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Emonde CK, Eggers ME, Wichmann M, Hurschler C, Ettinger M, Denkena B. Radiopacity Enhancements in Polymeric Implant Biomaterials: A Comprehensive Literature Review. ACS Biomater Sci Eng 2024; 10:1323-1334. [PMID: 38330191 PMCID: PMC10934286 DOI: 10.1021/acsbiomaterials.3c01667] [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: 11/14/2023] [Revised: 01/17/2024] [Accepted: 01/18/2024] [Indexed: 02/10/2024]
Abstract
Polymers as biomaterials possess favorable properties, which include corrosion resistance, light weight, biocompatibility, ease of processing, low cost, and an ability to be easily tailored to meet specific applications. However, their inherent low X-ray attenuation, resulting from the low atomic numbers of their constituent elements, i.e., hydrogen (1), carbon (6), nitrogen (7), and oxygen (8), makes them difficult to visualize radiographically. Imparting radiopacity to radiolucent polymeric implants is necessary to enable noninvasive evaluation of implantable medical devices using conventional imaging methods. Numerous studies have undertaken this by blending various polymers with contrast agents consisting of heavy elements. The selection of an appropriate contrast agent is important, primarily to ensure that it does not cause detrimental effects to the relevant mechanical and physical properties of the polymer depending upon the intended application. Furthermore, its biocompatibility with adjacent tissues and its excretion from the body require thorough evaluation. We aimed to summarize the current knowledge on contrast agents incorporated into synthetic polymers in the context of implantable medical devices. While a single review was found that discussed radiopacity in polymeric biomaterials, the publication is outdated and does not address contemporary polymers employed in implant applications. Our review provides an up-to-date overview of contrast agents incorporated into synthetic medical polymers, encompassing both temporary and permanent implants. We expect that our results will significantly inform and guide the strategic selection of contrast agents, considering the specific requirements of implantable polymeric medical devices.
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Affiliation(s)
- Crystal Kayaro Emonde
- Laboratory
for Biomechanics and Biomaterials (LBB), Hannover Medical School, Anna-von-Borries-Strasse 1-7, 30625 Hannover, Germany
| | - Max-Enno Eggers
- Institute
of Production Engineering and Machine Tools, Leibniz University Hannover, An der Universität 2, 30823 Garbsen, Hannover, Germany
| | - Marcel Wichmann
- Institute
of Production Engineering and Machine Tools, Leibniz University Hannover, An der Universität 2, 30823 Garbsen, Hannover, Germany
| | - Christof Hurschler
- Laboratory
for Biomechanics and Biomaterials (LBB), Hannover Medical School, Anna-von-Borries-Strasse 1-7, 30625 Hannover, Germany
| | - Max Ettinger
- Department
of Orthopedic Surgery − DIAKOVERE Annastift, Hannover Medical School, Anna-von-Borries-Strasse 1-7, 30625 Hannover, Germany
| | - Berend Denkena
- Institute
of Production Engineering and Machine Tools, Leibniz University Hannover, An der Universität 2, 30823 Garbsen, Hannover, Germany
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Gündoğdu C, Akgül S. Radiopacity evaluation of different types of resin restorative materials using a digital radiography system. Oral Radiol 2023; 39:646-653. [PMID: 36920599 DOI: 10.1007/s11282-023-00679-6] [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] [Received: 11/17/2022] [Accepted: 03/02/2023] [Indexed: 03/16/2023]
Abstract
OBJECTIVES The aim of the study was to evaluate and compare the radiopacity of 20 current dental resin composites with digital radiography. METHODS Ten specimens, 10-mm in diameter and 1-mm thickness, were prepared and radiographed using phosphor plates close to Al step wedges and tooth sections. The mean grey values (MGVs) were measured using an ImageJ software program and converted to equivalent Al thickness. Data were analyzed using one-way analysis of variance (ANOVA) and Tamhane post hoc test (p < 0.05). Correlation between mean radiopacity and filler content (wt% and vol%) of the tested materials was analyzed with linear regression analysis. RESULTS The radiopacity of all composites ranged from 1.32 mm Al (Estellite Flow Quick) to 3.41 mm Al (Charisma Classic). All the tested materials, except four restorative materials, had a radiopacity equal or higher than the enamel (p < 0.05). Linear regression revealed low correlation between the radiopacity and filler content of the composite. CONCLUSION Majority of the materials has appropriate radiopacity for dental restorations. There was great variation in radiopacity level, may clinically affect the diagnosis.
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Affiliation(s)
- Ceyda Gündoğdu
- Department of Restorative Dentistry, Faculty of Dentistry, İstanbul Medipol University, TEM Avrupa Otoyolu Göztepe çıkışı no:1, 34214, Bağcılar-Istanbul, Turkey.
| | - Sinem Akgül
- Department of Restorative Dentistry, Faculty of Dentistry, Gazi University, Emek-Ankara, Turkey
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Kandemir Demirci G, Çöven FO, Güneri P, Karavana SY, Nalbantsoy A, Köse T, Kaval ME. The solubility, pH value, chemical structure, radiopacity, and cytotoxicity of four different root canal sealers: an in vitro study. Clin Oral Investig 2023; 27:5413-5425. [PMID: 37486382 DOI: 10.1007/s00784-023-05160-6] [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] [Received: 01/31/2023] [Accepted: 07/11/2023] [Indexed: 07/25/2023]
Abstract
OBJECTIVE The aim of this study was to investigate solubility, pH value, chemical structure, radiopacity, and cytotoxicity of AH Plus BC, TotalFill BC, AH Plus, and AH Plus Jet sealers. MATERIALS AND METHODS Cytotoxicity analysis with direct and extraction tests at 3 different concentrations (1:1, 1:2, 1:4 v/v%) and time (24 h, 48 h, and 72 h) on Saos-2, PdLF, and THP-1 cell lines, chemical structure with scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDX) analysis, solubility, pH, and radiopacity values of AH Plus BC, TotalFill BC, AH Plus, and AH Plus Jet were evaluated. For statistical analyses of the groups, repeated measures, factorial, and one-way ANOVA tests were used. The statistical significance level was set at p < .05. RESULTS Resin-based sealers showed higher cytotoxicity values than the bioceramic-based sealers (p < 0.05). Time and concentrations were effective on the cell viabilities for cell lines. Higher peaks of calcium were detected bioceramic-based sealers and higher amount of zirconium was detected in AH Plus BC (p < 0.05). AH Plus BC showed similar radiopacity value with AH Plus, AH Plus Jet, whereas TotalFill BC showed the lowest radiopacity (p < 0.05). Bioceramic-based sealers had higher pH values in all experiment periods, and the difference between resin- and bioceramic-based sealer groups was significant (p < 0.05). However, the solubility values of the tested root canal sealers revealed no differences (p > 0.05). CONCLUSIONS The newly produced AH Plus BC Sealer showed similar properties with TotalFill BC, and their biological properties were better than AH Plus and AH Plus Jet. CLINICAL RELEVANCE AH Plus BC could be a possible alternative to other bioceramic- or resin-based sealers.
