Comparison of push-out bond strength of mineral trioxide aggregate and calcium enriched mixture cement as root end fi lling materials

Abstract

Background: The purpose of this study was to compare the push-out bond strength of mineral
trioxide aggregate (MTA) and calcium enriched mixture (CEM) as root end fi lling materials.
Materials and Methods: A total of 40 root dentin slices (1 ± 0.2 mm) were prepared from freshly
extracted human maxillary central teeth and their lumens were enlarged to 1.3 mm. The slices
were randomly divided into two groups (n = 20). MTA and CEM cement were mixed according
to manufacturer’s instruction and introduced into the lumens. The specimens were wrapped in
pieces of wet gauze soaked in distilled water and incubated at 37°C for 3 days. The push-out bond
strength was measured using a universal testing machine. The slices were then examined under
a light microscope at ×10 magnifi cation to determine the nature of bond failure. The data were
analyzed using Mann-Whitney test (P < 0.001).
Results: The mean push-out bond strength for CEM cement and MTA were 1.68 ± 0.9 and
5.94 ± 3.99 respectively. The difference was statistically signifi cant (P < 0.001). The bond failure was
predominantly of adhesive type in MTA group and cohesive type in CEM group.
Conclusion: CEM cement showed signifi cantly lower bond strength to the dentinal wall compared
to MTA.
Key Words: Adhesive, calcium enriched mixture cement, cohesive, mineral trioxide aggregate,
push-out bond strength