scholarly journals Bioceramics in modern endodontics

2021 ◽  
Vol 19 (3) ◽  
pp. 166-170
Author(s):  
A. V. Mitronin ◽  
D. A. Ostanina ◽  
Yu. A. Mitronin

The introduction of modified bioceramic calcium silicate- based materials into clinical practice has changed the standards and strategies of endodontic treatment. The review article highlights modern calcium silicate- based cements that are used in various areas of endodontics, including vital pulp therapy, root canal obturation, management of endodontic complications and pulp regeneration. The classifications of bioceramic materials based on their chemistry and specific use in endodontics are presented. The physicochemical and biological properties of various types of materials, as well as the features of their clinical application, are described.

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 573
Author(s):  
João Miguel Santos ◽  
Joana F. Pereira ◽  
Andréa Marques ◽  
Diana B. Sequeira ◽  
Shimon Friedman

Background and Objectives: Symptomatic irreversible pulpitis in permanent mature teeth is a common indication for nonsurgical root canal treatment (NSRCT), but contemporary studies have reported on vital pulp therapy (VPT) applied in such teeth as a less invasive treatment. This systematic review assessed the outcomes of VPT, including partial and full pulpotomy performed with hydraulic calcium silicate cements (HCSCs) in permanent mature posterior teeth diagnosed with symptomatic irreversible pulpitis. Materials and Methods: The PRISMA guidelines were followed. The search strategy included PubMed®, EMBASE, Cochrane library and grey literature electronic databases. The quality assessment of the identified studies followed the Cochrane Collaboration Risk of Bias, ROBINS-I and Newcastle–Ottawa Scale tools. Results: The search of primary databases identified 142 articles, of which 9 randomized controlled trials and 3 prospective cohort studies were selected for review. The risk-of-bias was assessed as ‘high’ or ‘serious’, ‘fair’, and ‘low’ for three, seven and two articles, respectively. One to five years after VPT using HCSCs, the success rates mostly ranged from 78 to 90%. Based on two articles, the outcomes of the VPT and NSRCT were comparable at one and five years. Despite the necessity for the intra-operative pulp assessment in VPT procedures, the majority of the studies did not fully report on this step or on the time needed to achieve hemostasis. Small sample sizes, of under 23 teeth, were reported in three studies. Conclusions: The reviewed 12 articles reported favorable outcomes of the VPT performed with HCSCs in permanent mature posterior teeth with symptomatic irreversible pulpitis, with radiographic success in the range of 81 to 90%. Two articles suggested comparable outcomes of the VPT and root canal treatment. Universal case selection and outcome criteria needs to be established for VPT when considered as an alternative to NSRCT. This evidence supports the need for further research comparing longer-term outcomes of both of the treatment modalities.


2014 ◽  
Vol 2 (24) ◽  
pp. 3830-3838 ◽  
Author(s):  
Xianyan Yang ◽  
Min Liu ◽  
Yu Zhao ◽  
Hongyu Jia ◽  
Sanzhong Xu ◽  
...  

Gypsum-introduced, CaO-rich dicalcium silicate-based cements exhibit multifunctional physicochemical and biological properties and meet some challenging criteria in root canal therapy.


2015 ◽  
Vol 19 (8) ◽  
pp. 2015-2025 ◽  
Author(s):  
Guilherme F. Silva ◽  
Mário Tanomaru-Filho ◽  
Maria I. B. Bernardi ◽  
Juliane M. Guerreiro-Tanomaru ◽  
Paulo S. Cerri

2002 ◽  
Vol 49 (1-2) ◽  
pp. 53-56
Author(s):  
Tatjana Brkanic ◽  
Slavoljub Zivkovic

The aim of this paper was to, on the basis of everyday clinical practice analize the effect of a homeopathic remedy, as a complementary remedy in endodontic therapy of endoperiodontal lesions and chronic apical periodontitis and to radiologically check its effect on the flow and speed of reparation of damaged periodontal tissues. Endodontic therapy was done according to the usual protocol for the therapy of infectious canals with root canal preparation, medication with calcium hydroxide points and hermetic obturation with AH-26 paste. During endodontic treatment patients were taking homeophatic remedy Hepar sulfuris per os three times daily. The remedy stimulates the natural defences mechanism of the organism. Radiological follow up after three months period showed obvious reductiont of radiologic radiolucency in periapical region.