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Affiliation(s)
| | - Furkan Ozan Çöven
- Department of Bioengineering, Faculty of Engineering, Ege University, İzmir, Turkey
| | - Pelin Güneri
- Department of Oral and Maxillofacial Radiology, School of Dentistry, Ege University, İzmir, Turkey
| | - Sinem Yaprak Karavana
- Department of Pharmaceutical Technology, Faculty of Pharmacy, Ege University, İzmir, Turkey
| | - Ayşe Nalbantsoy
- Department of Bioengineering, Faculty of Engineering, Ege University, İzmir, Turkey
| | - Timur Köse
- Department of Biostatistics and Medical Informatics, Faculty of Medicine, Ege University, İzmir, Turkey
| | - Mehmet Emin Kaval
- Department of Endodontology, School of Dentistry, Ege University, 35100, İzmir, Turkey
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Chang SJ, Kim YJ, Vu HT, Choi JM, Park JH, Shin SJ, Dashnyam K, Knowles JC, Lee HH, Jun SK, Han MR, Lee JH, Kim JS, Shin JS, Kim JB, Lee JH. Physicochemical, Pre-Clinical, and Biological Evaluation of Viscosity Optimized Sodium Iodide-Incorporated Paste. Pharmaceutics 2023; 15:pharmaceutics15041072. [PMID: 37111558 PMCID: PMC10143732 DOI: 10.3390/pharmaceutics15041072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 03/22/2023] [Accepted: 03/23/2023] [Indexed: 03/29/2023] Open
Abstract
This study aimed to investigate the impact of different viscosities of silicone oil on the physicochemical, pre-clinical usability, and biological properties of a sodium iodide paste. Six different paste groups were created by mixing therapeutic molecules, sodium iodide (D30) and iodoform (I30), with calcium hydroxide and one of the three different viscosities of silicone oil (high (H), medium (M), and low (L)). The study evaluated the performance of these groups, including I30H, I30M, I30L, D30H, D30M, and D30L, using multiple parameters such as flow, film thickness, pH, viscosity, and injectability, with statistical analysis (p < 0.05). Remarkably, the D30L group demonstrated superior outcomes compared to the conventional iodoform counterpart, including a significant reduction in osteoclast formation, as examined through TRAP, c-FOS, NFATc1, and Cathepsin K (p < 0.05). Additionally, mRNA sequencing showed that the I30L group exhibited increased expression of inflammatory genes with upregulated cytokines compared to the D30L group. These findings suggest that the optimized viscosity of the sodium iodide paste (D30L) may lead to clinically favorable outcomes, such as slower root resorption, when used in primary teeth. Overall, the results of this study suggest that the D30L group shows the most satisfactory outcomes, which may be a promising root-filling material that could replace conventional iodoform-based pastes.
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Affiliation(s)
- Soo-Jin Chang
- Department of Pediatric Dentistry, College of Dentistry, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea (J.-S.S.)
| | - Yu-Jin Kim
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
| | - Huong Thu Vu
- Institute of Tissue Regeneration Engineering (ITREN), Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
| | - Ji-Myung Choi
- Department of Pediatric Dentistry, College of Dentistry, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea (J.-S.S.)
| | - Jeong-Hui Park
- Institute of Tissue Regeneration Engineering (ITREN), Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
- Department of Nanobiomedical Science & BK21 PLUS NBM Global Research Center for Regenerative Medicine, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
| | - Seong-Jin Shin
- Institute of Tissue Regeneration Engineering (ITREN), Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
| | - Khandmaa Dashnyam
- Institute of Tissue Regeneration Engineering (ITREN), Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
- Department of Nanobiomedical Science & BK21 PLUS NBM Global Research Center for Regenerative Medicine, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
- Drug Research Institute, Mongolian Pharmaceutical University & Monos Group, Ulaanbaatar 14250, Mongolia
| | - Jonathan C. Knowles
- Department of Nanobiomedical Science & BK21 PLUS NBM Global Research Center for Regenerative Medicine, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
- UCL Eastman-Korea Dental Medicine Innovation Centre, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
- Cell & Matter Institute, Dankook University, Cheonan 31116, Republic of Korea
- Division of Biomaterials and Tissue Engineering, Eastman Dental Institute, Royal Free Hospital, Rowland Hill Street, London NW3 2PF, UK
| | - Hae-Hyoung Lee
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
- Institute of Tissue Regeneration Engineering (ITREN), Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
- Department of Nanobiomedical Science & BK21 PLUS NBM Global Research Center for Regenerative Medicine, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
- UCL Eastman-Korea Dental Medicine Innovation Centre, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
| | - Soo-Kyung Jun
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
- Institute of Tissue Regeneration Engineering (ITREN), Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
- Department of Dental Hygiene, Hanseo University, 46 Hanseo 1ro, Seosan 31962, Republic of Korea
| | - Mi-Ran Han
- Department of Pediatric Dentistry, College of Dentistry, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea (J.-S.S.)
| | - Joon-Haeng Lee
- Department of Pediatric Dentistry, College of Dentistry, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea (J.-S.S.)
| | - Jong-Soo Kim
- Department of Pediatric Dentistry, College of Dentistry, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea (J.-S.S.)
| | - Ji-Sun Shin
- Department of Pediatric Dentistry, College of Dentistry, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea (J.-S.S.)
| | - Jong-Bin Kim
- Department of Pediatric Dentistry, College of Dentistry, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea (J.-S.S.)
- Correspondence: (J.-B.K.); (J.-H.L.)
| | - Jung-Hwan Lee
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
- Institute of Tissue Regeneration Engineering (ITREN), Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
- Department of Nanobiomedical Science & BK21 PLUS NBM Global Research Center for Regenerative Medicine, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
- UCL Eastman-Korea Dental Medicine Innovation Centre, Dankook University, 119 Dandaero, Cheonan 31116, Republic of Korea
- Cell & Matter Institute, Dankook University, Cheonan 31116, Republic of Korea
- Mechanobiology Dental Medicine Research Center, Cheonan 31116, Republic of Korea
- Correspondence: (J.-B.K.); (J.-H.L.)
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Rodrigues Schneider L, da Silva Barboza A, Ribeiro de Andrade JS, Coelho Dos Santos D, Cuevas-Suárez CE, Piva E, Campos AD, Lund RG. Antibacterial activity and physicochemical properties of a sealer containing copaiba oil. BIOFOULING 2023; 39:110-120. [PMID: 36946247 DOI: 10.1080/08927014.2023.2189012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 03/01/2023] [Accepted: 03/04/2023] [Indexed: 06/18/2023]
Abstract
This study aimed to evaluate the antimicrobial activity and physicochemical properties of a novel dual-cure endodontic sealer containing copaiba oil. The copaiba oil was obtained and characterized by gas chromatography (GC), and the minimum inhibitory concentration (MIC) was performed. The experimental sealers were formulated with copaiba oil concentrations of 0, 0.5, 1, and 2%, and the RealSeal™ (Sybron endo, Orange, USA) and AH Plus (Dentsply De Trey Gmbh, Konstanz, Germany) were used as the commercial references. The antimicrobial activity of the sealers was evaluated by the direct contact test for 1h and 24h. To evaluate the physicochemical properties of the sealers, the degree of conversion, setting time, film thickness, dimensional stability, and radiopacity tests were performed. The data were statistically analyzed by one-way ANOVA and Tukey's test (α = 0.05). Concerning the results, the sealers containing copaiba oil showed antimicrobial activity without harming the physicochemical properties.
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Affiliation(s)
- Lara Rodrigues Schneider
- Post-Graduate Program in Biochemistry and Bioprospection, Laboratory of Oral Microbiology, Pelotas Dental School, Federal University of Pelotas, Pelotas, RS, Brazil
| | - Andressa da Silva Barboza
- Post-Graduate Program in Dentistry, Pelotas Dental School, Federal University of Pelotas, Pelotas, RS, Brazil
| | | | - Daniela Coelho Dos Santos
- Post-Graduate Program in Biochemistry and Bioprospection, Laboratory of Oral Microbiology, Pelotas Dental School, Federal University of Pelotas, Pelotas, RS, Brazil
| | | | - Evandro Piva
- Post-Graduate Program in Dentistry, Pelotas Dental School, Federal University of Pelotas, Pelotas, RS, Brazil
| | - Angela Diniz Campos
- Brazilian Agricultural Research Corporation - Embrapa, Embrapa Temperate Agriculture - CPACT, Pelotas, RS, Brazil
| | - Rafael Guerra Lund
- Post-Graduate Program in Biochemistry and Bioprospection, Laboratory of Oral Microbiology, Pelotas Dental School, Federal University of Pelotas, Pelotas, RS, Brazil
- Post-Graduate Program in Dentistry, Pelotas Dental School, Federal University of Pelotas, Pelotas, RS, Brazil
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Chaves de Souza L, Teixeira Neves GS, Kirkpatrick T, Letra A, Silva R. Physico-chemical and biological properties of AH Plus Bioceramic. J Endod 2022; 49:69-76. [DOI: 10.1016/j.joen.2022.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 10/16/2022] [Accepted: 10/17/2022] [Indexed: 11/17/2022]
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Morphological and Chemical Analysis of Different Types of Calcium Silicate-Based Cements. Int J Dent 2022; 2022:6480047. [PMID: 35633889 PMCID: PMC9135564 DOI: 10.1155/2022/6480047] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 03/16/2022] [Accepted: 04/23/2022] [Indexed: 11/18/2022] Open
Abstract
Objectives. Particle size and shape can influence the properties of materials. However, to improve the physicochemical and biological properties of mineral trioxide aggregate (MTA), silicate-based hydraulic cements were introduced. This study aimed to evaluate and compare the major constituents and crystalline structures along with the surface morphology of different types of calcium silicate-based cement (CSC). Materials and Methods. Six different types of CSC (white Portland cement, white ProRoot MTA, white MTA Angelus, Biodentine, and Endosequence, both putty and paste) were used in this study. Five samples of each material were analyzed in both uncured and cured cement using scanning electron microscopy/energy-dispersive X-ray (SEM/EDX), X-ray diffraction (XRD), and Fourier transform-infrared spectroscopy (FTIR). Results. SEM analysis showed that the surfaces of all materials consisted of particle sizes ranging from 0.194 μm to approximately 51.82 μm. The basic elements found in both uncured and cured cement of all tested materials using EDX were carbon, calcium, silicon, and oxygen. A difference was observed in the presence or absence of magnesium, aluminum, bismuth, zirconium, and tantalum. XRD showed that all tested materials were composed mainly of tricalcium silicate and dicalcium silicate, which are the main components of Portland cement. FTIR analysis showed aromatic rings, phosphine PH, alkyl halides, and alcohol O-H groups in all tested materials but at different wavenumbers. Conclusions. The different types of CSCs tested in this study were primarily modified types of Portland cement with the addition of radiopacifiers. ProRoot MTA and MTA Angelus contained bismuth oxide, Biodentine contains zirconium oxide, whereas Endosequence root repair materials (both putty and paste) contained zirconium oxide and tantalum oxide. Endosequence root repair materials showed smaller particle sizes than the other groups. White PC had the most irregular and large particle sizes. CSC had a smaller particle size, except for MTA Angelus. Clinical Relevance. The composition of CSC has a direct influence on the properties of these cements, which may affect the clinical outcome of the treatment.
