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Lee YN, Kim MK, Kim HJ, Yu MK, Lee KW, Min KS. Evaluation of the root dentin bond strength and intratubular biomineralization of a premixed calcium aluminate-based hydraulic bioceramic endodontic sealer. J Oral Sci 2024; 66:96-101. [PMID: 38325857 DOI: 10.2334/josnusd.23-0235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2024]
Abstract
PURPOSE This study evaluated the dentin bonding strength and biomineralization effect of a recently developed premixed calcium aluminate-based endodontic sealer (Dia-Root Bio Sealer) in comparison with existing calcium silicate-based sealers. METHODS The root canals of 80 mandibular premolars were filled with Dia-Root Bio Sealer, Endoseal MTA, EndoSequence BC Sealer, and AH Plus Bioceramic Sealer. Medial and apical specimens were then obtained by sectioning. The push-out bond strength was measured using the medial specimens, and the failure mode was recorded. Intratubular biomineralization in the apical specimens was analyzed using scanning electron microscopy and energy-dispersive X-ray spectroscopy (EDS). The data were analyzed using one-way analysis of variance followed by the Tukey test (P < 0.05). RESULTS The push-out bond strength of Dia-Root Bio Sealer was significantly higher than that of the other tested materials, and a cohesive failure pattern was observed in all groups. Dia-Root Bio Sealer also exhibited a significantly higher degree of biomineralization than the other groups, and EDS analysis indicated that the biomineralized precipitates were amorphous calcium phosphate. CONCLUSION The results of this study indicate that Dia-Root Bio Sealer has the potential to be used as an adequate root canal sealer due to its favorable bonding performance.
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Affiliation(s)
- Yu-Na Lee
- Department of Conservative Dentistry, School of Dentistry, Jeonbuk National University
| | - Min-Kyeong Kim
- Department of Dentistry, College of Medicine, Kosin University
| | - Hee-Jin Kim
- Department of Dentistry, College of Medicine, Kosin University
| | - Mi-Kyung Yu
- Department of Conservative Dentistry, School of Dentistry, Jeonbuk National University
- Research Institute of Clinical Medicine of Jeonbuk National University
- Biomedical Research Institute of Jeonbuk National University Hospital
| | - Kwang-Won Lee
- Department of Conservative Dentistry, School of Dentistry, Jeonbuk National University
- Research Institute of Clinical Medicine of Jeonbuk National University
- Biomedical Research Institute of Jeonbuk National University Hospital
| | - Kyung-San Min
- Department of Conservative Dentistry, School of Dentistry, Jeonbuk National University
- Research Institute of Clinical Medicine of Jeonbuk National University
- Biomedical Research Institute of Jeonbuk National University Hospital
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Jeon MJ, Park JW, Seo DG. Intratubular crystal formation in the exposed dentin from nano-sized calcium silicate for dentin hypersensitivity treatment. Sci Rep 2023; 13:14243. [PMID: 37648709 PMCID: PMC10469191 DOI: 10.1038/s41598-023-30351-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Accepted: 02/21/2023] [Indexed: 09/01/2023] Open
Abstract
The aim of this study is to evaluate intratubular crystal formation from the experimental material consisting of dicalcium silicate (C2S) and tricalcium silicate (C3S) with nano-scaled particle size. A total of twenty-four specimens were made by isolating 8 mm of the cervical part centered at the cementoenamel junction of extracted premolars. Twelve specimens were not treated and considered as control. The experimental material was applied to the other twelve specimens by brushing for 10,000 strokes. Each group was randomly divided into four subgroups according to the period of immersion in phosphate buffer saline (PBS) for 1, 30, 60, and 90 days each. The specimens were sectioned longitudinally and examined with scanning electron microscopy and energy dispersion X-ray spectroscopy. The intratubular crystal were formed in PBS and densely filled the dentinal tubules over time. The crystal formation occurred at a depth of more than 50 μm from the dentin surface. The Ca/P ratio of formed intratubular crystals was 1.68 after 3 months. The experimental material consisting of C2S and C3S with a nanoscale particle size can form hydroxyapatite-like crystals in dentinal tubules in PBS, and there is a possibility of reducing dentin hypersensitivity by blocking the dentinal fluid flow.
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Affiliation(s)
- Mi-Jeong Jeon
- Department of Conservative Dentistry, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea
- Department of Conservative Dentistry, College of Dentistry, Gangnam Severance Hospital, Yonsei University, Seoul, Republic of Korea
| | - Jeong-Won Park
- Department of Conservative Dentistry, College of Dentistry, Gangnam Severance Hospital, Yonsei University, Seoul, Republic of Korea
| | - Deog-Gyu Seo
- Department of Conservative Dentistry, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea.
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Park JH, Kim HJ, Lee KW, Yu MK, Min KS. Push-out bond strength and intratubular biomineralization of a hydraulic root-end filling material premixed with dimethyl sulfoxide as a vehicle. Restor Dent Endod 2023; 48:e8. [PMID: 36875809 PMCID: PMC9982241 DOI: 10.5395/rde.2023.48.e8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Revised: 11/30/2022] [Accepted: 12/12/2022] [Indexed: 02/05/2023] Open
Abstract
Objectives This study was designed to evaluate the parameters of bonding performance to root dentin, including push-out bond strength and dentinal tubular biomineralization, of a hydraulic bioceramic root-end filling material premixed with dimethyl sulfoxide (Endocem MTA Premixed) in comparison to a conventional powder-liquid-type cement (ProRoot MTA). Materials and Methods The root canal of a single-rooted premolar was filled with either ProRoot MTA or Endocem MTA Premixed (n = 15). A slice of dentin was obtained from each root. Using the sliced specimen, the push-out bond strength was measured, and the failure pattern was observed under a stereomicroscope. The apical segment was divided into halves; the split surface was observed under a scanning electron microscope, and intratubular biomineralization was examined by observing the precipitates formed in the dentinal tubule. Then, the chemical characteristics of the precipitates were evaluated with energy-dispersive X-ray spectroscopic (EDS) analysis. The data were analyzed using the Student's t-test followed by the Mann-Whitney U test (p < 0.05). Results No significant difference was found between the 2 tested groups in push-out bond strength, and cohesive failure was the predominant failure type. In both groups, flake-shaped precipitates were observed along dentinal tubules. The EDS analysis indicated that the mass percentage of calcium and phosphorus in the precipitate was similar to that found in hydroxyapatite. Conclusions Regarding bonding to root dentin, Endocem MTA Premixed may have potential for use as an acceptable root-end filling material.
