A Comparison of the Discoloration Potential for EndoSequence Bioceramic Root Repair Material Fast Set Putty and ProRoot MTA in Human Teeth: An In Vitro Study

Mineral trioxide aggregate (MTA) is a dental material used extensively for vital pulp therapies (VPT), protecting scaffolds during regenerative endodontic procedures, apical barriers in teeth with necrotic pulps and open apices, perforation repairs as well as root canal filling and root-end filling during surgical endodontics. A number of bioactive endodontic cements (BECs) have recently been introduced to the market. Most of these materials have calcium and silicate in their compositions; however, bioactivity is a common property of these cements. These materials include the following: BioAggregate, Biodentine, BioRoot RCS, calciumenriched mixture cement, Endo-CPM, Endocem, EndoSequence, EndoBinder, EndoSeal MTA, iRoot, MicroMega MTA, MTA Bio, MTA Fillapex, MTA Plus, Neo MTA Plus, Ortho MTA, Quick-Set, Retro MTA, Tech Biosealer, and TheraCal LC. It has been claimed that these materials have properties similar to those of MTA but without the drawbacks. In Part I of this review, the available information on the chemical composition of the materials listed above was reviewed and their applications for VPT was discussed. In this article, the clinical applications of MTA and other BECs will be reviewed for apexification, regenerative endodontics, perforation repair, root canal filling, root-end filling, restorative procedures, periodontal defects and treatment of vertical and horizontal root fractures. In addition, the literature regarding the possible drawbacks of these materials following their clinical applications is reviewed. These drawbacks include their discolouration potential, systemic effects and retreatability following use as a root filling material. Based on selected keywords, all publications were searched regarding the use of MTA as well as BECs for the relevant clinical applications. Numerous publications were found regarding the use of BECs for various endodontic applications. The majority of these investigations compared BECs with MTA. Despite promising results for some materials, the number of publications using BECs for various clinical applications was limited. Furthermore, most studies had several methodological shortcomings and low levels of evidence.

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“…, Alsubait et al . ). The reason that some studies did not find discolouration with Biodentine (Vallés et al .…”

Section: Important Clinical Factors and Possible Drawbacksmentioning

confidence: 97%

Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part II: other clinical applications and complications

2017

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“…Essa descoloração é consequência de compostos dos cimentos que se espalham em túbulos dentinários durante ou após sua adaptação 43 . Evidências suportam que materiais biocerâmicos poderiam induzir menor escurecimento da estrutura dentária 19,20 .…”

Section: Discussionunclassified

“…No entanto, mais estudos clínicos são necessários para confirmar esses achados 19 . Ao comparar o potencial de descoloração do Endosequence Bioceramic Root Repair Material Fast Set Putty (ERRM) e do ProRootMTA (PMTA), quando colocados coronalmente em dentes humanos extraídos durante um período de quatro meses, dentes em tratamento com PMTA exibiram descoloração progressiva, enquanto aqueles com ERRM mantiveram a estabilidade de cor 20 . …”

Section: Alteração De Corunclassified

Cimentos biocerâmicos em endodontia: revisão de literatura

Lima¹,

Santos²,

Pedrosa³

et al. 2017

Rev. da Fac. de Odontologia, UPF

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Cimentos biocerâmicos vêem se tornando populares na ndodontia como material obturador do sistema de canais radicular devido às suas várias vantagens. Objetivo: Revisar a literatura atualmente disponível sobre as propriedades de cimentos biocerâmicos na endodontia. Metodologia: Uma pesquisa bibliográfica exploratória foi realizada utilizando as bases de dados eletrônicas Public Medline (PubMed), Scopus, Embase, e Web of Science empregando o termo de busca “Bioceramic” AND “Endodontic”. Os critérios de inclusão foram: artigos de pesquisas originais e ensaios clínicos publicados em português, espanhol e inglês. Não foram aplicados limites a data de publicação. Resultados: Foram identificados 30 estudos que abordaram propriedades de cimentos biocerâmicos em endodontia publicados em um período de 7 anos (2011-2017). As propriedades e características vantajosas destacadas nos estudos foram: biocompatibilidade, citotoxicidade, bioatividade, capacidade de manchamento dentário, radiopacidade, pH e extravasamento (extravasamento não se enquadra como propriedade), adaptação marginal, resistência de união, resistência a fratura das raízes, capacidade seladora, e propriedades antibacterianas. Conclusão: Os estudos selecionados para esta revisão de literatura mostram que os cimentos endodônticos biocerâmicos apresentam propriedades promissoras para serem utilizados no tratamento de canais radiculares.

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“…It is also reported that BC is a bioactive cement [20] with similar compressive strength to MTA [21]. Furthermore, it does not induce discoloration in the tooth structure [18].…”

Section: Introductionmentioning

confidence: 87%

“…MTA has several desirable properties such as biocompatibility [14] and bioactivity [15]. The main disadvantages of MTA are the long setting time [16], difficulty in handling [17], and discoloration potential [18]. TotalFill BC (FKG, Dentaire, La Chaux-de-Fonds, Switzerland; marketed as EndoSequence BC from Brasseler USA in North America) is a newer calcium silicate-based cement that was developed to overcome the disadvantages of MTA.…”

Section: Introductionmentioning

confidence: 99%

The effect of intracanal medicaments used in Endodontics on the dislocation resistance of two calcium silicate-based filling materials

Alsubait

Alsaad²,

Alahmari

et al. 2020

BMC Oral Health

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Background: Intracanal medicaments can be used in various endodontic conditions including multiple visit endodontics after trauma or in regenerative endodontics. These medicaments should be removed from the root canal before the placement of the filling or repair material. The aim of the present study was to evaluate the effect of prior calcium hydroxide (Ca(OH) 2 ) and modified triple antibiotic paste (mTAP) placement on the push-out bond strength of TotalFill BC fast set putty (BC fast set putty) to root dentin when compared to mineral trioxide aggregate (MTA). Methods: The root canals of 45 extracted mandibular premolars were prepared to a standardized internal diameter (1.5 mm). The specimens were randomly assigned to 3 groups according to the intracanal medicament used: mTAP (a mixture of metronidazole, ciprofloxacin, and cefaclor), Ca(OH) 2 , and no intracanal medicament. After 1 week, the medicaments were removed, and the middle third of the roots were cut into two transverse sections (2.0 ± 0.05) (n = 90 slices). Thereafter, the specimens were divided into two subgroups (n = 45 each): MTA or BC putty. After 1 week, the push-out test was performed and failure mode was evaluated. The data were statistically analyzed using two-way ANOVA and Tukey's post hoc. Results: The application of the intracanal medicament did not significantly affect the bond strength of BC putty (p > .05). For MTA, the prior application of Ca(OH) 2 or mTAP significantly decreased the dislocation resistance (p < .05). Specimens in the MTA subgroups showed an almost equal number of cohesive and mixed types of failure while the majority of the specimens in the BC putty subgroups revealed the cohesive type. Conclusions: Ca(OH) 2 and mTAP promoted lower bond strength of MTA to root dentin compared to the control group. However, the BC fast set putty bond strength to dentin was not affected by prior medication with Ca(OH) 2 or mTAP.

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A Comparison of the Discoloration Potential for EndoSequence Bioceramic Root Repair Material Fast Set Putty and ProRoot MTA in Human Teeth: An In Vitro Study

Cited by 17 publications

References 36 publications

Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part II: other clinical applications and complications

Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part II: other clinical applications and complications

Cimentos biocerâmicos em endodontia: revisão de literatura

The effect of intracanal medicaments used in Endodontics on the dislocation resistance of two calcium silicate-based filling materials

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