scholarly journals Long-term evaluation of crown and root discoloration induced by different endodontic sealers

2018 ◽  
Vol 17 ◽  
pp. e18483
Author(s):  
Beatriz Serrato Coelho ◽  
Paula Pontes Garcia ◽  
Flávia Sens Fagundes Tomazinho ◽  
Leonardo Fernandes Cunha ◽  
Denise Piotto Leonardi ◽  
...  
Keyword(s):  
Analysis Of Variance ◽  
Root Canal ◽  
The Other ◽  
Tooth Crown ◽  
Root Canal Filling ◽  
Color Changes ◽  
Term Evaluation ◽  
Ah Plus ◽  
Endodontic Sealers

Aim: To evaluate crown and root discoloration promoted by different endodontic sealers after root canal filling. Methods: Eighty bovine incisors were prepared and filled with: Endofill, Sealer 26, AH Plus, and MTA Fillapex. Color was recorded using a spectrophotometer before endodontic treatment (T0) and at 24 hours (T1), seven days (T2), 30 days (T3), and 90 days (T4) after treatment. Analyses were performed on the middle and cervical regions of the crown, and on the cervical third of the root, immediately below the cementoenamel junction. The color alterations (ΔE) were calculated using Commission International de I’Eclairage (CIE) L*a*b parameters, and data were analyzed by analysis of variance (ANOVA) and Tukey’s test (p<0.05). Results: All sealers induced color alterations. Sealer 26 resulted in the smallest changes in color (E = 5.32). The other materials did not present statistical differences (AH Plus E = 6.98; MTA Fillapex E = 6.88; Endofill E = 6.41). Of the three regions analyzed, the largest discoloration was observed at the cervical third of the root (E=10.67). In terms of time, the largest ΔE values (E=7.72) were observed at T4. Color changes at T1 (E=5.88), T2 (E=6.10), and T3 (E=5.89) were statistically similar. Conclusions: All endodontic sealers promoted discoloration on the tooth crown and root.

scholarly journals Periapical repair after root canal filling with different root canal sealers

2009 ◽  
Vol 20 (5) ◽  
pp. 389-395 ◽  
Author(s):  
Mário Tanomaru-Filho ◽  
Juliane Maria Guerreiro Tanomaru ◽  
Mario Roberto Leonardo ◽  
Lea Assed Bezerra da Silva
Keyword(s):  
Root Canal ◽  
Histopathological Analysis ◽  
Sodium Hypochlorite Solution ◽  
Mineralized Tissue ◽  
Root Canal Filling ◽  
Root Canals ◽  
Ah Plus ◽  
Hematoxylin And Eosin ◽  
Endodontic Sealers ◽  
Root Canal Sealers

The aim of this study was to evaluate periapical repair after root canal filling with different endodontic sealers. Sixty-four root canals from dog´s teeth were filled, divided into 4 groups (n=16). Root canals were instrumented with K-type files and irrigated with 1% sodium hypochlorite solution. Root canals were filled in the same session by active lateral condensation of the cones and sealers: Intrafill, AH Plus, Roeko Seal and Resilon/Epiphany System. After 90 days, the animals were euthanized and the tissues to be evaluated were processed and stained with hematoxylin and eosin. For histopathological analysis, the following parameters were evaluated: inflammatory process, mineralized tissue resorption, and apical mineralized tissue deposition. Histopathological analysis demonstrated that Intrafill had less favorable results in terms of apical and periapical repair, compared to the other sealers (p<0.05). AH Plus, Roeko Seal, and Epiphany sealers had similar and satisfactory results (p>0.05). In conclusion, AH Plus and the materials Roeko Seal and Epiphany are good options for clinical use in Endodontics.

In-Vitro Comparison of Antibacterial Effect of Epoxic Resin and Tricalcium Silicate Based Cements

2021 ◽  
Author(s):  
Rosa Isela Álvarez Reyes
Keyword(s):  
Bacterial Growth ◽  
Root Canal ◽  
Biological Properties ◽  
Root Canal Therapy ◽  
Root Canal Filling ◽  
Mueller Hinton ◽  
Mueller Hinton Agar ◽  
Ah Plus ◽  
Endodontic Sealers