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Affiliation(s)
- Ju-Ha Park
- Department of Conservative Dentistry, School of Dentistry, Jeonbuk National University, Jeonju, Korea
| | - Hee-Jin Kim
- Department of Dentistry, College of Medicine, Kosin University, Busan, Korea
| | - Kwang-Won Lee
- Department of Conservative Dentistry, School of Dentistry, Jeonbuk National University, Jeonju, Korea.,Research Institute of Clinical Medicine of Jeonbuk National University, Jeonju, Korea.,Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Korea
| | - Mi-Kyung Yu
- Department of Conservative Dentistry, School of Dentistry, Jeonbuk National University, Jeonju, Korea.,Research Institute of Clinical Medicine of Jeonbuk National University, Jeonju, Korea.,Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Korea
| | - Kyung-San Min
- Department of Conservative Dentistry, School of Dentistry, Jeonbuk National University, Jeonju, Korea.,Research Institute of Clinical Medicine of Jeonbuk National University, Jeonju, Korea.,Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Korea
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Bolbolian M, Hamzei A, Mohammadi N, Tofangchiha M. Evaluation of dentin penetration of three different endodontic sealers in the presence and absence of the smear layer. Folia Med (Plovdiv) 2022; 64:953-960. [PMID: 36876563 DOI: 10.3897/folmed.64.e66695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Accepted: 11/04/2021] [Indexed: 01/01/2023] Open
Abstract
INTRODUCTION A sealer's ability to effectively and stably penetrate the dentinal tubules is an essential factor for selecting an effective root canal obturation material. Evaluation of the sealers' penetration into the dentinal tubules provides valuable data in the endodontic treatment outcome.
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Cimpean SI, Burtea ALC, Chiorean RS, Dudescu MC, Antoniac A, Robu A, Campian RS, Timis LI. Evaluation of Bond Strength of Four Different Root Canal Sealers. MATERIALS 2022; 15:ma15144966. [PMID: 35888436 PMCID: PMC9321937 DOI: 10.3390/ma15144966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 07/13/2022] [Accepted: 07/15/2022] [Indexed: 11/18/2022]
Abstract
The purposes of the study were to evaluate the influence of the sealer’s chemical composition on the interfacial strength between root canal dentin and root filling material, for two different classes of endodontic sealers, and to assess their failure modes. Methods: Forty extracted single-rooted teeth were randomly divided into four groups using the following endodontic sealers: RealSeal SE and Resilon (RSSE); EndoSequence BC sealer and BC Point (EBCS); Endoseal MTA and gutta-percha (EDS); Bioroot RCS and gutta-percha (BRS). Teeth were embedded in acrylic resin, and the roots were sectioned horizontally into 1 mm slices. For each slice, the perimeter was measured. A push-out test was performed using an Instron universal testing machine. For each sample, bond strength was calculated. Specimens were examined by SEM investigation in order to analyze the dentin−sealer−core interface. Results were assessed using analysis of variance (ANOVA) and Tukey and Bonferroni test. Results: Statistical analysis revealed that EDS and gutta-percha had significantly higher resistance to dislodgement compared to the other three groups (p < 0.05). EBCS and BC Point showed significantly greater push-out bond strength values compared to RSSE and Resilon (p < 0.05). Conclusions: Bioceramic endodontic sealers showed a higher bond strength to root dentin than methacrylate resin-based endodontic sealer.
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Affiliation(s)
- Sanda Ileana Cimpean
- Faculty of Dentistry, Iuliu Hatieganu University of Medicine and Pharmacy, 8 Victor Babes Str., 400000 Cluj Napoca, Romania; (S.I.C.); (R.S.C.); (L.I.T.)
| | - Adela Loredana Colceriu Burtea
- Faculty of Dentistry, Iuliu Hatieganu University of Medicine and Pharmacy, 8 Victor Babes Str., 400000 Cluj Napoca, Romania; (S.I.C.); (R.S.C.); (L.I.T.)
- Correspondence: ; Tel.: +40-722953352
| | - Radu Stefan Chiorean
- Faculty of Automotive, Mechatronics and Mechanical Engineering, Technical University of Cluj-Napoca, 103-105 Bdul. Muncii, 400641 Cluj-Napoca, Romania; (R.S.C.); (M.C.D.)
| | - Mircea Cristian Dudescu
- Faculty of Automotive, Mechatronics and Mechanical Engineering, Technical University of Cluj-Napoca, 103-105 Bdul. Muncii, 400641 Cluj-Napoca, Romania; (R.S.C.); (M.C.D.)
| | - Aurora Antoniac
- Faculty of Material Science and Engineering, University Politehnica of Bucharest, 313 Splaiul Independentei, District 6, 060042 Bucharest, Romania; (A.A.); (A.R.)
| | - Alina Robu
- Faculty of Material Science and Engineering, University Politehnica of Bucharest, 313 Splaiul Independentei, District 6, 060042 Bucharest, Romania; (A.A.); (A.R.)
| | - Radu Septimiu Campian
- Faculty of Dentistry, Iuliu Hatieganu University of Medicine and Pharmacy, 8 Victor Babes Str., 400000 Cluj Napoca, Romania; (S.I.C.); (R.S.C.); (L.I.T.)
| | - Lucia Iacobina Timis
- Faculty of Dentistry, Iuliu Hatieganu University of Medicine and Pharmacy, 8 Victor Babes Str., 400000 Cluj Napoca, Romania; (S.I.C.); (R.S.C.); (L.I.T.)
