Comparison of apical sealing ability of resected mineral trioxide aggregate, gutta-percha and a resin-based root canal filling material (resilon)

In the case of limited access in endodontic surgery, an alternative approach includes obturation of the canal with mineral trioxide aggregate (MTA) prior to surgery. Following the setting of MTA, endodontic surgery is carried out by resecting the root-end and exposing the set MTA without cavity preparation. This may also be performed with other retrofilling materials. This study was designed to compare the sealing ability of resected resilon, MTA and gutta-percha. 84 maxillary anterior teeth were instrumented and randomly assigned into three experimental groups (n = 20), each having a positive and negative control (n = 4). The canals were filled with resilon, MTA or gutta-percha. Following the root-end resection and submergence in India ink, the maximum dye penetration was measured. Welch and Brown-Forsythe test was used to analyze the data. The resected gutta-percha showed significantly more leakage than MTA (p = 0.041). The leakage in resected resilon was more than MTA and slightly lesser than gutta-percha. However, the differences were not statistically significant (p > 0.05). Based on this study, MTA is the most appropriate choice in this approach. Key words: Gutta-percha, microleakage, mineral trioxide aggregate, resilon, root-end resection.