Importance of coronal seal: Preventing coronal leakage in endodontics

Mandke, Lalitagauri

doi:10.4103/2321-4619.188224

Cited by 18 publications

(15 citation statements)

References 2 publications

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“…Once microorganisms have reached the pulp, root canal treatment is indicated. A sturdy and dimensionally stable root filling material that prevents bacterial leakage is necessary, in addition to a tight coronal seal [137,138]. BAGs have been implemented in endodontic root filling materials as well.…”

Section: Clinical Applications Of Bioactive Glasses In Dentistrymentioning

confidence: 99%

Bioactive Glass Applications in Dentistry

Skallevold

Rokaya

Khurshid

et al. 2019

IJMS

190

113

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At present, researchers in the field of biomaterials are focusing on the oral hard and soft tissue engineering with bioactive ingredients by activating body immune cells or different proteins of the body. By doing this natural ground substance, tissue component and long-lasting tissues grow. One of the current biomaterials is known as bioactive glass (BAG). The bioactive properties make BAG applicable to several clinical applications involving the regeneration of hard tissues in medicine and dentistry. In dentistry, its uses include dental restorative materials, mineralizing agents, as a coating material for dental implants, pulp capping, root canal treatment, and air-abrasion, and in medicine it has its applications from orthopedics to soft-tissue restoration. This review aims to provide an overview of promising and current uses of bioactive glasses in dentistry.

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Section: Clinical Applications Of Bioactive Glasses In Dentistrymentioning

confidence: 99%

Bioactive Glass Applications in Dentistry

Skallevold

Rokaya

Khurshid

et al. 2019

IJMS

190

113

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“…Relation between the quality of final coronal restoration and the overall prognosis of an ETT has been stressed on recently due high failure percentage in well obturated teeth with bad quality coronal restoration (1,(5)(6)(7)(8)(9) With the good success rate of glass fiber posts and the new advents in adhesive dentistry more practitioners are encouraged to use these systems , owing to their comparable modulus of elasticity to dentin a more favorable balanced distribution of force along the root canal walls (12,13). Many studies have investigated the bond strength of GFP (47)(48)(49)(50)(51) .…”

Section: Discussionmentioning

confidence: 99%

“…Success of endodontically treated teeth is not only determined by the debridement, and a fluid tight obturation of the root canal persi. It's more a multidisciplinary systematic process including accurate diagnosis, endodontic treatment and finally placement of a suitable coronal restoration (1) . Coronal leakage is considered as a silent killer, which tends to sneak up un-noticed for months causing extreme damage before its presence is acknowledged.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Chitosan as a Post Space Irrigant on Bond Strength of Fiber Posts Luted With Self-Adhesive Cements: An in-Vitro Study

Waz

Moukarab

2020

Egyptian Dental Journal

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Aim: To evaluate the efficacy of chitosan as a post-space irrigant on bond strength of glass fiber posts luted with self-adhesive resin cements. Methodology: thirty single rooted human mandibular premolars with similar dimensions were decoronated to a standard root length of 15mm, endodontically treated and subjected to post preparation to a 10mm length. Specimens were randomly divided in to 3 groups according to the post space irrigant (PSI) to be used in to group (Saline, EDTA, Chitosan) n=10 each. Following irrigation procedure glass fiber posts (GFP) (Glassix radiopaque, H Nordin, Chailly/Montyreux, Switzerlandand) were cemented using self-adhesive resin cement (RelyX U100). Specimens were sectioned perpendicular to the long axis into 1mm thick slices. Three slices (one representative of each root third) from each specimen were subjected to push-out test and bond strength in MPa was statistically analyzed. Results: the bond strength was significantly higher in both EDTA and Chitosan groups than saline group P < 0.001. Bond strength was significantly affected by the region of the root canal P< 0.001. Conclusion: PSI affects the bond strength of GFP luted with self-adhesive resin cements. Chitosan can serve as a safer alternative for EDTA as a chelating agent. Chitosan as a PSI has a positive influence on the bond strength of GFP luted with self-adhesive resin cements.

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“…1 Therefore, to attain the desired outcome of RCTs, microorganisms must be eliminated by thorough cleaning and shaping of the root canal system. [2][3][4] Additionally, sealing the root canal system with proper filling material to achieve a "fluid-tight" obturation results in an excellent apical seal, which is essential for the success of the RCT. 4,5 Endodontic treatment has a high success rate of up to 93%.…”

Section: Introductionmentioning

confidence: 99%

Restorative Treatment Patterns After Root Canal Obturation in Public Hospitals in Riyadh

AlSwayyed¹,

Nafesah²,

Alqutub³

et al. 2021

CCIDE

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Aim This study aims to describe the pattern of coronal restoration use among different dental specialties after root canal obturation in two governmental hospitals in Riyadh. Materials and Methods Electronic dental records at King Abdul-Aziz Medical City and University Dental Hospital were reviewed. Teeth that underwent initial root canal treatment on a permanent tooth for obturation using gutta-percha between April 2019 and June 2019 were included. The collected data included the type of material used for coronal restoration after RCT, immediate post-space preparation, cotton pellet placement, the clinical title and specialty of the treating physician, and the center where treatment was performed. Excel was used for data collection. IBM SPSS was used for descriptive and interferential analyses. Results A total of 763 patients were included in the study, in which the double seal technique was used in 56% of the patients, followed by Cavit, which was used in approximately 17% of the patients. Post space was prepared immediately after root canal treatment in 49 patients, and only 17 teeth received the final post, whereas post space was temporized for the rest of the prepared teeth and received the final post at the following visits. Significant relations were found between the type of material used and the clinical title of the treating physician and between the material of choice and the specialty of the dentist. The double seal was the technique of choice among endodontists and restorative dentists, whereas advanced general dentists frequently used Cavit. The least used materials were IRM, amalgam, and Ketac Silver. Conclusion The double seal technique was found to be the most commonly used method to achieve a coronal seal, followed by Cavit. Other materials used after RCT, in sequential order based on the frequency of use, were GIC, temporary crowns, resin composite, RMGIC, prefabricated post with composite buildup, IRM, amalgam, and Ketac Silver.

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Importance of coronal seal: Preventing coronal leakage in endodontics

Cited by 18 publications

References 2 publications

Bioactive Glass Applications in Dentistry

Bioactive Glass Applications in Dentistry

Efficacy of Chitosan as a Post Space Irrigant on Bond Strength of Fiber Posts Luted With Self-Adhesive Cements: An in-Vitro Study

Restorative Treatment Patterns After Root Canal Obturation in Public Hospitals in Riyadh

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