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Dželetović B, Milanović I, Antonijević Đ, Badnjar J, Petrov Z, Antić S, Ležaja-Zebić M. Radiopacity of premixed and two-component Calcium silicate-based Root Canal sealers. BALKAN JOURNAL OF DENTAL MEDICINE 2022. [DOI: 10.5937/bjdm2203161d] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Background/Aim: Radiopacity enables radiographic visualization, which is significant in diagnostic procedures and assessment of the quality of endodontic filling. It is important to compare newly developed endodontic sealers with materials that are already in clinical use in order to promote evidence-based dentistry. The aim of our study was to evaluate radiopacity of different calcium silicate-based sealers in comparison with control, epoxy resin-based sealer. The null hypothesis was that there were no statistically significant differences in radiopacity of the tested sealers. Material and Methods: Premixed (TotalFill BC Sealer, EndoSequence BC Sealer, Ceraseal, Bio-C Sealer), two-component (BioRoot RCS, MTA Fillapex, Bioceramic Root Canal Sealer, GuttaFlow Bioseal) calcium silicate-based sealers and AH Plus, as a control, were used. Specimens were radiographed using a Radiovisiography (RVG-4) CCD (charge-coupled devices)-based digital sensor. Results: Ceraseal had the highest, while Bioceramic Root Canal Sealer had the lowest radiopacity. Bioceramic Root Canal Sealer and MTA Fillapex had radiopacity significantly lower than all other sealers. Radiopacity level of AH Plus, was similar to premixed and significantly higher than radiopacities of all two-component endodontic sealers. Conclusions: Calcium silicate-based sealers radiopacity ranged from slightly above minimal required value (3mm), to a value higher than control sealer. Premixed endodontic sealers showed similar radiopacity as AH Plus which suggests that their clinical performance, in terms of visibility on dental radiograms, should be similar
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Demirci GK, Kaval ME, Kurt SM, Serefoglu B, Güneri P, Hülsmann M, Caliskan MK. Energy-Dispersive X-Ray Spectrometry Analysis and Radiopacity of Five Different Root Canal Sealers. Braz Dent J 2021; 32:1-11. [PMID: 34877971 DOI: 10.1590/0103-6440202104638] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Accepted: 09/29/2021] [Indexed: 11/21/2022] Open
Abstract
Root canal sealers should have optimum adhesion to the root dentin, low cytotoxicity, sufficient radiopacity and high dimensional stability, which depend mainly on their chemical composition. The aims of this study were to evaluate the chemical composition of Syntex (Cerkamed, Stalowa Wola, Poland), Adseal (Meta Biomed, Cheongju-si, Korea), Sealapex (SybronEndo, Scafati, Italy), MTA Fillapex (Angelus, Londrina, Brazil) and GuttaFlow Bioseal (Coltene/Whaledent, Altstätten, Switzerland) and to determine their radiopacity comparatively. Stainless steel molds with an inner diameter of 5 mm and a depth of 2 mm were constructed. Tested root-canal sealers were mixed and poured into the molds. Following setting, digital periapical radiographs of the specimens (n=12) were taken under standard exposure conditions and the mean gray-values of specimens were measured using a computer graphics program. Then the specimens were examined by scanning electron microscopy, and Energy-dispersive X-ray analysis was performed. The data were analyzed using One-way ANOVA followed by Holm-Sidak multi-comparison test (p = 0.05). Sealapex showed higher calcium peak than MTA Fillapex, GuttaFlow Bioseal, Adseal and Syntex sealers. MTA Fillapex contained a highest amount of tungstate. Sealapex presented the highest radiopacity value among the tested materials (p < 0.05), whereas MTA Fillapex was the least radiopaque material (p < 0.05). Each root canal sealer contains different compositions of radiopacifiers including bismuth oxide, calcium tungstate and zirconium oxide. The tested root canal sealers had radiopacity values above the ISO-specified limit. Sealapex was the most radiopaque root canal sealer followed by GuttaFlow Bioseal, Syntex, Adseal and MTA Fillapex.
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Affiliation(s)
| | - Mehmet Emin Kaval
- Department of Endodontology, Faculty of Dentistry, Ege University, Izmir, Turkey
| | | | - Burcu Serefoglu
- Department of Endodontology, Faculty of Dentistry, Ege University, Izmir, Turkey
| | - Pelin Güneri
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Ege University, Izmir, Turkey
| | - Michael Hülsmann
- Department of Operative Dentistry, Periodontology and Cariology, Faculty of Dentistry, University of Göttingen, Göttingen, Germany
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Evaluation of the Physicochemical and Biological Properties of EndoSequence BC Sealer HiFlow. J Endod 2021; 48:123-131. [PMID: 34678358 DOI: 10.1016/j.joen.2021.10.001] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 10/07/2021] [Accepted: 10/09/2021] [Indexed: 01/06/2023]
Abstract
INTRODUCTION Understanding the physicochemical and biological properties of endodontic sealers is important for endodontic treatment planning. This study evaluated the properties of EndoSequence BC Sealer HiFlow (BCH; Brasseler USA, Savannah, GA), EndoSequence BC Sealer (BC, Brasseler USA), and AH Plus (AHP; Dentsply DeTrey, Konstanz, Germany). The effect of temperature on the setting time and flow of these sealers was also evaluated. METHODS The setting time, flow, radiopacity, pH, solubility, and calcium release were investigated following ISO guidelines. The morphology and chemical composition of the sealers were evaluated by scanning electron microscopy and energy-dispersive spectroscopy. The antibacterial activity of sealers was tested against 2 strains of Enterococcus faecalis. Sealer cytotoxicity and the effects on messenger RNA expression of proinflammatory and mineralization genes were also investigated. Data analysis was performed using analysis of variance, Tukey, Kruskal-Wallis, and Dunn multiple comparison tests. P ≤ .05 was considered statistically significant. RESULTS The setting time and flow rate of all sealers were affected by heat (P ≤ .05). The setting times and solubility of BCH and BC were significantly higher than AHP (P ≤ .0001). The radiopacity of AHP was higher than BCH and BC (P ≤ .0001). All sealers were alkaline and had antibacterial effects. Cell viability was higher for BCH and BC than AHP (P ≤ .0001). No significant differences in messenger RNA expression of proinflammatory and mineralization genes were observed. CONCLUSIONS Overall, BCH and BC had similar physicochemical and biological properties. The observed high solubility of BCH and BC as well as the high cytotoxicity of AHP might negatively impact the clinical performance of these materials. The application of heat affected the setting time and flow of all sealers.