Introduction: Root Canal Filling is the final procedure during root canal therapy, where endodontic sealers should have physical, chemical, and biological properties that help to reduce the population of residual bacteria and create a favorable environment for the repair of periapical tissues. The aim of this work was to compare the antibacterial capacity of AH Plus (Denstply®) and BioRoot RCS (Septodont®). Materials and Methods: Negative-Coagulase Streptococcus, Streptococcus salivarius, and Enterococcus faecalis were isolated from a necrotic pulp. They were tested by Minimum Inhibitory Concentration (MIC): 50 µl of saline solution and 100 µl of AH Plus and BioRoot RCS were used to perform the following dilutions of 1:2, 1:4, 1:8, 1:16, 1:32, 1:64, 1:128, 1:256, 1:512, 1:1024. Subsequently, the samples were cultured on Müeller- Hinton agar with sheep blood, to assess bacterial growth. Results: AH Plus showed growth up to 1:64 dilution and BIOROOT = 1:32 in E. faecalis while in Negative-Coagulase Streptococcus both cements showed growth at 1:2048 dilution, in S. salivarius there was no bacterial growth with both cements. Conclusion: AH plus (Denstply®) and BioRoot RCS RCS (Septodont®) are cements that provided an effective bacterial activity in isolated microorganisms: E. faecalis, S. Coagulase Negative and S. salivarius.

scholarly journals What’s new for the clinician? - Excerpts from and summaries of recently published papers

2021 ◽  
Vol 76 (2) ◽  
pp. 96-99
Author(s):  
Veerasamy Yengopal
Keyword(s):  
Root Canal ◽  
Root Canal Treatment ◽  
Root Canal Filling ◽  
Single Visit ◽  
Gutta Percha ◽  
Luting Agent ◽  
Molar Teeth ◽  
Ah Plus ◽  
Periapical Inflammation

Choosing an endodontic sealer clinical use is a decision that contributes to the long-term success of non-surgical root canal treatment. Sealers are used as a thin tacky paste which function as a lubricant and luting agent during obturation, allowing the core obturation material, such as gutta-percha points or other rigid materials, to slide in and become fixed in the canal. Sealers can fill voids, lateral canals, and accessory canals where core obturation materials cannot infiltrate. If the sealer does not perform its function, microleakage may cause root canal failure via clinically undetectable passage of bacteria, fluids, molecules or ions between the tooth and restorative material. It has been reported that extrusion of the sealer during root canal filling has cytotoxic effects on periapical tissues, causing periapical inflammation, necrosis and pain. Endodontic sealers are categorized by composition based on setting reaction and composition: zinc oxide eugenol, salicylate, fatty acid, glass ionomer, silicone, epoxy resin, tricalcium silicate, and methacrylate resin sealer systems. Aslan & Özkan (2021) reported on a trial that sought to evaluate the effect of two calcium silicate-based root canal sealers, Endoseal MTA and EndoSequence BC Sealer, on postoperative pain following single-visit root canal treatment on molar teeth compared to their epoxy/ amine resin-based counterpart AH Plus. The null hypotheses tested in this study were as follows:1. The type of sealer used would not change the incidence and the intensity of post-treatment endodontic pain2. The analgesic intake of patients following single-visit root canal treatment

scholarly journals Development of A Nano-Apatite Based Composite Sealer for Endodontic Root Canal Filling

2021 ◽  
Vol 5 (1) ◽  
pp. 30
Author(s):  
Angelica Bertacci ◽  
Daniele Moro ◽  
Gianfranco Ulian ◽  
Giovanni Valdrè
Keyword(s):  
Citric Acid ◽  
Liquid Phase ◽  
Calcium Phosphate ◽  
Root Canal ◽  
Acid Attack ◽  
Root Canal Filling ◽  
Bioactive Materials ◽  
Dentinal Tubules ◽  
Sealing Capacity ◽  
Endodontic Sealers

Recently, endodontic sealers based on injectable bioactive materials were proposed to improve the filling of anatomical irregularities during root canal obturation. In this context, this preliminary work investigated the possibility of realizing a new calcium phosphate-based composite sealer for root canal filling with an optimized composition on setting kinetics and dentin tubules occlusion. Several calcium phosphate/liquid phase mixtures were initially evaluated for their workability, finding two suitable formulations. Both of them contained 66 wt.% of a nano-apatite-based cement (solid powdered phase). The liquid phase (34 wt.%) comprised 13.6% propanediol and 20.4% PEG 1000 (formulation 1), and formulation 2 comprised 27.2% glycerin and 6.8% PEG 200 (formulation 2). Then, these formulations were tested by means of permeability measurements and observation by scanning electron microscopy of treated model dentin samples. Both formulations succeeded in occluding dentinal tubules: the first one was able to create a full-bodied layer on dentin surface and, moreover, to resist, at least to a large extent, against citric acid attack. The second one showed a lower effectiveness after citric acid exposure. The composite compound that better satisfied the overall required characteristics of use, workability and sealing capacity was formulation 1.

