Evaluation of Mineral Trioxide Aggregate (MTA) and Zinc Oxide Eugenol
Root Canal Sealers on Intensity of Post Operative Tooth Tenderness
in Non-Vital Single Rooted Teeth - A Comparative Study
Bithi Rani Nath1*, Mir Abu Naim2, Khaled Mohammad Islam3, Md Abul Kalam Azad4 and Arup Kumar Saha5
1BDS, MS, Associate Professor and Head of Conservative Dentistry and
Endodontics Department, Gonoshasthaya Samajvittik Medical College Dental Unit,
Savar, Dhaka, Bangladesh
2BDS, FCPS, Associate Professor and Head of Orthodontic Department, Udayan
Dental College and Hospital, Rajshahi, Bangladesh
3BDS, MS (Prosthodontics), Chief Consultant, Islam Dental Care, Banasree,
Rampura, Dhaka, Bangladesh
4BDS, MS, Consultant, Central Police Hospital, Rajarbagh, Dhaka, Bangladesh
5BDS, MPH, PhD, Professor and Head, Department of Dental Public Health, City
Dental College and Hospital, Dhaka, Bangladesh
*Corresponding Author: Bithi Rani Nath, Associate Professor and Head of
Conservative Dentistry and Endodontics Department, Gonoshasthaya Samajvittik
Medical College Dental Unit, Savar, Dhaka. Bangladesh.
Received:
November 30, 2025; Published: April 24, 2026
The purpose of the present study was to compare the clinical outcome of Mineral trioxide aggregate (MTA) as a root canal
sealer with that of Zinc oxide eugenol sealer for obturation of nonvital teeth with periapical lesion. A total of 50 nonvital teeth
with periapical lesion were randomly divided into 2 groups of 25 teeth in each group and treated as follows: Group-I: obturated
with Zinc oxide eugenol sealer. Group II: obturated with MTA based sealer (MTA fillapex). Patients were recalled after 3, 6 and 12
months interval. Clinical outcome was evaluated by assessing tenderness on percussion and radiological evaluation was done to
determine periodontal ligament widening . Chi-square test and unpaired student t-test were used for testing differences between the
two groups and a value of p <0.05 was considered as statistically significant. It was found that at 6 and 12 months, the periodontal
ligament widening were reduced in MTA fillapex, which was statistically significant than that of Zinc oxide eugenol sealer (p<0.05). It
can be concluded that MTA based sealer is more effective than Zinc oxide eugenol sealer in respect to periapical healing.
Keywords: MTA; Root Canal Sealer; Obturation; periapical healing
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