Effectiveness of different root-end filling materials in modern surgical endodontic treatment: A systematic review and network meta-analysis

Chao, Yen-Ching; Chen, Po-Huang; Su, Wen‐Song; Yeh, Hsiao-Wen; Su, Ching‐Hua; Wu, Yaotang; Chiang, Ho-Sheng; Jhou, Hong-Jie; Shieh, Yi‐Shing

doi:10.1016/j.jds.2022.05.013

Cited by 4 publications

(3 citation statements)

References 61 publications

(119 reference statements)

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“…An ideal apical sealing material should have bioactivity, biocompatibility, long-term sealing ability, good operating performance, and the ability to promote tissue healing [ 8 , 68 , 69 ]. In dentistry, almost all available restorative materials have been used as root-end filling materials, and bioceramics such as MTA are among the most prominent [ 70 ].…”

Section: Clinical Applications In Endodonticsmentioning

confidence: 99%

Bioceramics in Endodontics: Updates and Future Perspectives

Dong

2023

Bioengineering

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Bioceramics, with excellent bioactivity and biocompatibility, have been widely used in dentistry, particularly in endodontics. Mineral trioxide aggregate (MTA) is the most widely used bioceramic in endodontics. Recently, many new bioceramics have been developed, showing good potential for the treatment of endodontic diseases. This paper reviews the characteristics of bioceramics and their applications in various clinical endodontic situations, including root-end filling, root canal therapy, vital pulp therapy, apexification/regenerative endodontic treatment, perforation repair, and root defect repair. Relevant literature published from 1993 to 2023 was searched by keywords in PubMed and Web of Science. Current evidence supports the predictable outcome of MTA in the treatment of endodontic diseases. Although novel bioceramics such as Biodentine, EndoSequence, and calcium-enriched mixtures have shown promising clinical outcomes, more well-controlled clinical trials are still needed to provide high-level evidence for their application in endodontics. In addition, to better tackle the clinical challenges in endodontics, efforts are needed to improve the bioactivity of bioceramics, particularly to enhance their antimicrobial activity and mechanical properties and reduce their setting time and solubility.

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Section: Clinical Applications In Endodonticsmentioning

confidence: 99%

Bioceramics in Endodontics: Updates and Future Perspectives

Dong

2023

Bioengineering

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“…126 The reported success rate of modern endodontic surgery with root-end filling with intermediate restorative material (IRM), super-ethoxybenzoic acid (Super-EBA) or MTA was 94%. 126 As a root-end filling material, MTA presents better treatment outcomes than amalgam, 126 resin composite 127 and gutta-percha, 128 while showing similar treatment outcomes to IRM and Super-EBA. 129 In vivo, animal studies have shown that MTA is associated with minimal inflammation around the surgical site, formation of new hard tissue over the material and repair of the periodontal ligament, which did not occur over IRM and Super-EBA.…”

Section: Vital Pulp Treatmentmentioning

confidence: 99%

“…The reported success rate of modern endodontic surgery with root‐end filling with intermediate restorative material (IRM), super‐ethoxybenzoic acid (Super‐EBA) or MTA was 94% 126 . As a root‐end filling material, MTA presents better treatment outcomes than amalgam, 126 resin composite 127 and gutta‐percha, 128 while showing similar treatment outcomes to IRM and Super‐EBA 129 …”

Section: Introductionmentioning

confidence: 99%

Clinical applications of calcium silicate‐based materials: a narrative review

Küçükkaya Eren

2023

Australian Dental Journal

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Calcium silicate‐based materials are hydrophilic materials with biocompatibility and bioactivity properties. Despite many advantages, they might present some problems related to discolouration, setting time, manipulation and solubility depending on the composition of the product and the type of clinical application. Calcium silicate‐based materials can be evaluated under two types according to their intended use: calcium silicate‐based cements (CSCs) and calcium silicate‐based sealers (CSSs). CSCs can be used in many endodontic procedures including perforation repair, resorption repair, apical barriers, guided endodontic repair, vital pulp treatment, endodontic surgery, root fractures and root canal filling as a core obturation material. CSSs are available for use with gutta‐percha to obturate root canals using cold and warm techniques, including the sealer‐based obturation technique. The purpose of this review is to evaluate the available literature on CSCs and CSSs and to provide up‐to‐date information and recommendations for their clinical applications.

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Endodontic Radiopacifying Application of Barium Titanate Prepared through a Combination of Mechanical Milling and Heat Treatment

Lin,

Chen,

Hsu

et al. 2023

Materials

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Mineral trioxide aggregates (MTA) are commonly used as endodontic filling materials but suffer from a long setting time and tooth discoloration. In the present study, the feasibility of using barium titanate (BTO) for discoloration and a calcium chloride (CaCl2) solution to shorten the setting time was investigated. BTO powder was prepared using high-energy ball milling for 3 h, followed by sintering at 700–1300 °C for 2 h. X-ray diffraction was used to examine the crystallinity and crystalline size of the as-milled and heat-treated powders. MTA-like cements were then prepared using 20–40 wt.% BTO as a radiopacifier and solidified using a 0–30% CaCl2 solution. The corresponding radiopacity, diametral tensile strength (DTS), initial and final setting times, and discoloration performance were examined. The experimental results showed that for the BTO powder prepared using a combination of mechanical milling and heat treatment, the crystallinity and crystalline size increased with the increasing sintering temperature. The BTO sintered at 1300 °C (i.e., BTO-13) exhibited the best radiopacity and DTS. The MTA-like cement supplemented with 30% BTO-13 and solidified with a 10% CaCl2 solution exhibited a radiopacity of 3.68 ± 0.24 mmAl and a DTS of 2.54 ± 0.28 MPa, respectively. In the accelerated discoloration examination using UV irradiation, the color difference was less than 1.6 and significantly lower than the clinically perceptible level (3.7). This novel MTA exhibiting a superior color stability, shortened setting time, and excellent biocompatibility has potential for use in endodontic applications.

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Effectiveness of different root-end filling materials in modern surgical endodontic treatment: A systematic review and network meta-analysis

Cited by 4 publications

References 61 publications

Bioceramics in Endodontics: Updates and Future Perspectives

Bioceramics in Endodontics: Updates and Future Perspectives

Clinical applications of calcium silicate‐based materials: a narrative review

Endodontic Radiopacifying Application of Barium Titanate Prepared through a Combination of Mechanical Milling and Heat Treatment

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