Journals / Meandros Medical And Dental Journal / 2026 / Volume: 27 Issue: 2

Comparison of the Effects of Treatment of Simulated Roots with Open Apex with Two Different Calcium Silicate Root Filling Materials on Fracture Resistance

Açık Apeksli Simüle Köklerin İki Farklı Kalsiyum Silikat Kök Dolgu Malzemesi ile Tedavisinin Kırılma Direncine Etkilerinin Karşılaştırılması

Pages
—
Publication Date
2026-06-24
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: BioMTA+ and Well Root PT materials showed similar biomechanical performance in simulated immature teeth treated with apexification or regeneration procedures.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: This study aimed to compare the fracture resistance (FR) of simulated immature maxillary incisors in apexification and regeneration treatment protocols using BioMTA+ and Well Root PT materials.
📊
Key Findings & Data:After simulating open apices and preparing root canals under laboratory conditions, the specimens were randomly divided into five experimental groups (n=11).
💡
Conclusion & Impact:Conclusion: BioMTA+ and Well Root PT materials showed similar biomechanical performance in simulated immature teeth treated with apexification or regeneration procedures.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Apexification · Fracture resistance · Mineral Trioxide Aggregate

Abstract

Objective: This study aimed to compare the fracture resistance (FR) of simulated immature maxillary incisors in apexification and regeneration treatment protocols using BioMTA+ and Well Root PT materials. Material and Methods: Fifty-five extracted maxillary incisors of similar dimensions were selected and standardized. After simulating open apices and preparing root canals under laboratory conditions, the specimens were randomly divided into five experimental groups (n=11). The first group received apexification with BioMTA+, the second group received regeneration with BioMTA+, the third group received apexification with Well Root PT, and the fourth group underwent regeneration with Well Root PT. The fifth group served as the control group. The FR of all specimens was measured using a universal testing machine. Results: No statistically significant difference regarding FR between the groups (p>0.05) was observed. Although the BioMTA+ and Well Root PT groups showed a trend toward increased FR compared to the control group, these differences were not statistically significant. Conclusion: BioMTA+ and Well Root PT materials showed similar biomechanical performance in simulated immature teeth treated with apexification or regeneration procedures.

Özet

Amaç: Bu çalışmanın amacı, BioMTA+ ve Well Root PT materyalleri kullanılarak apeksifikasyon ve rejenerasyon tedavi protokollerinde simüle immatür maksiller kesici dişlerin kırılma direncini (KD) karşılaştırmaktı. Gereç ve Yöntem: Benzer boyutlarda 55 adet çekilmiş maksiller kesici diş seçildi ve standardize edildi. Açık apeksler simüle edildikten ve kök kanalları laboratuvar koşullarında hazırlandıktan sonra örnekler rastgele beş deney grubuna (n=11) ayrıldı. Birinci gruba BioMTA+ ile apeksifikasyon, ikinci gruba BioMTA+ ile rejenerasyon, üçüncü gruba Well Root PT ile apeksifikasyon, dördüncü gruba Well Root PT ile rejenerasyon uygulandı. Beşinci grup kontrol grubu olarak belirlendi. Tüm örneklerin KD değerleri universal test cihazı kullanılarak ölçüldü. Bulgular: Gruplar arasında KD açısından istatistiksel olarak anlamlı bir fark gözlenmedi (p>0,05). BioMTA+ ve Well Root PT grupları kontrol grubuna kıyasla KD’de artış eğilimi gösterse de, bu farklılıklar istatistiksel olarak anlamlı değildi. Sonuç: BioMTA+ ve Well Root PT materyalleri, apeksifikasyon veya rejenerasyon prosedürleri ile tedavi edilen simüle immatür dişlerde benzer biyomekanik performans sergilemiştir.

🔖

Cite This Article

Dişli, Ö., Yavuz, B., Aslan, T., Akyüz, İ. E. (2026). Comparison of the Effects of Treatment of Simulated Roots with Open Apex with Two Different Calcium Silicate Root Filling Materials on Fracture Resistance. Meandros Medical And Dental Journal, Volume: 27 Issue: 2. https://doi.org/10.69601/meandrosmdj.1791946

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (25)

