Braz Dent J (1998) 9(1): 11-18 ISSN 0103-6440
| Introduction | Material and Methods | Results and Discussion | Conclusion | References |
In this study, the effect of different grades of rosin and hydrogenated resin on the setting time of Grossman cement was evaluated. The experiments were carried following the American Dental Association Specification number 57 for root canal sealers. For this analysis, different Grossman cement powders were prepared using different grades of rosin (X, WW and WG) and hydrogenated resins (Staybelite and Staybelite ester 10). The pH and electrical conductance of the different grades of rosin and hydrogenated resin were evaluated. The physicochemical properties of the Grossman cements obtained with the different grades of rosin and hydrogenated resins interfere in the powder-liquid ratio of the cements. The sealers obtained with the hydrogenated resin showed a higher powder-liquid ratio.
Key Words: Grossman cements, powder-liquid ratio.
Endodontic literature reports the need to seal the root canal in a hermetic
way. Leonardo and Leal (1991) affirmed that to seal a root canal means
to fill it in all its extension with an inert, antiseptic material, obtaining
the most hermetic seal possible. This must not interfere and, if possible,
should stimulate the process of apical and periodontal repair occurring
after endodontic treatment.
Golberg (1982) classified root canal sealers as two types: those placed
into the root canal in a solid state (silver and gutta-percha points),
and those placed into the root canal in a plastic state (pastes and cements).
The root canal sealers proposed by Grossman (1936, 1958, 1962, 1974)
are based on zinc oxide and eugenol and are placed into the interior of
the root canals in a plastic state.
In 1936, Grossman developed a root canal sealer with the following
composition: powder - silver, hydrogenated resin and zinc oxide; liquid
- eugenol and 4% zinc chloride solution. In 1958, observing that the silver
produced sulfides that darkened the teeth, Grossman eliminated it from
the powder composition. He also substituted the zinc chloride with almond
oil. The addition of vegetable oil had the purpose of retarding the setting
time, giving the dentist more time for root canal treatment. In 1962, Grossman
included anhydrous sodium in order to retard the setting time. In 1974,
he concluded that the addition of almond oil to eugenol was not necessary,
since the anhydrous sodium tetraborate provided adequate working time.
The properties and qualities of root canal sealers can be described
as physicochemical, antimicrobial and biological.
Ørstavik (1981, 1988) and Moorer and Genet (1982), among others,
investigated the antimicrobial properties and qualities of these materials.
The biological aspect was researched most notably by Holland et al. (1971,
1983). The physicochemical properties of the root canal sealers were studied
by many researchers, most notably Hyde (1986), Wennberg and Ørstavik
(1990), Fidel (1993), and Sousa Neto (1994).
The action of each component of the powder of Grossman cement on the
physicochemical properties has been studied, as well as the effect of the
addition of vegetable oils to eugenol. It is still necessary, however,
to study the action of the different grades of rosin and hydrogenated resin
on those properties. Grossman (1982) observed the effect of the vegetable
resins in relation to the setting time and in this investigation we studied
the powder-liquid ratio.
The root canal sealer proposed by Grossman is based on zinc-oxide and
eugenol, as a powder and liquid stored in separated containers. This characteristic
places it within ADA Specification number 57, which also states that every
test must be carried out under the conditions of 23 ± 2ºC and
50 ± 5% relative humidity, which was observed in the experiments
of this research. The materials tested were submitted to the environmental
conditions 48 hours before the beginning of the tests.
Three gum rosins [Grade X (Eucatex, São Paulo, Brazil); Grade
WG (Madeitex, São Paulo, Brazil); Grade WW (Coimbra, Porto, Portugal)]
and two hydrogenated resins [Staybelite ester 10 (Hercules, Wilmington,
USA); Staybelite resin (Hercules)] were added to Grossman cements.
All rosins and hydrogenated resins studied came in the gross form.
To pulverize these materials, a porcelain mortar and pestle were used.
The rosins, as well as the resins, were triturated and passed through 60
and 100 mesh sieves, in order to obtain the conditions proposed by Grossman
(1958).
Firstly, the tests to determine the electric conductance and the pH
of the rosins and hydrogenated resins were carried out. Twelve grams of
each rosin and hydrogenated resin were weighed and placed in a beaker with
48 ml of distilled and deionized water. This mixture was constantly agitated
in a magnetic agitator for 1 hour. The electric conductance and pH at 1,
2, 5, 10, 20, 30 and 60 minutes were then measured for each material with
an ohmmeter (Digimed) and a potentiometer (Photovolt), respectively.
