The use of calcium sulphate in the surgical treatment of a ‘through and through’ periradicular lesion

Pecora, Gabriele; Leonardis, Dario De; Ibrahim, Nada; Bovi, Mauro; Cornelini, Roberto

doi:10.1046/j.1365-2591.2001.00369.x

Cited by 104 publications

(134 citation statements)

References 22 publications

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“…I cases with bone defects missing both the buccal and lingual cortical plates, the use of a bone substitute may be beneficial on the healing, similar to the use of porous membranes in periapical defects [12]. The use of membrane and BioOss [13] and calcium sulphate [14] in through and through periapical lesions, has also shown in clinical studies to improve the clinical healing outcome. No statistically significant difference was revealed in terms of inflammatory reactions when comparing all tested groups.…”

Section: Histologymentioning

confidence: 99%

Evaluation of 4 different bone graft substitutes and autogenous bone grafting in root-end resection osteotomies after retrograde root-filling with Intermediate Restorative Material (IRM): An experimental study in dogs

Wälivaara¹,

Abrahamsson²

2013

OJST

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Section: Histologymentioning

confidence: 99%

Evaluation of 4 different bone graft substitutes and autogenous bone grafting in root-end resection osteotomies after retrograde root-filling with Intermediate Restorative Material (IRM): An experimental study in dogs

Wälivaara¹,

Abrahamsson²

2013

OJST

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“…[5][6][7][8][9][10][11][12] Calcium sulfate has been successfully used to treat periodontal disease, endodontic lesions, alveolar bone loss, and maxillary sinus augmentation. 3,4,[13][14][15][16][17] Calcium sulfate may act as a binder, facilitating healing and preventing loss of the grafting material; moreover, it is tissue compatible, and does not interfere with the healing process. 18 Calcium sulfate has also been used with other materials, such as autogenous bone, 2 DFDBA, 18 polymers, or HA; 19 in these cases there was a favorable effect on the potential for osteogenesis.…”

Section: Introductionmentioning

confidence: 99%

Bone‐defect healing with calcium‐sulfate particles and cement: An experimental study in rabbit

et al. 2003

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Calcium sulfate (CaS) has been shown to be a reasonable alternative to autogenous bone graft for treating bone lesions in dentistry. The aim of this work was an histological study of the bone healing of defects treated with calcium sulfate in the form of cement or beads, in animal. Eight New Zealand rabbits, weighing about 2.5 Kg were used in this study. In each rabbit, four 6 mm bone defects were created in the tibial metaphysis. The 2 defects in the right tibia were filled with calcium sulfate as cement, while the 2 defects in the left one were filled with calcium sulfate as beads. Four rabbits were killed after respectively 2 and 4 weeks, with an intravenous injection of Tanax, and the block sections, containing the bone defects, were retrieved. A total of 16 defects filled by cement and a total of 16 defects filled by beads were retrieved. The specimens were processed to obtain thin ground sections with the Precise 1 Automated System. In the first phases of healing it was possible to observe an intense osteoblastic activity, and in some areas osteoid matrix was present. After two weeks the calcium sulfate (both cement and beads) was still present, and biological fluids and cells were present inside the material. Newly formed bone surrounded the calcium sulfate and filled about 10% of the defect. After four weeks the calcium sulfate was almost completely resorbed and substituted by new bone. Approximately 34% of the defects were filled by newly formed bone. BEI and XRM evaluations showed the structural components of the filled defects. In none of the specimens were inflammatory cells present. No significant differences were found using both calcium sulfate as cement and beads, and they both have shown a high biocompatibility, appearing to promote newly bone formation in the rabbit model, and they did not induce any untoward effect on the bone regeneration processes.

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“…Calcium sulfate is resorbed after about 4 weeks, thereby assisting in the formation of new bone tissue and more favorable repair. [10][11][12] Calcium sulfate may also be introduced using specialized devices, such as the Messing Gun or Dovgan Carriers. Considerable care is taken to ensure that the calcium sulfate does not contaminate the walls of the canal as it can interfere with the close adaptation of MTA.…”

Section: Discussionmentioning

confidence: 99%

Mineral Trioxide Aggregate Apexification followed by Fiber Post reinforced and customized with Ribbond Material in Fractured Immature Maxillary Central Incisor

Hoshing¹,

Miglani²,

Shah³

et al. 2017

IJPCDR

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Traumatic teeth with open apex having necrotic pulp and periapical lesion are difficult to treat via conventional endodontic therapy. Revascularization is not always possible due to the long treatment time involved. Apexification followed by the reinforcement of weakened root structures with fiber post is an attractive option. Mineral trioxide aggregate (MTA) is a successful material used for apexification procedures. But for structurally weakened roots with wide canal, to get proper adaptation to canal diameter is a challenging task. Ribbond is one such material that has occupied an important place in dentistry. It is a bondable fiber-reinforced material, made from the same ultrahigh molecular weight polyethylene and ceramic fibers, lowering the risk of catastrophic failures and with better stress distribution. This study describes a case report in which nonvital tooth with wide-open canal is managed using MTA as apexification agent. Original root canal shape was configured with the help of fiber posts covered with ribbond material to enhance the fracture resistance of maxillary central incisor and retention of post.

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The use of calcium sulphate in the surgical treatment of a ‘through and through’ periradicular lesion

Cited by 104 publications

References 22 publications

Evaluation of 4 different bone graft substitutes and autogenous bone grafting in root-end resection osteotomies after retrograde root-filling with Intermediate Restorative Material (IRM): An experimental study in dogs

Evaluation of 4 different bone graft substitutes and autogenous bone grafting in root-end resection osteotomies after retrograde root-filling with Intermediate Restorative Material (IRM): An experimental study in dogs

Bone‐defect healing with calcium‐sulfate particles and cement: An experimental study in rabbit

Mineral Trioxide Aggregate Apexification followed by Fiber Post reinforced and customized with Ribbond Material in Fractured Immature Maxillary Central Incisor

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