Abstract
Introduction
The aim of this study was to evaluate the radiopacity of calcium aluminate cement
(EndoBinder) with 3 different radiopacifiers (bismuth oxide, zinc oxide, or zirconium
oxide) in comparison with gray mineral trioxide aggregate (GMTA), white MTA, and dental
structures (enamel and dentin).
Methods
Eighteen test specimens of each cement with thicknesses of 0.5, 1.0, 1.5, 2.0, 2.5,
and 3.0 mm (n = 3) were made by using a stainless steel matrix and were adapted to
a standardizing device (8 × 7 cm) with a graduated aluminum stepwedge varying from
2.0–16.0 mm in thickness. To compare the radiopacity of the cements with that of dental
structures, slices of first molars with a thickness increasing from 0.5–3.0 mm were
obtained and placed on the standardizing device. One occlusal radiograph for each
tested cement was taken, with exposure time of 0.1 seconds and focus-film distance
of 20 cm. Films were processed in an automatic device, and the mean radiopacity values
were obtained by using a photodensitometer.
Results
Mean values showed that the thicker the specimen was, the greater was its radiopacity.
Only EndoBinder + bismuth oxide (EBBO) and GMTA demonstrated radiopacity values greater
than 3.0 mm of the aluminum scale for all thicknesses. When zinc oxide was used as
radiopacifier agent, EndoBinder only reached the desired radiopacity with a thickness
of 2.0 mm, and with zirconium oxide it was 2.5 mm.
Conclusions
Bismuth oxide was the most efficient radiopacifier for EndoBinder, providing adequate
radiopacity in all studied thicknesses, as recommended by ISO 6876, being similar
to GMTA.
Key Words
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© 2011 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.