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De-Deus G, Oliveira DS, Cavalcante DM, Simões-Carvalho M, Belladonna FG, Antunes LS, Souza EM, Silva EJNL, Versiani MA. Methodological proposal for evaluation of adhesion of root canal sealers to gutta-percha. Int Endod J 2021; 54:1653-1658. [PMID: 33977555 DOI: 10.1111/iej.13549] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2020] [Revised: 05/05/2021] [Accepted: 05/06/2021] [Indexed: 12/21/2022]
Abstract
AIM To compare the bond strength of an epoxy resin-based sealer and two calcium silicate-based sealers (CSS) to gutta-percha discs using a new method. METHODOLOGY Round discs of gutta-percha (n = 60), measuring 10 mm in diameter and 2 mm in thickness, were placed on a glass plate and a drop of each sealer (AH Plus, EndoSequence BC Sealer and EndoSeal MTA) was placed on their surface. Another identical disc was placed onto the first one and a standardized weight (0.0981 N) applied over them using a specially developed apparatus. Ten samples prepared for each sealer were submitted to a microshear bond strength test accomplished by a specially designed set-up coupled to a universal testing machine. The Kruskal-Wallis test followed by a post hoc procedure was used to compare groups considering the preliminary analysis of the raw data had indicated the nonadherence to a Gaussian distribution (Shapiro-Wilk, p < .05). Alpha error was set at 5%. RESULTS Overall, no premature failure occurred. All sealers had some degree of adhesiveness to gutta-percha discs but with a significant difference amongst them (Kruskal-Wallis, p = .019). The epoxy resin-based sealer (AH Plus) had significantly higher median shear bond strength values (1.43 MPa; 1.40-1.83) compared to EndoSeal MTA (0.53 MPa; 0.46-0.73) (p = .021) and EndoSequence BC Sealer (0.45 MPa; 0.34-0.46) (p = .023), whilst the lowest median value was observed with EndoSequence BC Sealer (0.45 MPa; 0.34-0.46) (p < .05). CONCLUSIONS CSS sealers had weaker bonding to gutta-percha when compared to the epoxy resin-based AH Plus sealer. The proposed methodology is an innovative and reproducible method for testing the bond strength of root canal sealers to gutta-percha.
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Affiliation(s)
- Gustavo De-Deus
- Department of Endodontics, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | - Diogo S Oliveira
- Department of Endodontics, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | - Daniele M Cavalcante
- Department of Endodontics, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | - Marco Simões-Carvalho
- Department of Endodontics, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | - Felipe G Belladonna
- Department of Endodontics, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | - Leandro S Antunes
- Department of Endodontics, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | - Erick M Souza
- Department of Dentistry II, Federal University of Maranhão, São Luís, Maranhão, Brazil
| | - Emmanuel J N L Silva
- Department of Endodontics, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | - Marco A Versiani
- Department of Endodontics, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
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iRoot SP Promotes Osteo/Odontogenesis of Bone Marrow Mesenchymal Stem Cells via Activation of NF- κB and MAPK Signaling Pathways. Stem Cells Int 2021; 2020:6673467. [PMID: 33424977 PMCID: PMC7775135 DOI: 10.1155/2020/6673467] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2020] [Revised: 11/11/2020] [Accepted: 11/18/2020] [Indexed: 12/11/2022] Open
Abstract
The regeneration of bone and tooth tissues, and related cellular therapies, has attracted widespread attention. Bone marrow mesenchymal stem cells (BMSCs) are potential candidates for such regeneration. iRoot SP is a premixed bioceramic root canal sealer widely used in clinical settings. However, the effect of iRoot SP on the biological features of BMSCs has not been elucidated. In the present study, we found that 0.2 mg/ml iRoot SP conditioned medium promoted osteo/odontogenic differentiation and enhanced mineralization of BMSCs without affecting the proliferative ability. Mechanistically, the NF-κB and MAPK signaling pathways were activated in SP-treated BMSCs, and differentiation was inhibited when cultured with the specific inhibitor. Taken together, these findings demonstrate that iRoot SP promotes osteo/odontogenic differentiation of BMSCs via the NF-κB and MAPK signaling pathways, which could provide a new theoretical basis for clinical applications of iRoot SP and a new therapeutic target for the regeneration of bone and tooth tissue in the future.
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Singla M, Panghal S. Comparative evaluation of sealing ability of three bioactive obturation materials: A bacterial leakage study. ENDODONTOLOGY 2021. [DOI: 10.4103/endo.endo_90_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Lee W, Yoo YJ. Effect of apexification on occlusal resistance of immature teeth. BMC Oral Health 2020; 20:325. [PMID: 33183284 PMCID: PMC7664021 DOI: 10.1186/s12903-020-01317-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Accepted: 11/05/2020] [Indexed: 11/13/2022] Open
Abstract
Background Strain distribution was investigated to assess the occlusal resistance alterations in immature teeth under different occlusal force. Methods In vitro apexification models of teeth with a funnel-shaped immature apex were obturated with mineral trioxide aggregate (MTA; ProRoot MTA) using different combinations of core materials (10/group): group 1, full-length orthograde obturation of MTA; group 2, a 5-mm MTA apical plug with a composite core; group 3, a 5-mm MTA apical plug and back-filling with warm gutta-percha. Teeth with calcium hydroxide (CH)-medicated canals and untreated teeth with normal apices were tested as controls. The teeth were arranged between two adjacent normal-apex teeth, embedded in a resin mold with a simulated periodontal ligament space. Strain data were recorded from the 3-unit teeth assembly under static compressive occlusal forces (50, 100, 200, and 300 N). Measurements were repeated 20 times for each condition, and the data were statistically analyzed. Results The immature teeth showed altered occlusal force resistance, placing increased strain on adjacent teeth. Teeth with CH-medicated canals showed significantly inferior occlusal resistance under all tested forces (P < 0.05). Application of an MTA plug with deep composite resin core resulted in significantly better stress-bearing capacity especially under forces of 50 and 300 N (P < 0.05). Conclusions The pattern of occlusal force distribution in immature teeth differed according to the canal obturation materials used for apexification. Immature teeth with an MTA apical plug showed more favorable occlusal force resistance than those with CH-medicated canals.
