 Furcation perforation is a procedural complication that

can occur during endodontic treatment or post space

preparation of teeth.

 Clinically, the operator should immediately repair the

furcation perforations with a perforation repair material
in order to minimize the bacterial contamination and
the irritation of periodontal tissues due to usage of
various endodontic irrigants.
 An ideal perforation repair material should provide
a tight seal between the oral environment and peri-
radicular tissues and also should have good
resistance to dislodgement forces.

 Biodentine and MTA are two commonly used

calcium silicate based dental materials used in

dentistry because of their high biocompatibility.

 But MTA has disadvantage of extended setting

time

 Recentiy fast set MTAs are available which

overcome the shortcomings of traditional MTA and

make the perforation repair and root canal

treatment possible in single visit.

• After repairing the furcal perforation, various
irrigants like 2% chlorhexidine gluconate
(CHX) and sodium hypochlorite (NaOCl)
solutions are used to disinfect the root canal
system.
• However, this procedure causes unavoidable
contact of irrigants with the repair materials.
 To evaluate the effect of root canal irrigants on the
push out bond strength of two different calcium
silicate based perforation repair materials.
o To compare the push out bond strength of

two different perforation repair materials.

o To compare the effect of irrigants on the push out

bond strength of these materials.
 2 commercially available calcium silicate
perforation repair materials.

 2mm dentin discs from single rooted teeth.

 Saline.

 Sodium hypochlorite-3%(vishaal).

 Chlorhexidine-2%(septodont).
Freshly extracted single rooted teeth are selected for
this study.

Ninety 2mm dentin slices are prepared from mid root

dentin.

Root canal is enlarged to a size of 1.3mm.

Root sections are divided into 2 groups based on the
material used

Materials are mixed in accordance with the manufacturers

instructions and placed into the canal space of dentin slices.

Samples are wrapped in wet gauge, placed in incubator,

allowed to set for 10 min at 37 degree c with 100% humidity

After incubation, samples are divided into two sub

groups based on irrigant used and one control group.
After 30 minutes of immersion all samples are removed from
test solutions, rinsed with distilled water and allowed to set
for 48 hours at 37 degree C with 100% humidity in incubator.

All the samples are subjected to push out

bond test under universal testing machine.
 90 dentin discs

Discs filled with Discs filled with

material 1(n=45) material 2(n=45)

2%
3% NaOCL(n=15) Control group(n=15) 3% NaOCL(n=15) 2%chlorhexidine(n=15) Control group(n=15)
chlorhexidine(n=15)
 Guneser MB, Akbulut MB, Eldeniz AU. Effect of
various endodontic irrigants on the push out bond
strength of biodentine and conventional root
perforation repair materials.J endod2013;39(3):380-4.

 Emine C.loxley,Fredrick R. Liewehr et al. The effect of

various intracanal oxidizing agents on the push out
strength of various perforation repair materials. Oral
surg oral med oral path oral radiol endod2003;955:490-
4.
• Shishir singh,rajesh podar et al. An in vitro comparision
of push out bond strength of biodentine and mineral
trioxide aggregate in the presence of sodium hypochlorite
and chlorhexidine gluconate.endodontology
2016;28(1):42-45.

• Seong-Tae Hong,Kwang-Shik Bae,Seung-Ho Back et al.

Effects of root canal irrigants on the push out strength and
hydration behavior of accelerated mineral trioxide aggrete
in its early setting phase. J endod 2010;36(12):1995-99

• Ping yan, bin peng, bing fan et al. The effects of sodium
hypochlorite(5.25%),chlorhexidine(2%), and glyde file
preparation on the bond strength of MTA-dentin.j endod
2006;32(1):58-60.