Bioceramic root repair materials appear more radiopaque in a radiopacity test simulating clinical reality than in a traditional circular-disks test.
DOI:
https://doi.org/10.22456/2177-0018.136693Keywords:
Dental cements, Radiography, dental, digital, Endodontics, CadaverAbstract
Aim: This study assessed the radiopacity of three bioceramic root repair cements (NeoMTA Plus®, Biodentine®, and MTA Angelus®) with two radiopacity tests: a traditional circular-disk method, using aluminium step wedges with the substitution of films for digital radiography (we called “ANSI/ADA-based test”) and a tissue-simulator method, using a cadaver model.
Materials and Methods: Six circular specimens from each cement were fabricated to undertake the traditional ANSI/ADA-based radiopacity test; and six specimens from each cement were fabricated (into polyethylene tubes) to undertake the tissue simulator test. Data were compared intra-group and between the two radiopacity tests.
Results: Radiopacity data was reported in greyscale pixels (from 0 to 255). Discussion: The tissue simulator method was able to show that Biodentine®, although being less radiopaque than NeoMTA Plus® and MTA Angelus®, had higher radiopacity than 3mm-Al (fact that did not occur with the traditional method). This finding is critical because it refutes some previous beliefs that Biodentine® is not radiopaque enough to be used as a root repair material.
Conclusion: The tissue simulator radiographic test showed all the cements more radiopaque in comparison to the radiopacity produced by the traditional circular-disks test (ANSI/ADA-based) (p<0.05). Biodentine® presented more radiopaque than 3 mm-Al, only in the tissue simulator method (p<0.05).
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References
Duarte MAH, Marciano MA, Vivan RR, Tanomaru Filho M, Tanomaru JMG, Camilleri J. Tricalcium silicate-based cements: properties and modifications. Braz Oral Res 2018;32(suppl 1):e70.
Wang Z, Shen Y, Haapasalo M. Antimicrobial and Antibiofilm Properties of Bioceramic Materials in Endodontics. Materials (Basel) 2021;14:7594.
Shah PM, Chong BS, Sidhu SK, Ford TR. Radiopacity of potential root-end filling materials. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;81:476-9.
Islam I, Chng HK, Yap AU. Comparison of the physical and mechanical properties of MTA and portland cement. J Endod 2006;32:193-7.
Vivan RR, Ordinola-Zapata R, Bramante CM, Bernardineli N, Garcia RB, Hungaro Duarte MA et al. Evaluation of the radiopacity of some commercial and experimental root- end filling materials. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108(6):e35-8.
Tanomaru-Filho M, da Silva GF, Duarte MA, Gonçalves M, Tanomaru JM. Radiopacity evaluation of root-end filling materials by digitization of images. J Appl Oral Sci 2008;16:376-9.
Akcay I, Ilhan B, Dundar N. Comparison of conventional and digital radiography systems with regard to radiopacity of root canal filling materials. Int Endod J 2012;45:730-6.
Bodrumlu E, Sumer AP, Gungor K. Radiopacity of a new root canal sealer, Epiphany. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104:59-61.
Gorduysus M, Avcu N. Evaluation of the radiopacity of different root canal sealers. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:135-40.
Tagger M, Katz A. Radiopacity of endodontic sealers: development of a new method for direct measurement. J Endod 2003;29:751-5.
Tanomaru JM, Cezare L, Gonçalves M, Tanomaru Filho M. Evaluation of the radiopacity of root canal sealers by digitization of radiographic images. J Appl Oral Sci 2004;12:355-7.
Tanomaru-Filho M, Jorge EG, Tanomaru JM, Goncalves M. Evaluation of the radiopacity of calcium hydroxide and glass-ionomer-based root canal sealers. Int Endod J 2008;41:50–3.
Guerreiro-Tanomaru JM, Duarte MA, Gonc¸alves M, Tanomaru- Filho M. Radiopacity evaluation of root canal sealers containing calcium hydroxide and MTA. Braz Oral Res 2009;23:119–23.
Baksi BG, Sen BH, Eyuboglu TF. Differences in aluminum equivalent values of endodontic sealers: conventional versus digital radiography. J Endod 2008;34:1101–4.
Rabello CZ, Kopper PMP, Ferri LJM, Signor B, Hashizumi LN, Fontanella VRC, Grecca FS, Scarparo RK. Physicochemical properties of three bioceramic cements. Braz Oral Res 2022;36:e069.
Tagger M, Katz A. A standard for radiopacity of root-end (retrograde) filling materials is urgently needed. Int Endod J 2004;37:260-4.
Carvalho-Junior JR, Correr-Sobrinho L, Correr AB, Sinhoreti MA, Consani S, Sousa-Neto MD. Radiopacity of root filling materials using digital radiography. Int Endod J 2007;40:514-20.
Malka VB, Hochscheidt GL, Larentis NL, Grecca FS, Fontanella VR, Kopper PM. A new in vitro method to evaluate radio-opacity of endodontic sealers. Dentomaxillofac Radiol 2015;44:20140422.
Húngaro Duarte MA, de Oliveira El Kadre GD, Vivan RR, Guerreiro Tanomaru JM, Tanomaru Filho M, de Moraes IG. Radiopacity of portland cement associated with different radiopacifying agents. J Endod 2009;35:737-40.
Gegler A, Fontanella V. In vitro evaluation of a method for obtaining periapical radiographs for diagnosis of external apical root resorption. Eur J Orthod 2008;30:315-9.
McGraw H. Radiopaque masses. In: Schwartz DT, editor. Emergency radiology: case studies. Chapter II-8. New York: The McGraw-Hill Companies; 2008.
Hoppe CB, Baldissera RS, Scarparo RK, et al. A new assessment methodology to evaluate the radiopacity of endodontic filling materials. J Dent Sci 2013; 1:13-7.
Camilleri J, Sorrentino F, Damidot D. Investigation of the hydration and bioactivity of radiopacified tricalcium silicate cement, Biodentine and MTA Angelus. Dent Mater 2013; 29:580-93.
Grech L, Mallia B, Camilleri J. Investigation of the physical properties of tricalcium silicate cement-based root end filling materials. Dent Mater 2013;29:e20-8.
Ochoa-Rodríguez VM, Tanomaru-Filho M, Rodrigues EM, Guerreiro-Tanomaru JM, Spin-Neto R, Faria G. Addition of zirconium oxide to Biodentine increases radiopacity and does not alter its physicochemical and biological properties. J Appl Oral Sci 2019; 27:e20180429.
Nagendrababu, V.; Murray, P.E.; Ordinola-Zapata, R.; Peters, O.A.; Rôças, I.N., Siqueira, J.F. Jr.; Dummer, P.M.H. Improving the design, execution, reporting and clinical translation of laboratory-based studies in Endodontology. Int Endod J 2019; 52:1089.
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Copyright (c) 2024 Renata Grazziotin-Soares, Felipe Barros Matoso, Debora Delai, Alexander Pompermayer Jardine, Vania Regina Camargo Fontanella, Patrícia Maria Poli Kopper
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