Push Out Bond Strength and Adaptation of MTA-Based Root Canal Sealers to Dentin with or Without Gutta-Percha: In vitro-Study

Eweda, Shady; EL-Deen Rashed, Nasr; Sharaan, Marwa

doi:10.15517/jth6x974

Authors

Shady Eweda Post graduate, Department of Endodontics, Faculty of Dentistry, Suez Canal University, Egypt. Author
Nasr EL-Deen Rashed Associate Professor of Endodontics, Department of Endodontics, Faculty of Dentistry, Suez Canal University, Egypt. Author https://orcid.org/0000-0002-1717-8185
Marwa Sharaan Professor of Endodontics, Department of Endodontics, Faculty of Dentistry, Suez Canal University, Egypt. Author https://orcid.org/0000-0002-4373-6099

DOI:

https://doi.org/10.15517/jth6x974

Keywords:

Adaptation; Gutta-percha; MTA-based sealers; Push-out bond strength; Resin-based sealers.

Abstract

This in vitro study investigated the push-out bond strength and adaptation of three root canal sealers AH Plus Jet (epoxy resin-based), MTA Fillapex, and EndoSeal Mineral Trioxide Aggregate (MTA) both with and without gutta-percha obturation, utilizing 90 straight, single-rooted teeth randomly assigned to groups and subgroups. Push-out bond strength was measured using an Instron universal testing machine, while adaptation was assessed via scanning electron microscopy, with statistical analysis performed using one-way ANOVA and Tukey's post-hoc test (p<0.05). EndoSeal MTA demonstrated the highest statistically significant push-out bond strength (p<0.001) in both conditions, though no significant difference existed between MTA Fillapex and AH Plus Jet without gutta-percha, where AH Plus Jet still showed higher bond strength at root levels than MTA Fillapex (p<0.001). While adaptation showed no significant differences among sealers with gutta-percha, AH Plus Jet achieved the lowest significant gap percentage in its absence. Ultimately, EndoSeal MTA exhibited the highest push-out bond strength overall, making its superior adhesion a promising choice for root canal obturation.

Downloads

Download data is not yet available.

References

Darcey J., Roudsari R.V., Jawad S., Taylor C., Hunter M. Modern endodontic principle’s part 5: obturation. Dent Update. 2016; 43: 114-29.

Rathi C.H., Chandak M., Nikhade P., Mankar N., Chandak M., Khatod S., et al. Functions of root canal sealers-a review. J Evolution Med Dent Sci. 2020; 9: 1454-58.

Komabayashi T., Colmenar D., Cvach N., Bhat A., Primus C., Imai Y. Comprehensive review of current endodontic sealers. Dent Mater J .2020; 39: 703-20.

Raghavendra S.S., Jadhav G.R., Gathani K.M., Kotadia P. Bioceramics in endodontics-a review. Journal Ist Uni. 2017; 51: 128-37.

Ragab M., Sharaan M. Influence of the Remnants of Silicone Oil on Penetration of Three Different Sealers into the Dentinal Tubules: A Confocal Laser Scanning Microscopy Study. Euro Endo J .2022; 7: 234-40.

ElAsfouri H.A., Saba A.A.A. Comparative evaluation of the adaptation of two calcium silicate-based endodontic sealers with a conventional resin-based sealer to dentinal walls: An In vitro scanning electron microscopic study. Egy Dent J .2019; 65: 2481-9.

Cabral M.A., da Silva Limoeiro A.G., De Martin A.S., Fontana C.E., Pelegrine R.A., da Silveira Bueno C.E., et al. Influence of root canal moisture conditions on the bond strength of endodontic sealers to dentine. Res Soc. 2022; 11: e285111133714-e.

Nagendrababu, V., Murray, P, Agendrababu, V., Murray, P. E., Ordinola-Zapata, R., Peters, OO.A., Rôças I.N., Siqueira, J.F. Jr, et al. PRILE 2021guidelines for reporting laboratory studies in Endodontology: explanation and elaboration. Int. Endo. J. 2021; 54: 1491-1515.

Pécora J.D., Cussioli A.L., Guerişoli D., Marchesan M.A., Sousa-Neto M.D. Evaluation of Er: YAG laser and EDTAC on dentine adhesion of six endodontic sealers. Braz Dent J. 2001; 12: 27- 30.

Zhou H.-m., Shen Y., Zheng W., Li L., Zheng Y.-f., Haapasalo M. Physical properties of 5 root canal sealers. J Endod. 2013; 39: 1281-6.

Arora S., Hegde V. Comparative evaluation of a novel smart-seal obturating system and its homogeneity of using cone beam computed tomography: In vitro: simulated lateral canal study. J Conserv Dent. 2014; 17: 364-8.

Nagas E., Uyanik M.O., Eymirli A., Cehreli Z.C., Vallittu P.K., Lassila L.V., et al. Dentine moisture conditions affect the adhesion of root canal sealers. J Endod. 2012; 38: 240-4.

Naser S.H., Al-Zaka I.M. Push-out bond strength of different root canal obturation materials. J Bagh Coll Dent. 2013; 325: 1-7.

Eltair M., Pitchika V., Hickel R., Kühnisch J., Diegritz C. Evaluation of the interface between gutta-percha and two types of sealers using scanning electron microscopy (SEM). Clin Oral Investig. 2018; 22: 1631-9.

