scholarly journals Positive and negative properties of four endodontic sealant groups: a systematic review

2021 ◽  
Vol 28 (3) ◽  
pp. 130-143
Author(s):  
E. V. Chestnyh ◽  
I. O. Larichkin ◽  
M. V. Iusufova ◽  
D. I. Oreshkina ◽  
E. I. Oreshkina ◽  
...  

Background. The choice of sealant is an important dentist’s decision with a long-term influence on treatment. Knowledge of the properties and characters of each material is key to the optimal endosealer selection on individual basis.Objectives. A comparison of endodontic sealants based on epoxy resins, calcium hydroxide, zinc oxide eugenol and bioceramics.Methods. Publications were mined in the PubMed and Google Scholar electronic databases to cover the four sealer groups (epoxy, calcium hydroxide, zinc oxide eugenol and bioceramics) over years 2014-2021, including selected relevant sources within 2002-2013; 73 articles were considered for review, regardless of the study design or language. Content and descriptive analyses were used as research tools. Meta-analysis was not used due to a high evidence heterogeneity.Results. The dental market currently offers a variety of sealant groups. Endodontic sealants based on epoxy resins, zinc oxide eugenol, calcium hydroxide and bioceramics are the most common. The review identifies no ideal material for the root canal filling.Conclusion. Manifold studies demonstrate the pros and cons in each endodontic sealant group with respect to variant criteria. Depending on clinical situation, the practitioner can opt for the material property to identify the endosealer.

2011 ◽  
Vol 2 (3) ◽  
pp. 231-236 ◽  
Author(s):  
Shikha Dogra

ABSTRACT Aim The purpose of this study is to compare the efficacy of calcium hydroxide and zinc oxide eugenol as a root canal filling material in primary teeth using endodontic pressure syringe system. Materials and methods A total of 40 primary mandibular molars were selected and divided into two groups-group I (calcium hydroxide was used as root canal filling material) and group II (zinc oxide eugenol used as canal filling material). Clinical review was undertaken at 1, 3, 6 and 9 months interval for evaluating pain, tenderness, mobility and any other sign of pathology. Radiographic examination was done at interval of 3, 6 and 9 months for the evaluation of any change in the radiolucency around the apices and inter-radicular space. Resorption of root and filling material was also assessed. Results Reduction in the clinical symptoms were noted in both groups (p < 0.01). All the 20 cases in group I demonstrated a decrease in size of radiolucency. However in group II, an increase in radiolucency was observed in 2 teeth at 3 months radiographic examination. Further no decrease in the size of radiolucency was noticed at subsequent follow-up visits. Complete resorption of overfilled material was observed at the 3 months radiographic examination for group I whereas partial resorption of overfilled material was seen at 6 months radiographic examination for group II. Conclusion The findings of the present study indicate that calcium hydroxide could be used exclusively or as an alternative to zinc oxide eugenol as a root canal filling material for the primary teeth.


2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Fernanda Barja-Fidalgo ◽  
Michele Moutinho-Ribeiro ◽  
Maria Angelina Amorim Oliveira ◽  
Branca Heloísa de Oliveira

The aim of this systematic review was to determine whether there is a root canal filling for deciduous teeth equally or more effective than zinc oxide-eugenol cement (ZOE). Six clinical trials selected for inclusion were independently reviewed by two researchers. Only two showed statistically significant different success rates between the test and the control groups. One found that an iodoform paste with calcium hydroxide () performed better than ZOE, and the other found that ZOE performed similarly to . The other four studies compared ZOE with an iodoform paste (IP), a calcium hydroxide cement , or . In these trials, the success rates in the ZOE groups were slightly lower than in the other groups. There seems to be no convincing evidence to support the superiority of any material over ZOE, and both ZOE and appear to be suitable as root canal fillings for deciduous teeth.


