scholarly journals Portland Cement: An Overview as a Root Repair Material

2022 ◽  
Vol 2022 ◽  
pp. 1-13
Author(s):  
Shahriar Shahi ◽  
Elaheh Fakhri ◽  
Hamidreza Yavari ◽  
Solmaz Maleki Dizaj ◽  
Sara Salatin ◽  
...  

Portland cement (PC) is used in challenging endodontic situations in which preserving the health and functionality of pulp tissue is of considerable importance. PC forms the main component of mineral trioxide aggregate (MTA) and demonstrates similar desirable properties as an orthograde or retrograde filling material. PC is able to protect pulp against bacterial infiltration, induce reparative dentinogenesis, and form dentin bridge during the pulp healing process. The biocompatibility, bioactivity, and physical properties of PC have been investigated in vitro and in animal models, as well as in some limited clinical trials. This paper reviews Portland cement’s structure and its characteristics and reaction in various environments and eventually accentuates the present concerns with this material. This bioactive endodontic cement has shown promising success rates compared to MTA; however, considerable modifications are required in order to improve its characteristics and expand its application scope as a root repair material. Hence, the extensive chemical modifications incorporated into PC composition to facilitate preparation and handling procedures are discussed. It is still important to further address the applicability, reliability, and cost-effectiveness of PC before transferring into day-to-day clinical practice.

Author(s):  
Shagun Bhatia ◽  
Ankush Jain ◽  
Himanshu Sood ◽  
Kanu Jain

Abstract Introduction Failure in surgical endodontic techniques can occur most commonly due to improper seal in the apical region. The root-end filling material used should not allow the contamination of the periapical tissue. The aim of the present study was to compare the ability of white mineral trioxide aggregate (MTA), white Portland cement (PC) and intermediate restorative material (IRM) for sealing root-end by dye leakage test. Materials and Methods 120 teeth with single root were prepared through instruments. Following obturation, the apex was cut, and a cavity was made. Then, the teeth were divided into four groups (Group I: MTA, Group II: white PC, Group III: IRM, Group IV: control). Cavities made at apex in the first three groups were then filled with the respective materials. Exposure to the dye, India Ink, was then done for a time period of 72 hours. The depth of penetration of dye inside the whole root was then evaluated with a magnification of 16X under stereomicroscope in vitro. Result MTA showed statistically significant difference in sealing ability (p < 0.05) as compared with other materials. Conclusion MTA cement showed better sealing ability. It is an ideal retrograde filling material, because it is a biocompatible material and has a good marginal adaptation as compared with PC which, in turn, showed better sealing ability than IRM.


2016 ◽  
Vol 4 (1) ◽  
pp. 16
Author(s):  
Jerin Jose ◽  
Shoba K ◽  
Nithya Tomy ◽  
Shibu Aman

<p><strong>Background:</strong> Surgical endodontic therapy is the prescribed treatment of choice whenever the non-surgical options fail which includes the use of a root end filling material. E. faecalis is the most prevalent organism associated with the treatment failed cases</p><p><strong>Aim:</strong> The purpose of the present study was to evaluate and compare the antimicrobial efficacy of Biodentine and MTA as root end filling material and root repair material against E. faecalis.</p><p><strong>Settings and Design:</strong> Comparative invitro study was conducted at Tropical Institute of Ecological Sciences, Kottayam under Mahatma Gandhi University, Kottayam, Kerala.</p><p><strong>Materials and Methods:</strong> The antimicrobial activity was determined using agar diffusion test. Freshly mixed MTA and Biodentine was added to respective wells and incubated. The zone of inhibition of growth was recorded.</p><p><strong>Statistical analysis:</strong> The data analysis was performed using Students ‘t’ test</p><p><strong>Results:</strong> Statistically significant difference was found between Biodentine and MTA in against E. faecalis growth.</p><p><strong>Conclusions:</strong> Biodentine was found to have superior antibacterial activity against E. faecalis than MTA. Hence it can be a better alternative to MTA as root end filling and root repair material.</p>


2016 ◽  
Vol 42 (5) ◽  
pp. 760-765 ◽  
Author(s):  
Hisham S. Rifaey ◽  
Max Villa ◽  
Qiang Zhu ◽  
Yu-Hsiung Wang ◽  
Kamran Safavi ◽  
...  

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