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Affiliation(s)
- WooCheol Lee
- Department of Conservative Dentistry, Dental Research Institute, Seoul National University School of Dentistry, Seoul, Republic of Korea
| | - Yeon-Jee Yoo
- Department of Comprehensive Treatment Center, Seoul National University Dental Hospital, Daehakro 101, Jongno-Gu, Seoul, 03080, Republic of Korea.
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Lim M, Jung C, Shin DH, Cho YB, Song M. Calcium silicate-based root canal sealers: a literature review. Restor Dent Endod 2020; 45:e35. [PMID: 32839716 PMCID: PMC7431927 DOI: 10.5395/rde.2020.45.e35] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2019] [Revised: 10/20/2019] [Accepted: 10/24/2019] [Indexed: 12/23/2022] Open
Abstract
Epoxy resin-based sealers are currently widely used, and several studies have considered AH Plus to be the gold-standard sealer. However, it still has limitations, including possible mutagenicity, cytotoxicity, inflammatory response, and hydrophobicity. Drawing upon the advantages of mineral trioxide aggregate, calcium silicate-based sealers were introduced with high levels of biocompatibility and hydrophilicity. Because of the hydrophilic environment in root canals, water resorption and solubility of root canal sealers are important factors contributing to their stability. Sealers displaying lower microleakage and stronger push-out bond strength are also needed to endure the dynamic tooth environment. Although the physical properties of calcium silicate-based sealers meet International Organization for Standardization recommendations, and they have consistently reported to be biocompatible, they have not overcome conventional resin-based sealers in actual practice. Therefore, further studies aiming to improve the physical properties of calcium silicate-based sealers are needed.
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Affiliation(s)
- Miyoung Lim
- Department of Conservative Dentistry, College of Dentistry, Dankook University, Cheonan, Korea
| | - Chanyong Jung
- Department of Conservative Dentistry, College of Dentistry, Dankook University, Cheonan, Korea
| | - Dong-Hoon Shin
- Department of Conservative Dentistry, College of Dentistry, Dankook University, Cheonan, Korea
| | - Yong-bum Cho
- Department of Conservative Dentistry, College of Dentistry, Dankook University, Cheonan, Korea
| | - Minju Song
- Department of Conservative Dentistry, College of Dentistry, Dankook University, Cheonan, Korea
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Moazami F, Naseri M, Malekzadeh P. Different Application Methods for Endoseal MTA Sealer: A Comparative Study. IRANIAN ENDODONTIC JOURNAL 2020; 15:44-49. [PMID: 36704323 PMCID: PMC9723208 DOI: 10.22037/iej.v15i1.27568] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Revised: 10/02/2019] [Accepted: 10/19/2019] [Indexed: 01/28/2023]
Abstract
Introduction The aim of present ex vivo study was to investigate the filling quality and voids, using Endoseal mineral trioxide aggregate (Endoseal MTA) with a single-cone technique with and without ultrasonic application and to compare these methods with lateral compaction technique. Methods and Materials Thirty-six extracted human anterior single-root teeth were prepared and assigned to 3 groups: Group 1: EMS group was Endoseal MTA+ single-cone; Group 2: EMSU group was Endoseal MTA+ single-cone with ultrasonic activation; and Group 3: LC group was Endoseal MTA+ lateral condensation technique. Teeth were sectioned transversely in coronal, middle and apical of the teeth and the existence of voids and their areas in the slices were measured and scored under a dental microscope. One-way analysis of variance and Post Hoc test were used for statistical analysis and also to detect any significance (α=0.05). Results EMS group showed significantly more void area than lateral compaction group (P<0.05), but the difference between the EMSU group and the other two groups were not significant (P>0.05). Also, EMS group had significantly higher void score than the other two groups (P<0.017). Conclusion Endoseal MTA as a premixed calcium silicate sealer has a better performance when used with gutta-percha cone-mediated ultrasonic activation, so we suggest gentle ultrasonic activation for applying Endoseal MTA in the clinical use.
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Affiliation(s)
- Fariborz Moazami
- Department of Endodontics, Dental School, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammadhasan Naseri
- Department of Endodontics, Dental School, Shiraz University of Medical Sciences, Shiraz, Iran,Corresponding author: Mohammadhasan Naseri, Ghasrdasht street, Ghomabad street, Dental School, Shiraz, Iran. Tel: +98-921 0067643, E-mail:
| | - Parastoo Malekzadeh
- Department of Endodontics, Dental School, Shiraz University of Medical Sciences, Shiraz, Iran
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Jung J, Kim S, Kim E, Shin SJ. Volume of Voids in Retrograde Filling: Comparison between Calcium Silicate Cement Alone and Combined with a Calcium Silicate-based Sealer. J Endod 2019; 46:97-102. [PMID: 31759678 DOI: 10.1016/j.joen.2019.10.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Revised: 10/04/2019] [Accepted: 10/17/2019] [Indexed: 10/25/2022]
Abstract
INTRODUCTION The aim of this study was to compare the volume of voids between retrograde filling using calcium silicate cement alone and retrograde filling using a combination of calcium silicate cement with a calcium silicate-based sealer. METHODS Twenty single-rooted, extracted human teeth were instrumented with nickel-titanium files and obturated with gutta-percha. We resected the roots at a point 3 mm from the apex, prepared the root ends, and filled the root-end cavities with Endocem Zr (Maruchi, Wonju, Korea) or Endoseal MTA (Maruchi) plus Endocem Zr. Then, we scanned the prepared samples using micro-computed tomographic imaging and performed 3-dimensional reconstruction. The percentage volume of the gap between the canal wall and root-end filling was calculated along with the percentage volume of voids in the filling materials. All data were analyzed using the Mann-Whitney U test. Selected specimens were further observed using scanning electron microscopy. RESULTS There were no significant differences in the percentage volumes of the gaps and internal voids between the 2 groups. Both calcium silicate and the calcium silicate-based sealer exhibited good adaptation to the cavity wall. CONCLUSIONS The findings of our micro-computed tomographic and scanning electron microscopic analyses suggested that the volume of voids in retrograde filling using a combination of calcium silicate cement and calcium silicate-based sealer was comparable with that in retrograde filling using calcium silicate cement only. Calcium silicate-based sealers could be used in retrograde filling for clinical convenience without harmful effects on the quality of filling.
