Sealing Ability of Orthograde MTA and CEM Cement in Apically Resected Roots Using Bacterial Leakage Method

Introduction: The aim of this in vitro study was to determine the sealing ability of orthograde ProRoot mineral trioxide aggregate (MTA) and calcium enriched mixture (CEM) cement as root-end filling materials. Materials and Methods: Fifty four extracted single-rooted human teeth were used. The samples were randomly divided into 3 experimental groups. In group A and B, 4 mm of WMTA and CEM cement were placed in an orthograde manner and 3 mm of apices were resected after 24 hours. In group C the apical 3 mm of each root was resected and the root-end prepared with ultrasonic tips to a depth of 3 mm and subsequently, then filled with MTA. The apical sealing ability was performed with bacterial leakage method. Statistical analysis was carried out with Chi-square test. Results: There were no significant differences in the extent of bacterial leakage between the three experimental groups (P>0.05). Conclusion: Based on the limitations of this in vitro study, we concluded that MTA and CEM cement can be placed in an orthograde manner when there is a potential need for root-end surgery

Effect of Flexible Membrane in Triaxial Test on the Mechanical Behaviour of Rockfill Material using Discrete Element Method

The investigation of rockfill materials poses challenges due to their large particle size, associated high cost, and long laboratory testing duration. As a result, empirical correlations based on historical experimental studies are commonly used to design and analyse rockfill structures. However, the extensive use of rockfill in a wide range of applications and limited understanding of its mechanical behaviour emphasize the need for further research. These make it necessary to develop a robust technique capable of capturing key parameters such as particle shape and breakage, allowing for the simulation and study of large-scale assemblies with realistic boundary conditions. Given that the behaviour of rockfill is highly scale-dependent, primarily due to particle breakage, the simplified laboratory tests on the scaled-down assemblies can be misleading. Particle breakage is a fundamental phenomenon in the mechanical behaviour of rockfill and significantly affects shear strength, deformability, and porosity under different stress levels. The particle breakage is influenced by factors such as the rockfill’s maximum particle size, mineralogy, particle shape, gradation, and confining stresses. This study adopts a computationally efficient breakage method called the Modified Particle Replacement Method (MPRM) based on the Discrete Element Method. A Tile-Based Flexible Membrane (TBFM) for triaxial test modelling has been developed by employing segmental rectangular walls to create a deformable membrane. The effects of critical parameters, including particle shape, confining stress, membrane resolution, degree of flexibility, and the characteristic strength of the particles, are examined. The findings of the combined MPRM-TBFM approach demonstrate the significant influence of membrane flexibility on volumetric-related behaviour

Effect of Flexible Membrane in Triaxial Test on the Mechanical Behaviour of Rockfill Material using Discrete Element Method

The investigation of rockfill materials poses challenges due to their large particle size, associated high cost, and long laboratory testing duration. As a result, empirical correlations based on historical experimental studies are commonly used to design and analyse rockfill structures. However, the extensive use of rockfill in a wide range of applications and limited understanding of its mechanical behaviour emphasize the need for further research. These make it necessary to develop a robust technique capable of capturing key parameters such as particle shape and breakage, allowing for the simulation and study of large-scale assemblies with realistic boundary conditions. Given that the behaviour of rockfill is highly scale-dependent, primarily due to particle breakage, the simplified laboratory tests on the scaled-down assemblies can be misleading. Particle breakage is a fundamental phenomenon in the mechanical behaviour of rockfill and significantly affects shear strength, deformability, and porosity under different stress levels. The particle breakage is influenced by factors such as the rockfill’s maximum particle size, mineralogy, particle shape, gradation, and confining stresses. This study adopts a computationally efficient breakage method called the Modified Particle Replacement Method (MPRM) based on the Discrete Element Method. A Tile-Based Flexible Membrane (TBFM) for triaxial test modelling has been developed by employing segmental rectangular walls to create a deformable membrane. The effects of critical parameters, including particle shape, confining stress, membrane resolution, degree of flexibility, and the characteristic strength of the particles, are examined. The findings of the combined MPRM-TBFM approach demonstrate the significant influence of membrane flexibility on volumetric-related behaviour

Cytotoxic effect of a new endodontic cement and mineral trioxide aggregate on L929 line culture

Introduction: The aim of this study was to compare the cytotoxicity of Mineral Trioxide Aggregate (MTA) and a New Endodontic Cement (NEC) on L929 mouse fibroblasts. Materials and Methods: Different dilutions (Neat, 1/2, 1/10, 1/100) of fresh and set materials placed adjacent flasks of L929 in DMEM medium. Cellular viability was assessed using MTT assay in three time intervals (24, 48, and 72 h after mixing). Differences in mean cell viability values between materials were assessed by using the One-way ANOVA and Bonferoni post-test. Optical microscopic analysis of morphology of the untreated control and the cement-treated cell cultures were carried out in all experimental periods. Results: It was indicated that there was not a significant difference in cytotoxicity among the materials of test and between them and the control group. However, there was a statistically significant difference between different time intervals within each group (P< 0.05) and between different concentration of test materials (P<0.05). In all samples, set materials showed better viability than fresh ones. Conclusion: According to results of this study, NEC and MTA have similar cytotoxic effect on L929 cell culture

Effect of root resection on sealing ability of orthograde apical plugs of mineral trioxide aggregate and calcium enriched mixture.

