Fracture Susceptibility in Non-Vital Apex Teeth Following Various Modified Apexification Procedure – An In Vitro Study

Introduction and Objective: The purpose of this research was to evaluate and compare the fracture resistance of juvenile teeth that were simulated and strengthened with two different root canal backfilling combinations (gutta-percha/AH26) and biodentine (BD) as apical barriers. Materials: Five group...

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Main Authors: NJ Nagaraj, Peyush Pratap Singh Sikarwar, Debkant Jena, Rini Gangwal, Ipsita Mohanty, Adnan Haider Rizvi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Pharmacy and Bioallied Sciences
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Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_950_24
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author NJ Nagaraj
Peyush Pratap Singh Sikarwar
Debkant Jena
Rini Gangwal
Ipsita Mohanty
Adnan Haider Rizvi
author_facet NJ Nagaraj
Peyush Pratap Singh Sikarwar
Debkant Jena
Rini Gangwal
Ipsita Mohanty
Adnan Haider Rizvi
author_sort NJ Nagaraj
collection DOAJ
description Introduction and Objective: The purpose of this research was to evaluate and compare the fracture resistance of juvenile teeth that were simulated and strengthened with two different root canal backfilling combinations (gutta-percha/AH26) and biodentine (BD) as apical barriers. Materials: Five groups (n = 10) of removed human maxillary incisors were randomly assigned. There was no instrumentation of the positive control group. To replicate juvenile teeth, coronal access was established for the other groups, and root canals were instrumented using the ProTaper up to F5. Six Peeso reamers were then permitted to pass 1 mm beyond the apex to size 6 (1.7 mm). Either mineral trioxide aggregate (MTA) or BD apical barrier was used to fill the top 4 mm of their root canals, and either gutta-percha or AH26 obturation combination was used as the backfill. Coronal access cavities were restored using composite resin. Universal testing equipment was used to record the maximum load required for each tooth to fracture. Analysis of variance was used to examine the data. Results: Compared to the negative control groups, the non-instrumented Group I had the greatest fracture resistance and varied considerably (P < 0.05). In contrast, regardless of the backfilling combination, there was no discernible difference between the BD and MTA groups (P > 0.05). Conclusion: In terms of resistance to root fracture, there was no difference between the backfilling combination and the MTA and BD apical barriers.
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0975-7406
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publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Pharmacy and Bioallied Sciences
spelling doaj-art-2f5e1d9451084e35b1e734adbdd30d222025-01-13T10:41:29ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062024-12-0116Suppl 4S3966S396910.4103/jpbs.jpbs_950_24Fracture Susceptibility in Non-Vital Apex Teeth Following Various Modified Apexification Procedure – An In Vitro StudyNJ NagarajPeyush Pratap Singh SikarwarDebkant JenaRini GangwalIpsita MohantyAdnan Haider RizviIntroduction and Objective: The purpose of this research was to evaluate and compare the fracture resistance of juvenile teeth that were simulated and strengthened with two different root canal backfilling combinations (gutta-percha/AH26) and biodentine (BD) as apical barriers. Materials: Five groups (n = 10) of removed human maxillary incisors were randomly assigned. There was no instrumentation of the positive control group. To replicate juvenile teeth, coronal access was established for the other groups, and root canals were instrumented using the ProTaper up to F5. Six Peeso reamers were then permitted to pass 1 mm beyond the apex to size 6 (1.7 mm). Either mineral trioxide aggregate (MTA) or BD apical barrier was used to fill the top 4 mm of their root canals, and either gutta-percha or AH26 obturation combination was used as the backfill. Coronal access cavities were restored using composite resin. Universal testing equipment was used to record the maximum load required for each tooth to fracture. Analysis of variance was used to examine the data. Results: Compared to the negative control groups, the non-instrumented Group I had the greatest fracture resistance and varied considerably (P < 0.05). In contrast, regardless of the backfilling combination, there was no discernible difference between the BD and MTA groups (P > 0.05). Conclusion: In terms of resistance to root fracture, there was no difference between the backfilling combination and the MTA and BD apical barriers.https://journals.lww.com/10.4103/jpbs.jpbs_950_24apexificationbiodentinefracturemta
spellingShingle NJ Nagaraj
Peyush Pratap Singh Sikarwar
Debkant Jena
Rini Gangwal
Ipsita Mohanty
Adnan Haider Rizvi
Fracture Susceptibility in Non-Vital Apex Teeth Following Various Modified Apexification Procedure – An In Vitro Study
Journal of Pharmacy and Bioallied Sciences
apexification
biodentine
fracture
mta
title Fracture Susceptibility in Non-Vital Apex Teeth Following Various Modified Apexification Procedure – An In Vitro Study
title_full Fracture Susceptibility in Non-Vital Apex Teeth Following Various Modified Apexification Procedure – An In Vitro Study
title_fullStr Fracture Susceptibility in Non-Vital Apex Teeth Following Various Modified Apexification Procedure – An In Vitro Study
title_full_unstemmed Fracture Susceptibility in Non-Vital Apex Teeth Following Various Modified Apexification Procedure – An In Vitro Study
title_short Fracture Susceptibility in Non-Vital Apex Teeth Following Various Modified Apexification Procedure – An In Vitro Study
title_sort fracture susceptibility in non vital apex teeth following various modified apexification procedure an in vitro study
topic apexification
biodentine
fracture
mta
url https://journals.lww.com/10.4103/jpbs.jpbs_950_24
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AT debkantjena fracturesusceptibilityinnonvitalapexteethfollowingvariousmodifiedapexificationprocedureaninvitrostudy
AT rinigangwal fracturesusceptibilityinnonvitalapexteethfollowingvariousmodifiedapexificationprocedureaninvitrostudy
AT ipsitamohanty fracturesusceptibilityinnonvitalapexteethfollowingvariousmodifiedapexificationprocedureaninvitrostudy
AT adnanhaiderrizvi fracturesusceptibilityinnonvitalapexteethfollowingvariousmodifiedapexificationprocedureaninvitrostudy