Comparative evaluation of Ca(OH)2 plus points and Ca(OH)2 paste in apexification

Bezgin, Tuğba; Sönmez, Hayriye; Orhan, Kaan; Özalp, Nurhan

doi:10.1111/j.1600-9657.2011.01110.x

Cited by 13 publications

(11 citation statements)

References 32 publications

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“…, Bezgin et al . ). Furthermore, the short‐term use of Ca(OH) 2 as an intracanal medicament is still the accepted and preferred approach in endodontics and dental traumatology (Kawashima et al .…”

Section: Introductionmentioning

confidence: 97%

The effect of nonsetting calcium hydroxide on root fracture and mechanical properties of radicular dentine: a systematic review

Yassen

Platt

2012

Int Endodontic J

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The aim of this review was to identify and analyse all studies related to the effect of nonsetting calcium hydroxide [Ca(OH)(2)] on root fracture and various mechanical properties of radicular dentine. A PubMed search was conducted using the keywords 'calcium hydroxide' and 'dentistry' combined with MeSH terms 'tooth fractures' or 'mechanical phenomena' or 'compressive strength'. The search was expanded by including Embase and Web of Science databases, using the keywords 'calcium hydroxide' and 'root' and 'fracture'. The search was supplemented by checking the reference lists from each selected article. Each study had to meet the following criteria to be selected for review: (i) Inclusion of at least one experimental group with root or radicular dentine either filled with or exposed to nonsetting Ca(OH)(2); (ii) inclusion of at least one appropriate control group; and (iii) a minimum of five samples per experimental group. Only articles written in English were included. Of the 16 studies selected initially, 12 in vitro studies fulfilled the selection criteria for inclusion in the final review. No clinical studies that directly supported the correlation between Ca(OH)(2) intracanal dressing and root fracture were found in the literature. However, the majority of in vitro studies showed reduction in the mechanical properties of radicular dentine after exposure to Ca(OH)(2) for 5 weeks or longer. Conversely, the data were inconclusive regarding whether Ca(OH)(2) exposure for 1 month or less had a negative effect on the mechanical properties of radicular dentine.

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Section: Introductionmentioning

confidence: 97%

The effect of nonsetting calcium hydroxide on root fracture and mechanical properties of radicular dentine: a systematic review

Yassen

Platt

2012

Int Endodontic J

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“…Long-term effectiveness of CH-GP as intracanal medicament was investigated in just a few studies, mainly case reports. CH-GP were showed to be successful in the treatment of different types of periapical lesions [14], root resorption [14,15], and for apexification treatment [16].…”

Section: Introductionmentioning

confidence: 99%

Influence of different forms of calcium hydroxide and chlorhexidine intracanal medicaments on the outcome of endodontic treatment of teeth with chronic apical periodontitis

et al. 2018

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Introduction/Objective The aim of this study was to determine clinical and radiographic periapical healing of teeth with apical periodontitis treated with different formulations of calcium hydroxide (CH)-paste (CH-paste) and gutta-percha points (CH-GP)-as well as those of chlorhexidine (CHX)-gel (CHXgel) and gutta-percha points (CHX-GP)-12 months after therapy. Methods Eighty patients with chronic apical periodontitis were randomly allocated to four treatment groups according to the intracanal medicament used: CH-paste, CH-GP, CHX-gel, and CHX-GP group. Seventy-eight patients were analyzed clinically and radiographically 12 months postoperatively. The periapical index (PAI) was used for the radiographic evaluation of treatment. Results Overall outcome was classified according to radiographic evaluation only, since clinical success was observed in all the patients. In all the groups, significant reduction in PAI scores was observed (p < 0.001). The proportions of healed teeth (PAI ≤ 2) were 73.7%, 60%, 68.4%, and 65% in CH-paste, CH-GP, CHX-gel and CHX-GP group, respectively, with no significant differences between the groups. Conclusion The results suggest that there are no differences between investigated CH-and CHX-delivery systems regarding treatment outcome of teeth with apical periodontitis.

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“…Apexification is the process that allows the formation of a calcified barrier across the open apex, after pulp necrosis, thus creating a suitable environment within the root canal and periapical tissues 8 . Various materials have been used to induce apical closure, among them calcium hydroxide and mineral trioxide aggregate (MTA).…”

Section: Introductionmentioning

confidence: 99%

“…An alternative treatment to Ca(OH) 2 apexification is to fabricate an artificial apical barrier with MTA, which allows immediate obturation of the canal. However, the high costs and difficulties in handling the material have restricted its widespread use 8,12 .…”

Section: Introductionmentioning

confidence: 99%

The biocompatibility of a new endodontic paste used in dental trauma

Soares

Prado

Brazão

et al. 2015

Rev. odontol. UNESP

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<title>Abstract</title><sec><title>Objective</title>This study investigated the short-term subcutaneous tissue reaction of a new endodontic paste, based on the association among calcium hydroxide [Ca(OH)2], 2% chlorhexidine gel (CHX) and zinc oxide (ZnO) in comparison with a control paste, and the individual substances alone.</sec><sec><title>Material and method</title>Twenty-four male wistar rats were used. Polyethylene tubes containing the materials were implanted into the dorsal connective tissue of rats. Empty implanted tubes served as controls. The materials used were: Ca(OH)2+CHX+ZnO paste in two different proportions (2:1:2) and (2:1:3), a control paste, Ca(OH)2+CHX (2:1), and the substances alone. After time intervals of 2, 3, 7 and 15 days, the animals were euthanized and the specimens prepared for histological processing. Data were evaluated qualitatively according to the levels of tissue repair and the degree of inflammation.</sec><sec><title>Result</title>On the second day all the materials were observed to cause a severe inflammatory response. On the third day, the pastes Ca(OH)2+CHX+ZnO (2:1:2) and (2:1:3) showed reduction in degree of inflammation. On seventh day the tissue was already more organized with presence of collagen fibers in all materials. After 15 days it was found that compound Ca(OH)2+CHX+ZnO (2:1:2) showed areas with no inflammatory infiltrate.</sec><sec><title>Conclusion</title>The experimental pastes, Ca(OH)2+CHX+ZnO in two different proportions (2:1:2) and (2:1:3), showed favorable results with respect to biocompatibility, when evaluated for a short-term.</sec>

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Comparative evaluation of Ca(OH)₂ plus points and Ca(OH)₂ paste in apexification

Abstract: CHPP-treated central incisors requiring apexification demonstrated good success. CHPP can be used for cases in which traditional Ca(OH)(2) apexification is indicated as it has a similar outcome with CHP.

Cited by 13 publications

References 32 publications

The effect of nonsetting calcium hydroxide on root fracture and mechanical properties of radicular dentine: a systematic review

The effect of nonsetting calcium hydroxide on root fracture and mechanical properties of radicular dentine: a systematic review

Influence of different forms of calcium hydroxide and chlorhexidine intracanal medicaments on the outcome of endodontic treatment of teeth with chronic apical periodontitis

The biocompatibility of a new endodontic paste used in dental trauma

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