Crown Discoloration Induced by Endodontic Sealers: Spectrophotometric Measurement of Commission International de I'Eclairage's L*, a*, b* Chromatic Parameters

2013 ◽  
Vol 38 (3) ◽  
pp. E91-E102 ◽  
Author(s):  
K Ioannidis ◽  
P Beltes ◽  
T Lambrianidis ◽  
D Kapagiannidis ◽  
V Karagiannis
Keyword(s):  
Root Canal ◽  
Statistical Significance ◽  
Glass Ionomer Cement ◽  
Computer Software ◽  
Control Group ◽  
Root Canal Filling ◽  
Clinical Issue ◽  
Filling Materials ◽  
Thorough Debridement ◽  
Endodontic Sealers

ABSTRACT Despite the improvement of endodontic materials, crown discoloration induced by root canal sealers remains a concerning clinical issue. The aim of this study is the measurement of the alterations in CIE L*, a*, b* chromatic parameters of tooth crowns after placement of commonly used and new-generation endodontic sealers in pulp chambers. Eighty intact, fully developed third mandibular molars were randomly assigned in five groups. Crowns were cross-sectioned from the root complex 1 mm below the cement-enamel junction. The internal axial walls of the pulp chambers were debrided and coated with endodontic sealers (Roth-811, AH-26, Guttaflow, Epiphany SE). The apical access was sealed with glass-ionomer cement. The control group was only debrided. Crowns were stored in individually marked vials in standard conditions (100% humidity, 37°C). The spectral reflectance lines were recorded with a UV-Vis spectrophotometer in the visual spectrum. The CIE L*a*b* parameters were obtained by a linked computer software before sealer placement (baseline), after one week, one, three, and six months, respectively. Statistical analysis was performed with two-way mixed ANOVA models. The level of statistical significance was set at p&lt;0.05. With the exception of the control group, experimental groups presented varying chromatic alterations. Among all experimental groups, Roth-811 sealer induced the most severe alterations in CIE L*, a*, b* chromatic parameters, during all observation periods. After root canal obturation, the clinician should be aware of the presence of remaining root canal filling materials. Thorough debridement of the pulp chamber is essential for the prevention of sealer-induced discoloration.

scholarly journals Sealing Ability of AH Plus and GuttaFlow Bioseal

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Soo-Hyuk Lee ◽  
Soram Oh ◽  
Adel Saeed Al-Ghamdi ◽  
Ayman Omar Mandorah ◽  
Kee-Yeon Kum ◽  
...  
Keyword(s):  
Fluid Flow ◽  
Root Canal ◽  
Glass Ceramics ◽  
Filling Material ◽  
Root Canal Filling ◽  
Measuring Device ◽  
Gutta Percha ◽  
Sealing Ability ◽  
Ah Plus ◽  
The Mean

The objective of root canal obturation is to achieve a fluid-tight seal. Recently, GuttaFlow bioseal (GB), a root canal sealer composed of polydimethylsiloxane, gutta-percha particles, and bioactive glass ceramics, has been developed, to enhance the sealing ability of root canal filling material. The objective of this study was to assess the sealing ability of GB using a subnanoliter-scaled fluid-flow measuring device and to compare with that of AH Plus (AH). The fluid flow in root canal-filled teeth using either gutta-percha cone (GP) with AH (GAR; n = 10) or GP with GB (GBR; n = 10) and in GP inserted in AH blocks (GA; n = 10) or GP inserted in GB blocks (GB; n = 10) was measured. In addition, fluid flow in sealer blocks of AH (A; n = 10) and GB (B; n = 10), which served as negative controls, was measured. Root canal-filled teeth using GP without any sealer (GR) acted as positive controls (n = 10). The leakage was obtained by calculating the volume of moved water by time (s), after stabilization of the fluid flow was achieved. Statistical analysis was performed using the Kruskal–Wallis test and Mann–Whitney U-test with Bonferroni correction. A p value less than 0.00238 (0.05/21) was considered significantly different. The mean leakages (nL/s) in the groups are as follows: GAR, 0.0958 ± 0.0543; GBR, 0.0223 ± 0.0246; GA, 0.0644 ± 0.0803; GB, 0.0267 ± 0.0182; A, 0.0055 ± 0.0057; B, 0.0052 ± 0.005; and GR, 0.2892 ± 0.3018. The mean leakage in the GBR group was lower than that in the GAR group (p = 0.001), while the mean leakages in the GA and GB groups were not significantly different. GuttaFlow bioseal can be useful in single-cone obturation technique.

scholarly journals Micro-CT Evaluation of Root Filling Removal after Three Stages of Retreatment Procedure