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11
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Development and properties of endodontic resin sealers with natural oils. J Dent 2020; 104:103538. [PMID: 33248212 DOI: 10.1016/j.jdent.2020.103538] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 11/13/2020] [Accepted: 11/23/2020] [Indexed: 01/22/2023] Open
Abstract
OBJECTIVES To synthesize and evaluate the physicochemical, antimicrobial, and cytocompatibility properties of experimental resin-based endodontic sealers containing butia or copaiba natural oils. METHODS Experimental groups contained butia (Butia capitata) at 0.5 % (B0.5), 1 % (B1), 2 % (B2), and copaiba (Copaifera spp.) at 0.5 % (C0.5), 1 % (C1), and 2 % (C2). The control group contained no added oils (experimental material, EM) and the commercial group was a methacrylate-based resin material (RealSeal™, SybronEndo Corporation, Orange, CA, USA). Degree of conversion, film thickness, setting time, flow, water sorption and solubility, and radiopacity were measured. Meanwhile, antimicrobial (modified direct contact test) and cytotoxicity assays of the experimental groups and controls were performed. One-way ANOVA was used to determine the effect of the independent variable (material) on the degree of conversion, film thickness, radiopacity, flow, setting time, water sorption and solubility, and cytotoxicity. For antimicrobial assays, data were analyzed using two-way ANOVA and Ŝidák's test. RESULTS The experimental groups containing natural oils showed higher values of degree of conversion, and lowest water sorption and solubility. EM, B0.5, B1, B2, and RS showed similar film thicknesses. The flow values were statistically similar in all groups. The experimental groups showed adequate cell compatibility. Copaiba oil at 2% increased the antimicrobial effect after 1 and 24 h (p < 0.05). The incorporation of butia or copaiba resulted in a slight modification in some physicochemical properties of the experimental resin sealers. CONCLUSION Novel resin sealers containing natural oils are a promising alternative for endodontics, because of their good physicochemical properties, antimicrobial effects, and cytocompatibility when compared to a commercially available sealer. CLINICAL SIGNIFICANCE Endodontic sealers containing butia or copaiba had satisfactory cytocompatibility, antimicrobial effects, and adequate physicochemical properties.
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Meng Y, Zhang D, Jia X, Xiao K, Lin X, Yang Y, Xu D, Wang Q. Antimicrobial Activity of Nano-Magnesium Hydroxide Against Oral Bacteria and Application in Root Canal Sealer. Med Sci Monit 2020; 26:e922920. [PMID: 32503962 PMCID: PMC7297022 DOI: 10.12659/msm.922920] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Accepted: 03/09/2020] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND The goal of the present work was to assess the antibacterial activity of nano-magnesium hydroxide (NMH) against Streptococcus mutans (S. mutans) and to explore the antimicrobial function of AH Plus™ sealer incorporating NMH. MATERIAL AND METHODS The antimicrobial behavior of NMH against S. mutans was evaluated with bactericidal tests. A modified direct contact test was used to assess the antimicrobial activity of unset AH Plus containing NMH after 5 minutes, 20 minutes, and 60 minutes of contact with bacteria. The antimicrobial effects and the amount of surface-adhering bacteria of the solidified materials were explored by SEM and confocal laser scanning microscopy, respectively. RESULTS NMH powder presented excellent antimicrobial activity against S. mutans. Mg²⁺ and OH⁻ were not the main factors resulting in bacterial death. Approximately 93.1% and 98% of the S. mutans were killed in the AH Plus+7% NMH group after incubation for 5 minutes and 20 minutes, respectively. AH Plus with 5% or 7% NMH were more potent against S. mutans compared with AH Plus alone (P<0.05). Moreover, the antibacterial function of AH Plus was lost after setting. NMH enabled the solidified AH Plus to still have antibacterial properties on the seventh day. CONCLUSIONS NMH can be used to modify AH Plus sealer to eradicate residual bacteria and prevent reinfection.
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Affiliation(s)
- Yingying Meng
- School and Hospital of Stomatology, China Medical University, Shenyang, Liaoning, P.R. China
- Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, Liaoning, P.R. China
| | - Dan Zhang
- School and Hospital of Stomatology, China Medical University, Shenyang, Liaoning, P.R. China
- Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, Liaoning, P.R. China
| | - Xingya Jia
- School and Hospital of Stomatology, China Medical University, Shenyang, Liaoning, P.R. China
- Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, Liaoning, P.R. China
| | - Keshen Xiao
- Institute of Metal Research, Chinese Academy of Sciences, Shenyang, Liaoning, P.R. China
| | - Xiao Lin
- Orthopaedic Institute and Department of Orthopaedics, The First Affiliated Hospital, Soochow University, Suzhou, Jiangsu, P.R. China
| | - Yi Yang
- Key Laboratory for Anisotropy and Texture of Materials, Northeastern University, Shenyang, Liaoning, P.R. China
| | - Dake Xu
- Key Laboratory for Anisotropy and Texture of Materials, Northeastern University, Shenyang, Liaoning, P.R. China
| | - Qiang Wang
- School and Hospital of Stomatology, China Medical University, Shenyang, Liaoning, P.R. China
- Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, Liaoning, P.R. China
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Calcium phosphates as fillers for methacrylate-based sealer. Clin Oral Investig 2019; 23:4417-4423. [DOI: 10.1007/s00784-019-02898-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Accepted: 04/04/2019] [Indexed: 11/26/2022]
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Abo El-Mal EO, Abu-Seida AM, El Ashry SH. A comparative study of the physicochemical properties of hesperidin, MTA-Angelus and calcium hydroxide as pulp capping materials. Saudi Dent J 2018; 31:219-227. [PMID: 30983832 PMCID: PMC6445453 DOI: 10.1016/j.sdentj.2018.09.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2018] [Revised: 09/08/2018] [Accepted: 09/11/2018] [Indexed: 02/05/2023] Open
Abstract
Aim This study compared the setting time, radiopacity, solubility and pH changes between Hisperidin cement, MTA-Angelus and Calcium hydroxide cements. Methods The study was conducted on 3 equal groups of samples of the evaluated capping materials including; Hisperidin (group I, N = 24), MTA-Angelus (group II, N = 24) and Dycal (group III, N = 24). According to the assessed property, these groups were further subdivided into three equal subgroups (8 samples each) including; subgroup A for assessment of the setting time, subgroup B for assessment of radiopacity and subgroup C for assessment of the solubility of the material and evaluation of pH. All recorded data were tabulated and statistically analyzed. Results The highest mean value of setting time was for the MTA-Angelus followed by Hesperidin and Calcium hydroxide with 72.83, 48.26 and 1.58 min, respectively. MTA-Angelus had the highest radiopacity value and followed by Calcium hydroxide then Hesperidin. Hesperidin showed the solubility in distilled water (≈45% mass loss) in relation to Calcium hydroxide (≈19% mass loss). On the other hand, MTA-Angelus showed 9% increase in weight. On contrast to MTA and Calcium hydroxide, Hesperidin showed decrease in pH value throughout the evaluation periods. Higher pH values in MTA-Angelus and Calcium hydroxide were reported in comparison with Hesperidin. Conclusion Despite its slight acidic nature, lower radiopacity and longer initial setting time, Hesperidin, as a natural product, is a promising pulp capping material. Further research on Hesperidin powder is recommended to improve its physicochemical properties and to assess its biological actions.
