The Washout Resistance of Bioactive Root-End Filling Materials

Falkowska, Joanna; Chady, Tomasz; Dura, Włodzimierz; Droździk, Agnieszka; Tomasik, Małgorzata; Marek, Ewa; Safranow, Krzysztof; Lipski, Mariusz

doi:10.3390/ma16175757

Cited by 4 publications

(2 citation statements)

References 68 publications

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“…Retrograde filling is particularly indicated for conditions such as apical pore hypertrophy, gaps between root canal filling and the root canal wall, absence of a root canal, root canal underfilling, and intricate apical anatomy 36 , 37 . Apical closure facilitated by bioceramic cements not only serves to isolate the root canal system from periodontal tissues and bone cavities post-cyst curettage but also mitigates microleakage following apicectomy, guards against re-infection, and fosters the stimulation of periapical tissue regeneration 38 . In candid acknowledgment, this aspect constitutes a constraint within our study.…”

Section: Discussionmentioning

confidence: 99%

A 3-year follow-up clinical study on the preservation for vitality of involved tooth in jaw cysts through an innovative method

Niu,

Zhang,

Chen

et al. 2024

Sci Rep

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Jaw cysts commonly affect the oral and maxillofacial region, involving adjacent tooth roots. The management of these teeth, particularly regarding root canal therapy and apicoectomy, lacks consensus. This study introduces a novel treatment concept and refined surgical approach to preserve pulp viability in teeth involved in jaw cysts. The objective was to investigate the effectiveness and potential benefits of this approach over a 36-month follow-up period. A conservative management approach prioritized vitality preservation, reserving root canal treatment and apicectomy for cases with post-operative discomfort. A comprehensive follow-up of 108 involved teeth from 36 jaw cyst cases treated with the modified method was conducted. Clinical observation, X-ray imaging, cone-beam computed tomography (CBCT), and pulp vitality testing assessed changes in cyst size, tooth color, pulp vitality, root structure, and surrounding alveolar bone. After 36 months, our modified surgical approach successfully preserved tooth vitality in 84 involved teeth. Adverse symptoms in 19 teeth, such as redness, swelling, fistula, and pain, resolved with postoperative root canal therapy. Follow-up was lost for five teeth in two cases. No cyst recurrences were observed, and in 34 cases, the bone cavity gradually disappeared, restoring normal bone density during long-term follow-up. Our modified surgical method effectively preserves tooth vitality in jaw cysts. This innovative approach has the potential to improve the management of teeth involved in jaw cysts.

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Section: Discussionmentioning

confidence: 99%

A 3-year follow-up clinical study on the preservation for vitality of involved tooth in jaw cysts through an innovative method

Niu,

Zhang,

Chen

et al. 2024

Sci Rep

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show abstract

“…The evolution of this material has led to the creation of the whole bioceramic group of dressing cements. Their therapeutic properties, biocompatibility and antimicrobial activity, all deriving from a specific chemical composition, are essential to ensure treatment success [ 3 ]. Nevertheless, proper material management is of equal importance.…”

Section: Introductionmentioning

confidence: 99%

How Does Ethylenediaminetetraacetic Acid Irrigation Affect Biodentine? A Multimethod Ex Vivo Study

Dąbrowska,

Palatyńska-Ulatowska,

Klimek

2024

Materials

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The activity of biomaterials used during endodontic treatment can be affected by various factors. One of them is the chemical action of the irrigant that they are exposed to. The aim of this multimethod ex vivo study was to evaluate the influence of ethylenediaminetetraacetic acid (EDTA) on the surface appearance and chemical composition of Biodentine used in perforation repair. Twenty material specimens were prepared according to manufacturers’ recommendations and divided into two setting-time-based groups, tested after 45 min (group A) and 24 h (group B) of setting. Material was irrigated with 17% EDTA solution with or without simultaneous ultrasonic activation. The surface characteristics and the chemical composition analysis of the Biodentine specimens were performed with the aid of a scanning electron microscope (SEM) and an energy dispersive spectroscopy (EDS) method, respectively. The volumetric loss of material was measured by dedicated digital software in an optical microscope. Statistical analysis was performed. The EDS study confirmed that after the rinsing protocol, the percentage content of elements differed between the groups. The EDTA rinse, whether ultrasonically activated or not, visibly affected the surface appearance and chemical composition of Biodentine. The specimens’ surface subjected to irrigation was more irregular under SEM than in a control group. The US activation of the liquid amplified its impact on the tested material. The average volume loss in group A after 5 min irrigation was 3.98 µm3 for each µm2 of the chosen area and it increased up to 7.74 µm3/μm2 after the ultrasonic activation. In group B, indicated volume loss values were 6.30 and 11.70 µm3/μm2 for 5 min irrigation without and with US activation, respectively. Using a 20 min irrigation time and ultrasonic activation increased it up to 32.71 µm3/µm2. Each rinsing protocol involving irrigation with ethylenediaminetetraacetic acid modified the surface features and the chemical composition of the evaluated hydraulic tricalcium silicate cement. Further research is needed to indicate the possible impact of the observed changes on its long-term clinical performance.

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The Use of Mineral Trioxide Aggregate and Biodentine in Furcal Perforations Sealing – A Review Article

Pietrzycka

2024

Journal of Health Study and Medicine

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Pulp cavity perforation is defined as pathological connection between root canal system and external surface of the tooth. This iatrogenic pulp chamber injury may have serious implications on the success of root canal treatment. The sealing of perforation is crucial for good prognosis of the treated tooth. The ideal material for sealing perforations in the pulp cavity should be characterized by a good adhesion, lack of sensitivity to tissue fluids, volume stability, radiopacity on radiographs and excellent bioactivity and biocompatibility. To date the most well -known bioceramic material to is mineral trioxide aggregate. Due to over thirty years of its application in endodontics, it is called the „gold standard” for perforation repair. Recently, many new bioceramic materials have been developed and introduced to dentistry and endodontics, showing promising clinical results. One of the materials successfully used for pulp chamber floor perforation repair is Biodentine. According to the manufacturers, Biodentine has a much shorter setting time compared to other bioceramic cements, and also has better mechanical properties and is easier to use. The aim of the article is to analyse the available research and compare the properties of those bioceramic materials in a perforation sealing procedure. Based on the analysis of the current literature, it can be concluded that mineral trioxide aggregate is still the most proven and tested material among bioceramic materials, but Biodentine is a good alternative as it is relatively easy to manipulate but also has predictable clinical results.

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The Washout Resistance of Bioactive Root-End Filling Materials

Cited by 4 publications

References 68 publications

A 3-year follow-up clinical study on the preservation for vitality of involved tooth in jaw cysts through an innovative method

A 3-year follow-up clinical study on the preservation for vitality of involved tooth in jaw cysts through an innovative method

How Does Ethylenediaminetetraacetic Acid Irrigation Affect Biodentine? A Multimethod Ex Vivo Study

The Use of Mineral Trioxide Aggregate and Biodentine in Furcal Perforations Sealing – A Review Article

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