The powders were prepared according to Grossman’s (1974) specifications,
only varying the grade of rosin or hydrogenated resin employed, according
to the formula: 42% zinc oxide, 27% rosin or hydrogenated resin, 15% bismuth
subcarbonate, 15% barium sulfate, 1% anhydrous sodium tetraborate.
All chemical components used in the powder preparation were obtained
in particle sizes that passed easily through a 100 mesh sieve. All rosins
and hydrogenated resins were pulverized and passed through 60 and 100 mesh
sieves, as recommended by Grossman (1958).
After mixing the components, the powder obtained was placed in a rotary
mixer for 30 min, until it was homogenous. The different powders were then
packed in tightly closed plastic containers to avoid contact with air,
identified and stored to be used in the physicochemical properties tests.
The first stage for the tests of physicochemical properties consisted
of the determination of the powder-liquid relationship for each type of
prepared cement. The objective was to establish an exact amount of powder
that, manipulated with eugenol (SS White), could provide a sealer that
presented the ideal clinical consistency proposed by Grossman (1974).
Initially, 3 grams of powder of the cement that was being studied was
weighed and, with a graduated pipette, 0.20 ml of the liquid (eugenol)
that would be mixed with the powder was placed on a flat glass plate (20
mm thick). The powder was incorporated slowly into the liquid, with a flexible
metallic spatula (number 24) and submitted to vigorous mixing.
Once the ideal clinical consistency was obtained, the amount of remaining
powder was weighed and using simple subtraction, the amount of powder that
had been used was determined. The time spent mixing the cement was also
recorded.
Thus, for each sealer, a powder-liquid relationship was obtained that
took a certain number of seconds until the ideal clinical consistency was
reached. This was repeated five times for each material. An arithmetic
average of these values was calculated and the amount of powder necessary
was determined so that, when mixed with 1 ml eugenol, manipulated during
the certain time, the ideal clinical consistency was obtained.
According to Grossman (1974), the root canal sealer reaches the ideal
clinical consistency when it fulfills the following conditions: a) after
manipulation, it requires 10 to 15 seconds to drop when placed on a spatula
and lifted off the glass plate; b) when the spatula is placed on the softened
mass of the manipulated cement and lifted off the glass plate it forms
a thread of approximately 2.5 cm, from the spatula to the mass that was
on the plate without breaking up.
The preliminary tests of electric conductance and pH of the different
types of rosins and hydrogenated resins used in this study were determined
with the objective of verifying the relationship with the powder-liquid
ratio of the root canal sealers.
Table 1 shows the results obtained for the
pH and electric conductance.
The rosin or colophony, according to the Farmacopéia do Brasil
(1959), is the solid residue of the coalition of distillation and filtration
of the terebinth of several species of pine trees, mainly Pinus palustris
miller, Pinus elliotti engelm and Pinus pinaster solander. This material
is a resinous mass of yellow or brownish-yellow color, translucent, brilliant,
friable, with a scent and terebinthine flavor. It is easily pulverized,
resulting in a yellowish white color; when using a water-bath, it forms
a clear yellow, limpid and viscous liquid. Its alcoholic solution is acid.
Rosin is insoluble in water and completely soluble in alcohol, benzene,
ethyl ether, chloroform, acetic acid and in diluted solutions of alkaline
hydroxides. Its density varies from 1.07 to 1.09. The composition of rosin
is 90% abietic acid (C20H30O2) and the other 10% is a mixture of dihydroabietic
(C20H32O2) and dehydroabietic (C20H28O2) acids. The spatial formula of
abietic is shown in Figure 1.
Figure 1 - The spatial formula of abietic.
Conductivity is a property that indicates the amount of ions present
in a solution. The higher the value, the larger the amount of ions in the
medium. When different grades of rosins were compared, we observed that
Grade X presented low conductivity. This characteristic can be justified
by the purification method that this rosin is submitted to during its manufacturing
process. Grade X rosin has a uniform light yellow color, different from
Grades WG and WW, which have a dark yellow color with differences in pigmentation,
indicating the presence of impurities (inorganic ions). Grade WG rosin
has high conductivity, indicating large quantities of inorganic ions in
its composition.