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Affiliation(s)
- Jaeheon Jung
- Department of Conservative Dentistry, Gangnam Severance Dental Hospital, Yonsei University College of Dentistry, Seoul, Korea
| | - Sunil Kim
- Microscope Center, Department of Conservative Dentistry and Oral Science Research Center, Yonsei University College of Dentistry, Seoul, Korea
| | - Euiseong Kim
- Microscope Center, Department of Conservative Dentistry and Oral Science Research Center, Yonsei University College of Dentistry, Seoul, Korea; Department of Electrical and Electronic Engineering, Yonsei University College of Engineering, Seoul, Korea
| | - Su-Jung Shin
- Department of Conservative Dentistry, Gangnam Severance Dental Hospital, Yonsei University College of Dentistry, Seoul, Korea.
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Adl A, Sadat Shojaee N, Pourhatami N. Evaluation of the Dislodgement Resistance of a New Pozzolan-Based Cement (EndoSeal MTA) Compared to ProRoot MTA and Biodentine in the Presence and Absence of Blood. SCANNING 2019; 2019:3863069. [PMID: 31210836 PMCID: PMC6532292 DOI: 10.1155/2019/3863069] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/07/2018] [Revised: 01/22/2019] [Accepted: 03/25/2019] [Indexed: 06/09/2023]
Abstract
INTRODUCTION This in vitro study investigated the dislodgement resistance of EndoSeal MTA, a new pozzolan-containing calcium silicate-based material, in comparison with ProRoot MTA and Biodentine in the presence and absence of contamination with blood. METHODS Standard furcal perforations were created in 180 human mandibular first molars. The teeth were randomly allocated to 12 groups of 15 each. ProRoot MTA, Biodentine, and EndoSeal MTA were used to repair the perforations. In half of the samples, the walls of the perforated areas were contaminated with blood, whereas saline was injected into the other half. A push-out test was performed using a universal testing machine after 24 hours or 7 days. To evaluate failure patterns, the samples were split into half and were examined under a stereomicroscope at a 20x magnification. Data were analyzed using three-way analysis of variance, Tukey test, and Student's t-test. RESULTS At both time intervals and in the presence and absence of contamination with blood, ProRoot MTA and Biodentine had significantly higher retention values than EndoSeal MTA (p < 0.001). Contamination with blood had no effect on EndoSeal MTA; however, it negatively affected the dislodgement resistance of Biodentine at 24 hours and ProRoot MTA at both time intervals (p < 0.05). Time significantly affected only the bond strength of the uncontaminated groups (p > 0.001). The most common type of failure was mixed for ProRoot MTA and Biodentine, whereas it was cohesive for EndoSeal MTA. CONCLUSIONS ProRoot MTA and Biodentine showed higher values of bond strength than EndoSeal MTA and may thus be better options for the repair of root perforations.
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Affiliation(s)
- Alireza Adl
- Department of Endodontics, Biomaterials Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Nooshin Sadat Shojaee
- Department of Endodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Negar Pourhatami
- Postgraduate Student of Endodontics, Department of Endodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
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Kim K, Kim DV, Kim SY, Yang S. A micro-computed tomographic study of remaining filling materials of two bioceramic sealers and epoxy resin sealer after retreatment. Restor Dent Endod 2019; 44:e18. [PMID: 31149616 PMCID: PMC6529792 DOI: 10.5395/rde.2019.44.e18] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2018] [Revised: 03/20/2019] [Accepted: 03/22/2019] [Indexed: 11/14/2022] Open
Abstract
Objective This study evaluated the presence of residual root canal filling material after retreatment using micro-computed tomography (micro-CT). Materials and Methods Extracted human teeth (single- and double-rooted, n = 21/each; C-shaped, n = 15) were prepared with ProFile and randomly assigned to three subgroups for obturation with gutta-percha and three different sealers (EndoSeal MTA, EndoSequence BC sealer, and AH Plus). After 10 days, the filling material was removed and the root canals were instrumented one size up from the previous master apical file size. The teeth were scanned using micro-CT before and after retreatment. The percentage of remaining filling material after retreatment was calculated at the coronal, middle, and apical thirds. Data were analyzed using the Kruskal-Wallis test and Mann-Whitney U test with Bonferroni post hoc correction. Results The tested sealers showed no significant differences in the percentage of remaining filling material in single- and double-rooted teeth, although EndoSeal MTA showed the highest value in C-shaped roots (p < 0.05). The percentage of remaining filling material of AH Plus and EndoSeal MTA was significantly higher in C-shaped roots than in single- or double-roots (p < 0.05), while that of BC sealer was similar across all root types. EndoSeal MTA showed the highest values at the apical thirds of single- and double-roots (p < 0.05); otherwise, no significant differences were observed among the coronal, middle, and apical thirds. Conclusions Within the limitations of this study, a large amount of EndoSeal MTA remained after retreatment, especially in C-shaped root canals.