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Affiliation(s)
- Ebtesam O. Abo El-Mal
- Department of Endodontics, Faculty of Dental and Oral Surgery, Misr University for Science and Technology, Giza, Egypt
| | - Ashraf M. Abu-Seida
- Dept of Surgery, Anesthesiology & Radiology, Faculty of Veterinary Medicine, Cairo University, Giza, Egypt
- Corresponding author at: Cairo University, Faculty of Veterinary Medicine, Giza, Giza Square, Egypt.
| | - Salma H. El Ashry
- Dept. of Endodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt
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Petry BL, Bodanezi A, Baldasso FER, Delai D, Larentis NL, Fontanella VRC, Kopper PMP. Radiopacity Evaluation of Gutta-Percha Points in Thinner Samples than the ANSI/ADA Recommendation. Braz Dent J 2017; 28:592-596. [PMID: 29215684 DOI: 10.1590/0103-6440201701620] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2016] [Accepted: 07/25/2017] [Indexed: 05/29/2023] Open
Abstract
The aim of this study was to evaluate the radiopacity of different gutta-percha points (Endo Points®, Dentsply®, Tanari®, Meta®, Roeko® and Odous®) in samples of 1 mm thick as established by ANSI/ADA Specification #57 and ISO 6876/2001, in comparison with thinner samples. Twelve test specimens for each material, four for each thickness (0.3, 0.6, and 1 mm and diameter of 8 mm), were laminated and compressed between two polished glass plates until the desirable thickness. Digital radiographs were obtained along with a graduated aluminum stepwedge varying from 1 to 10 mm in thickness. The X-ray unit was set at 70 kVp, 10 mA and 0.4 s exposure time, at a focal distance of 36 cm. One calibrated observer quantified the average values of pixels with Adobe Photoshop® software. Data were analyzed using ANOVA and Tukey tests, at 5% significance level. At 0.6 and 1 mm thickness, all the tested materials showed radiopacity higher than 3 mm of aluminum (reference value). At 0.3 mm thickness, Odous and Tanari presented significantly less radiopacity than the reference, and the other materials showed similar radiopacity to the reference. The study concluded that the materials demonstrated different radiopacities and all had values above the minimum recommended by ANSI/ADA specification #57, being Odous and Tanari less radiopaque than the reference value in thinner samples (0.3mm).
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Affiliation(s)
- Bruna Lucian Petry
- Department of Conservative Dentistry, Dental School, UFRGS - Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Augusto Bodanezi
- Department of Conservative Dentistry, UFSC - Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil
| | - Flávia Emi Razera Baldasso
- Department of Conservative Dentistry, Dental School, UFRGS - Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Débora Delai
- Department of Conservative Dentistry, Dental School, UFRGS - Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | | | - Vania Regina Camargo Fontanella
- Surgery and Orthopaedics Department, Dental School, UFRGS - Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Patrícia Maria Poli Kopper
- Department of Conservative Dentistry, Dental School, UFRGS - Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
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de Souza LC, Yadlapati M, Lopes HP, Silva R, Letra A, Elias CN. Physico-chemical and Biological Properties of a New Portland Cement-based Root Repair Material. Eur Endod J 2017; 3:38-47. [PMID: 32161849 PMCID: PMC7024716 DOI: 10.5152/eej.2017.17008] [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: 05/08/2017] [Revised: 07/08/2017] [Accepted: 09/26/2017] [Indexed: 11/22/2022] Open
Abstract
Could conventional endodontic treatment have an impact on oral health-related quality of life? There are still unresolved questions regarding this theme. In order to answer them, a systematic review on the available literature was undertaken to identify the methodological quality of and the risk of bias in all relevant studies. A broad search for articles was conducted, and only articles published before May 2016 were considered for review. The following portals were used: Pubmed, VHL (Medline, SciELO, Lilacs and BBO), Cochrane Library, and Web of Science. The keywords used for the search were ‘quality of life’ and ‘root canal treatment.’ Furthermore, we included MeSH synonyms, related terms and free terms. Articles written in any language were included according to the PICOS approach (population, intervention, comparison, outcome and study design). After application of these eligibility criteria, selected articles were qualified by assessing their methodological quality and potential risk of bias. The initial search identified 302 references. After excluding duplicated abstracts and analysing the titles and abstracts, 6 were selected. One study was added via manual search of the reference lists. From these, 2 were eligible for quality assessment and were classified as being of high methodological quality and as having low risk of bias. Based on these studies, it can be concluded that conventional endodontic treatment improves oral health-related quality of life. However, these results should be interpreted with caution, due to the lack of important methodological details in the included studies. Additional investigations are warranted to provide more evidence on this subject.
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Affiliation(s)
- Letícia Chaves de Souza
- Department of Materials Science, Military Institute of Engineering, Rio de Janeiro, RJ, Brazil.,School of Dentistry, University of Texas Health Science Center at Houston, TX, USA
| | - Mamatha Yadlapati
- School of Dentistry, University of Texas Health Science Center at Houston, TX, USA
| | - Hélio Pereira Lopes
- Department of Endodontics, Estácio de Sá University, Rio de Janeiro, RJ, Brazil
| | - Renato Silva
- School of Dentistry, University of Texas Health Science Center at Houston, TX, USA
| | - Ariadne Letra
- School of Dentistry, University of Texas Health Science Center at Houston, TX, USA
| | - Carlos Nelson Elias
- Department of Materials Science, Military Institute of Engineering, Rio de Janeiro, RJ, Brazil
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Vilela Teixeira AB, Vidal CL, de Castro DT, da Costa Valente ML, Oliveira-Santos C, Alves OL, dos Reis AC. Effect of incorporation of a new antimicrobial nanomaterial on the physical-chemical properties of endodontic sealers. J Conserv Dent 2017; 20:392-397. [PMID: 29430089 PMCID: PMC5799983 DOI: 10.4103/jcd.jcd_266_17] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2017] [Revised: 11/15/2017] [Accepted: 11/17/2017] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES The objective of the study is to incorporate the nanostructured silver vanadate (AgVO3) decorated with silver nanoparticles at endodontic sealers AH Plus, Sealapex, Sealer 26, and Endofill, at concentrations of 2.5%, 5%, and 10%, and to evaluate physical-chemical properties. MATERIALS AND METHODS The study was to evaluate the radiopacity using digital radiography (n = 5), the tooth color change in 48 incisors (n = 3) for 7, 30, 90, and 180 days in a spectrophotometer, and the topographic distribution in a confocal laser (n = 5). The radiopacity was analyzed by Kruskal-Wallis test and the permutation (α = 0.05) and the color and topographical distribution by descriptive statistical analysis. RESULTS The AgVO3 had no effect on the radiopacity of Endofill and Sealapex (P > 0.05) and at 2.5% concentrations increased the radiopacity of Sealer 26 and AH Plus (P < 0.05). The Endofill 10% showed less color change, and the major changes were the modified groups in 180 days. The AgVO3 showed a circular topographic distribution in areas of the sealers. CONCLUSION It was found that the addition of AgVO3 did not affect the radiopacity of Endofill and Sealapex however, increased the radipacity of Sealer 26 and AH Plus. For modified groups, the greatest color change was promoted after 180 days, except for Endofill with 10%. Topographic distribution of nanomaterial affected the color change of theevaluated sealers.
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Affiliation(s)
- Ana Beatriz Vilela Teixeira
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Carla Larissa Vidal
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Denise Tornavoi de Castro
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Mariana Lima da Costa Valente
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Christiano Oliveira-Santos
- Department of Public Health and Forensic Dentistry, Ribeirão Preto School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Oswaldo Luis Alves
- Department of Laboratory of Solid State Chemistry, Institute of Chemistry, University of Campinas, Campinas, Brazil
| | - Andréa Cândido dos Reis
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, São Paulo, Brazil
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CAMARGO RVD, SILVA-SOUSA YTC, ROSA RPFD, MAZZI-CHAVES JF, LOPES FC, STEIER L, SOUSA-NETO MD. Evaluation of the physicochemical properties of silicone- and epoxy resin-based root canal sealers. Braz Oral Res 2017; 31:e72. [DOI: 10.1590/1807-3107bor-2017.vol31.0072] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2017] [Accepted: 06/09/2017] [Indexed: 11/22/2022] Open
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Alhashimi RA, Mannocci F, Sauro S. Bioactivity, cytocompatibility and thermal properties of experimental Bioglass-reinforced composites as potential root-canal filling materials. J Mech Behav Biomed Mater 2017; 69:355-361. [PMID: 28161689 DOI: 10.1016/j.jmbbm.2017.01.022] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2016] [Revised: 01/10/2017] [Accepted: 01/13/2017] [Indexed: 10/20/2022]
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Prüllage RK, Urban K, Schäfer E, Dammaschke T. Material Properties of a Tricalcium Silicate–containing, a Mineral Trioxide Aggregate–containing, and an Epoxy Resin–based Root Canal Sealer. J Endod 2016; 42:1784-1788. [DOI: 10.1016/j.joen.2016.09.018] [Citation(s) in RCA: 61] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2016] [Revised: 09/07/2016] [Accepted: 09/15/2016] [Indexed: 12/01/2022]
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Heid S, Stoessel PR, Tauböck TT, Stark WJ, Zehnder M, Mohn D. Incorporation of particulate bioactive glasses into a dental root canal sealer. BIOMEDICAL GLASSES 2016. [DOI: 10.1515/bglass-2016-0004] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
AbstractFlame spray synthesis has opened the possibility to add additional elements to complex materials such as bioactive glasseswhile maintaining nanoparticulate properties. In this study, it was investigated whether a flamesprayed bismuth oxide doped nanometric 45S5 bioactive glass could be incorporated into a commercially available epoxy-resin root canal sealer, and how this compared to a conventional, pure 45S5 micrometric bioactive glass. Effects on radiopacity, microhardness, pH and mineral induction in phosphate buffered saline and simulated body fluid were studied. It was revealed that the radiopaque nanometric bismuth-containing 45S5 bioactive glass reduced radiopacity of the root canal sealer less than a conventional micrometric counterpart. In addition, pH induction and calcium phosphate precipitation were quicker with the nanometric compared to the micrometric material, whilst the micrometric glass displayed a higher alkaline capacity. Both materials apparently bound to the epoxy resin matrix, thus increasing its microhardness after polymerization reaction. Effects were dose-dependent. The investigated radiopaque bioactive glass containing bismuth oxide could be a valuable add-on for current root canal sealers.
