Hydraulic cements for various intra-coronal applications: Part 1

Dental Update ◽  
2021 ◽  
Vol 48 (8) ◽  
pp. 653-660 ◽  
Author(s):  
Stephen J Bonsor ◽  
Josette Camilleri
Keyword(s):  
Root Canal ◽  
Clinical Relevance ◽  
Root Canal Sealer ◽  
Pulp Capping ◽  
Regenerative Endodontics

Hydraulic cements are unique materials that set in the presence of water and do not deteriorate when wet and, as such, they lend themselves to be used in a range of endodontic procedures. Various products are available, and a classification is helpful to guide the clinician. Hydraulic cements may be used in three different locations namely: intra-coronally (pulp capping and barrier regenerative endodontics); intra-radicularly (root canal sealer and apical plug); and extra-radicularly (perforation repair and root-end filler). This article is the first of two parts and reviews the chemistry of these materials and their intra-coronal use. CPD/Clinical Relevance: Hydraulic cements are indicated for several procedures in clinical endodontics and their efficacy is supported by an increasing body of evidence.

Hydraulic cements for various applications in endodontics: Part 2

Dental Update ◽  
2021 ◽  
Vol 48 (8) ◽  
pp. 662-668
Author(s):  
Stephen J Bonsor ◽  
Josette Camilleri
Keyword(s):  
Root Canal ◽  
Clinical Relevance ◽  
Root Canal Sealer ◽  
Pulp Therapy ◽  
Vital Pulp Therapy ◽  
Clinical Cases

The first article in this two-part series described the properties and use of hydraulic cements for intra-coronal applications, mainly for vital pulp therapy and as a barrier for regenerative endodontic procedures. In Part 2, the intra-radicular and extra-radicular uses are discussed. Hydraulic cements are a unique set of materials that set in the presence of water and, when set, they are resistant to deterioration in a damp environment. The use of hydraulic cements within the root canal (root canal sealer and apical plug) and when used at the periodontal–endodontic interface (perforation repair and root-end filler) is described and illustrated with clinical cases. CPD/Clinical Relevance: Hydraulic cements are indicated for a number of procedures in endodontics and this is supported by an extensive and increasing body of evidence with respect to their efficacy.

ANTI BACTERIAL EFFECT OF DIFFERENT ADHESIVE ROOT CANAL SEALER

2019 ◽  
Vol 65 (1) ◽  
pp. 871-874
Author(s):  
Medhat Elfaramawy ◽  
Shady Hussein
Keyword(s):  
Root Canal ◽  
Root Canal Sealer ◽  
Bacterial Effect

scholarly journals Effect of Antibacterial Root Canal Sealer on Persistent Apical Periodontitis

Antibiotics ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 741
Author(s):  
Zheng Wang ◽  
Ge Yang ◽  
Biao Ren ◽  
Yuan Gao ◽  
Xian Peng ◽  
...  
Keyword(s):  
Enterococcus Faecalis ◽  
Therapeutic Effect ◽  
Root Canal ◽  
Apical Periodontitis ◽  
Control Group ◽  
Root Canal Sealer ◽  
Root Canal Filling ◽  
First Time ◽  
Cone Beam Computer Tomography ◽  
Better Than

The infection of Enterococcus faecalis and its interacting microorganisms in the root canal could cause persistent apical periodontitis (AP). Antibacterial root canal sealer has favorable prospects to inhibit biofilms. The purpose of this study was to investigated the antibacterial effect of root canal sealer containing dimethylaminododecyl methacrylate (DMADDM) on persistent AP in beagle dogs for the first time. Persistent AP was established by a two-step infection with Enterococcus faecalis and multi-bacteria (Enterococcus faecalis, Lactobacillus acidophilus, Actinomycesnaeslundii, Streptococcus gordonii). Root canal sealer containing DMADDM (0%, 1.25%, 2.5%) was used to complete root canal filling. The volume of lesions and inflammatory grade in the apical area were evaluated by cone beam computer tomography (CBCT) and hematoxylin-eosin staining. Both Enterococcus-faecalis- and multi-bacteria-induced persistent AP caused severe apical destruction, and there were no significant differences in pathogenicity between them. DMADDM-modified sealer significantly reduced the volume of periapical lesion and inflammatory grade compared with the control group, among them, the therapeutic effect of the 2.5% group was better than the 1.25% group. In addition, E.faecalis-induced reinfection was more sensitive to the 2.5% group than multi-bacteria reinfection. This study shows that root canal sealer containing DMADDM had a remarkable therapeutic effect on persistent AP, especially on E. faecalis-induced reinfection.

scholarly journals BiodentineTM Full Pulpotomy in Mature Permanent Teeth with Irreversible Pulpitis and Apical Periodontitis

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 720
Author(s):  
Xuan Vinh Tran ◽  
Lan Thi Quynh Ngo ◽  
Tchilalo Boukpessi
Keyword(s):  
Root Canal ◽  
Periodontal Ligament ◽  
Clinical Signs ◽  
Apical Periodontitis ◽  
Permanent Teeth ◽  
Definitive Treatment ◽  
Capping Agent ◽  
Root Canal Therapy ◽  
Pulp Capping ◽  
Irreversible Pulpitis