  1. Andreasen JO, Andreasen FM, Andersson L. Textbook and color atlas of traumatic injuries to the teeth: John Wiley & Sons; 2018.
  2. Patnana AK, Chugh A, Chugh VK, Kumar P, Vanga NRV, Singh S. The prevalence of traumatic dental injuries in primary teeth: a systematic review and meta-analysis. Dent Traumatol. 2021;37(3):383-99.
  3. Saikia A, Patil SS, Ms M, Cv D, Sabarish R, Pandian S, et al. Systematic review of clinical practice guidelines for traumatic dental injuries. Dent Traumatol. 2023;39(4):371-80.
  4. Laforgia A, Inchingolo AM, Inchingolo F, Sardano R, Trilli I, Di Noia A, et al. Paediatric dental trauma: insights from epidemiological studies and management recommendations. BMC Oral Health. 2025;25(1):6.
  5. Saikiran KV, Gurunathan D, Nuvvula S, Jadadoddi RK, Kumar RH, Birapu UC. Prevalence of Dental Trauma and Their Relationship to Risk Factors Among 8-15-Year-Old School Children. Journal Of Dentistry I. 2022;2022(1):3343827.
  6. Zhou C, Yuan Z, Xu H, Wu L, Xie C, Liu J. Regenerative endodontic procedures in immature permanent teeth with dental trauma: current approaches and challenges. Front Dent Med. 2022;2:767226.
  7. Boufdil H, Mtalsi M, El Arabi S, Bousfiha B. Apexification with calcium hydroxide vs. revascularization. Case reports in dentistry. 2020;2020(1):9861609.
  8. Sarris S, Tahmassebi JF, Duggal MS, Cross IA. A clinical evaluation of mineral trioxide aggregate for root-end closure of non-vital immature permanent incisors in children-a pilot study. Dent Traumatol. 2008;24(1):79-85.
  9. Chrepa V, Joon R, Austah O, Diogenes A, Hargreaves KM, Ezeldeen M, et al. Clinical outcomes of immature teeth treated with regenerative endodontic procedures-a San Antonio study. J Endod. 2020;46(8):1074-84.
  10. Li J, Zheng L, Daraqel B, Liu J, Hu Y. Treatment outcome of regenerative endodontic procedures for necrotic immature and mature permanent teeth: a systematic review and Meta-analysis based on randomised controlled trials. Oral Health Prev Dent. 2023;21:b4100877.
  11. Sogukpinar A, Arikan V. Comparative evaluation of four endodontic biomaterials and calcium hydroxide regarding their effect on fracture resistance of simulated immature teeth. Eur J Paediatr Dent. 2020;21(1):23-8.
  12. Parirokh M, Torabinejad M, Dummer P. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview-part I: vital pulp therapy. Int Endod J. 2018;51(2):177-205.
  13. Ok E, Altunsoy M, Tanriver M, Capar ID, Kalkan A, Gok T. Fracture resistance of simulated immature teeth after apexification with calcium silicate-based materials. Eur J Dent. 2016;10(02):188-92.
  14. Akyüz İE, Düzgün S, Topçuoğlu HS. Effect of different irrigation solutions and coronal barrier materials used in regenerative endodontic treatment procedure on the fracture resistance of simulated open apexed maxillary central incisors: an in vitro study. Odontology. 2025:1-11.
  15. Dawood AE, Parashos P, Wong RH, Reynolds EC, Manton DJ. Calcium silicate-based cements: composition, properties, and clinical applications. J Investig Clin Dent. 2017;8(2):e12195.
  16. Alimohammadi M, Mirzaee-Rad S, Feizi F, Shirzad Juybari H, Saeidi A, Gholinia H. Comparison of rat connective tissue response to BioMTA, Angelus MTA, and Root MTA. Int J Biomater. 2021;2021(1):7415302.
  17. Chae YK, Ye JR, Nam OH. Evaluation of biocompatibility and bioactive potential of Well-Root PT by comparison with ProRoot MTA and Biodentine. J Dent Sci. 2024;19(4):2218-25.
  18. Alnassar I, Altinawi MK, Rekab MS, Alzoubi H, Katbeh I, Altinawi Sr MK. Evaluation of bioceramic putty in pulpotomy of immature permanent molars with symptoms of irreversible pulpitis. Cureus. 2022;14(11).
  19. Jang Y-J, Kim Y-J, Vu HT, Park J-H, Shin S-J, Dashnyam K, et al. Physicochemical, biological, and antibacterial properties of four bioactive calcium silicate-based cements. Pharmaceutics. 2023;15(6):1701.
  20. Wang X, Xiao Y, Song W, Ye L, Yang C, Xing Y, et al. Clinical application of calcium silicate-based bioceramics in endodontics. J Transl Med. 2023;21(1):853.
  21. Shokouhinejad N, Yazdi KA, Nekoofar MH, Matmir S, Khoshkhounejad M. Effect of acidic environment on dislocation resistance of endosequence root repair material and mineral trioxide aggregate. Journal of dentistry (Tehran, Iran). 2014;11(2):161.
  22. Torabinejad M, Parirokh M, Dummer PM. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview-part II: other clinical applications and complications. Int Endod J. 2018;51(3):284-317.
  23. Bonte E, Beslot A, Boukpessi T, Lasfargues J-J. MTA versus Ca(OH)2 in apexification of non-vital immature permanent teeth: a randomized clinical trial comparison. Clin Oral Investig. 2015;19(6):1381-8.
  24. Trope M. Treatment of the immature tooth with a non-vital pulp and apical periodontitis. Dental clinics. 2010;54(2):313-24.
  25. Türker SA, Uzunoğlu E, Sungur DD, Tek V. Fracture resistance of teeth with simulated perforating internal resorption cavities repaired with different calcium silicate-based cements and backfilling materials. J Endod. 2018;44(5):860-3.