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Afkhami F, Chen Y, Walsh LJ, Peters OA, Xu C. Application of Nanomaterials in Endodontics. BME FRONTIERS 2024; 5:0043. [PMID: 38711803 PMCID: PMC11070857 DOI: 10.34133/bmef.0043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Accepted: 03/20/2024] [Indexed: 05/08/2024] Open
Abstract
Recent advancements in nanotechnology have introduced a myriad of potential applications in dentistry, with nanomaterials playing an increasing role in endodontics. These nanomaterials exhibit distinctive mechanical and chemical properties, rendering them suitable for various dental applications in endodontics, including obturating materials, sealers, retro-filling agents, and root-repair materials. Certain nanomaterials demonstrate versatile functionalities in endodontics, such as antimicrobial properties that bolster the eradication of bacteria within root canals during endodontic procedures. Moreover, they offer promise in drug delivery, facilitating targeted and controlled release of therapeutic agents to enhance tissue regeneration and repair, which can be used for endodontic tissue repair or regeneration. This review outlines the diverse applications of nanomaterials in endodontics, encompassing endodontic medicaments, irrigants, obturating materials, sealers, retro-filling agents, root-repair materials, as well as pulpal repair and regeneration. The integration of nanomaterials into endodontics stands poised to revolutionize treatment methodologies, presenting substantial potential advancements in the field. Our review aims to provide guidance for the effective translation of nanotechnologies into endodontic practice, serving as an invaluable resource for researchers, clinicians, and professionals in the fields of materials science and dentistry.
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Affiliation(s)
- Farzaneh Afkhami
- School of Dentistry,
The University of Queensland, Brisbane,QLD4006, Australia
| | - Yuan Chen
- Sydney Dental School, Faculty of Medicine and Health,
The University of Sydney, Camperdown, NSW 2006, Australia
- School & Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang 325027, China
| | - Laurence J. Walsh
- School of Dentistry,
The University of Queensland, Brisbane,QLD4006, Australia
| | - Ove A. Peters
- School of Dentistry,
The University of Queensland, Brisbane,QLD4006, Australia
| | - Chun Xu
- School of Dentistry,
The University of Queensland, Brisbane,QLD4006, Australia
- Sydney Dental School, Faculty of Medicine and Health,
The University of Sydney, Camperdown, NSW 2006, Australia
- Charles Perkins Centre,
The University of Sydney, Camperdown, NSW 2006, Australia
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Swetha B, Malini DL, Mohan TM, Priya BD, Reddy OA, Haripriya G. Evaluation of rise in pH and oxygen release at the site of simulated external root resorption cavities using different oxygen-releasing biomaterials: An in vitro study. JOURNAL OF CONSERVATIVE DENTISTRY AND ENDODONTICS 2024; 27:337-341. [PMID: 38634020 PMCID: PMC11019801 DOI: 10.4103/jcde.jcde_39_24] [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: 01/19/2024] [Revised: 02/12/2024] [Accepted: 02/12/2024] [Indexed: 04/19/2024]
Abstract
Context External inflammatory root resorption has rapid onset and progresses aggressively. It leads to cementum loss, which allows communication between the infected pulp and the periodontium through the denuded dentinal tubules. Primary management strategy includes adequate chemomechanical debridement and lesion arrest for which maintaining alkaline pH and aerobic conditions is essential for healing and repair of the resorption defect. Aims The aim of this study is to evaluate rise in pH and oxygen release at the site of simulated external root resorption cavities using different oxygen-releasing biomaterials. Materials and Methods In 40 extracted single-rooted teeth access opening and chemomechanical debridement were done. Cavities simulating resorption defect are prepared on the roots. The samples are divided into four groups (n = 10) based on the biomaterial used. After placing the biomaterial, the root apices were sealed. Half of the samples from each group were tested for oxygen release using dissolved oxygen meter and the other half for rise in pH using pH meter at 7, 14, 21, and 28 days. Statistical Analysis The pH values were analyzed using Friedman 2-way analysis of variance (ANOVA) and Kruskal-Wallis test. Oxygen release was measured using the two-way and repeated-measures ANOVA. Results Calcium peroxide group showed the highest mean pH and oxygen release than other groups at any given point of time. Conclusions Incorporating oxygen-releasing biomaterials such as calcium peroxide and perfluorodecalin into intracanal medicaments, such as calcium hydroxide, creates an alkaline and oxygen-enriched milieu in the periapical tissues.
