Sealing ability of three different root repair materials for furcation perforation repair: An in vitro study

Kakani, Abhijeet K; Chandrasekhar, Veeramachaneni

doi:10.4103/jcd.jcd_371_19

Cited by 16 publications

(13 citation statements)

References 17 publications

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“…A limitation of the current study is that the use of an in vitro model may not completely recapitulate the exact clinical situation. Several recent studies from 2019-2021 [52][53][54] attempted to compare the sealing ability of different bioceramic materials, but these used dye extraction [52,53] or protein leakage [54] models without any added bacterial contamination. Further in vivo studies will be needed to assess the antibacterial activity of various calcium silicate-based materials in more detail.…”

Section: Discussionmentioning

confidence: 99%

Bacterial Colonization and Proliferation in Furcal Perforations Repaired by Different Materials: A Confocal Laser Scanning Microscopy Study

et al. 2021

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Following furcal perforation, bacteria may colonize the defect and cause inflammation and periodontal destruction. This study used confocal laser scanning microscopy (CLSM) to evaluate Enterococcus faecalis colonization and proliferation in furcal perforations repaired with different materials. Furcal perforations created in 55 extracted human mandibular molars were repaired using either MTA-Angelus, Endocem, or Biodentine and coronally subjected to E. faecalis suspension for 21 days. The specimens were then stained using a LIVE/DEAD Viability Kit and visualized by CLSM. The minimum and maximum depths of bacterial penetration into the dentinal tubules were 159 and 1790 μM, respectively, with a mean of 713 μM. There were significantly more live than dead bacteria inside the dentinal tubules (p = 0.0023) in all groups, and all three repair materials exhibited a similarly sized stained area (p = 0.083). However, there were significant differences in the numbers of dead bacteria at the circumference of the perforation defect (p = 0.0041), with a significantly higher ratio of live to dead bacteria in the MTA-Angelus group (p = 0.001). Following perforation repair, bacteria may colonize the interface between the repair material and dentin and may penetrate through the dentinal tubules. The type of repair material has a significant effect on the viability of the colonizing bacteria.

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Section: Discussionmentioning

confidence: 99%

Bacterial Colonization and Proliferation in Furcal Perforations Repaired by Different Materials: A Confocal Laser Scanning Microscopy Study

et al. 2021

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“…In addition, the sealing ability of the repairing material is a critical factor for the purpose of blockage of continuing contamination. The sealing ability and handling properties of Biodentine and EndoSequence were superior to MTA Angelus for repairing perforation of furcations [ 125 ]. Interestingly, Solanki et al summed up their systematic review study that its favorable biological properties along with its good sealing ability make Biodentine a competent retrograde filling material for clinical use [ 126 ].…”

Section: Clinical Applications Of Calcium Silicate Cementsmentioning

confidence: 99%

An Updated Review on Properties and Indications of Calcium Silicate-Based Cements in Endodontic Therapy

Eskandari

Razavian

Hamidi

et al. 2022

International Journal of Dentistry

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Regarding the common use of calcium silicate cements (CSCs) in root canal therapy, their position in the context of past and present dentistry agents can provide a better understanding of these materials for their further improvement. In this context, the present review article addresses a wide range of recent investigations in the field of CSC-based products and describes details of their composition, properties, and clinical applications. The need for maintaining or reconstructing tooth structure has increased in contemporary endodontic treatment approaches. This research thus discusses the attempts to create comprehensive data collection regarding calcium ion release, bond strength, alkalinizing activity and bioactivity, and the ability to stimulate the formation of hydroxyapatite as a bioactive feature of CSCs. Sealing ability is also highlighted as a predictor for apical and coronal microleakage which is crucial for the long-term prognosis of root canal treatment integrity. Other claimed properties such as radiopacity, porosity, and solubility are also investigated. Extended setting time is also mentioned as a well-known drawback of CSCs. Then, clinical applications of CSCs in vital pulp therapies such as pulpotomy, apexification, and direct pulp capping are reviewed. CSCs have shown their benefits in root perforation treatments and also as root canal sealers and end-filling materials. Nowadays, conventional endodontic treatments are replaced by regenerative therapies to save more dynamic and reliable hard and soft tissues. CSCs play a crucial role in this modern approach. This review article is an attempt to summarize the latest studies on the clinical properties of CSCs to shed light on the future generation of treatments.

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“…Kakani et al [ 260 ] compared the sealing quality of MTA, Biodentine, and EndoSequence cements in perforations, and observed minimum, intermediate, and maximum leakage of Biodentine, EndoSequence, and MTA, respectively. The authors suggested that both Biodentine and Endosequence may be used as replacements for MTA during the repair of perforations.…”

Section: Biomimetic Materials In Endodonticsmentioning

confidence: 99%

Biomimetic Approaches in Clinical Endodontics

et al. 2022

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In the last few decades, biomimetic concepts have been widely adopted in various biomedical fields, including clinical dentistry. Endodontics is an important sub-branch of dentistry which deals with the different conditions of pulp to prevent tooth loss. Traditionally, common procedures, namely pulp capping, root canal treatment, apexification, and apexigonesis, have been considered for the treatment of different pulp conditions using selected materials. However, clinically to regenerate dental pulp, tissue engineering has been advocated as a feasible approach. Currently, new trends are emerging in terms of regenerative endodontics which have led to the replacement of diseased and non-vital teeth into the functional and healthy dentine-pulp complex. Root- canal therapy is the standard management option when dental pulp is damaged irreversibly. This treatment modality involves soft-tissue removal and then filling that gap through the obturation technique with a synthetic material. The formation of tubular dentine and pulp-like tissue formation occurs when stem cells are transplanted into the root canal with an appropriate scaffold material. To sum up tissue engineering approach includes three components: (1) scaffold, (2) differentiation, growth, and factors, and (3) the recruitment of stem cells within the pulp or from the periapical region. The aim of this paper is to thoroughly review and discuss various pulp-regenerative approaches and materials used in regenerative endodontics which may highlight the current trends and future research prospects in this particular area.

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Sealing ability of three different root repair materials for furcation perforation repair: An in vitro study

Cited by 16 publications

References 17 publications

Bacterial Colonization and Proliferation in Furcal Perforations Repaired by Different Materials: A Confocal Laser Scanning Microscopy Study

Bacterial Colonization and Proliferation in Furcal Perforations Repaired by Different Materials: A Confocal Laser Scanning Microscopy Study

An Updated Review on Properties and Indications of Calcium Silicate-Based Cements in Endodontic Therapy

Biomimetic Approaches in Clinical Endodontics

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