Research Article
Comparing the Coronal Seal of Different Thicknesses of
MTA with Gutta-Percha after Post Space Preparation
Mohammad Frough Reyhani,
1
Hamidreza Yavari,
1
Negin Ghasemi,
1
Saeed Rahimi,
2
Mohammad Hosien Soroush Barhaghi,
3
Hadi Mokhtari,
1
and Payman Sarikhani
4
1
Department of Endodontics, Dental Faculty, Tabriz University (Medical Sciences), Tabriz 5154613475, Iran
2
Dental and Periodontal Research Center, Dental Faculty, Tabriz University (Medical Sciences), Tabriz 5154613475, Iran
3
Department of Microbiology, Medical Faculty, Tabriz University (Medical Sciences), Tabriz 5154613475, Iran
4
Dental Faculty, Tabriz University (Medical Sciences), Tabriz 5154613475, Iran
Correspondence should be addressed to Negin Ghasemi; moh-reyhani@gmail.com
Received 24 January 2015; Accepted 30 March 2015
Academic Editor: Dennis Flanagan
Copyright © 2015 Mohammad Frough Reyhani et al. Tis is an open access article distributed under the Creative Commons
Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Introduction. Te aim of this study was to compare the coronal seal of diferent thicknesses of MTA with gutta-percha afer post
space preparation. Materials and Methods. A total of 50 maxillary central incisors randomly divided into 5 experimental groups
(=8). Afer preparation of the root canals with step back technique, in groups 1 and 2, post spaces were prepared and 4 or 5 mm
gutta-percha remained in the apical, respectively. In groups 3, 4, and 5, there was 1-2 and 3 mm MTA in the apical, respectively. Te
ten teeth serve as control groups. Te teeth were connected to a bacterial microleakage evaluation system. Te study period was
120 days and the samples were evaluated on ten-day intervals; Meier-Kaplan technique was used for estimation of the mean time of
microleakage to occur. Log-rank test was used for comparison of microleakage. Results. Number of samples exhibiting microleakage
in MTA was less than those of gutta-percha at all intervals. Means of days with no microleakage were maximum and minimum
with 3 mm MTA and 4 mm gutta-percha, respectively. Conclusion. Obturation of root canals using the MTA technique provides a
proper seal with the minimum thickness of MTA in teeth requiring post space preparation.
1. Introduction
Te aim of root canal obturation is to achieve a hermetic
corono-apical seal and inability to achieve a proper seal is
one of the most common reasons for failures of endodontic
treatment [1].
Endodontically treated teeth should be properly restored
to replace coronal structures, restore function, and pre-
vent reinfections [2]. In the majority of cases, endodon-
tically treated teeth have inadequate remaining structure
and require post placement to increase the retention of the
coronal restoration [3]. In addition, the post protects the
apical seal against bacterial contamination due to coronal
leakage [4].
To prepare the post space, some obturation material
should be removed from the root canal, which afects the
apical seal [2]. Te integrity of the apical seal depends on
the amount of obturation material remaining within the root
canal [3, 5–7]. Studies have shown that in teeth, in which
less than 3 mm of gutta-percha has remained afer post space
preparation, there is a higher incidence of lesions compared
to greater gutta-percha lengths and the best coronal seal is
achieved when at least 6 mm of gutta-percha remains in the
root canal [3, 7].
In cases in which the roots are short, it is difcult to leave
an adequate amount of gutta-percha in the apical end of the
root canal during post space preparation. Terefore, in such
cases it is advisable to use materials that provide adequate seal
at a minimum thickness. Mineral Trioxide Aggregate (MTA)
might be used as a root canal obturation material due to its
favorable antimicrobial activity, biocompatibility, and sealing
ability [6, 8–10].
Hindawi Publishing Corporation
e Scientific World Journal
Volume 2015, Article ID 708639, 5 pages
http://dx.doi.org/10.1155/2015/708639