Comparison of the Apical Sealing Ability of Calcium Silicate-Based Sealer and Resin-Based Sealer Using the Fluid-Filtration Technique.
OBJECTIVE
The aim was to evaluate the apical sealing ability of tricalcium silicate-based (MTA Fillapex®) and resin-based (AH Plus®) sealers at 24 h, 7 days and 4 weeks.


METHODS
Thirty-four extracted human upper anterior teeth were used. All the teeth were sectioned to leave the root 15 mm long, and then all the roots were instrumented using a set of ProTaper® rotary instruments. Four roots were selected randomly as controls, and the remaining 30 were randomly divided into 2 groups of 15 each: MTA Fillapex and gutta-percha (group 1) and AH Plus and gutta-percha (group 2) using a warm vertical compaction technique. The apical sealing ability of the filled root canal was measured using the fluid-filtration method with 200 mm Hg (26.67 KPa) above atmospheric pressure at 24 h, 7 days and 4 weeks. The apical microleakage of the 2 groups was compared using Student's t test. p < 0.05 was considered statistically significant.


RESULTS
The mean apical microleakage in group 1 at 24 h, 7 days and 4 weeks was 1.01 ± 0.24, 0.43 ± 0.07 and 0.24 ± 0.08 nl/s. The corresponding values in group 2 were 1.15 ± 0.40, 0.32 ± 0.09, and 0.38 ± 0.10 nl/s. MTA Fillapex had significantly more leakage than AH Plus at 7 days, but at 4 weeks, MTA Fillapex showed a significantly better sealing ability than AH Plus (p < 0.05).


CONCLUSIONS
In this study, the tricalcium silicate-based sealer promoted proper sealing when used for filling the root canals.
Department of Operative Dentistry and Endodontics, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
Widcha
W
Asawaworarit
Prapaporn
P
Yachor
Kanittha
K
Kijsamanmith
Noppakun
N
Vongsavan
D017610:Calcium Compounds / Q000494:pharmacology*; D003763:Dental Leakage / Q000150:complications / Q000453:epidemiology; D003786:Dental Pulp Cavity / Q000601:surgery; D006801:Humans; D019279:Resin Cements / Q000494:pharmacology*; D012387:Root Canal Filling Materials / Q000494:pharmacology*; D012389:Root Canal Obturation / Q000379:methods*; D018915:Root Canal Preparation / Q000379:methods; D017640:Silicates / Q000494:pharmacology*; D014070:Tooth; D014092:Tooth Root / Q000601:surgery
D017610:Calcium Compounds; D019279:Resin Cements; D012387:Root Canal Filling Materials; D017640:Silicates; C031293:calcium silicate