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Affiliation(s)
- KyungJae Kim
- Department of Conservative Dentistry, Seoul St. Mary's Dental Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Da Vin Kim
- Department of Conservative Dentistry, Seoul St. Mary's Dental Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Sin-Young Kim
- Department of Conservative Dentistry, Seoul St. Mary's Dental Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - SungEun Yang
- Department of Conservative Dentistry, Seoul St. Mary's Dental Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
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Kim Y, Kim BS, Kim YM, Lee D, Kim SY. The Penetration Ability of Calcium Silicate Root Canal Sealers into Dentinal Tubules Compared to Conventional Resin-Based Sealer: A Confocal Laser Scanning Microscopy Study. MATERIALS 2019; 12:ma12030531. [PMID: 30754612 PMCID: PMC6385034 DOI: 10.3390/ma12030531] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/10/2019] [Revised: 02/03/2019] [Accepted: 02/05/2019] [Indexed: 12/15/2022]
Abstract
The purpose of this study was to compare the penetration ability of calcium silicate root canal sealers and conventional resin-based sealer using confocal laser scanning microscopy (CLSM). A total of 60 recently extracted single-rooted human premolars were used in this study. The root canals were prepared to a size 40/0.06 taper with ProFile rotary instruments and irrigated with NaOCl and EDTA. After drying all canals, the specimens were randomly divided into three experimental groups (n = 20): Group 1, gutta-percha (GP)/AH Plus with continuous wave compaction; group 2, GP/BioRoot RCS with a single-cone technique; and group 3, GP/Endoseal MTA with a single-cone technique. All experimental samples were sectioned perpendicular to their long axis using a low-speed diamond wheel at the apical, middle, and coronal third levels. The penetration abilities of all samples were evaluated using CLSM. A Kruskal⁻Wallis analysis and a series of Mann⁻Whitney U post hoc tests were performed. A higher intensity level was found in the coronal area and a lower intensity level in the apical area in all the experimental groups. The AH Plus group showed higher sum fluorescence intensity in the apical and coronal thirds compared with the BioRoot RCS and Endoseal MTA groups, whereas the BioRoot RCS group showed a higher intensity level in the middle third, similar to the AH Plus group. The maximum sealer penetration depth was low in the apical area and high in the coronal area in the AH Plus and Endoseal MTA groups. In the BioRoot RCS group, maximum sealer penetration was observed in the middle third. In conclusion, there were significant differences in sealer penetration pattern and distance according to the root level and sealer type.
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Affiliation(s)
- Yemi Kim
- Department of Conservative Dentistry, College of Medicine, Ewha Womans University, Seoul 07985, Korea.
| | - Ban-Suk Kim
- Department of Conservative Dentistry, Seoul St. Mary's Dental Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
| | - Yong-Min Kim
- Department of Conservative Dentistry, Seoul St. Mary's Dental Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
| | - Donghee Lee
- College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
| | - Sin-Young Kim
- Department of Conservative Dentistry, Seoul St. Mary's Dental Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
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Endodontic sealers based on calcium silicates: a systematic review. Odontology 2018; 107:421-436. [DOI: 10.1007/s10266-018-0400-3] [Citation(s) in RCA: 61] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Accepted: 11/19/2018] [Indexed: 01/21/2023]
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Comparing the Ability of Different Materials and Techniques in Filling Artificial Internal Resorption Cavities. Eur Endod J 2018; 4:21-27. [PMID: 32161882 PMCID: PMC7006561 DOI: 10.14744/eej.2018.13008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2018] [Revised: 09/05/2018] [Accepted: 11/05/2018] [Indexed: 11/20/2022] Open
Abstract
Objective This ex vivo study aims to investigate the root filling quality of warm vertical technique, single-cone technique with GuttaFlow2, Endoseal MTA and EndoSequence BC sealer as a sealer in artificial internal resorption cavity. Methods For this study, 40 human single-root teeth were selected. After root preparation, the roots were horizontally sectioned 7 mm from the apex. The hemisphere cavities were created on both sides, and then they were re-approximated. According to filling methods and materials, the samples were randomly as-signed to four experimental groups: I: warm vertical compaction technique (WVC), II: single-cone technique with GuttaFlow2 (GF), III: single-cone technique with Endoseal MTA sealer (EM), IV: single-cone technique with EndoSequence BC sealer (ES). Filled roots were radiographed in buccolingual and mesiodistal views to check the obturation, and stored in humid environment at the room temperature for 7 days. Each tooth was sectioned 7 mm from the root apex at the level of the previous cut, and it was then photographed un-der stereomicroscope. The photographs and radiographs of all samples were imported to an image-analysis software to calculate the percentage of sealer, gutta-percha, and voids. The results were statistically analyzed using one-way ANOVA and Kruskal-Wallis Dunn's tests. Results In buccolingual view of radiographs, the WVC and EM groups showed significantly lower percent-age of voids (P value<0.05) compared to that in the GF group. In mesiodistal view, the WVC and EM groups showed significantly lower percentage of voids (P value<0.05) compared to that in the GF and ES groups. In stereomicroscope evaluation, the WVC and EM groups showed significantly lower percentage of voids (P value<0.05) compared to that in the GF and ES groups. The differences observed between the WVC and EM groups (P value>0.05) or between the GF and ES groups (P value>0.05) were not significant. Conclusion WVC technique and single-cone technique with EM sealer are the optimum methods to fill ar-tificial resorption cavities.
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Novel Calcium Zirconate Silicate Cement Biomineralize and Seal Root Canals. MATERIALS 2018; 11:ma11040588. [PMID: 29641475 PMCID: PMC5951472 DOI: 10.3390/ma11040588] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2018] [Revised: 04/04/2018] [Accepted: 04/10/2018] [Indexed: 01/22/2023]
Abstract
This study evaluated the sealing ability of gutta-percha (GP) with a calcium silicate-based sealer and a novel calcium zirconate containing calcium silicate cement (ZC). The root canals of the extracted premolars were prepared, which were then randomly allocated to three experimental groups (12 root canals per group) for obturation by continuous wave of condensation with the GP and AH 26 sealer (CW); obturation using a single GP with a calcium silicate-based EndoSequence BC sealer (SC); or obturation with ZC. The roots were inserted into sterile Eppendorf tubes, which were inoculated coronally with Porphyromonas gingivalis. The amount of endotoxin leakage into the apical reservoirs were measured using the Limulus Amebocyte Lysate (LAL) assay over 21 days, with comparisons made using one-way ANOVA and Scheffe’s tests (α = 0.05). After 21 days, 75% of the canals that had been obturated by SC, 50% of those obturated by CW and 42% of those obturated by ZC showed endotoxin leakage. The amount of leakage was higher in the SC canals than in the CW (p = 0.031) or ZC (p = 0.03) canals, although there was no significant difference in the amount of leakage for CW and ZC (p > 0.05). X-ray diffraction revealed the presence of tricalcium silicate (Ca3SiO5) and calcium zirconate (CaZrO3) in the synthesized ZC. Scanning electron microscopy revealed mineralized precipitates on the dentin of canals obturated by ZC. The novel calcium zirconate silicate cement appears to promote biomineralization and seal root canals at least as effectively as the conventional sealer.
