Comparison of Retrograde, Primary and Secondary Bonding Materials with Tooth Substance.

Objective: To compare the microleakage of MTA (mineral trioxide aggregate) and resin-modified GIC (glass ionomer vitremer) as retrograde endodontic material.

Study Design: Experimental study.

Place And Duration Of Study: Operative Department of DIIKIOHS (DUHS) and NED University, Karachi, from February to June 2014.

Methodology: Forty human anterior teeth were divided into four groups. Each tooth was endodontically treated. Apical cavity preparations were performed on all teeth. The retropreparations were filled either with MTA (Group 1), Vitremer (Group 2), or only covered with nail polish (Group 3). The root surfaces of the first three groups were coated with nail polish. In Group 4 (positive control), neither retrograde filling was placed nor the nail polish was applied. The teeth were then suspended in 2% methylene blue dye solution for 10 days at 37°C. Sections were made along the long axis of teeth to determine the depth of linear dye penetration. Using Mann-Whitney test the comparison, p-value <0.05 was considered as statistically significant.

Results: MTA had no significant difference in apical dye leakage (p = 0.122) than did the vitremer.

Conclusion: MTA is equivalent to vitremer in preventing microleakage when used as retrograde filling material.