Evaluation of Interference of Calcium Hydroxide-based Intracanal Medication in Filling Root Canal Systems

Abstract

Aim:To evaluate the interference of the intracanal medication Calen ® (SSWhite, São Paulo, Brazil) on the filling of simulated lateral canals. Materials and methods:Twenty human anterior teeth were used. Before the endodontic filling procedures the access of cavity was made, and after this root canals were made in all the teeth to simulate the presence of lateral canals. After preparation, the teeth were randomly divided into two groups (n=10). In group I, the root canal system was filled directly after chemicalmechanical preparation; in group II, endodontic treatment was performed in multiple sessions, and after preparation the calcium hydroxide-based intracanal medication Calen ® was inserted. After the period of 7 days, the root canals were vigorously irrigated and then they were filled. Next, the teeth were radiographed to verify the quality of the filling. Results:The results demonstrated that the teeth treated in a single session, without calcium hydroxide medication, presented 47 canals out of 60 with radiographic evidence of filling, whereas the teeth in which intracanal medication was used, only 07 presented a radiographic image compatible with filling (p < 0.05). Conclusion:The use of the calcium hydroxide-based medication Calen made it difficult to obtain a hermetic filling of the root canal system. Clinical significance:The clinical significance of this work basing on the fact that once the dentist knowing that property obliteration of calcium hydroxide can be taken care when they are used in the presence of lateral canals.

Evaluation of the effectiveness of reciprocal and conventional shaping systems and EDDY and CanalBrush activation systems in calcium hydroxide removal

“…Complete removal of calcium hydroxide before root canal filling is important for the success of the treatment (6,7). Previous studies reported that calcium hydroxide residue on root canal walls adversely affected the binding force of dentin and penetration of sealer into dentinal tubules, in addition to increasing marginal leakage (6,8,9).…”

Estudo longitudinal do sucesso clínico-radiográfico de dentes tratados com medicação intracanal de hidróxido de cálcio

“…As principais características do hidróxido de cálcio se desenvolvem a partir da sua dissociação em íons cálcio e hidroxila. A ação desses íons explica as características biológicas e antimicrobianas desta substância, que se manifestam a partir de ações enzimáticas tanto sobre as bactérias quanto sobre os tecidos 3,8,9 . Portanto, o emprego do hidróxido de cálcio na Endodontia se deve ao seu caráter antimicrobiano, potencializando a desinfecção do SCR, e também pela sua participação no processo de reparo periapical.…”