Bone tissue response to an MTA‐based endodontic sealer, and the effect of the addition of calcium aluminate and silver particles

Aim To evaluate bone tissue reactions in rats to an MTA‐based endodontic sealer with and without the addition of various concentrations of C3A or C3A + Ag. Methodology Bone tissue reactions were evaluated in 45 Wistar rats after 7, 30 and 90 days (n = 5 per period). Three surgical cavities were prepared on the right femur and filled with 0.2 mL MTA Fillapex, MTA Fillapex + C3A and C3A + Ag at various concentrations: AH Plus (Dentsply DeTrey GmbH, Konstanz, Germany), EndoSequence BC (Brasseler USA, Savannah, GA, USA) or no sealer (negative control). By the end of each experimental period, animals were randomly euthanized. The samples were histologically processed and analysed using a light microscope. The presence of inflammatory cells, fibres and hard tissue barrier formation was evaluated. Data were analysed statistically using nonparametric tests to compare the differences between groups. Multiple groups were compared using the Kruskal–Wallis and Mann–Whitney U‐tests with a Bonferroni correction at P = 0.05. Results The inflammatory response significantly decreased from 30 to 90 days (P 0.05). At 90 days, however, fibres were absent in most specimens of EndoSequence BC Sealer, AH Plus, MTA Fillapex and the control group, whilst they were still observed in samples of the modified sealers (P