Effect of Unintentionally Extruded Calcium Hydroxide Paste Including Barium Sulfate as a Radiopaquing Agent in Treatment of Teeth with Periapical Lesions: Report of a Case

Oruçoğlu, Hasan; Çobankara, Funda Kont

doi:10.1016/j.joen.2008.04.012

Cited by 29 publications

(25 citation statements)

References 29 publications

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“…Contact with the periradicular tissues might cause complications ranging from mild inflammatory and allergic reactions to neurotoxic effects such as anesthesia and long-lasting paresthesia (2). The materials most commonly associated with these complications are compounds that contain paraformaldehyde, calcium hydroxide, and/ or eugenol (2,19,20). It was demonstrated in this case report that when MTA was applied as a root canal filling and extruded through the periradicular lesion associated with necrotic pulps, there were no complications.…”

Section: Discussionmentioning

confidence: 79%

Effect of Unintentionally Extruded Mineral Trioxide Aggregate in Treatment of Tooth with Periradicular Lesion: A Case Report

Tahan

Çelik

et al. 2010

Journal of Endodontics

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Section: Discussionmentioning

confidence: 79%

Effect of Unintentionally Extruded Mineral Trioxide Aggregate in Treatment of Tooth with Periradicular Lesion: A Case Report

Tahan

Çelik

et al. 2010

Journal of Endodontics

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“…The endodontic materials should present sufficient radiopacity to be distinguished from adjacent anatomical structures, such as bone and teeth [31]. Zinc oxide, barium sulfate, bismuth oxide, and other components with iodine and bromine are some examples of radiopacifiers [12, 14, 27, 32]. …”

Section: Discussionmentioning

confidence: 99%

“…Despite these properties, the Ca(OH) 2 has no satisfactory physical properties such as radiopacity to visualize on dental radiographs and flow capacity to facilitate its insertion in the root canal [12, 13]. For this reason, it needs the incorporation of a radiopacifying agent and a vehicle to improve these characteristics [8, 14]. …”

Section: Introductionmentioning

confidence: 99%

Biocompatibility of Intracanal Medications Based on Calcium Hydroxide

et al. 2012

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Objective. The aim of this study was to evaluate the rat subcutaneous tissue reaction to calcium hydroxide-based intracanal medicaments, UltraCal XS (calcium hydroxide, barium sulphate, aqueous matrix), Hydropast (calcium hydroxide, barium sulphate, and propyleneglycol), and Calen (Calcium hydroxide, zinc oxide, colophony, and polyethyleneglycol), used as a control. Methods. Forty-eight rats (Rattus Norvegicus Holtzman) were distributed in three groups: Calen, UltraCal XS, and Hydropast. Polyethylene tubes filled with one of the medicaments were implanted in the dorsal subcutaneous. After 7 and 30 days, the implants were removed and the specimens were fixed and embedded in paraffin. Morphological and quantitative analyses were carried out in the HE-stained sections. The numerical density of inflammatory cells in the capsule was evaluated and statistical analyses were performed (P ≤ 0.05). Results. At 7 days, all materials induced an inflammatory reaction in the subcutaneous tissue adjacent to the implants. In all groups, a significant reduction in the number of inflammatory cells and giant cells was verified in the period of 30 days. Conclusion. These results indicate that the calcium hydroxide-based medicaments evaluated present biocompatibility similar to Calen.

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“…They claimed that calcium hydroxide enhances the healing and osseous repair by direct effect on inflamed tissues. However, this hypothesis was rejected by other researchers and not widely used as extrusion of calcium hydroxide beyond the apex can lead to damaging effects [24].…”

Section: Effect Of Calcium Hydroxide On Periapical Areamentioning

confidence: 99%

“…Furthermore, the effect of extruded calcium hydroxide paste including a barium sulfate and/or another radiopaque agent and the healing of periapical lesions is not completely clear. Consequently, pure calcium hydroxide is preferred by most clinicians as they believe that the commercial ingredients may delay the healing process they want [24] [25]. …”

Section: Effect Of Calcium Hydroxide On Periapical Areamentioning

confidence: 99%

Calcium Hydroxide in Endodontics: An Overview

Ba-Hattab¹,

Al-Jamie²,

Aldreib³

et al. 2016

OJST

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Background: Calcium hydroxide has been used in dentistry since several decades. It has been used in a number of applications in the field of endodontics such as root resorption, intracanal medicament, and root canal sealers. Although this material exhibits several advantages, it also has some limitations. Objectives: To review the role of calcium hydroxide in the field of endodontics, focusing on its mechanism of action, antimicrobial effects, different applications, cytotoxicity or biocompatibility, and its removal from the root canals. Materials and Methods: An electronic search was done using different databases. Out of 2,664 articles, only 33 articles have been selected to be included in this review because they are directly related to the topic and matched the inclusion criteria of this review: "Language: English" and "Year: 2000-2016". Results: The antimicrobial effect of calcium hydroxide is controversial. Although some studies supported the effectiveness of calcium hydroxide against some bacteria others reported its limitation against fungal infection. Calcium hydroxide can be used effectively as intracanal medicament, root canal sealer, in weeping canals, for perforation management and root resorption. Conclusions: Despite the limitation of antimicrobial activity of calcium hydroxide, it is used effectively in a number of treatment modalities in endodontics. Due to its biological and therapeutical properties, calcium hydroxide is the material of choice for all pulp therapy. However, when using calcium hydroxide as a dressing material in root canal treatment caution should be taken to prevent the overextension of the paste beyond the tooth apex and avoid the harmful side effects.

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Effect of Unintentionally Extruded Calcium Hydroxide Paste Including Barium Sulfate as a Radiopaquing Agent in Treatment of Teeth with Periapical Lesions: Report of a Case

Cited by 29 publications

References 29 publications

Effect of Unintentionally Extruded Mineral Trioxide Aggregate in Treatment of Tooth with Periradicular Lesion: A Case Report

Effect of Unintentionally Extruded Mineral Trioxide Aggregate in Treatment of Tooth with Periradicular Lesion: A Case Report

Biocompatibility of Intracanal Medications Based on Calcium Hydroxide

Calcium Hydroxide in Endodontics: An Overview

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