The effect of varying thicknesses of mineral trioxide aggregate (MTA) and Biodentine as apical plugs on the fracture resistance of teeth with simulated open apices: a comparative in vitro study
2024

Comparing Fracture Resistance of Teeth with Different Apical Plugs

Sample size: 50 publication Evidence: high

Author Information

Author(s): Panjwani Pankaj, Banga Kulvinder, Atram Jatin, Wahjuningrum Dian Agustin, Luke Alexander Maniangat, Shetty Krishna Prasad, Pawar Ajinkya M.

Primary Institution: Nair Hospital Dental College, Mumbai, Maharashtra, India

Hypothesis

There are no significant differences in fracture resistance between teeth treated with MTA and Biodentine apical plugs and between those with 3 and 5 mm thicknesses.

Conclusion

Biodentine apical plugs provided the highest fracture resistance among the materials, regardless of thickness.

Supporting Evidence

  • Biodentine provided significantly higher fracture resistance compared to MTA.
  • Thickness of the apical plug did not significantly affect fracture resistance.
  • Control group had the lowest mean fracture load compared to experimental groups.

Takeaway

This study found that using Biodentine makes teeth stronger than using MTA, no matter how thick the plug is.

Methodology

Fifty human maxillary central incisors were tested with apical plugs of MTA and Biodentine at thicknesses of 3 and 5 mm to measure fracture resistance.

Limitations

The study was conducted in vitro, which may not accurately reflect the oral environment, and it only evaluated two materials.

Participant Demographics

Fifty human maxillary central incisors were used, obtained from a pool of freshly extracted teeth.

Statistical Information

P-Value

p < 0.001

Statistical Significance

p < 0.001

Digital Object Identifier (DOI)

10.7717/peerj.18691

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