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 6 publications

(5 citation statements)

References 62 publications

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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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“…MTA typically consists of 75% Portland cement, 25% bismuth oxide, and 5% gypsum. It has been widely used in endodontic treatment for repairing lateral perforations, apexification, direct pulp capping, and root end filling [ 22 , 23 ]. During the clinical application of MTA, the hydration of Portland cement grants it sealing ability and mechanical strength, whereas bismuth oxide provides the required radiopacity to show the effects of endodontic treatment.…”

Section: Introductionmentioning

confidence: 99%

Effects of Calcination Temperature on the Synthesis of One-Pot Sol-Gelled Barium Titanate Powder and Its Performance as an Endodontic Radiopacifier

Chang,

Chen,

Cheng

et al. 2024

Materials

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Barium titanate (BaTiO3, BTO), conventionally used for dielectric and ferroelectric applications, has been assessed for biomedical applications, such as its utilization as a radiopacifier in mineral trioxide aggregates (MTA) for endodontic treatment. In the present study, BTO powders were prepared using the sol-gel process, followed by calcination at 400–1100 °C. The X-ray diffraction technique was then used to examine the as-prepared powders to elucidate the effect of calcination on the phase composition and crystalline size of BTO. Calcined BTO powders were then used as radiopacifiers for MTA. MTA-like cements were investigated to determine the optimal calcination temperature based on the radiopacity and diametral tensile strength (DTS). The experimental results showed that the formation of BTO phase was observed after calcination at temperatures of 600 °C and above. The calcined powders were a mixture of BaTiO3 phase with residual BaCO3 and/or Ba2TiO4 phases. The performance of MTA-like cements with BTO addition increased with increasing calcination temperature up to 1000 °C. The radiopacity, however, decreased after 7 days of simulated oral environmental storage, whereas an increase in DTS was observed. Optimal MTA-like cement was obtained by adding 40 wt.% 1000 °C-calcined BTO powder, with its resulting radiopacity and DTS at 4.83 ± 0.61 mmAl and 2.86 ± 0.33 MPa, respectively. After 7 days, the radiopacity decreased slightly to 4.69 ± 0.51 mmAl, accompanied by an increase in DTS to 3.13 ± 0.70 MPa. The optimal cement was biocompatible and verified using MG 63 and L929 cell lines, which exhibited cell viability higher than 95%.

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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 6 publications

References 62 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

Effects of Calcination Temperature on the Synthesis of One-Pot Sol-Gelled Barium Titanate Powder and Its Performance as an Endodontic Radiopacifier

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