Andriukaitiene L., Song X., Yang N., Lassila L.V., Vallittu P.K., Kerosuo E. The effect of smear layer removal on E. faecalis leakage and bond strength of four resin-based root canal sealers. BMC Oral Health. 2018; 18: 1-9.

Al-Hiyasat A.S., Alfirjani S.A. The effect of obturation techniques on the push-out bond strength of a premixed bioceramic root canal sealer. J Dent. 2019; 89: 103169.

Loushine B.A., Bryan T.E., Looney S.W., Gillen B.M., Loushine R.J., Weller R.N., et al. Setting properties and cytotoxicity evaluation of a premixed bioceramic root canal sealer. J Endod. 2011; 37 (5): 673-7.

Dem K., Wu Y., Kaminga A.C., Dai Z., Cao X., Zhu B. The push out bond strength of polydimethylsiloxane endodontic sealers to dentine. BMC oral health .2019; 19 (1): 1-6.

Tyagi S., Mishra P., Tyagi P. Evolution of root canal sealers: An insight story. Eur J Dent.2013; 2: 199-218.

Brichko J., Burrow M.F., Parashos P. Design variability of the push-out bond test in endodontic research: a systematic review. J Endod. 2018; 44: 1237-45.

Pane E.S., Palamara J.E., Messer H.H. Critical evaluation of the push-out test for root canal filling materials. J Endod. 2013; 39: 669-73.

Kara Tuncer A., Tuncer S., Gökyay S.S. Correlation between sealer penetration into dentinal tubules and bond strength of two new calcium silicate-based and an epoxy resin-based, endodontic sealer. J of Adh Sci Tech. 2014; 28: 702-10.

Mohamed D., Ali R., Badawy R.E-s. Comparative evaluation of the interfacial adhesion ability of single versus lateral compaction obturation techniques using different sealer types. an in-vitro study. Egy Dent J. 2022; 68: 2967-83.

Silva E., Perez R., Valentim R., Belladonna F., De-Deus G., Lima I., et al. Dissolution, dislocation and dimensional changes of endodontic sealers after a solubility challenge: a micro- CT approach. Int Endod J. 2017; 50: 407-14.

Kim R.J.Y., Shin J.H. Cytotoxicity of a novel mineral trioxide aggregated-based root canal sealer. Dent Mater J. 2014; 33: 313-8.

Yoo Y.J., Baek S.H., Kum K.Y., Shon W.J., Woo K.M., Lee W. Dynamic intratubular biomineralization following root canal obturation with pozzolan-based mineral trioxide aggregate sealer cement. Scanning. 2016; 38: 50-6.

Kunert, M., Piwonski, I., Hardan, L., Bourgi, R.,Sauro, S., Inchingolo, F., Lukomska-Szymanska, M. Dentine Remineralisation Induced by “Bioactive” Materials through Mineral Deposition: An In Vitro Study. Nanomaterials. 2024; 14: 274.

Retana-Lobo C., Tanomaru-Filho M., Guerreiro-Tanomaru J.M., Benavides-García M., Hernández-Meza E., Reyes-Carmona J. Push-Out Bond Strength, Characterization, and Ion Release of Premixed and Powder-Liquid Bioceramic Sealers with or without Gutta-Percha. Scanning. 2021.

Vitti R.P., Prati C., Sinhoreti M.A.C., Zanchi C.H., e Silva M.G.S., Ogliari F.A., et al. Chemical-physical properties of experimental root canal sealers based on butyl ethylene glycol Di salicylate and MTA. Dent Mat. 2013; 29: 1287-94.

Arikatla S.K., Chalasani U., Mandava J., Yelisela R.K. Interfacial adaptation and penetration depth of bioceramic endodontic sealers. J Conserv Dent. 2018; 21: 373-7.

Almas Begum A. Characterization of a New Bioactive Calcium Silicate Cement: An Invitro study: Madha Dental College and Hospital, Chennai; master’s thesis 2020.

Gandolfi M.G., Taddei P., Modena E., Siboni F., Prati C. Bio interactivity-related versus Chemi/physisorption-related apatite precursor-forming ability of current root end filling materials. J Biomed Mater Res B Appl Biomater. 2013; 101:1107-23.

Silva E.J.N.L., Carvalho N.K., Prado M.C., Zanon M., Senna P.M., Souza E.M., et al. Push-out bond strength of injectable pozzolan-based root canal sealer. J Endod. 2016; 42: 1656-9.

Dastorani M., Shourvarzi B., Nojoumi F., Ajami M. Comparison of bacterial microleakage of endoseal MTA sealer and pro-root MTA in root perforation. J Dent. 2021; 22 (2): 96.

Nagas E., Cehreli Z., Uyanik M.O., Durmaz V. Bond strength of a calcium silicate-based sealer tested in bulk or with different main core materials. Braz Oral Res. 2014; 28: 1-7.

De-Deus G., Brandão M., Leal F., Reis C., Souza E., Luna A., et al. Lack of correlation between sealer penetration into dentinal tubules and sealability in nonbonded root fillings. Int Endod J. 2012; 45: 642-51.

Sönmez I., Oba A., Sönmez D., Almaz M. In vitro evaluation of apical microleakage of a new MTA-based sealer. Euro Arch Paed Dent. 2012; 13: 252-5.

Asawaworarit W., Yachor P., Kijsamanmith K., Vongsavan N. Comparison of the apical sealing ability of calcium silicate-based sealer and resin-based sealer using the fluid-filtration technique. Med Princ Pract. 2016; 25: 561-5.