Evaluation of Different Techniques and Materials for Filling in 3-dimensional Printed Teeth Replicas with Perforating Internal Resorption by Means of Micro-Computed Tomography

Introduction: The aim of this study was to evaluate the filling ability of 2 obturation techniques in 3 -dimensional (3D) printed teeth with perforating internal resorption (PIR). Methods: A maxillary central incisor was instrumented and scanned by micro-computed tomographic (micro -CT) imaging. The 3D model was exported in the stereolithographic format and, with the aid of OrtogOnBlender software (Cicero Moraes, Sinop, SP, Brazil), a PIR in the middle third of the root canal was designed. Thirty-two replicas were printed in surgical resin and distributed into 4 groups (n = 8) according to the obturation technique and the material used: 2 groups used the hybrid technique, 1 with Bio-C Sealer (BCS; Angelus, Londrina, PR, Brazil)/gutta-percha (GP; VDW GmbH, Munich, Germany) + Bio-C Repair (BCR; Angelus, Londrina, PR, Brazil) and the other with BioRoot (BR; Septodont, Saint Maur des Fosses, France)/gutta-percha (GP) + Biodentine (BD; Septodont, Saint Maur des Fosses, France), and 2 groups used the incremental technique, 1 with BCR and the other with BD. Postobturation micro -CT imaging was performed to measure the percentage volume of voids and laser confocal microscopy to measure the surface roughness (mm) of the repair cements. Data were compared using analysis of variance and Kruskal-Wallis tests. Results: Regarding the filling volume in the apical third, the BCS/GP + BCR (89.70 +/- 5.15), BR/GP + BD (87.70 +/- 8.43), and BCR (84.20 +/- 9.00) groups showed the highest percentages compared with the BD group (69.70 +/- 6.88) (P < .05). In the area of internal resorption, the BCS/ GP + BCR (96.00 +/- 2.64) and BCR (95.30 +/- 2.93) groups showed the highest percentages compared with the BR/GP + BD group (91.50 +/- 1.35) (P < .05). The BD group showed intermediate values that were sometimes similar to the BCS/GP + BCR and BCR groups and similar to the BR/GP + BD group (P > .05). Regarding the quality of the filling in the perforation area, the BCR group showed better results compared with the BD group (P < .001). Regarding roughness, the BCR group (1.66 +/- 0.65) showed lower surface roughness compared with the BD group (2.51 +/- 0.89) (P < .05). Conclusions: The capacity and quality of the filling in teeth with PIR were superior with the incremental technique with BCR and the hybrid technique with BCS/GP + BCR. (J Endod 2024;50:205-212.)