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Souza LCD, Yadlapati M, Dorn SO, Silva R, Letra A. Analysis of radiopacity, pH and cytotoxicity of a new bioceramic material. J Appl Oral Sci 2015; 23:383-9. [PMID: 26398510 PMCID: PMC4560498 DOI: 10.1590/1678-775720150065] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2015] [Revised: 06/15/2015] [Accepted: 06/23/2015] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE RetroMTA® is a new hydraulic bioceramic indicated for pulp capping, perforations or root resorption repair, apexification and apical surgery. The aim of this study was to compare the radiopacity, pH variation and cytotoxicity of this material to ProRoot® MTA. MATERIAL AND METHODS Mixed cements were exposed to a digital x-ray along with an aluminum stepwedge for the radiopacity assay. pH values were verified after incubation period of 3, 24, 48, 72 and 168 hours. The cytotoxicity of each cement was tested on human periodontal ligament fibroblasts using a multiparametric assay. Data analysis was performed using ANOVA and Tukey'spost hoc in GraphPad Prism. RESULTS ProRoot® MTA had higher radiopacity than RetroMTA®(p<0.001). No significant differences were observed for the pH of the materials throughout experimental periods (p>0.05) although pH levels of both materials reduced over time. Both ProRoot® MTA and RetroMTA® allowed for significantly higher cell viability when compared with the positive control (p<0.001). No statistical difference was observed between ProRoot® MTA and RetroMTA® cytotoxicity level in all test parameters, except for the ProRoot® MTA 48-hour extract media in the NR assay (p<0.05). CONCLUSION The current study provides new data about the physicochemical and biological properties of Retro® MTA concerning radiopacity, pH and cytotoxic effects on human periodontal ligaments cells. Based on our findings, RetroMTA® meets the radiopacity requirements standardized by ANSI/ADA number 572, and similar pH values and biocompatibility to ProRoot® MTA. Further studies should be performed to evaluate additional properties of this new material.
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Affiliation(s)
| | - Mamatha Yadlapati
- Department of Endodontics, School of Dentistry, University of Texas Health Science Center at Houston, Houston, Texas, US
| | - Samuel O Dorn
- Department of Endodontics, School of Dentistry, University of Texas Health Science Center at Houston, Houston, Texas, US
| | - Renato Silva
- Department of Endodontics, School of Dentistry, University of Texas Health Science Center at Houston, Houston, Texas, US
| | - Ariadne Letra
- Department of Endodontics, School of Dentistry, University of Texas Health Science Center at Houston, Houston, Texas, US
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Malka VB, Hochscheidt GL, Larentis NL, Grecca FS, Fontanella VRC, Kopper PMP. A new in vitro method to evaluate radio-opacity of endodontic sealers. Dentomaxillofac Radiol 2015; 44:20140422. [PMID: 25651275 DOI: 10.1259/dmfr.20140422] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES To evaluate a new method for assessing the radio-opacity of endodontic sealers and to compare radio-opacity values with a well-established standard method. METHODS The sealers evaluated in this study were AH Plus(®) (Dentsply DeTrey GmbH, Konstanz, Germany), Endo CPM Sealer (EGEO SRL, Buenos Aires, Argentina) and MTA Fillapex(®) (Angelus Dental Products Industry S/A, Londrina, Parana, Brazil). Two methods were used to evaluate radio-opacity: (D) standard discs and (S) a tissue simulator. For (D), ten standard discs were prepared for each sealer and were radiographed using Digora(®) phosphor storage plates (Soredex; Orion Corporation, Helsinki, Finland), alongside an aluminium stepwedge. For (S), polyethylene tubes filled with sealer (n = 10 for each) were radiographed inside the simulator as described. The digital images were analysed using Adobe Photoshop(®) software v. 10.0 (Adobe Systems, San Jose, CA). To compare the radio-opacity among the sealers, the data were analysed by ANOVA and Tukey's test, and to compare methods, they were analysed by the Mann-Whitney U test. To compare the data obtained from dentin and sealers in method (S), Student's paired t-test was used (=0.05). RESULTS In both methods, the sealers showed significant differences, according to the following decreasing order: AH Plus, MTA Fillapex and Endo CPM. In (D), MTA Fillapex and Endo CPM showed less radio-opacity than aluminium. For all of the materials, the radio-opacity was higher in (S) than in (D). Compared with dentin, all of the materials were more radio-opaque. CONCLUSIONS The comparison of the two assessment methods for sealer radio-opacity testing validated the use of a tissue simulator block.
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Affiliation(s)
- V B Malka
- 1 Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil
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An SY, Lee DH, Lee KB. Evaluation of the Radiopacity of Contemporary Luting Cements by Digital Radiography. ACTA ACUST UNITED AC 2013. [DOI: 10.14368/jdras.2013.29.4.377] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Ruiz-Linares M, Bailón-Sánchez ME, Baca P, Valderrama M, Ferrer-Luque CM. Physical Properties of AH Plus with Chlorhexidine and Cetrimide. J Endod 2013; 39:1611-4. [DOI: 10.1016/j.joen.2013.08.002] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2013] [Revised: 07/31/2013] [Accepted: 08/02/2013] [Indexed: 10/26/2022]
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Selected physicochemical properties of AH Plus, EndoREZ and RealSeal SE root canal sealers. Odontology 2013; 103:61-5. [DOI: 10.1007/s10266-013-0137-y] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2013] [Accepted: 10/05/2013] [Indexed: 11/27/2022]
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Rodrigues E, Salzedas LMP, Delbem ACB, Pedrini D. Evaluation of the Radiopacity of Esthetic Root Canal Posts. J ESTHET RESTOR DENT 2013; 26:131-8. [DOI: 10.1111/jerd.12059] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Eliana Rodrigues
- School of Dentistry of Piracicaba; State University of Campinas-UNICAMP; Piracicaba SP Brazil
| | - Leda Maria Pescinini Salzedas
- Department of Pathology and Clinical Propedeutic; School of Dentistry of Araçatuba; UNESP-Univ Estadual Paulista; Araçatuba SP Brazil
| | - Alberto Carlos Botazzo Delbem
- Department of Pediatric and Social Dentistry; School of Dentistry of Araçatuba; UNESP-Univ Estadual Paulista; Araçatuba SP Brazil
| | - Denise Pedrini
- Department of Surgery and Integrated Clinic; School of Dentistry of Araçatuba; UNESP-Univ Estadual Paulista; Araçatuba SP Brazil
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Marín-Bauza GA, Silva-Sousa YTC, da Cunha SA, Rached-Junior FJA, Bonetti-Filho I, Sousa-Neto MD, Miranda CES. Physicochemical properties of endodontic sealers of different bases. J Appl Oral Sci 2013; 20:455-61. [PMID: 23032208 PMCID: PMC3881818 DOI: 10.1590/s1678-77572012000400011] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2010] [Accepted: 08/31/2011] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To assess the setting time (ST), flow (FL), radiopacity (RD), solubility (SB) and dimensional change following setting (DC) of different sealers (AH Plus®, Polifil, Apexit Plus®, Sealapex®, Endométhasone® and Endofill®) according to American National Standards Institute/American Dental Association (ANSI/ADA) Specification 57. MATERIAL AND METHODS Five samples of each material were used for each test. For ST, cast rings were filled with sealers and tested with a Gilmore needle. For FL, the sealer was placed on a glass plate. After 180 s, another plate with 20 g and a load of 100 g were applied on the material, and the diameters of the discs formed were measured. In RD, circular molds were filled with the sealers, radiographed and analyzed using Digora software. For SB, circular molds were filled with the sealers, a nylon thread was placed inside the material and another glass plate was positioned on the set, pressed and stored at 37°C. Samples were weighed, placed in water, dried and reweighed. The water used for SB was analyzed by atomic absorption spectrometry. For DC, circular molds were filled with the sealers, covered by glass plates and stored at 37°C. Samples were measured and stored in water for 30 days. After this period, they were dryed and measured again. RESULTS Regarding ST, AH Plus®, Apexit® and Endofil® sealers are in accordance with ANSI/ADA standards. Endométhasone's manufacturer did not mention the ST; Polifil is an experimental sealer and Sealapex® did not set. Considering RD, SB and DC, all sealers were in accordance with ANSI/ADA. The spectrometric analysis showed that a significant amount of K+ and Zn2+ ions was released from Apexit Plus® and Endofill®, respectively. CONCLUSION Except for DC, all other physicochemical properties of the tested sealers conformed to ANSI/ADA requirements.
