Ability of three root-end filling materials to prevent bacterial leakage

This study evaluated the ability of three materials--a resinous root canal sealer (Sealer 26) prepared in a thick consistence, a reinforced zinc oxide-eugenol cement (IRM), and a glass-ionomer cement (Fuji IX)--in preventing bacterial leakage. Retrofilled teeth were mounted in an apparatus and then challenged by human saliva. The number of days required for the bacteria from saliva to penetrate the root-end filling materials was determined. Evaluation was conducted for 60 days. Leakage was observed in all teeth of the Fuji IX group, and in 95% (19 of 20 specimens) of the teeth retrofilled with IRM. Sixty-five percent (13 of 20 teeth) of the teeth retrofilled with Sealer 26 showed leakage. No difference was detected between Fuji IX and IRM (p > 0.05). However Sealer 26 was significantly more effective in preventing bacterial leakage when compared with other materials tested (p < 0.05).