Comparative analysis of microleakage of temporary filling materials used for multivisit endodontic treatment sessions in primary teeth: an in vitro study

  • N. S. V. BabuEmail author
  • P. V. Bhanushali
  • N. V. Bhanushali
  • P. Patel
Original Scientific Article



Coronal leakage is an important factor contributing to the failure of endodontic treatment. The use of an efficient temporary restoration between sessions of multiple-visit pulpectomies is irrefutable. Two cements have long been used in endodontics—IRM, which is a reinforced zinc oxide cement and Cavit G, a calcium sulphate based cement. The aim of this study was to compare the microleakage of nano silver containing UDMA-based cements with routinely used zinc oxide and calcium sulphate-based temporary cements in primary teeth.


Standardized access cavities of 3 × 3 mm were prepared in the sixty caries-free primary molars. The teeth were divided randomly into four groups of 14 teeth each—Group I: IRM, Group II: Cavit G, Group III: Orafil-G and Group IV: Dia-Temp. Temporary restorative materials were applied according to the manufacturer’s instructions. The teeth were subjected to thermocycling and then immersed in 0.5% basic fuchsin for 24 h. The specimens were sectioned and evaluated under a digital microscope at 20× magnification and were scored for microleakage. The collected data were tabulated and subjected to statistical analysis.


Dia-Temp presented the least microleakage values. The highest score for microleakage was shown by IRM followed by Orafil-G and Cavit-G. There was a significant difference between IRM and Diatemp groups (p value = 0.009), and among Orafil G and Diatemp groups (p value = 0.025).


Among the four materials tested, Dia-Temp exhibited the best sealing ability and its use is recommended in between sessions of endodontic treatment in primary teeth.


Temporary filling material Primary teeth Microleakage Cavit-G Dia-Temp IRM Orafil-G 



No funds obtained.

Compliance with ethical standards

Conflict of interest

No conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


  1. Çelik DE, Tahan T, Taşdemir T, Er K, Ceyhanlı KT. Coronal microleakage of various temporary fillings in standardized endodontic access cavities. Clin Dent Res. 2013;37(2):23–8.Google Scholar
  2. Crim GA, Swartz ML, Phillips RW. Comparison of four thermocycling techniques. J Prosthet Dent. 1985;53(1):50–3.CrossRefGoogle Scholar
  3. Cruz EV, Shigetani Y, Ishikawa K, et al. A laboratory study of coronal microleakage using four temporary restorative materials. Int Endod J. 2002;35:315–20.CrossRefGoogle Scholar
  4. Curt W, Beach JC, Calhoun J, Bramwell JD, Hutter JW, Miller GA. Clinical evaluation of bacterial leakage OF endodontic temporary filling materials. J Endod. 1996;22(9):459–62.CrossRefGoogle Scholar
  5. Etienne D, Hildelbert P, Neut C, Boniface B, Romond C. bacterial microleakage of Cavit, IRM and TERM. Oral Surg Oral Med Oral Pathol. 1992;74:634–43.CrossRefGoogle Scholar
  6. Friedman S, Shani J, Stabholz A, Kaplawi J. Comparative sealing ability of temporary filling materials evaluated by leakage of radiosodium. Int Endod J. 1986;19:187–93.CrossRefGoogle Scholar
  7. Hamed S, Zaazou A, Leheta N. Evaluation of two different materials for pre-endodontic restoration of badly destructed teeth. Alex Dent J. 2015;40:58–64.Google Scholar
  8. Harry G, Bobotis RW, Anderson DH, Pashley EA, Pantera EA. A microleakage study of temporary restorative materials used in endodontics. J Endod. 1989;15(12):569–72.CrossRefGoogle Scholar
  9. Jacquot BM, Panighi MM, Steinmetz P, G’Sell C. Microleakage of Cavit, CavitW, CavitG and IRM by impedance spectroscopy. Int Endod J. 1996;29:256–61.CrossRefGoogle Scholar
  10. Jean C, David P. Reliability of the dye penetration studies. J Endod. 2003;29(9):592–4.CrossRefGoogle Scholar
  11. John W, Cameron AC, Widmer RP. Pulp therapy for primary and immature permanent teeth. In: AC Cameron, RP Widmer, editors. Handbook of pediatric dentistry. 4th ed. Mosby Elsevier 2013.Google Scholar
  12. Mesut EO, Tulunoglu O, Ozalp SO, Haluk B. Microleakage of different temporary filling materials in primary teeth. J Clin Pediatr Dent. 2009;34(2):157–60.CrossRefGoogle Scholar
  13. Santos GL, Beltrame AD, Triches TC, et al. Analysis of microleakage of temporary restorative materials in primary teeth. J Indian Soc Pedod Prev Dent. 2014;32(2):130–4.CrossRefGoogle Scholar
  14. Shahriar S, Samiei M, Rahimi S, Nezami H. In vitro comparison of dye penetration through four temporary restorative materials. Int Endod J. 2010;5(2):59–63.Google Scholar
  15. Siqueira JF Jr. Aetiology of root canal treatment failure: why well-treated teeth can fail. Int Endod J. 2001;34:1–10.CrossRefGoogle Scholar
  16. Sivakumar JS, Suresh Kumar BN, Shyamala PV. Role of provisional restorations in endodontic therapy. J Pharm Bioall Sci. 2013;5:120–4.CrossRefGoogle Scholar
  17. Thomas M, Eicholz P. Microleakage of temporary restorations after thermocycling and mechanical loading. J Endod. 1997;23(5):320–2.CrossRefGoogle Scholar
  18. Thomas D, Blaney DD, Peters J, Setterstrom WE, Bernier. Marginal sealing quality of IRM and Cavit as assessed by microbial penetration. J Endod. 1981;7(10):453–7.CrossRefGoogle Scholar
  19. Webber RT, del Rio CE, Brady JM, Segal RO. Sealing quality of a temporary filling material. Oral Surg. 1978;46:123–30.CrossRefGoogle Scholar

Copyright information

© European Academy of Paediatric Dentistry 2019

Authors and Affiliations

  • N. S. V. Babu
    • 1
    Email author
  • P. V. Bhanushali
    • 1
  • N. V. Bhanushali
    • 2
  • P. Patel
    • 1
  1. 1.Department of Pediatric and Preventive dentistryVokkaligara Sangha Dental College and HospitalBangaloreIndia
  2. 2.Terna Dental College and HospitalNavi MumbaiIndia

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