An Evaluation on Sealing Ability of Calcium Silicate-Based Cements and Glass Ionomer Cement as Perforation Repair Materials

Aims: The study evaluated the sealing ability of Biodentine, MTA Repair HP, and Glass ionomer cement as perforation repair materials by using a Stereomicroscopic analysis.

Study Design: Experimental in vitro study

Methodology: The access cavity was prepared on 45 samples of maxillary and mandibular teeth with a perforation of the standardized diameter of a No. 2 round bur at the bottom of the pulp chamber. All 45 samples were divided into three different experimental groups of 15 samples each. Group A (n=15), Group B (n=15) and Group C (n=15). The furcation repairs of the samples in groups A, B and C were carried out using Biodentine, MTA Repair HP and glass ionomer cement respectively. All sealed furcation perforation samples were stored at room temperature for 24 hours. Two layers of nail varnish were coated on all the surfaces to avoid dye penetration except for 2 mm around the area of the perforation site. After complete drying, all specimens were separately soaked in 2% methylene blue solution for 48 hours, cleaned with water and dried for 24 hours. They were sectioned buccolingually. The perforation wall of the sectioned sample with the greatest dye penetration was selected for microleakage analysis.

Results: The collected data from the three experimental groups were subjected to statistical analysis using one-way analysis of variance and Tukey's post hoc test for multiple comparisons of mean differences in dye penetration. The Biodentine group had the significantly lowest dye penetration length compared with the MTA Repair HP and glass ionomer cement groups (P<0.001).

Conclusion: Biodentine showed better sealing ability as a repair material for furcation perforations compared to the other two materials.