2015 ◽  
Vol 26 (6) ◽  
pp. 612-618 ◽  
Author(s):  
Ricardo Abreu da Rosa ◽  
Manuela Favarin Santini ◽  
Bruno Cavalini Cavenago ◽  
Jefferson Ricardo Pereira ◽  
Marco Antônio Húngaro Duarte ◽  
...  
Keyword(s):  
Root Canal ◽  
Filling Material ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Root Canal Filling ◽  
Tomography System ◽  
Filling Materials ◽  
Ct Evaluation ◽  
Ah Plus ◽  
Post Hoc

The aim of this study was to quantify the residual filling material after filling removal, re-preparation with rotary or reciprocating files and passive ultrasonic irrigation (PUI). Twenty maxillary molars were prepared using ProTaper instruments up to F1. The teeth were filled with AH Plus and ProTaper gutta-percha points using the single-cone technique. Thereafter, the specimens were scanned using a micro-computed tomography system (Micro-CT #1). Then, the root canal filling was removed using ProTaper Retreatment files, and a new scan was performed (Micro-CT #2). The specimens were divided into two groups according to the instrument used for re-preparation: ProTaper rotary or WaveOne reciprocating files (Micro-CT #3). Finally, PUI was performed, and a new micro-CT scan was performed (Micro-CT #4). Intragroup and intergroup analyses were performed using Friedman and Dunn's post hoc test and the Kruskal-Wallis and Dunn post hoc tests, respectively. Palatal canal presented the highest volume of residual filling material in all stages of endodontic retreatment (p<0.05). The main reduction of filling volume was achieved after using ProTaper Retreament (p<0.05). The amount of remaining filling material after using ProTaper Retreatment was similar to that achieved with rotary and reciprocating files and after PUI (p>0.05). Rotary and reciprocating files achieved similar removal of the root canal filling (p>0.05). The greatest reduction in filling material was achieved after using ProTaper Retreatment files. Rotary and reciprocating instruments and PUI did not improve the removal of root canal filling materials.

scholarly journals Restoration of Endodontically Treated Teeth Review and Treatment Recommendations

2009 ◽  
Vol 2009 ◽  
pp. 1-9 ◽  
Author(s):  
Iris Slutzky-Goldberg ◽  
Hagay Slutzky ◽  
Colin Gorfil ◽  
Ami Smidt
Keyword(s):  
Root Canal ◽  
Endodontically Treated Teeth ◽  
Root Canal Filling ◽  
Finish Line ◽  
Oral Fluids ◽  
Post And Core ◽  
Long Term Prognosis ◽  
Bacterial Leakage ◽  
Tooth Tissue

Coronal restorations and posts can positively influence the long-term prognosis of teeth following root canal therapy. Final sealing the canal by placing an appropriate post and core will minimize leakage of oral fluids and bacteria into the periradicular area and is recommended as soon as possible after completion of root canal filling. Glass ionomer or MTA placed over the residual root canal filling after post space preparation may be effective to prevent bacterial leakage. A ferrule of 1-2 mm of tooth tissue coronal to the finish line of the crown significantly improves the fracture resistance of the tooth and is more important than the type of the material the core and post are made of.

Intentional Replantation of an Immature Incisor with a Transverse Root Fracture and Endo-Perio Condition: 4 Year Follow-Up

2017 ◽  
Vol 41 (3) ◽  
pp. 187-192
Author(s):  
Atsushi Oishi
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Dental Trauma ◽  
Final Diagnosis ◽  
Radiographic Examination ◽  
Initial Examination ◽  
Root Canal Filling ◽  
Root Fracture ◽  
Immature Teeth

This case report describes the importance of continual examination for dental trauma and the efficacy of intentional replantation with retrograde root canal filling for a transverse root fracture in an immature incisor accompanied by subsequent periodontal-endodontic disease. In the treatment of traumatically fractured roots in immature incisors, continual examination is indispensable for the final diagnosis because roots in immature teeth are less calcified, resulting in less detailed radiological examinations. Thus, common dental trauma complications such as pulp necrosis may appear months after the initial examination. Endodontic treatment for transverse root fracture is mainly determined according to radiographic examination findings; for fractured immature roots, apexification with calcium hydroxide of the coronal fragment is generally applied. However, this method requires removal of considerable amounts of enamel and dentin to allow access to the cavity for preparation, which may increase the risk of future fractures. In contrast, intentional replantation with retrograde root canal filling does not require the removal or long-term application of calcium hydroxide. However, it requires careful extraction of the tooth, maintenance of root wetness during the extraoral procedure, rigid splinting, and oral hygiene control. Management of tooth mobility is also important in the post-replantation course.

Sign in / Sign up

Export Citation Format

Share Document