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Kebudi Benezra M, Schembri Wismayer P, Camilleri J. Interfacial Characteristics and Cytocompatibility of Hydraulic Sealer Cements. J Endod 2018; 44:1007-1017. [PMID: 29398087 DOI: 10.1016/j.joen.2017.11.011] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Revised: 10/21/2017] [Accepted: 11/15/2017] [Indexed: 11/27/2022]
Abstract
INTRODUCTION The stability and long-term success of root canal obturation depends on the choice of sealer because the sealer bonds to the dentin and stabilizes the solid cone. Furthermore, the sealer needs to be nontoxic because sealer toxicity will certainly lead to treatment failure. The aim of this study was to assess the sealer-dentin interface of 3 hydraulic root canal sealers and to evaluate their cytocompatibility compared with AH Plus (Dentsply DeTrey GmbH, Konstanz, Germany). METHODS Four dental root canal sealers were assessed. AH Plus, MTA Fillapex (Angelus, Londrina, Brazil), BioRoot RCS (Septodont, Saint-Maur-des-Fossés, France), and Endoseal (Maruchi, Wonju-si, Gangwon-do, South Korea) were characterized using scanning electron microscopy and energy-dispersive spectroscopy. The sealer-tooth interface was assessed by confocal microscopy and scanning electron microscopy, and biocompatibility was measured by assessing the cell metabolic function using direct contact assays and alkaline phosphatase activity. RESULTS The tricalcium silicate-based sealers presented a different microstructure and elemental composition despite their similar chemistry and classification. BioRoot RCS was free of aluminum, and all sealers presented different radiopacifying elements. The sealer penetration in the dentinal tubules and interfacial characteristics were different. The migration of silicon was evident from sealer to tooth for all sealers containing tricalcium silicate. MTA Fillapex and BioRoot RCS exhibited the best cytocompatibility in both the direct contact test and alkaline phosphatase activity. CONCLUSIONS The use of hydraulic calcium silicate-based sealers has introduced a different material type to endodontics. These materials are different than other sealers mostly because of their hydraulic nature and their interaction with the environment. Although the sealers tested had a similar chemistry, their cytocompatibility and bonding mechanisms were diverse.
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Affiliation(s)
- Mira Kebudi Benezra
- Department of Endodontics, Faculty of Dentistry, Bezmialem Vakif University, Istanbul, Turkey
| | | | - Josette Camilleri
- Department of Restorative Dentistry, Faculty of Dental Surgery, University of Malta, Msida, Malta; School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, UK.
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Yang DK, Kim S, Park JW, Kim E, Shin SJ. Different Setting Conditions Affect Surface Characteristics and Microhardness of Calcium Silicate-Based Sealers. SCANNING 2018; 2018:7136345. [PMID: 29576841 PMCID: PMC5822761 DOI: 10.1155/2018/7136345] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2017] [Accepted: 12/09/2017] [Indexed: 05/17/2023]
Abstract
OBJECTIVE To investigate the effect of different setting conditions on surface microhardness and setting properties of calcium silicate-based sealers. METHODS Three sealers, EndoSequence Bioceramic (BC; Brasseler USA, Savannah, GA, USA), Endoseal MTA (ES; Maruchi, Wonju, Korea), and Well-Root ST (WR; Vericom, Chuncheon, Korea), were compared. Specimens were exposed to either butyric acid (pH 5.4) or phosphate-buffered saline (PBS [pH 7.4]) for 48 h and stored at 100% humidity for 12 days. The control specimens were stored at 100% humidity for 14 days. Surface microhardness was measured, topographic changes were observed, and phase analysis was performed using X-ray diffraction. Microhardness according to storage conditions was compared using one-way analysis of variance and Tukey's multiple comparison tests (P < .05). RESULTS The BC and ES sealers exhibited decreased microhardness when stored in acid or PBS compared with control (P < .05). In the WR group, acid exposure lowered microhardness of the specimens compared with control (P < .05). Scanning electron microscopy revealed different topographies in specimens from all tested sealers exposed to acid or PBS. CONCLUSION The surface microhardness of calcium silicate-based sealers was reduced by exposure to either acid or PBS. Acid solutions, however, had a more detrimental effect than PBS.
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Affiliation(s)
- Dong-Kyu Yang
- Department of Conservative Dentistry, College of Dentistry, Gangnam Severance Hospital, Yonsei University, 211 Eonju-ro, Gangnam-gu, Seoul 135-720, Republic of Korea
| | - Sunil Kim
- Department of Conservative Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Republic of Korea
| | - Jeong-Won Park
- Department of Conservative Dentistry and Oral Science Research Center, College of Dentistry, Gangnam Severance Hospital, Yonsei University, 211 Eonju-ro, Gangnam-gu, Seoul 135-720, Republic of Korea
| | - Euiseong Kim
- Department of Conservative Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Republic of Korea
| | - Su-Jung Shin
- Department of Conservative Dentistry and Oral Science Research Center, College of Dentistry, Gangnam Severance Hospital, Yonsei University, 211 Eonju-ro, Gangnam-gu, Seoul 135-720, Republic of Korea
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Yoo YJ, Lee YS, Yoo JS, Perinpanayagam H, Yoo CS, Kang HS, Oh S, Chang SW, Kum KY. Intratubular Biomineralization in a Root Canal Filled with Calcium-Enriched Material over 8 Years. MATERIALS (BASEL, SWITZERLAND) 2017; 10:E1388. [PMID: 29206138 PMCID: PMC5744323 DOI: 10.3390/ma10121388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/17/2017] [Revised: 11/21/2017] [Accepted: 11/29/2017] [Indexed: 11/16/2022]
Abstract
This case report describes intratubular biomineralization in root canal, filled with calcium-enriched material after 8 years of clinical maintenance. The schematic findings of dentinal tubules were investigated with scanning electron microscopy (SEM) and energy dispersive spectroscopy (EDS). The root canal obturation material was closely adapted to root dentin surface, suggesting the possibility of chemical bonding between the two interfaces. SEM and EDS observation of dentinal tubules showed intratubular biomineralized crystal structures with Ca/P ratio in a range of 1.30-2.12, suggesting bioactive capacity of calcium-enriched material.
