AH Plus extrusion into periapical tissue:  literature review of main related properties and  report of clinical cases

Hubbe, None Karen Lys; Oliveira, Kauhanna Vianna de; Coelho, Beatriz Serrato; Baratto‐Filho, Flares

doi:10.21726/rsbo.v13i4.352

Cited by 7 publications

(7 citation statements)

References 13 publications

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“…3,6,17 According to Hubbe et al, AH Plus is a thixotropic fluid that undergoes transformation of its internal structure, which promotes the alternation of the flow speed accounting for the abrupt flow after a certain time. 18 Al-Haddad et al stated that hydrophobicity of this sealer facilitates the permeation of resin into open dentinal tubules and creates efficient microretention when 17% EDTA was used as the final irrigant. 6 Many researchers found that AH Plus shows less dye penetration.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Sealing Ability of Three Root Canal Sealers: An In Vitro Study

Trivedi

Chhabra

Bansal

et al. 2020

The Journal of Contemporary Dental Practice

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Aim: To evaluate the sealing ability of three different types of sealers using confocal laser microscopy. Materials and methods: Sixty extracted single-root premolars were selected and divided into three groups (20 teeth in each group) according to the type of sealer used, namely, mineral trioxide aggregate (MTA) Fillapex, AH Plus, and Bio C Sealer. Root canal preparation and obturation were done in all the samples. Roots was dissected transversely in apical plane. Percentage of gap from region to canal circumference was calculated using a confocal laser microscope. Samples were subjected to statistical analysis. Results: High dye penetration was seen with AH Plus compared to MTA Fillapex and least with Bio C Sealer. The AH Plus is the best sealer with respect to seal ability of all the three. Conclusion: This study helps to appraise the sealing ability of the different types of sealers using confocal laser microscopy which is useful for the success of root canal treatment. Clinical significance: As sealer has to seal voids, foramina, and canals, it should have good penetration for the success of root canal treatment.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Sealing Ability of Three Root Canal Sealers: An In Vitro Study

Trivedi

Chhabra

Bansal

et al. 2020

The Journal of Contemporary Dental Practice

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“…12 Sealer yang digunakan dalam perawatan endodontik dibagi menjadi beberapa bahan dasar antara lain sealer berbahan dasar seng oksida eugenol, kalsium hidroksida, ionomer kaca, resin epoksi, Mineral Trioxide Aggregate (MTA), dan Biokeramik. 13,14 Radiopasitas suatu sealer dipengaruhi oleh komposisi bahan kimia, media kontras anorganik, nomor atom, komposisi radiopacifier dan densitas pada sealer. Sealer berbahan dasar resin epoksi merupakan sealer saluran akar yang memiliki sifat radiopak, kelarutan rendah, penyusutan kecil, memiliki sifat antibakteri, dan toksisitas rendah.…”

Section: Pendahuluanunclassified

<p>Analisis perbedaan radiopasitas antara sealer berbahan dasar resin epoksi, mineral trioxide aggregate (MTA), dan biokeramik dengan menggunakan densitometer pada radiografi periapikal</p><p>Analysis of radiopacity differences between sealers based on epoxy resin, mineral trioxide aggregate (MTA), and bioceramics on periapical radiographs using a densitometer</p>

