Evaluation of the effect of tracer pH on the sealing ability of glass ionomer cement and mineral trioxide aggregate.

Objectives The aim of this study was to evaluate the sealing ability and physical and chemical properties of glass ionomer cement (GIC) and mineral trioxide aggregate (MTA) using Rhodamine B at different pHs as tracer. Methods Chemical analysis, pH and micro-hardness of GIC and MTA were performed. In addition dye leakage was assessed by tracer leakage using Tandem Scanning Confocal Microscope (TSM) after immersion of premolar teeth in a stock and a buffered fluorescent Rhodamine B for 24 h. Ultra-structural changes within the materials were evaluated by viewing under the field emission scanning electron microscope (FESEM). Results GIC and MTA showed elemental peaks for silicon, aluminium and calcium while MTA also had bismuth. GIC was acidic (P = 0.001) and caused an increase in dye pH (P = 0). Immersion of MTA in any of the test solutions resulted in an increase in the pH of the solution (P < 0.05). Use of a dye solution of lower pH than the material under test increased the cement micro-hardness. GIC demonstrated marginal leakage on TSM and both increase in marginal leakage and material porosity on FESEM. MTA was not affected by the use of acidic dye but showed a tendency to take up dye within the material shown on TSM. Conclusions Evaluation of marginal adaptation of dental materials was shown to be dependent on the technique used for viewing the material to tooth interface, the properties of the material under study and the pH of the dye used.