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Altintas SH, Yildirim T, Kayipmaz S, Usumez A. Evaluation of the radiopacity of luting cements by digital radiography. J Prosthodont 2012; 22:282-6. [PMID: 23107317 DOI: 10.1111/j.1532-849x.2012.00936.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/11/2012] [Indexed: 11/28/2022] Open
Abstract
PURPOSE The aim of this study was to evaluate the radiopacity of eight contemporary luting cements using direct digital radiography. MATERIALS AND METHODS Ten specimens, (5 mm diameter, 1 mm high) were prepared for each material tested (RelyX ARC, RelyX U100, RelyX Unicem, Nexus 2, Nexus 3, Metacem, Breeze, Adhesor zinc phosphate). The specimens were stored in a moist chamber at 37°C until completely set, then radiographed using a Kodak digital sensor and an aluminum step wedge with variable thicknesses (1 to 13 mm in 1-mm increments) used for reference. A Kodak 2100 intraoral X-ray unit was operated at 60 kV, 7 mA, and 0.20 seconds. According to international standards, the radiopacity of the specimens was compared with that of the aluminum step wedge using the equal-density area tool of the Kodak Dental Imaging software (ver. 6.7). Data were analyzed by ANOVA and Tukey's test. RESULTS Adhesor zinc phosphate cement showed the highest radiopacity of all materials and dentin. Breeze showed the lowest radiopacity (p < 0.05). No significant difference in radiopacity was observed between dentin and RelyX ARC, Nexus 2, or Metacem (p > 0.05). The radiopacities of Nexus 3 and RelyX Unicem were significantly higher than those of other resin cements and dentin (p < 0.05). CONCLUSIONS All materials showed radiopacity above the minimum recommended by the International Organization for Standardization and the American National Standards/American Dental Association. Breeze had less radiopacity than dentin.
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Affiliation(s)
- Subutay Han Altintas
- Department of Prosthodontics, Faculty of Dentistry, Karadeniz Technical University, Trabzon 61080, Turkey.
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Baldi JV, Bernardes RA, Duarte MAH, Ordinola-Zapata R, Cavenago BC, Moraes JCS, de Moraes IG. Variability of physicochemical properties of an epoxy resin sealer taken from different parts of the same tube. Int Endod J 2012; 45:915-20. [DOI: 10.1111/j.1365-2591.2012.02049.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Akcay I, Ilhan B, Dundar N. Comparison of conventional and digital radiography systems with regard to radiopacity of root canal filling materials. Int Endod J 2012; 45:730-6. [DOI: 10.1111/j.1365-2591.2012.02026.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Borges AH, Pedro FLM, Semanoff-Segundo A, Miranda CES, Pécora JD, Cruz Filho AM. Radiopacity evaluation of Portland and MTA-based cements by digital radiographic system. J Appl Oral Sci 2011; 19:228-32. [PMID: 21625738 PMCID: PMC4234334 DOI: 10.1590/s1678-77572011000300009] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2009] [Accepted: 05/25/2010] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE The aim of the present study was to evaluate the radiopacity of Portland and MTA-based cements using the Digora TM digital radiographic system. MATERIAL AND METHODS The performed tests followed specification number 57 from the American National Standard Institute/American Dental Association (2000) for endodontic sealing materials. The materials were placed in 5 acrylic plates, especially designed for this experiment, along with a graduated aluminum stepwedge varying from 1 to 10 mm in thickness. The set was radiographed at a 30 cm focus-object distance and with 0.2 s exposure time. After the radiographs were taken, the optical laser readings of radiographs were performed by Digora TM system. Five radiographic density readings were performed for each studied material and for each step of the aluminum scale. RESULTS White ProRoot MTA (155.99±8.04), gray ProRoot MTA (155.96±16.30) and MTA BIO (143.13±16.94) presented higher radiopacity values (p<0.05), while white non-structural Portland (119.76±22.34), gray Portland (109.71±4.90) and white structural Portland (99.59±12.88) presented lower radiopacity values (p<0.05). CONCLUSIONS It was concluded that MTA-based cements were the only materials presenting radiopacity within the ANSI/ADA specifications.
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Formosa LM, Mallia B, Camilleri J. The effect of curing conditions on the physical properties of tricalcium silicate cement for use as a dental biomaterial. Int Endod J 2011; 45:326-36. [PMID: 22044176 DOI: 10.1111/j.1365-2591.2011.01980.x] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM To investigate the physical properties of tricalcium silicate (TCS) with and without the addition of a radiopacifier and compare them with that of Portland cement (PC) and radiopaque PC in an mineral trioxide aggregate-like system. METHODOLOGY Tricalcium silicate, PC and radiopacified variants containing 20% bismuth oxide were tested for radiopacity, compressive strength, setting time and dimensional stability. All the testing was performed at 37 °C and under different environmental conditions namely at 100% humidity or immersed in either water or Hank's balanced salt solution (HBSS). Testing was performed after both 1 and 28 days. RESULTS The cements exhibited radiopacity values equivalent to <3 mm. Addition of 20% bismuth oxide resulted in adequate radiopacity. The strength of TCS was independent of the curing conditions. The cements without radiopacifier had improved strength characteristics when immersed in HBSS, whilst the radiopacified cements exhibited higher strengths when soaked in water. Tricalcium silicate demonstrated the shortest setting time. Addition of bismuth oxide increased the setting time of the cements while HBSS inhibited the setting of bismuth oxide-replaced cements. The PC-based materials exhibited a net contraction higher than that recorded for TCS-based cements in all curing conditions. The dimensional change exhibited by the specimens was generally greater in the first few hours of setting, but then stabilized with time. CONCLUSIONS Tricalcium silicate cement required the addition of a radiopacifying agent to make it suitable for use as a dental material. Tricalcium silicate exhibited adequate physical properties and thus was shown to be a suitable replacement for the PC component in MTA. Bismuth oxide drastically increased the setting time of the test cements in phosphate-containing solutions. Alternative radiopacifiers that do not retard the setting time need to be investigated.
