The objective of this study was to compare the bone tissue reactions o
f Ketac-Fil to the most commonly used retrograde filling material, ama
lgam, in a rat model. Forty-eight Harlan rats were divided into three
groups: amalgam, Ketac-Fil, and controls. Following anesthesia, the ri
ght lower incisor was extracted from each animal. A 3-mm long x 1-mm d
iameter polyethylene tube filled with amalgam or Ketac-Fil was implant
ed in the extraction site. The animals were killed at 14, 42, and 90 d
ays; and the mandibles were dissected en block and processed histologi
cally. The inflammatory reaction was assessed by the number of plasma
cells, lymphocytes, polymorphonuclear neutrophils, giant cells, and os
teoclasts within 100 mu m of the implant. Bone formation was determine
d as either present or absent in the same area. There was no statistic
ally significant bone apposition within 100 mu m of the Ketac material
, and there was a statistically significant increase in inflammation i
n the amalgam group. This study indicates that both Ketac-Fil and amal
gam are relatively biocompatible, and provides support for clinical us
age tests of Ketac-Fil as a retrograde filling material.