Vital pulp therapy, including direct pulp capping and partial and full pulpotomy, is primarily indicated for immature or mature permanent teeth with reversible pulpitis. Mature permanent teeth with irreversible pulpitis are frequently treated with root canal therapy. This report presents two cases of full pulpotomy using BiodentineTM in mature permanent teeth with irreversible pulpitis and acute apical periodontitis. The periapical radiograph illustrated a deep carious lesion extended to the pulp with apical radiolucency lesion or widened periodontal ligament space. Full pulpotomy with a tricalcium silicate-based cement was chosen as the definitive treatment. After decayed tissue excavation under a rubber dam, the exposed pulp tissue was amputated to the level of the canal orifice with a new sterile bur. BiodentineTM was applied as the pulp capping agent after hemostasis was obtained and for temporary restoration. The clinical signs disappeared quickly after the treatment. After one month, the coronal part of the temporary restoration was removed, and a composite resin was placed over the capping agent as a final restoration. At two-year follow-ups, the teeth were asymptomatic. Radiographs showed healing of the periapical lesion and periodontal ligament. BiodentineTM full pulpotomy of mature permanent teeth with irreversible pulpitis and apical periodontitis can be an alternative option to root canal therapy.

Experimental study of the biocompatibility of a new glass-ionomer root canal sealer (Ketac-Endo)

1996 ◽  
Vol 22 (8) ◽  
pp. 395-398 ◽  
Author(s):  
Ioannis Kolokuris ◽  
Panagiotis Beltes ◽  
Nikolaos Economides ◽  
Ioannis Vlemmas
Keyword(s):  
Experimental Study ◽  
Root Canal ◽  
Glass Ionomer ◽  
Root Canal Sealer

Apical leakage of a new glass ionomer root canal sealer

1998 ◽  
Vol 24 (3) ◽  
pp. 161-163 ◽  
Author(s):  
Dilek M. Dalat ◽  
Banu Önal
Keyword(s):  
Root Canal ◽  
Glass Ionomer ◽  
Root Canal Sealer ◽  
Apical Leakage

In Vitro Evaluation of the Sealing Ability of Newly Developed Calcium Phosphate–based Root Canal Sealer

2007 ◽  
Vol 33 (8) ◽  
pp. 978-981 ◽  
Author(s):  
Sung-Eun Yang ◽  
Seung-Ho Baek ◽  
WooCheol Lee ◽  
Kee-Yeon Kum ◽  
Kwang-Shik Bae
Keyword(s):  
Calcium Phosphate ◽  
Root Canal ◽  
Root Canal Sealer ◽  
In Vitro Evaluation ◽  
Sealing Ability

Adhesion Of A Glass-Ionomer Root Canal Sealer To Human Dentine

2003 ◽  
Vol 29 (1) ◽  
pp. 20-22 ◽  
Author(s):  
A.L. Najar ◽  
P.C. Saquy ◽  
L.P. Vansan ◽  
Manoel D. Sousa-Neto
Keyword(s):  
Root Canal ◽  
Glass Ionomer ◽  
Root Canal Sealer ◽  
Human Dentine

scholarly journals Extrusion of Root Canal Sealer in Periapical Tissues - Report of Two Cases with Different Treatment Management and Literature Review

2017 ◽  
Vol 21 (1) ◽  
pp. 12-18 ◽  
Author(s):  
Athina Dalopoulou ◽  
Nikolaos Economides ◽  
Vasilis Evangelidis
Keyword(s):  
Root Canal ◽  
Clinical Symptoms ◽  
Complete Healing ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Root Canal Sealer ◽  
Treatment Management ◽  
Retrograde Filling ◽  
Root Canal Retreatment ◽  
The Right

Summary Background: Extrusion of root canal sealers may cause damage to the surrounding anatomic structures. Clinical symptoms like pain, swelling and paresthesia or anesthesia may be present. The purpose of this presentation is to describe two cases of root canal sealer penetration into periapical tissues. A different treatment management was followed in each case. Case reports: A 55 year-old man underwent root canal retreatment of the right mandibular first molar tooth due to a periapical lesion. Postoperative periapical radiographs revealed the presence of root canal sealer (AH26) beyond the apex in the distal root in proximity to the mandibular canal. The patient reported pain for the next 7 days. Radiographic examination after 1 year showed complete healing of the periapical area and a small absorption of the root canal sealer. A 42 year-old woman was referred complained of swelling and pain in the area of the right maxillary first incisor. Radiographic examination showed extrusion of root canal sealer in the periapical area associated with a periapical lesion. Surgical intervention was decided upon, which included removal of the sealer, apicoectomy of the tooth and retrograde filling with MTA. After 1 year, complete healing of the area was observed. Conclusion: In conclusion, cases of root canal sealer extrusion, surgical treatment should be decided on only in association with clinical symptoms or with radiographic evidence of increasing periapical lesion.

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