Hydrogenated resins are obtained from the hydrogenation of rosin. This
process consists of adding hydrogen to a molecule, by the reaction with
gaseous hydrogen, with or without the presence of a catalyst, lowering
the number of double links of an unsaturated chain. The low conductivity
found in the hydrogenated resins is due to the hydrogenation process, which
removes the impurities from the rosin and makes the chain saturated. These
resins showed the least amount of inorganic ions among the studied rosins.
The values of pH reported in Table 1 show that the hydrogenated resins
and Grade X rosin have pH values varying from 5.0 to 5.6, which indicates
smaller hydrogen ionic concentration than rosin Grades WG and WW, that
have pH values lower than 5. Grade WG rosin presents pH 3.6, indicative
of high hydrogen ionic concentration.
Thus, the pH and electric conductance values obtained for different
types of rosins and hydrogenated resins allows us to point out the following:
a) the hydrogenated resins (Staybelite ester 10 and Staybelite) present
pH values of 5.6 and 5.1, respectively and low electric conductance; b)
the rosins have lower pH and higher electric conductance than the hydrogenated
resins; c) Grade WG rosin presents pH 4.7 and the largest index of electric
conductance.
Powder-liquid ratio
Table 2 shows the results of the relationships
between the powder and the necessary liquid for each sealer tested in this
study, as well as the time spent with mixing in order to obtain the desired
clinical consistency.
The data presented in Table 3 were submitted
to a series of statistical tests indicating that their distribution was
not normal. Thus, the Kruskal-Wallis statistical analysis was performed.
This test indicated an H0 probability of 0.02% (P<0.1). The differences
of the averages were then compared, two by two and are reported in Table
3. The powder-liquid ratios of the cements obtained from the hydrogenated
resin Staybelite ester 10 and hydrogenated resin Staybelite are statistically
similar between them indicating that, given a certain amount of liquid,
they can incorporate the same amount of powder.
Those results can also be observed when the Grade X rosin is compared
with Grade WG rosin.
The powder-liquid ratio of the cements obtained from hydrogenated resins
are statistically different from the sealer obtained from rosins (Grades
X, WG, WW). The cements obtained from the hydrogenated resins needed a
larger amount of powder to obtain the consistency recommended by Grossman
(1974).
In the present study, different grades of rosins and hydrogenated resins
influenced the powder-liquid ratio of the prepared root canal sealers.
The cements that contain hydrogenated resin present a higher powder-liquid
ratio, which can be explained as follows: a) the hydrogenated resin presents
lower inorganic character (electric conductance), which propitiates its
fast dissolution in the eugenol allowing a larger powder incorporation;
b) with a less acid pH the reaction between zinc oxide and eugenol proceeds
more slowly, allowing a greater incorporation of the powder into the liquid.
Thus, as the several grades of rosins presented higher electric conductance
and pH, they provided cements with smaller powder-liquid ratio. A directly
proportional relationship between the pH of the rosins and the hydrogenated
resins with the powder-liquid ratio was observed, i.e., the higher the
pH, the higher the powder-liquid ratio necessary to obtain the ideal clinical
consistency.
After verification by Batchelor and Wilson (1969), studies of the powder-liquid
ratios of root canal sealers have shown that the amount of incorporated
powder into the liquid affects the properties of the cements. Thus, the
determination of the powder-liquid ratio became necessary for each cement
submitted to the study of the physical properties which was followed by
Benatti et al. (1978), Hyde (1986), Fidel (1993), Sousa Neto (1994), among
others.
Cements obtained from different grades of rosins and hydrogenated resins
reached the consistency proposed by Grossman (1974) in approximately 2-min
spatulation time.
Based on the methodology employed and the results obtained it can be
concluded that:
1.Grades X, WG, and WW rosin present lower pH than the hydrogenated
resins Staybelite ester 10 and Staybelite.
2. The hydrogenated resins Staybelite ester 10 and Staybelite present
lower conductance in relation to the 3 grades of rosins (X, WG, WW).
3. The cements obtained from the hydrogenated resins present a higher
powder-liquid ratio than the cements obtained from the 3 grades of rosins
(X, WG and WW).
4. The pH of the rosins and hydrogenated resins influenced the powder-liquid
ratio. The higher the pH, the lower the powder-liquid ratio.
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Correspondence: Manoel D. Sousa Neto, Faculdade de Odontologia, Universidade de Ribeirão Preto, Ribeirão Preto, SP, Brasil.
Accepted December 14, 1997
Electronic publication: October, 1998