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Affiliation(s)
- Bollineni Swetha
- Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India
| | - Duvvuri Lakshmi Malini
- Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India
| | - T. Murali Mohan
- Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India
| | - B. Devi Priya
- Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India
| | - O. Asha Reddy
- Department of Conservative Dentistry and Endodontics, Balaji Dental College, Telangana, India
| | - G. Haripriya
- Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India
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Prashanth BR, Revankar B, Karale R, Moogi PP, Mangala MG, Sahoo AK. Comparative assessment of nanosized intracanal medicaments on penetration and fracture resistance of root dentin - An in vitro study. JOURNAL OF CONSERVATIVE DENTISTRY AND ENDODONTICS 2024; 27:17-23. [PMID: 38389744 PMCID: PMC10880476 DOI: 10.4103/jcde.jcde_138_23] [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: 08/17/2023] [Revised: 09/29/2023] [Accepted: 10/19/2023] [Indexed: 02/24/2024]
Abstract
Context The antimicrobial potential of conventional medicaments is reduced due to their limited permeability. The use of calcium hydroxide (CH) is known to reduce the root strength. Nano intracanal medicaments have the following advantages over conventional such as higher surface area and chemical reactivity, and due to its nanosize, have better penetrability, supporting its possible use as an intracanal medicament. Nano versions of CH, chitosan (CS), CS + CH, curcumin (T), and its conventional forms are used in our study. Aim The aim of this study was to evaluate and compare the depth of penetration of nanosized intracanal medicaments and their effect on fracture resistance of root dentin. Materials and Methods Eighty extracted single-rooted teeth were used after decoronation. Canals were enlarged up to size 30 (0.04° taper) using Neoendo instruments (Orikam, India). Teeth were randomly assigned to two broad groups based on the type of intracanal medicament used; Group A: control (conventional) (n = 40) and Group B: nanosized intracanal medicaments (n = 40). Each group was subdivided into four experimental groups (n = 10), Group A1: CH, Group A2: CS, Group A3: curcumin (T), Group A4: CS + CH, Group B1: nano calcium hydroxide (NCH), Group B2: nano CS (NCS), Group B3: nano curcumin (NT), and Group B4: NCS + nano calcium hydroxide (NCS + NCH). All the specimens were stored in a humidor at 37°C for 4 weeks. Out of 10 specimens from each group, five specimens were used for evaluating the depth of penetration using a confocal laser scanning electron microscope, and the remaining five specimens were used for evaluating fracture resistance in a universal testing machine at the end of 4 weeks. Data were analyzed using one-way ANOVA and intergroup comparison using Tukey's post hoc multiple comparison test. Results The highest fracture resistance was seen with NCS and the maximum depth of penetration with nano calcium hydroxide (NCH). Conclusion The fracture resistance and depth of penetration at a 4-week interval were higher in nano forms compared to their micro-sized counterparts with all groups. The coronal section presented the highest depth of penetration of intracanal medicaments followed by the middle and least in the apical section of root dentin with all groups.
