Radiographic evaluation of periapical healing of permanent teeth with periapical lesions after extrusion of AH Plus sealer

Sarı, Şaziye; Durutürk, Leyla

doi:10.1016/j.tripleo.2007.03.024

Cited by 51 publications

(49 citation statements)

References 49 publications

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“…Root canal sealers are intended for use within the root canal system [4] but may inadvertently extrude into the periradicular tissue, causing tissue irritation and delayed healing [5]. Similarly, destruction and corrosion products from root canal sealers may reach periradicular tissues through dentinal tubules, lateral and accessory canals or apical foramina [6].…”

Section: Introductionmentioning

confidence: 99%

Determination of trace elements in kidneys, livers and brains of rats with sealer implants by ICP-MS

Şımşek

Akinci

Alan

et al. 2017

Biotechnology & Biotechnological Equipment

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Following root canal treatment, sealers may contact periapical tissue. The purpose of this study was to evaluate the systemic toxic effects of epoxy resin-based sealers (AH Plus and Obtuseal). Inductively coupled plasma-mass spectrometry (ICP-MS) was used to measure levels of trace elements (beryllium, magnesium, aluminium, calcium, chromium, arsenic and lead) in the brain, kidney and liver of rats. Twenty sterilized polyethylene tubes were then filled with AH Plus and Obtuseal and implanted into the dorsal subcutaneous tissue of 10 rats; three unoperated animals were used as a control group. After 45 days, the rats were sacrificed by cervical dislocation following anaesthesia, and brains, kidneys and livers were removed from all experimental animals. ICP-MS analysis was used to determine levels of trace elements. Data were analysed using KruskalWallis and Connover post hoc tests. No significant differences were found in aluminium and calcium levels, but brains, kidneys and livers showed significantly higher amounts of magnesium and chromium than the corresponding controls. In the kidney and liver samples, arsenic levels were found to be higher than in the control group. Lead was detected at higher levels only in liver samples from the AH Plus group. Beryllium was not detected in any organ. It was concluded that AH Plus and Obtuseal release minimal quantities of trace elements when in contact with subcutaneous tissue, and further studies are needed to understand the systemic effects of these materials.

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Section: Introductionmentioning

confidence: 99%

Determination of trace elements in kidneys, livers and brains of rats with sealer implants by ICP-MS

Şımşek

Akinci

Alan

et al. 2017

Biotechnology & Biotechnological Equipment

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“…The direct contact of the sealer with the periapical tissues for longer periods can cause chronic inflammatory reaction [6,20,26]. The studies of Wei and Bing [25] and Canedo et al.…”

Section: Discussionmentioning

confidence: 99%

“…Sari and Duruturk [20] developed a 4-year study evaluating the clinically and radiographically the effects of non-intentional extrusion of AH Plus sealer in the healing of permanent teeth with apical periodontitis. The following-up was performed 3 and 6 months, and then 4 years after the endodontic treatment.…”

Section: Cytotoxic/biocompatibilitymentioning

confidence: 99%

AH Plus extrusion into periapical tissue: literature review of main related properties and report of clinical cases

Hubbe

Oliveira

Coelho

et al. 2017

RSBO

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Introduction: The sealers were developed for filling of root canals. Due to their physicochemical and technical properties used for obturation, often, extrusion is observed through apical constriction and occasionally by lateral and secondary canals. Objective: To review the literature on important properties to be considered in AH Plus sealer extrusion and report a case series of this sealer extrusion. Literature review: Articles evaluating the cytotoxicity and biocompatibility properties, besides flow and solubility were selected. Case report: In the presented cases, endodontic treatment was performed with rotary instrumentation and irrigation with 2.5% NaOCl. Obturation employed visual, tactile, and radiographic proof of gutta-percha main cone, and different obturation techniques. There were no reports of pain during and after endodontic treatment. Conclusion: AH Plus has adequate properties for a filling material and causes no major damage to the periapical tissues due to its little cytotoxic.

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“…The result, in the course of time, is that macrophages may completely clear the sealer from the periapical area, which may then eventually heal 34 , when the irritation or pain will be subsided. Therefore, the conclusion supported by many investigations, is that, the extrusion of sealer is not a complicating factor in periapical healing and that resorption of extruded material is not a prerequisite for periapical healing, so resorption and healing must be considered separately 35,36 . Lin et al 37 state that the extrusion of sealer is unlikely to be a factor in the failure of endodontic treatment and that canal filler is likely to cause less irritation to periradicular tissue than microbial factors.…”

Section: Case Reportmentioning

confidence: 99%

“…In addition, it has been found histologically that AH26 material initially induced chronic periapical inflammatory reactions when extruded into the periapical tissues but after 6 months the material was phagocytosed by macrophages and carried to the periphery of the inflammatory reaction 34 . In general, the resorption period may be dependent upon the amount of extruded material and/or individual variations in immunodefense reactions at the periapex 35 .…”

Section: Case Reportmentioning

confidence: 99%

Extrusion of root canal sealer in periapical tissues: Report of two cases with different treatment management and literature review

Dalopoulou

Economides

Evangelidis³

2017

Balkan J Dent Med

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Radiographic evaluation of periapical healing of permanent teeth with periapical lesions after extrusion of AH Plus sealer

Cited by 51 publications

References 49 publications

Determination of trace elements in kidneys, livers and brains of rats with sealer implants by ICP-MS

Determination of trace elements in kidneys, livers and brains of rats with sealer implants by ICP-MS

AH Plus extrusion into periapical tissue: literature review of main related properties and report of clinical cases

Extrusion of root canal sealer in periapical tissues: Report of two cases with different treatment management and literature review

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