2018 ◽  
Vol 29 (5) ◽  
pp. 452-458 ◽  
Author(s):  
Bernardo Cesar Costa ◽  
Juliane Maria Guerreiro-Tanomaru ◽  
Roberta Bosso-Martelo ◽  
Elisandra Márcia Rodrigues ◽  
Idomeo Bonetti-Filho ◽  
...  

Abstract This study evaluated physicochemical properties, cytotoxicity and bioactivity of MTA Angelus (MTA), calcium silicate-based cement (CSC) and CSC with 30% Ytterbium oxide (CSC/Yb2O3). Setting time was evaluated using Gilmore needles. Compressive strength was evaluated in a mechanical machine. Radiopacity was evaluated using radiographs of materials and an aluminum scale. Solubility was evaluated after immersion in water. Cell viability was evaluated by means of MTT assay and neutral red staining, and the mineralization activity by using alkaline phosphatase activity and Alizarin Red staining. The data were submitted to ANOVA, Tukey and Bonferroni tests (5% significance). The bioactive potential was evaluated by scanning electron microscopy. The materials presented similar setting time. MTA showed the lowest compressive strength. MTA and CSC/Yb2O3 presented similar radiopacity. CSC/Yb2O3 showed low solubility. Saos-2 cell viability tests showed no cytotoxic effect, except to 1:1 dilution in NR assay which had lower cell viability when compared to the control. ALP at 1 and 7 days was similar to the control. MTA and CSC had greater ALP activity at 3 days when compared to control. All the materials present higher mineralized nodules when compared with the control. SEM analysis showed structures suggesting the presence of calcium phosphate on the surface of materials demonstrating bioactivity. Ytterbium oxide proved to be a properly radiopacifying agent for calcium silicate-based cement since it did not affected the physicochemical and biological properties besides preserving the bioactive potential of this material.


2018 ◽  
Vol 29 (6) ◽  
pp. 773-785 ◽  
Author(s):  
I.-Ting Wu ◽  
Ting-Yi Chiang ◽  
Chun-Cheng Chen ◽  
Yung-Chang Chen ◽  
Shinn-Jyh Ding

Dental Update ◽  
2021 ◽  
Vol 48 (8) ◽  
pp. 662-668
Author(s):  
Stephen J Bonsor ◽  
Josette Camilleri

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.


1990 ◽  
Vol 7 (3) ◽  
pp. 12-13 ◽  
Author(s):  
Chris J. Visser

The permanent teeth erupt while undergoing tooth formation and root lengthening. These immature teeth are more vulnerable to pulp exposure. Faced with the necessity for root canal treatment, and taking into account the unlikely possibility of successful obturation of an immature canal system, it is recommended that these developing teeth be treated by a biological approach. When the vital pulp of a tooth is exposed and the pulp is not irreversibly inflamed and apical development and closure is incomplete apexogenesis procedures are recommended. Vital pulp therapy techniques are described.


2013 ◽  
Vol 9 (5) ◽  
pp. 6723-6731 ◽  
Author(s):  
Yufang Zhu ◽  
Min Zhu ◽  
Xing He ◽  
Jianhua Zhang ◽  
Cuilian Tao

Nanomaterials ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 1750
Author(s):  
Seung Bin Jo ◽  
Hyun Kyung Kim ◽  
Hae Nim Lee ◽  
Yu-Jin Kim ◽  
Kapil Dev Patel ◽  
...  

Calcium silicate-based bioactive glass has received significant attention for use in various biomedical applications due to its excellent bioactivity and biocompatibility. However, the bioactivity of calcium silicate nanoparticle-incorporated bioactive dental sealer is not much explored. Herein, three commercially available bioactive root canal sealers (Endoseal MTA (EDS), Well-Root ST (WST), and Nishika Canal Sealer BG (NBG)) were compared with a resin-based control sealer (AH Plus (AHP)) in terms of physical, chemical, and biological properties. EDS and NBG showed 200 to 400 nm and 100 to 200 nm nanoparticle incorporation in the SEM image, respectively, and WST and NBG showed mineral deposition in Hank’s balanced salt solution after 28 days. The flowability and film thickness of all products met the ISO 3107 standard. Water contact angle, linear dimensional changes, and calcium and silicate ion release were significantly different among groups. All bioactive root canal sealers released calcium ions, while NBG released ~10 times more silicon ions than the other bioactive root canal sealers. Under the cytocompatible extraction range, NBG showed prominent cytocompatibility, osteogenecity, and angiogenecity compared to other sealers in vitro. These results indicate that calcium silicate nanoparticle incorporation in dental sealers could be a potential strategy for dental periapical tissue regeneration.


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