The use of Bioceramics as root-end filling materials in periradicular surgery: A literature review

Abusrewil, Sumaya; McLean, William; Scott, James

doi:10.1016/j.sdentj.2018.07.004

Cited by 50 publications

(47 citation statements)

References 70 publications

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“…Modern endodontic approaches do not contemplate the use of amalgam as root-end filling material due to its potential disadvantages [ 44 ]; therefore, none of the included studies resorted to its use. Moreover, the use of gutta-percha alone or Glass Ionomer Cement (GIC) for EMS was not reported in these studies.…”

Section: Discussionmentioning

confidence: 99%

“…To improve its mechanical properties, ZOE has been modified into other materials, for instance, Intermediate Restorative Material (IRM) and Super Ethoxybenzoic Acid (SuperEBA), without eugenol. Potential disadvantages of these cements have been described, such as tissue irritation, moisture sensitivity [ 38 ], high solubility, and challenging handling properties [ 44 ]. Furthermore, SuperEBA has a particular issue related to the possible development of air bubbles resulting in shrinkage when an inadequate powder-to-liquid proportion is used for the filling, which might cause microleakage in the long-term [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

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Long-Term Prognosis of Endodontic Microsurgery—A Systematic Review and Meta-Analysis

et al. 2020

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Background and objectives: The long-term outcome of endodontic microsurgery (EMS) performed on root-filled teeth affected by post-treatment apical periodontitis (AP) has been a matter of debate, re-launched by the introduction of novel root-end filling materials which have been proven to improve the short-term outcome of EMS. The purpose of this systematic review and meta-analysis is to evaluate the clinical and radiographic long-term outcome of endodontic microsurgery in teeth diagnosed with secondary AP through radiographic evaluation. Materials and Methods: This systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Inclusion and exclusion criteria were defined a priori to select the best longitudinal evidence. Only randomized clinical trials (RCT) and prospective clinical studies (PCS), with a follow-up ≥ 2-year, and exhibiting well-established clinical and radiographic outcome criteria, were selected. Results: A total of 573 articles were obtained, from which 10 fulfill inclusion criteria: 6 PCS and 4 RCT. Meta-analysis showed a pooled proportion of success rate of 91.3%, from an overall amount of 453 treated teeth included in RCT; from overall 839 included teeth in PCS, a pooled success rate of 78.4% was observed, with the follow-up time ranging from 2 to 13-years. Survival rate outcomes varied from 79 to 100% for the same follow-up period. Five prognostic factors with influence on the outcome were disclosed: smoking habits, tooth location and type, absence/presence of dentinal defects, interproximal bone level, and root-end filling material. Conclusions: High success rates and predictable results can be expected when EMS is performed by trained endodontists, allowing good prognosis and preservation of teeth affected by secondary AP.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Long-Term Prognosis of Endodontic Microsurgery—A Systematic Review and Meta-Analysis

et al. 2020

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“…In our daily practice, it is common to find in some problematic cases with lesions such as external or internal resorption, iatrogenic perforations, or periapical lesions that have a doubtful prognosis especially when there is a radiolucent area adjacent to the perforation site, and therefore it is necessary to perform apical surgery with a retrograde root filling [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…Over the years, the most commonly used materials to perform a retrograde root filling have been mineral trioxide aggregate (MTA), Biodentine, amalgam, super ethoxy benzoic acid (super EBA). However, new materials are appearing on the market, such as calcium silicate materials [2].…”

