Evaluation of coronal microleakage of intra-orifice barrier materials in endodontically treated teeth: A systematic review

Shaili Mehta; Manoj Ramugade; Sayed Abrar; Kishor Sapkale; Valentina Giuliani; María José Burbano Balseca

doi:10.4103/jcd.jcd_377_22

Evaluation of coronal microleakage of intra-orifice barrier materials in endodontically treated teeth: A systematic review

J Conserv Dent. 2022 Nov-Dec;25(6):588-595. doi: 10.4103/jcd.jcd_377_22. Epub 2022 Oct 13.

Authors

Shaili Mehta¹, Manoj Ramugade¹, Sayed Abrar¹, Kishor Sapkale¹, Valentina Giuliani², María José Burbano Balseca³

Affiliations

¹ Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Mumbai, Maharashtra, India.
² Department of Experimental and Clinical Medicine, University of Florence, Italy.
³ Department of Endodontics, Universidad de los Hemisferios, Quito, Ecuador.

Abstract

Background: Endodontic success depends on complete sealing of the root canal orifice to prevent re-infection and re-Contamination of the treated teeth through microleakage. Intra-orifice barrier material provides a seal against micro-organisms, its by-products thus, preventing microleakage and subsequent endodontic failure. Several studies have been done to evaluate microleakage after placing various materials as IOB, but still there is no standardization for the same. Thus, this systematic review was conducted to evaluate the microleakage associated with mineral trioxide aggregate (MTA), composite, and glass ionomer cement (GIC) when used as IOB material.

Materials and methods: Protocol was formulated in accordance with PRISMA checklist 2020 and registered on PROSPERO (CRD42021226225). Electronic search from databases such as Medline/PubMed, Scopus, EBSCOhost, Embase, Google Scholar, and Cochrane were performed from the year 2000-2020. In vitro and ex vivo studies evaluating coronal microleakage after placing IOB material using methylene blue dye penetration test under a stereomicroscope were included. A total of 5 studies were included in the systematic review. After assessing the risk of bias using customized criteria referred from JBI critical appraisal tool, characteristics of the included studies, reason for exclusion of the studies, and data extraction sheet were prepared.

Results: All studies included in this systematic review reported that placement of an IOB material significantly reduces microleakage as compared to control groups. MTA used as an IOB showed less microleakage than composite and GIC.

Conclusion: MTA as IOB material demonstrated the least microleakage in vitro studies. However, in this systematic review, only in vitro studies were included. Thus, more studies in the form of randomized control trials are required to give a conclusive and definitive result.

Keywords: Composite; dye penetration test; glass ionomer cement; intra-orifice barrier; methylene blue; microleakage; mineral trioxide aggregate; systematic review.

Publication types

Review