Effect of acid etching on marginal adaptation of mineral trioxide aggregate to apical dentin: microcomputed tomography and scanning electron microscopy analysis

Int J Oral Sci. 2012 Dec;4(4):202-7. doi: 10.1038/ijos.2012.77. Epub 2013 Jan 10.

Abstract

The present investigation assessed the effect of acid etching on marginal adaptation of white- and gray-colored mineral trioxide aggregate (MTA) to apical dentin using microcomputed tomography (micro-CT) and scanning electron microscopy (SEM). Sixty-four extracted single-rooted human maxillary teeth were used. Following root-end resection and apical preparation, the teeth were equally divided into four groups according to the following root end filling materials: (i) white-colored MTA (WMTA), (ii) etched WMTA (EWMTA), (iii) gray-colored MTA (GMTA) and (iv) etched GMTA (EGMTA). After 48 h, the interface between root-end filling materials and the dentinal walls was assessed using micro-CT and SEM. Data were statistically analyzed using the Kruskal-Wallis and Dunn tests. Micro-CT analysis revealed gap volumes between the apical cavity dentin walls and EGMTA, GMTA, EWMTA and WMTA of (0.007 1±0.004) mm(3), (0.053±0.002) mm(3), (0.003 6±0.001) mm(3) and (0.005 9±0.002) mm(3) respectively. SEM analysis revealed gap sizes for EGMTA, WMTA, EWMTA and GMTA to be (492.3±13.8) µm, (594.5±17.12) µm, (543.1±15.33) µm and (910.7±26.2) µm respectively. A significant difference in gap size between root end preparations filled with GMTA and EGMTA was found (P<0.05). No significance difference in gap size between WMTA and EWMTA were found in either SEM or micro-CT analysis. In conclusion, pre-etching of apical dentin can provide a better seal for GMTA but not for WMTA.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Acid Etching, Dental / methods*
  • Aluminum Compounds / chemistry*
  • Apicoectomy / methods
  • Calcium Compounds / chemistry*
  • Dental Bonding
  • Dental Marginal Adaptation*
  • Dental Pulp Cavity / ultrastructure*
  • Dentin / ultrastructure*
  • Drug Combinations
  • Humans
  • Materials Testing
  • Microscopy, Electron, Scanning
  • Oxides / chemistry*
  • Retrograde Obturation / methods
  • Root Canal Filling Materials / chemistry*
  • Root Canal Preparation / instrumentation
  • Root Canal Preparation / methods
  • Silicates / chemistry*
  • Surface Properties
  • Time Factors
  • Tooth Apex / ultrastructure*
  • X-Ray Microtomography

Substances

  • Aluminum Compounds
  • Calcium Compounds
  • Drug Combinations
  • Oxides
  • Root Canal Filling Materials
  • Silicates
  • mineral trioxide aggregate