Section: Introductionmentioning

confidence: 99%

In Vitro Effect of Putty Calcium Silicate Materials on Human Periodontal Ligament Stem Cells

et al. 2020

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New bioactive materials have been developed for retrograde root filling. These materials come into contact with vital tissues and facilitate biomineralization and apical repair. The objective of this study was to evaluate the cytocompatibility and bioactivity of two bioactive cements, Bio-C Repair (Angelus, Londrina, Pr, Brazil) and TotalFill BC RRM putty (FGK, Dentaire SA, La-Chaux-de-fonds, Switzerland). The biological properties in human periodontal ligament stem cells (hPDLSCs) that were exposed to Bio-C Repair and TotalFill BC RRM putty were studied. Cell viability, migration, and cell adhesion were analyzed. Moreover, qPCR and mineralization assay were performed to evaluate the bioactivity potential of these cements. The results were statistically analyzed using ANOVA and the Tukey test (p < 0.05). It was observed that cell viability and cell migration in Bio-C Repair and TotalFill BC RRM putty were similar to the control without statistically significant differences, except at 72 h when TotalFill BC RRM putty was slightly lower (p < 0.05). Excellent cell adhesion and morphology were observed with both Bio-C Repair and TotalFill BC RRM putty. Both cements promoted the osteo- and cementogenic differentiation of hPDLSCs. These results suggest that Bio-C Repair and TotalFill BC RRM putty are biologically appropriate materials to be used as retrograde obturation material.

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“…Entretanto, essas altas taxas não foram atribuídas unicamente ao tipo de material de preenchimento, uma vez que as técnicas cirúrgicas e fatores prognósticos dos dentes podem afetar o resultado do tratamento. 6 Os biocerâmicos têm vantagens tais como: um bom escoamento devido à baixa viscosidade do material, apresentam ação antimicrobiana, fácil manipulação e um menor tempo de presa, permitindo o seu uso como selador apical nas cirurgias paraendodônticas. 4,7 Porém, a sua desvantagem reside no fato de ser de difícil remoção nos casos de retratamento.…”

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Uso Dos Biocerâmicos Na Endodontia: Revisão De Literatura

França¹,

Pinheiro²,

Morais³

et al. 2019

Rev. Ciênc. Saúde Nova Esperança

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O tratamento endodôntico convencional proporciona condições para o organismo curar a doença pulpar e permitir que o dente afetado restabeleça as suas funções estéticas e funcionais. Porém, quando isto não é possível, devido a manutenção de bactérias persistentes no interior do canal radicular, é realizado o retratamento endodôntico. Nesse contexto, este trabalho teve como propósito, através de uma revisão da literatura, apresentar os cimentos biocerâmicos encontrados no mercado (iRoot BP®, EndoSequence®, MTA Repair HP Angelus®, TotalFill BC sealer® e RetroMTA ®), bem como demonstrar suas aplicações clínicas como material obturador e selador periapical. Assim, foi realizado um levantamento bibliográfico na base de dados do Pubmed, desconsiderando trabalhos de conclusão de curso e artigos publicados antes de 2006, selecionando, assim, 31 artigos para compor a pesquisa. Os biocerâmicos podem ser utilizados como material obturador, por possuírem um bom escoamento, devido proporcionar baixa viscosidade, apresentar ação antimicrobiana, fácil aplicação e excelente capacidade de adesão a dentina, além de aumentar a resistência à fratura da raiz. Enquanto que, como material selador periapical, eles possuem biocompatibilidade, notando-se ausência de inflamação e dor nos casos de sobreobturação, um menor tempo de presa e facilidade de manipulação quando comparado ao MTA (Agregado de Trióxido Mineral). Contudo, constata-se que, os cimentos biocerâmicos apresentam propriedades promissoras para serem utilizados como material selador no tratamento endodôntico.

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The use of Bioceramics as root-end filling materials in periradicular surgery: A literature review

Cited by 50 publications

References 70 publications

Long-Term Prognosis of Endodontic Microsurgery—A Systematic Review and Meta-Analysis

Long-Term Prognosis of Endodontic Microsurgery—A Systematic Review and Meta-Analysis

In Vitro Effect of Putty Calcium Silicate Materials on Human Periodontal Ligament Stem Cells

Uso Dos Biocerâmicos Na Endodontia: Revisão De Literatura

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