2021

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Pendahuluan: Bahan pengisi saluran akar yang digunakan hingga saat ini adalah gutta percha yang dalam aplikasinya harus dikombinasikan dengan sealer saluran akar. Sealer yang baik harus memiliki skala radiopasitas yang tinggi sehingga dapat dibedakan densitasnya dengan jaringan disekitarnya, tujuannya supaya sealer dapat diidentifikasi maupun di monitor bila terjadi kerusakan pada gigi setelah dilakukan perawatan. Tujuan penelitian ini menganalisis perbedaan radiopasitas antara sealer berbahan dasar resin epoksi, sealer berbahan MTA, dan sealer berbahan dasar biokeramik pada teknik radiografi periapikal dengan menggunakan densitometer. Metode: Jenis penelitian observasional analitik dengan pendekatan cross sectional. Dua puluh tujuh sampel penelitian dibagi menjadi tiga kelompok. Kelompok I sealer berbahan dasar resin epoksi. Kelompok II sealer berbahan dasar MTA. Kelompok III sealer berbahan dasar biokeramik. Ketiga kelompok dimasukkan ke dalam cincin plastik berukuran 10 x 1 mm, kemudian dilakukan pengambilan gambar dengan teknik radiografi periapikal digital menggunakan dental x-ray yang beroperasi di 70 KVp dan 8 mA dengan jarak fokus ke jarak 30 cm dan eksposur distandarisasi untuk 0,25 detik. Pengamatan dilakukan dengan menggunakan densitometer, data yang dihasilkan kemudian dianalisis menggunakan uji One Way ANOVA. Hasil: Hasil penelitian menunjukan bahwa dari ketiga kelompok terdapat perbedaan radiopasitas secara signifikan (p<0,05). Sealer berbahan dasar resin epoksi (12,9 mmAl) secara signifikan lebih radiopak daripada sealer berbahan dasar biokeramik (8,04 mmAl) dan sealer berbahan dasar MTA (6,90 mmAl). Radiopasitas dipengaruhi oleh komposisi bahan kimia, media kontras anorganik, nomor atom, komposisi radiopacifier dan densitas pada sealer. Simpulan: Sealer berbahan dasar resin epoksi memiliki radiopasitas tertinggi dibandingkan dengan yang berbahan dasar MTA dan biokeramik. ABSTRACTIntroduction: Nowadays, gutta-percha is widely used as the root canal filling material. However, in its application, it must be combined with a root canal sealer. A good sealer must have a high radiopacity scale value to distinguish its density from the surrounding tissue. In addition, the sealer must be able to be identified and monitored concerning the damage to the teeth after treatment. The purpose of this study was to analyse the radiopacity differences between sealers based on epoxy resin, mineral trioxide aggregate (MTA), and bioceramics on periapical radiographs using a densitometer. Methods: This research was analytic observational with a cross-sectional method. Twenty-seven study samples were divided into three groups. Group I consisted of an epoxy resin-based resin. Group II consisted of an MTA-based sealer. Group III consisted of a bioceramic-based sealer. The three groups were put in a 10 x 1 mm plastic ring. The radiographic images were taken using digital periapical radiography using dental x-rays operating at 70 KVp and 8 mA with a focal distance of 30 cm and exposure standardised to 0.25 seconds. Observations were performed using a densitometer, and the resulting data were then analysed using the One-Way ANOVA test. Results: The results showed that there was a significant difference in radiopacity (p<0.05). Epoxy resin-based sealers (12.9 mmAl) were significantly more radiopaque than bioceramic-based sealers (8.04 mmAl) and MTA-based sealers (6.90 mmAl). Radiopacity is influenced by chemical composition, inorganic contrast medium, atomic number, radiopacifier composition and sealer density. Conclusions: Epoxy resin-based sealers have the highest radiopacity compared to MTA and bioceramic-based sealers.

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“…It has been suggested that the canal instrumentation or obturation should not extend beyond the apical foramen 10 because obturation within the canal space correlate with higher success rates of root canal treatment. 11 Although in certain cases, the extrusion of root filling material might not cause adverse tissue reactions and the tooth remains asymptomatic, 12 but in some cases it can lead to other problems such as paraesthesia of the nerve, 13,14 discomfort or pain 15 and chronic inflammation. 13,16 To date, the duration required to carry out obturation procedure has not been studied possibly due to little or no impact on the outcomes of the endodontically treated tooth.…”

Section: Introductionmentioning

confidence: 99%

Guttaflow Bioseal as Monocone Obturation Technique: A Scanning Electron Microscopy Study

Mustaffa¹,

Nordin²,

Snh³

et al. 2021

imjm

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INTRODUCTION: This study compared the obturated surface area, the extrusion of root filling material beyond the apical foramen and the duration of obturation procedure in single-rooted mandibular premolar using monocone obturation technique. MATERIALS AND METHODS: The root canal of twenty single-rooted mandibular premolars were prepared, and then divided into two groups; Group 1 (GuttaFlow Bioseal (GFB) and a gutta-percha (GP) cone) and Group 2 (RoekoSeal Automix root canal sealer and a GP cone). The obturation procedure was timed and the obturation radiograph was taken after the procedure. The roots were sectioned perpendicularly and the surfaces were observed under scanning electron microscope. The images were transferred to the SketchAndCalc Area Calculator software for evaluation of the obturated surface area. RESULTS: The median score of obturated surface area in Group 1 and 2 at the apical was 86.51 and 83.00, at the middle was 90.48 and 87.35 and at the coronal was 93.00 and 83.39, respectively. The extrusion of root filling material between two groups did not show statistically significant difference. The mean duration of obturation in Group 1 and 2 was 149.50 and 137.60, respectively. CONCLUSIONS: The obturated surface area at the apical and middle root regions in Group 1 and 2 was comparable but at the coronal region, Group 1 showed 11.5% better coverage. The extrusion of root filling material in Group 1 and 2 was equivalent. Obturation procedure in Group 1 took 8.6% longer than in the Group 2.

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AH Plus extrusion into periapical tissue: literature review of main related properties and report of clinical cases

Cited by 7 publications

References 13 publications

Evaluation of Sealing Ability of Three Root Canal Sealers: An In Vitro Study

Evaluation of Sealing Ability of Three Root Canal Sealers: An In Vitro Study

Guttaflow Bioseal as Monocone Obturation Technique: A Scanning Electron Microscopy Study

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