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BioMed Research International
Volume 2016 (2016), Article ID 2863817, 6 pages
Research Article

Long-Term Fracture Resistance of Simulated Immature Teeth Filled with Various Calcium Silicate-Based Materials

1Department of Pedodontics, Faculty of Dentistry, Istanbul University, 34093 Istanbul, Turkey
2Department of Endodontics, Faculty of Dentistry, Istanbul University, 34093 Istanbul, Turkey
3Department of Restorative Dentistry, Faculty of Dentistry, University of Kocaeli, 41190 Kocaeli, Turkey

Received 14 February 2016; Revised 16 April 2016; Accepted 18 May 2016

Academic Editor: Nick Silikas

Copyright © 2016 Yeliz Guven et al. This 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.


Objective. The aim of this in vitro study was to evaluate the long-term fracture resistance of simulated human immature permanent teeth filled with BioAggregate (BA), mineral trioxide aggregate (MTA), and EndoSequence® Root Repair Material (ERRM). Material and Methods. 40 teeth, simulated to average root length of  mm (Cvek’s stage 3), were included in the study. The teeth were randomly divided into four groups: Group 1: DiaRoot® BA, Group 2: MTA-Plus (MTA-P), Group 3: MTA-Angelus (MTA-A), and Group 4: ERRM. The root canal filling materials were applied according to the manufacturers’ instructions. After 24 months of incubation, the roots of the teeth were embedded in acrylic blocks and subjected to fracture testing. The resultant data were analyzed statistically by Kruskal-Wallis and Mann-Whitney tests. Results. Mean (±SD) failure loads (MPa) were for BA, for MTA-P, for MTA-A, and for ERRM groups. BA group exhibited the highest and MTA-A group showed the lowest resistance to fracture. Significant differences in fracture resistance were found between the groups of BA and MTA-A (), MTA-P and MTA-A (), and ERRM and MTA-A (). Conclusion. Within the limitations of this study, data suggests that BA-filled immature teeth demonstrate higher fracture resistance than other groups at 24 months appearing to be the most promising material tested.