2012 ◽  
Vol 37 (1) ◽  
pp. 59-64 ◽  
Author(s):  
Hegde Sapna ◽  
Lala Priti Kamlesh ◽  
B Dinesh Rao ◽  
AB Shubha

Objective: The present study aimed to evaluate and compare six different materials commonly used for filling the root canals of primary teeth for antimicrobial efficacy against some of the microorganisms commonly found in infected root canals. Study design: In this experimental in vitro study six root canal filling materials were tested for antimicrobial efficacy against eight microbial strains using the agar diffusion method. Results: Zinc oxide eugenol paste exhibited the strongest antimicrobial potential followed by Endoflas™, zinc oxide-calcium hydroxide-sodium fluoride mixture, zinc oxide-calcium hydroxide mixture and calcium hydroxide paste (Apexcal™). The addition of sodium fluoride to the zinc oxide-calcium hydroxide mixture enhanced the antimicrobial efficacy. Metapex™ demonstrated minimal inhibition and Vaseline™ was non-inhibitory. Conclusions: All the test filling materials demonstrated varying antimicrobial activity against the microorganisms tested. Zinc oxide eugenol paste and materials containing zinc oxide were found to be more effective against the microorganisms compared to materials without zinc oxide.


2011 ◽  
Vol 35 (4) ◽  
pp. 365-370 ◽  
Author(s):  
Priya Subramaniam ◽  
Kanupriya Gilhotra

Several materials have been used to fill root canals of primary teeth. Traditionally, zinc oxide eugenol was used for the purpose, until the introduction of calcium hydroxide and iodoform based materials. Another root canal filling material that contains zinc oxide eugenol, calcium hydroxide and iodoform is commercially available as Endoflas. The aim of the study was to evaluate and compare the efficacy of Endoflas, zinc oxide eugenol and Metapex as root canal filling materials. Method: A total of forty-five primary molars from children aged 5-9 years were selected for a one stage pulpectomy procedure. Teeth were randomly divided into three groups of fifteen teeth each based on the type of root canal filling material used. All the molars were evaluated clinically and radiographically at regular intervals of 3, 6, 12 and 18 months. The observations were tabulated and statistically analyzed. Results: Endoflas and zinc oxide eugenol showed 93.3% success, whereas a higher percentage of success was observed with Metapex (100%). Overfilling and voids were more commonly seen in teeth filled with Metapex. Conclusion: There was no significant difference between the three root canal filling materials.


2019 ◽  
Vol 13 (1) ◽  
pp. 308-315
Author(s):  
Asmaa A. Desouky ◽  
Maged M. Negm ◽  
Magdy M. Ali

Background: The success of the endodontic treatment is largely dependent on the sealing achieved by root canal obturation. The application of sealer fills imperfections and increases adaptation of the root filling to the canal walls. Aim: To evaluate the sealability of experimental nanosealers (nano calcium hydroxide and nano bioactive glass) and to compare it with the commercial zinc oxide eugenol sealer using a dye penetration method. Materials and Methods: Sixty single-rooted mandibular premolars were selected. The tooth crowns were removed so as to obtain standardized 15-mm-long root specimens. The root canal was instrumented with Protaper Ni-Ti rotary file and the final file size was up to # F4/.06 (in vitro study). They were then randomly allocated into 3 groups of 20 specimens each (n=20) according to the sealer used for obturation, and all samples were filled with single cone gutta-percha (#40/06) and one of the tested sealers. All teeth were coated with nail polish and then suspended in 2% methylene blue dye for 7 days. Stereo-microscope (x10) was used to evaluate the sealability of newly introduced nanosealers. The data were statistically analyzed by ANOVA test followed by post hoc analysis (P < 0.05). Results: Significant improvement shown by the presented study suggests that nano calcium hydroxide sealer showed significantly less dye leakage than nano bioactive glass sealer and zinc oxide eugenol sealer. Conclusion: The results of this study showed that the synthesized nano-powder sealers are suitable for use in root canal therapy to prevent leakage. The root canal can be sealed better by using smaller nano-powder particle sizes. In addition, the two groups exhibited significant differences in leakage in comparison with commonly used ZOE sealer.


1997 ◽  
Vol 23 (1) ◽  
pp. 43-48 ◽  
Author(s):  
J. Margelos ◽  
G. Eliades ◽  
C. Verdelis ◽  
G. Palaghias

1989 ◽  
Vol 16 (5) ◽  
pp. 451-455 ◽  
Author(s):  
C. F. DRISCOLL ◽  
G. D. WOOLSEY ◽  
T. G. REDDY ◽  
R. G. CRAIG

Sign in / Sign up

Export Citation Format

Share Document