Effect of Newer Intraorifice Barriers on the Fracture Resistance of Endodontically Treated Teeth: An In Vitro Study

Cureus. 2024 Sep 15;16(9):e69463. doi: 10.7759/cureus.69463. eCollection 2024 Sep.

Abstract

Aim: This study aimed to assess and compare the fracture resistance of endodontically treated teeth using three new intraorifice barrier materials.

Materials and methods: A total of 60 extracted human mandibular premolars having single roots were decoronated to 14 mm length, prepared up to rotary F3 ProTaper Gold files, and sealed with gutta-percha and AH Plus sealer. Specimens were divided into one control and three experimental groups (n = 15): Group 1, control; Group 2, Biodentine (Septodont, Saint Maur des Fosses, France); Group 3, resin-modified glass ionomer cement (RMGIC, GC Gold Label 2 LC, GC Corporation, Tokyo, Japan); and Group 4, flowable nanohybrid composite (G-aenial Universal Flo, GC Corporation, Tokyo, Japan). A 3 mm coronal gutta-percha was replaced with respective intraorifice barrier materials in the experimental groups, and the fracture resistance of all the groups was tested using the universal testing machine.

Statistical analysis: One-way analysis of variance and Tukey's post-hoc test were conducted.

Results: The experimental groups showed higher mean load values than the control group. The flowable composite showed the highest mean loads followed by Biodentine and RMGIC. The mean fracture resistance of flowable nanohybrid composite and Biodentine was significantly higher than that of the control. No statistically significant difference was observed among the other groups.

Conclusion: The flowable nanohybrid composite and Biodentine significantly improved resistance to fracture of endodontically treated teeth when compared to the control.

Keywords: biodentine; flowable nanohybrid composite; fracture resistance; intraorifice barrier; resin-modified glasss ionomer.