universal Testing Machine. The Kruskal-Wallis and Mann-Whitney U tests were used to compare flexural strength in groups. In this study, <0.05 was considered as the significant level.

Results: There were significant differences between the three groups in terms of the flexural strength (<0.001). The mean flexural strength in the BA, CEM, and MTA groups were 27.32±2, 9.09±1.16, and 10.25±1.6, respectively. Pairwise comparison showed significant differences between the three groups.

Conclusion: This study showed that BA has the highest and CEM has the lowest flexural strength.

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References

Walker M, Diliberto A, Lee C . Effect of setting conditions on mineral trioxide aggregate flexural strength. J Endod. 2006; 32(4):334-6. DOI: 10.1016/j.joen.2005.09.012. View

Asgary S, Eghbal M, Parirokh M, Ghanavati F, Rahimi H . A comparative study of histologic response to different pulp capping materials and a novel endodontic cement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106(4):609-14. DOI: 10.1016/j.tripleo.2008.06.006. View

Blum J, Micallef J . Preliminary study of the forces developed by practitioners during amalgam condensation. Int J Periodontics Restorative Dent. 2000; 19(4):379-85. View

Basturk F, Nekoofar M, Gunday M, Dummer P . Effect of various mixing and placement techniques on the flexural strength and porosity of mineral trioxide aggregate. J Endod. 2014; 40(3):441-5. DOI: 10.1016/j.joen.2013.08.010. View

Park J, Hong S, Kim J, Lee S, Shin S . X-Ray diffraction analysis of white ProRoot MTA and Diadent BioAggregate. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 109(1):155-8. DOI: 10.1016/j.tripleo.2009.08.039. View

Vosoughhosseini S, Lotfi M, Shahmoradi K, Saghiri M, Zand V, Mehdipour M . Microleakage comparison of glass-ionomer and white mineral trioxide aggregate used as a coronal barrier in nonvital bleaching. Med Oral Patol Oral Cir Bucal. 2011; 16(7):e1017-21. DOI: 10.4317/medoral.17306. View

Asgary S, Moosavi S, Yadegari Z, Shahriari S . Cytotoxic effect of MTA and CEM cement in human gingival fibroblast cells. Scanning electronic microscope evaluation. N Y State Dent J. 2012; 78(2):51-4. View

Nowicka A, Lipski M, Parafiniuk M, Sporniak-Tutak K, Lichota D, Kosierkiewicz A . Response of human dental pulp capped with biodentine and mineral trioxide aggregate. J Endod. 2013; 39(6):743-7. DOI: 10.1016/j.joen.2013.01.005. View

Milani A, Shakouie S, Borna Z, Sighari Deljavan A, Jafarabadi M, Pournaghi Azar F . Evaluating the Effect of Resection on the Sealing Ability of MTA and CEM Cement. Iran Endod J. 2012; 7(3):134-8. PMC: 3467140. View

10.

Torabinejad M, Parirokh M, Dummer P . Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview - part II: other clinical applications and complications. Int Endod J. 2017; 51(3):284-317. DOI: 10.1111/iej.12843. View

11.

Lussi A, Brunner M, Portmann P, Buergin W . Condensation pressure during amalgam placement in patients. Eur J Oral Sci. 1995; 103(6):388-93. DOI: 10.1111/j.1600-0722.1995.tb01862.x. View

12.

Salem-Milani A, Ghasemi S, Rahimi S, Ardalan-Abdollahi A, Asghari-Jafarabadi M . The Discoloration effect of White Mineral Trioxide Aggregate (WMTA), Calcium Enriched Mixture (CEM), and Portland Cement (PC) on Human Teeth. J Clin Exp Dent. 2018; 9(12):e1397-e1401. PMC: 5794116. DOI: 10.4317/jced.54075. View

13.

Kumar N . Inconsistency in the strength testing of dental resin-based composites among researchers. Pak J Med Sci. 2013; 29(1):205-10. PMC: 3809204. DOI: 10.12669/pjms.291.2922. View

14.

Asgary S, Eghbal M, Parirokh M, Ghoddusi J, Kheirieh S, Brink F . Comparison of mineral trioxide aggregate's composition with Portland cements and a new endodontic cement. J Endod. 2009; 35(2):243-50. DOI: 10.1016/j.joen.2008.10.026. View

15.

Utneja S, Nawal R, Talwar S, Verma M . Current perspectives of bio-ceramic technology in endodontics: calcium enriched mixture cement - review of its composition, properties and applications. Restor Dent Endod. 2015; 40(1):1-13. PMC: 4320271. DOI: 10.5395/rde.2015.40.1.1. View

16.

Tabarsi B, Parirokh M, Eghbal M, Haghdoost A, Torabzadeh H, Asgary S . A comparative study of dental pulp response to several pulpotomy agents. Int Endod J. 2010; 43(7):565-71. DOI: 10.1111/j.1365-2591.2010.01711.x. View

17.

Mozayeni M, Milani A, Marvasti L, Asgary S . Cytotoxicity of calcium enriched mixture cement compared with mineral trioxide aggregate and intermediate restorative material. Aust Endod J. 2012; 38(2):70-5. DOI: 10.1111/j.1747-4477.2010.00269.x. View

18.

Froughreyhani M, Milani A, Barakatein B, Shiezadeh V . Treatment of Strip Perforation Using Root MTA: A Case Report. Iran Endod J. 2013; 8(2):80-3. PMC: 3662043. View

19.

Sobhnamayan F, Adl A, Shojaee N, Sedigh-Shams M, Zarghami E . Compressive Strength of Mineral Trioxide Aggregate and Calcium-enriched Mixture Cement Mixed with Propylene Glycol. Iran Endod J. 2017; 12(4):493-496. PMC: 5722125. DOI: 10.22037/iej.v12i4.17748. View

20.

Aggarwal V, Jain A, Kabi D . In vitro evaluation of effect of various endodontic solutions on selected physical properties of white mineral trioxide aggregate. Aust Endod J. 2011; 37(2):61-4. DOI: 10.1111/j.1747-4477.2009.00211.x. View