There is some concern that root resection may alter the seal of the previously set orthograde material. The aim of this study was to evaluate the apical sealing ability of orthograde mineral trioxide aggregate (MTA) and calcium enriched mixture (CEM) plugs after resection of the roots.The fluid filtration method was carried out on a total of 51 roots in three experimental (n=15) and two control (n=3) groups. The root canals were prepared 3 mm shorter than the working length. In groups A and B, 4 mm of MTA and CEM were placed in an orthograde technique, respectively, and after setting, 3 mm of the root end was resected. In group C, the apical 3 mm of each root was resected, root end preparation was carried out to a depth of 3 mm and filled with MTA. Apical microleakage values of each group were measured. Data was analyzed using Kruskal-Wallis test.Means and standard deviations of apical microleakage in groups A (MTA orthograde), B (CEM orthograde) and C (MTA retrograde) were 2.31×10(-4) (0.32×10(-4)), 3.33×10(-4) (0.29×10(-4)) and 4.42×10(-4) (0.40×10(-4)) μl.min(-1).cmH2o(-1), respectively. The mean values were greater in group C; however, statistical analysis revealed no significant differences between these groups (P>0.05).Based on the results of this study, when there is an orthograde access to the root canal and surgery is likely to be necessary in the future, MTA and CEM can be placed in an orthograde technique and it just resects the root during surgery

The effect of calcium hydroxide on the short and long-term sealing properties of MTA apical barrier

INTRODUCTION: The aim of this study was to evaluate the effects of remnant root canal medicament, calcium hydroxide on the short and long term sealing ability of mineral trioxide aggregate (MTA) apical barrier. MATERIALS & METHODS: Fifty single-rooted teeth were prepared and apical resorptions were made using sulfuric acid. The teeth were allocated into two experimental groups and two control groups. In group 1, calcium hydroxide was placed into canals for one week. In group 2, no medication was placed. In both groups, a 4-mm MTA plug was placed in the root canals. The remaining portion of the canal was filled with gutta-percha/sealer. The microleakage was evaluated after 7 days and 3 months using fluid filtration technique. Repeated measurement ANOVA was used for statistical analysis. RESULTS: There was no significant difference in sealing ability between the two groups in either time periods. In both groups, microleakage decreased after three months but this decrease was not statistically significant. CONCLUSION: Medication with calcium hydroxide had no adverse effect on the short and long-term sealing properties of MTA plug

Finite Element Evaluation of Stress Distribution in Mature and Immature Teeth

INTRODUCTION: Traumatic injuries may affect the vitality and development of tooth. So divergence or parallelism of canal walls induces an open apex which is very susceptible to fracture. The aim of this study was to determine the stress distribution pattern in immature teeth and compare it with mature teeth. MATERIALS AND METHODS: In order to analyze stress distribution using finite element method, models were first designed according to actual samples by "ANSYS" software. Two models of the maxillary central incisors were designed, one mature and one with open apex. Mature tooth was designed as having undergone root canal therapy with gutta-percha and the immature one with both MTA plug and gutta-percha. Samples were loaded in seven stages and then, the stress distribution in each model was measured, using the "ANSYS" software. RESULTS: During gutta-percha condensation, the immature tooth transfers the stress directly to the external root surface where force is directly applied, whereas during masticatory occlusal forces, the stress is transferred to middle third of buccal and lingual surfaces and to buccal cervix in lunar shape. During traumatic forces, stress concentration was on the cervical region of buccal surface and middle third of buccal and lingual surfaces. MTA plug prevents stress distribution toward apical region and forces concentrate in dentin at the point where stress terminates. CONCLUSION: Within the limitations of this simulated mechanical analysis, it was confirmed that the pattern of stress distribution in mature and immature teeth is different. Cervical area of the buccal surface in immature teeth is one of the stress concentration areas, which contribute to the high rate of fracture in this area

Effect of calcium hydroxide premedication on the marginal adaptation of calcium-enriched mixture cement apical plug

Background: This study was to evaluate the effects of calcium hydroxide premedication on the marginal adaptation of the calcium-enriched mixture (CEM) cement as an apical plug. Materials and Methods: In this in vitro study, forty single rooted teeth were prepared and apical portion of the roots were immersed in sulfuric acid to produce open apices. The teeth were divided into 2 experimental groups. In medicated group, calcium hydroxide was placed in all canals for 1 week and in non-medicated group no dressing was used. Then, a 4-mm apical plug of CEM cement was placed in canals; each root was prepared for observation using scanning electron microscope and the maximum distance between CEM cement and surrounding dentin was measured. The data were analyzed by t-test, and significance level was set at α = 0.05. Results: The mean width of gap in medicated and non-medicated groups was 158/1 μm and 147/1 μm, respectively. There was no significant difference between the two groups ( P > 0.05). Conclusion: Calcium hydroxide premedication had no adverse effect on the marginal adaptation of CEM cement apical plug