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Influence of ultrasonic agitation on bond strength, marginal adaptation, and tooth discoloration provided by three coronary barrier endodontic materials

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Abstract

Objectives

The effect of ultrasonic agitation (UA) on bond strength and adaptation of cervical plugs prepared with MTA Angelus (MTA), MTA Repair HP (MTAHP), and Biodentine (BIO) was evaluated. Dentin discoloration caused by the materials/treatment was also assessed.

Materials and methods

Seventy-two single rooted teeth were divided into six groups depending on the materials/treatment. After cervical plug preparation, dentin discs were excised for the push-out test; additional discs were analyzed under the confocal microscope to determine adaptation (gaps occurrence). For dentin discoloration analysis (ΔE), blocks of bovine incisors had cavities prepared and filled with the materials/treatment (from 7 to 180 days).

Results

Both bond strength and adaptation were positively influenced by UA (P < 0.05). Comparison between materials showed an advantage for BIO when compared to MTAHP (P < 0.05). The best and worst results were provided by BIO/UA (12.66 MPa and 1.87%) and MTAHP (2.54 MPa and 28.58%), respectively. For ΔE, significant differences were observed throughout the periods. Just the MTA without UA exhibited noticeable discoloration at 180 days (P < 0.05).

Conclusions

UA favored a better adaptation of the materials to the dentin root, resulting in higher bond strength and adaptation of the materials to the root canal walls. Moreover, UA reduced MTA discoloration, keeping it imperceptible over the period evaluated.

Clinical relevance

The better adaptation and higher bond strength provided by UA can be considered clinically relevant due to the importance of maintaining blood clot integrity and the possible esthetic compromise provided by reparative materials when used as coronary barrier in regenerative procedures.

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Acknowledgments

The authors wish to thank the Analytical Central-UFC/CT-INFRA/MCTI-SISNANO/CAPES Pró-Equipment for making the analyzes feasible under microscopy.

Funding

This study was partially financed by CAPES-Brazilian Federal Agency for Support and Evaluation of Graduate Education within the Ministry of Education of Brazil.

Author information

Authors and Affiliations

  1. Post-Graduate Program in Dentistry, School of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Fortaleza, CE, Brazil

    Bernardo A. Aguiar, Luciana M. A. Frota & Bruno Carvalho de Vasconcelos

  2. Department of Endodontics, Faculty of Dentistry, University of Fortaleza, Fortaleza, Ceará, Brazil

    Bernardo A. Aguiar

  3. Endodontist Private Practice, Goiania, GO, Brazil

    Daniela T. Taguatinga

  4. Department of Dentistry, Endodontics and Dental Materials, Bauru Dental School, University of São Paulo, Bauru, SP, Brazil

    Rodrigo R. Vivan & Marco A. H. Duarte

  5. School of Dentistry, College of Medical and Dental Sciences, Institute of Clinical Sciences, University of Birmingham, Birmingham, UK

    Josette Camilleri

  6. School of Dentistry of Sobral, Federal University of Ceará, Campus Sobral, Sobral, CE, Brazil

    Bruno Carvalho de Vasconcelos

Authors
  1. Bernardo A. Aguiar
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  2. Luciana M. A. Frota
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  3. Daniela T. Taguatinga
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  4. Rodrigo R. Vivan
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  5. Josette Camilleri
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  6. Marco A. H. Duarte
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  7. Bruno Carvalho de Vasconcelos
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Corresponding author

Correspondence to Bruno Carvalho de Vasconcelos.

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The authors declare that they have no conflict of interest.

Ethical approval

This study was previously approved by Local Ethics Committee (#1.900.129/2017) and 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.

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

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Aguiar, B.A., Frota, L.M.A., Taguatinga, D.T. et al. Influence of ultrasonic agitation on bond strength, marginal adaptation, and tooth discoloration provided by three coronary barrier endodontic materials. Clin Oral Invest 23, 4113–4122 (2019). https://doi.org/10.1007/s00784-019-02850-y

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  • DOI: https://doi.org/10.1007/s00784-019-02850-y

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