Hardened exogenous material after extrusion of calcium hydroxide with barium sulfate: Case study and histopathologic and laboratory analyses

Rheological properties and handling characteristics of four injectable calcium hydroxide pastes

The aim of this study was to investigate the rheological properties and handling characteristics of four brands of injectable calcium hydroxide pastes (Calcipex II, CleaniCal, DiaPaste, Well-Paste). Shear viscosity was measured with a rotational rheometer. A universal mechanics analyzer assembled in the laboratory was used to quantify the force for extrusion and extruded weight of the materials. The apical pressure during injection into an artificial root canal was measured using a pressure sensor. All materials exhibited pseudoplastic behavior. The force for extrusion was highest for DiaPaste, and lowest for CleaniCal, while the extruded weight was lowest for DiaPaste and highest for CleaniCal (p<0.05), indicating a need for caution when using CleaniCal. However, the pressure generated at the apex may vary depending on the shape, and taper of the needle tip, as well as the viscosity of the materials.

Comparison of calcium hydroxide extrusion with syringe versus spiral filler delivery: A pilot study

This study aimed to evaluate Ca(OH)₂ extrusion in relation to delivery technique, apical size and depth of placement. Plastic blocks had j-shaped canals shaped to apical sizes #35 and #45 (n = 32 each). Amounts of calcium hydroxide extrusion was determined relative to apical taper, depth of insertion and whether syringe or spiral filler at 500 rpm was used. Blocks were immersed in pH-sensitive gel and observed for colour change. Extent of extrusion was expressed in mm² . Extrusion occurred in 48/64 of the samples. At 3 mm from the canal terminus, the device affected the frequency of extrusion, with syringe placement causing extrusion significantly (P < 0.01) more frequently, irrespective of apical size. Extrusion was significantly greater at 2 mm short of the canal terminus (median 27.44 mm² ) compared to 3 mm (median 19.69 mm² ). Under in-vitro conditions, a spiral filler at 500 rpm, 3 mm short of the apex, minimised extrusion of Ca(OH)₂ from root canals.

Antibacterial Activity of Rosmarinus officinalis, Zingiber officinale, Citrus aurantium bergamia, and Copaifera officinalis Alone and in Combination with Calcium Hydroxide against Enterococcus faecalis

This study aimed to evaluate the efficacy of different concentrations of essential oils combined with calcium hydroxide against Enterococcus faecalis. Thirteen experimental groups were formed: NC (negative control); PC (positive control); GC (growth control); SC (sterilization control); RO (Rosmarinus officinalis); ROH (calcium hydroxide + RO); ZO (Zingiber officinale); ZOH (calcium hydroxide + ZO); AB (Citrus aurantium bergamia); ABH (calcium hydroxide + AB); CO (Copaifera officinalis); COH (calcium hydroxide + CO); DWH (calcium hydroxide and distilled water). After reconstitution of the E. faecalis strain, microdilution testing was performed to define the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC). The data were tabulated in an Excel spreadsheet, and the MIC and MBC were calculated in accordance with the Bacteriological Analytical Handbook. MICs in the range of 0 to 100 mg/ml were only observed in the ROH group. The RO, ROH, AB, ZO, and ZOH presented absolute data for MBC. Bacterial growth was detected in the DWH group at all concentrations tested. The combination of the essential oils tested here with calcium hydroxide appears promising as an intracanal medication in endodontic treatment because of its effectiveness against Enterococcus faecalis. Essential oils are important in endodontic therapy since calcium hydroxide, the gold standard intracanal medication, is not effective against E. faecalis.