MTA apical barrier: in vitro study of the use of ultrasonic vibration
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Escribano-Escriva, Begoña; Micó Muñoz, Pedro; Manzano, Alberto; Giner-Lluesma, Teresa; Collado Castellanos, Nicolás; Muwaquet-Rodriguez, Susana
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Aquest document és un/a article, creat/da en: 2016
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Background: The apexification is the first alternative treatment on a permanent tooth when, after a tooth trauma
and in the presence of immature apex trauma, pulp necrosis occurs. Many studies have demonstrated the efficacy of
mineral trioxide aggregate (MTA) as apical sealing material of choice in these cases, but has a degree of filtration as
all other materials. The objective of this study was to analyze the seal ability of MTA on the duct walls in immature
teeth unirradicular apexes, using indirect vibration.
Material and Methods: The study was conducted on 45 teeth divided into 3 groups: Group A or control group in
which no vibration for placing the MTA was used, Group B and C or groups where indirect vibration analysis was
used. All samples were immersed in methylene blue to assess filtration. After performing longitudinal cuts millimetric
measuring were made of the degree of filtration, divided into 3 degrees (2mm each grade filtration).
Results: Results obtained confirm our hypothesis, obtaining lesser degree of filtration those groups in which indirect
vibration (Groups B and C) was performed. It was shown that the degree of filtration is closely linked to the
degree of adaptation.
Conclusions: MTA vibration offers better results in its adaptation to the canal walls, significantly reducing the
degree of filtration.
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