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Affiliation(s)
- Yeon-Jee Yoo
- Department of Conservative Dentistry, Dental Research Institute, Seoul National University School of Dentistry, Daehakro 101, Seoul 03080, Korea.
| | - Yoo Sang Lee
- Department of Dentistry, Seoul National University School of Dentistry, Seoul 03080, Korea.
| | - Jun Sang Yoo
- Department of Dentistry, Seoul National University School of Dentistry, Seoul 03080, Korea.
| | - Hiran Perinpanayagam
- Department of Dentistry, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON N6A 3K7, Canada.
| | - Chang Seon Yoo
- Department of Dentistry, Seoul National University School of Dentistry, Seoul 03080, Korea.
| | - Hyen Sug Kang
- Department of Dentistry, Seoul National University School of Dentistry, Seoul 03080, Korea.
| | - Soram Oh
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul 02447, Korea.
| | - Seok Woo Chang
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul 02447, Korea.
| | - Kee-Yeon Kum
- Department of Conservative Dentistry, Dental Research Institute, Seoul National University School of Dentistry, Daehakro 101, Seoul 03080, Korea.
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Jafari F, Jafari S. Composition and physicochemical properties of calcium silicate based sealers: A review article. J Clin Exp Dent 2017; 9:e1249-e1255. [PMID: 29167717 PMCID: PMC5694156 DOI: 10.4317/jced.54103] [Citation(s) in RCA: 44] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2017] [Accepted: 07/12/2017] [Indexed: 11/05/2022] Open
Abstract
Background Recently a new generation of endodontic sealers has been developed based on calcium silicate as MTA Fillapex, Endoseal MTA, Total Fill BC Sealer, EndoSequence BC Sealer, iRoot SP, Endo CPM sealer, MTA-Angelus and ProRoot Endo Sealer. A review of literature was conducted to discuss the composition, physicochemical properties, and clinical perspectives of calcium silicate based sealers. Material and Methods A literature search was conducted in PubMed and web of knowledge databases with appropriate MeSh terms and keywords. A total of 71 studies were reviewed for data extraction. Results and Conclusions Calcium silicate based sealers showed suitable physical properties to be used as an endodontic sealer. However, its high solubility remains an important issue. They show good performance regarding calcium ion release, film thickness, and fowability. More researches are required about features of calcium silicate based sealers before recommending them for clinical applications. Key words:Calcium silicate, root canal filling materials, composition, physical properties.
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Affiliation(s)
- Farnaz Jafari
- Assistant Professor, Department of Endodontics, Dental School, Tabriz Branch, Islamic Azad University, Tabriz, Iran
| | - Sanaz Jafari
- Assistant Professor, Orthodontics Department, Dentistry Faculty, Ilam University of Medical Sciences
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Upadhyay ST, Purayil TP. Comparative evaluation of Fracture Resistance of Endodontically Treated Teeth Obturated with Pozzolan-based MTA Sealer and Epoxy Resin-based Sealer: An in vitro Study. ACTA ACUST UNITED AC 2017. [DOI: 10.5005/jp-journals-10015-1407] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
ABSTRACT
Aim
To evaluate and compare the effect of epoxy resin-based sealer and a pozzolan-based mineral trioxide aggregate (MTA) sealer on the fracture resistance of endodontically treated teeth.
Materials and methods
Thirty single-rooted mandibular premolars were decoronated to a standardized root length of 15 mm. ProTaper rotary files up to a master apical file size of F3 were used for cleaning and shaping the root canals followed by 2.5% sodium hypochlorite irrigation. The teeth were randomly divided into three groups (n = 10 each), and the obturation was completed using gutta-percha with Endoseal MTA (group I) and AH Plus (group II) as root canal sealers. Group III served as control (instrumented and unfilled). Each specimen was then subjected to fracture testing by using a universal testing machine at a crosshead speed of 1.0 mm/minute until fracture. The force required to fracture each specimen was recorded and the data were subjected to statistical analysis using one-way analysis of variance (ANOVA), followed by pairwise comparison using post hoc Games-Howell test (p < 0.05).
Results
The fracture resistance of groups I and II were significantly higher than those of group III. No significant difference in the fracture resistance was observed between group I (Endoseal MTA) and group II (AH Plus) groups.
Conclusion
It can be concluded that the new root canal sealer, Endoseal MTA, is able to reinforce the tooth against fracture as good as AH Plus.
Clinical significance
Endoseal MTA is a sealer for the reinforcement of endodontically treated teeth.
How to cite this article
Upadhyay ST, Purayil TP, Ginjupalli K. Comparative evaluation of Fracture Resistance of EndodonticallyTreated Teeth Obturated with Pozzolan-based MTA Sealer and Epoxy Resin-based Sealer: An in vitro Study. World J Dent 2017;8(1):37-40.
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Silva EJNL, Carvalho NK, Prado MC, Zanon M, Senna PM, Souza EM, De-Deus G. Push-out Bond Strength of Injectable Pozzolan-based Root Canal Sealer. J Endod 2016; 42:1656-1659. [DOI: 10.1016/j.joen.2016.08.009] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2016] [Revised: 08/09/2016] [Accepted: 08/10/2016] [Indexed: 10/21/2022]
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