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Affiliation(s)
- L M Formosa
- Department of Metallurgy and Materials Engineering, Faculty of Engineering, University of Malta, Msida, Malta
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Tanomaru-Filho M, Silveira GF, Reis JMSN, Bonetti-Filho I, Guerreiro-Tanomaru JM. Effect of compression load and temperature on thermomechanical tests for gutta-percha and Resilon®. Int Endod J 2011; 44:1019-23. [DOI: 10.1111/j.1365-2591.2011.01910.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Flores DSH, Rached-Júnior FJA, Versiani MA, Guedes DFC, Sousa-Neto MD, Pécora JD. Evaluation of physicochemical properties of four root canal sealers. Int Endod J 2010; 44:126-35. [DOI: 10.1111/j.1365-2591.2010.01815.x] [Citation(s) in RCA: 68] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Bodanezi A, Munhoz EDA, Bernardineli N, Capelozza ALA, de Moraes IG, Bramante CM. Radiographic analysis of root canal fillings: influence of two sealers on the perception of voids. Braz Dent J 2010; 21:142-7. [PMID: 20640361 DOI: 10.1590/s0103-64402010000200009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2010] [Accepted: 03/16/2010] [Indexed: 11/21/2022] Open
Abstract
The aim of this ex vivo was to investigate if two radiopaque root canal sealers with different formulations would influence the radiographic perception of root canal fillings. The root canals of 48 extracted maxillary canines were prepared and randomly assigned to 3 groups of 16 specimens each. In each group, the root canals were filled by lateral condensation of gutta-percha and one of the tested sealers: Endométhasone, Sealer 26, or a non-radiopaque sealer. A through-and-through void was simulated in half of the specimens from each group (n=8). The buccolingual radiographic images obtained were randomly interpreted for voids existence by a radiologist and an endodontist. The differences in sensitivity and specificity between groups and examiners were compared using, respectively, Fisher's Exact and McNemar tests at 5% significance level. Both radiopaque sealers caused a significant decrease in sensitivity at the coronal part of fillings. The use of Endométhasone increased specificity values for both coronal and apical portions of the root canal fillings. In conclusion, the tested sealers influenced the radiographic perceptions of laterally condensed root canal fillings in a different way.
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Affiliation(s)
- Augusto Bodanezi
- Department of Dentistry, Endodontics and Dental Materials, Bauru Dental School, University of São Paulo, Bauru, SP, Brazil.
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Garrido ADB, Lia RCC, França SC, da Silva JF, Astolfi-Filho S, Sousa-Neto MD. Laboratory evaluation of the physicochemical properties of a new root canal sealer based on Copaifera multijuga oil-resin. Int Endod J 2010; 43:283-91. [PMID: 20487447 DOI: 10.1111/j.1365-2591.2009.01678.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIM To compare a new root canal sealer based on Copaifera multijuga oil-resin (Biosealer) using three other established sealers (Sealer 26, Endofill and AH plus) in terms of their physicochemical properties. METHODOLOGY The study was carried out according to the requirements of Specification Number 57 of the American Dental Association (ADA) and consisted of the following tests: setting time, flow, film thickness, dimensional stability, radiopacity and solubility/disintegration. Data were analysed statistically using anova and Tukey's test for multiple comparisons. The significance level was set at 5% for all analyses. RESULTS Sealer 26 and AH Plus had the longest setting time (P < 0.05). All materials presented flow in with the ADA's guidelines. Regarding film thickness, Sealer 26 did not have a satisfactory performance, as it had a higher mean value than the maximum allowed by the ADA (0.05 mm), being significantly different from the other materials (P < 0.05), which had mean values for film thickness in accordance with the ADA's recommendations. Regarding the solubility and disintegration, only Endofill did not meet the ADA's specifications and presented the worst results of all materials (P < 0.05). Sealer 26 presented the greatest dimensional changes and differed significantly from all other sealers (P < 0.05). Biosealer had the lowest radiopacity values and was significantly different from the other sealers (P < 0.05). CONCLUSION The experimental sealer based on Copaifera multijuga oil-resin presented satisfactory results in the physicochemical tests required by the ADA.
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Affiliation(s)
- A D B Garrido
- School of Dentistry, Federal University of Amazonas-UFAM, Manaus, AM, Brazil.
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Guerreiro-Tanomaru JM, Duarte MAH, Gonçalves M, Tanomaru-Filho M. Radiopacity evaluation of root canal sealers containing calcium hydroxide and MTA. Braz Oral Res 2010; 23:119-23. [PMID: 19684944 DOI: 10.1590/s1806-83242009000200005] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2008] [Accepted: 06/30/2008] [Indexed: 05/25/2023] Open
Abstract
The purpose of this study was to evaluate the radiopacity of root canal sealers containing calcium hydroxide and MTA (Acroseal, Sealer 26, Sealapex, Endo CPM Sealer, Epiphany and Intrafill). Five disc-shaped specimens (10 x 1 mm) were fabricated from each material, according to the ISO 6876/2001 standard. After setting of the materials, radiographs were taken using occlusal film and a graduated aluminum stepwedge varying from 2 to 16 mm in thickness. The dental X-ray unit (GE1000) was set at 50 kVp, 10 mA, 18 pulses/s and distance of 33.5 cm. The radiographs were digitized and the radiopacity compared to that of the aluminum stepwedge using VIXWIN-2000 software (Gendex). The data (mmAl) were analyzed statistically by ANOVA and Tukey's test at the 5% significance level. Epiphany and Intrafill presented the highest radiopacity values (8.3 mmAl and 7.5 mmAl respectively, p < 0.05) followed by Sealer 26 (6.3 mmAl), Sealapex (6.1 mmAl) and Endo CPM Sealer (6 mmAl). Acroseal was the least radiopaque material (4 mmAl, p < 0.05). In conclusion, the calcium hydroxide- and MTA-containing root canal sealers had different radiopacities. However, all materials presented radiopacity values above the minimum recommended by the ISO standard.
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Resende LM, Rached-Junior FJA, Versiani MA, Souza-Gabriel AE, Miranda CES, Silva-Sousa YTC, Sousa Neto MD. A comparative study of physicochemical properties of AH Plus, Epiphany, and Epiphany SE root canal sealers. Int Endod J 2009; 42:785-93. [DOI: 10.1111/j.1365-2591.2009.01584.x] [Citation(s) in RCA: 86] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Radiopacity of Portland Cement Associated With Different Radiopacifying Agents. J Endod 2009; 35:737-40. [DOI: 10.1016/j.joen.2009.02.006] [Citation(s) in RCA: 130] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2009] [Revised: 02/04/2009] [Accepted: 02/17/2009] [Indexed: 11/19/2022]
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Solubility of Epiphany Endodontic Sealer Prepared with Resinous Solvent. J Endod 2009; 35:715-8. [DOI: 10.1016/j.joen.2009.01.021] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2008] [Revised: 01/16/2009] [Accepted: 01/28/2009] [Indexed: 11/22/2022]
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Saliba E, Abbassi-Ghadi S, Vowles R, Camilleri J, Hooper S, Camilleri J. Evaluation of the strength and radiopacity of Portland cement with varying additions of bismuth oxide. Int Endod J 2009; 42:322-8. [DOI: 10.1111/j.1365-2591.2008.01512.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Taşdemir T, Yesilyurt C, Yildirim T, Er K. Evaluation of the Radiopacity of New Root Canal Paste/Sealers by Digital Radiography. J Endod 2008; 34:1388-1390. [DOI: 10.1016/j.joen.2008.08.008] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2008] [Revised: 08/08/2008] [Accepted: 08/09/2008] [Indexed: 11/30/2022]
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Baksi BG, Sen BH, Eyuboglu TF. Differences in Aluminum Equivalent Values of Endodontic Sealers: Conventional Versus Digital Radiography. J Endod 2008; 34:1101-4. [PMID: 18718374 DOI: 10.1016/j.joen.2008.06.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2008] [Revised: 06/03/2008] [Accepted: 06/17/2008] [Indexed: 11/15/2022]
Affiliation(s)
- B Guniz Baksi
- Department of Oral Diagnosis and Radiology, School of Dentistry, Ege University, Bornova, Izmir, Turkey.
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Cunha RS, De Martin AS, Barros PP, da Silva FM, de Castilho Jacinto R, da Silveira Bueno CE. In Vitro Evaluation of the Cleansing Working Time and Analysis of the Amount of Gutta-Percha or Resilon Remnants in the Root Canal Walls after Instrumentation for Endodontic Retreatment. J Endod 2007; 33:1426-8. [DOI: 10.1016/j.joen.2007.07.004] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2007] [Revised: 06/18/2007] [Accepted: 07/01/2007] [Indexed: 10/22/2022]
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