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Affiliation(s)
- BR Prashanth
- Department of Conservative Dentistry and Endodontics, KLE Society’s Institute of Dental Sciences, Bangalore, India
| | - Bhoomika Revankar
- Department of Conservative Dentistry and Endodontics, SDM College of Dental Sciences and Hospital, Sattur, Dharwad, Karnataka, India
| | - Rupali Karale
- Department of Conservative Dentistry and Endodontics, KLE Society’s Institute of Dental Sciences, Bangalore, India
| | - Prashant P Moogi
- Department of Conservative Dentistry and Endodontics, SDM College of Dental Sciences and Hospital, Sattur, Dharwad, Karnataka, India
| | - MG Mangala
- Department of Conservative Dentistry and Endodontics, KLE Society’s Institute of Dental Sciences, Bangalore, India
| | - Amaresh Kumar Sahoo
- Department of Applied Sciences Indian Institute of Information Technology, Prayagraj, Uttar Pradesh, India
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Thonai S, Kataki R, Das L, Begum F, Deka A, Borah DK. Comparative evaluation of calcium ion release, pH change, and dentinal tubule penetration of four different formulations of calcium hydroxide-based intracanal medicaments - An in vitro study. JOURNAL OF CONSERVATIVE DENTISTRY AND ENDODONTICS 2023; 26:657-662. [PMID: 38292750 PMCID: PMC10823981 DOI: 10.4103/jcde.jcde_39_23] [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: 06/15/2023] [Revised: 08/10/2023] [Accepted: 09/18/2023] [Indexed: 02/01/2024]
Abstract
Aim The aim of the study was to evaluate and compare the release of calcium ion, pH change, and dentinal penetration depth of four different formulations of calcium hydroxide-based intracanal medicaments. Materials and Methods Eighty mandibular single-rooted premolar teeth were divided into four groups (n = 20): Group 1 - calcium hydroxide (CH) + distilled water (DW), Group 2 - nanocalcium hydroxide + DW, Group 3 - calcium hydroxide + chitosan, and Group 4 - calcium hydroxide + 2% chlorhexidine gluconate. Biomechanical preparation was done till the F2 rotary ProTaper system and intracanal medicaments were placed. Calcium ions and pH were assessed at 24 h, 7 days, 15 days, and 30 days using an ultraviolet spectrophotometer and pH meter, respectively. The evaluation of tubule penetration was scanned under a field emission scanning electron microscope. Results A significant difference was seen in calcium ion release and pH change among the four groups at 24 h, 7 days, 15 days, and 30 days as well as depth of dentinal penetration. Conclusion Calcium hydroxide mixed with 2% chlorhexidine gel showed alkaline pH and the highest calcium ion release as well as significant dentinal tubule penetration among all the four groups under observation. Both combinations can enhance antimicrobial effectiveness as intracanal medicaments. Further clinical study should be carried out to optimize its use as an alternative treatment modality.
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Affiliation(s)
- Salouno Thonai
- Department of Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, Assam, India
| | - Rubi Kataki
- Department of Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, Assam, India
| | - Lima Das
- Department of Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, Assam, India
| | - Firdushi Begum
- Department of Biochemistry, Guwahati Medical College and Hospital, Guwahati, Assam, India
| | - Adrija Deka
- Department of Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, Assam, India
| | - Diganta Kumar Borah
- Department of Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, Assam, India
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Sidiqa AN, Zakaria MN, Cahyanto A, Joni IM, Maskoen AM. Carbonation inhibitor by polyethylene glycol encapsulation of calcium hydroxide fine particles to improve antimicrobial and root canal penetration properties. Heliyon 2023; 9:e18005. [PMID: 37483813 PMCID: PMC10362243 DOI: 10.1016/j.heliyon.2023.e18005] [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: 12/23/2022] [Revised: 06/19/2023] [Accepted: 07/05/2023] [Indexed: 07/25/2023] Open
Abstract
The carbonation of calcium hydroxide (Ca(OH)2) is affected by humidity and a saturated atmosphere. Ca(OH)2 from nature is easily carbonation and self-aggregates into calcium carbonate (CaCO3), resulting in larger particle size impairing the antimicrobial properties due to lack of penetration into the dentinal tubules and lower ion dissociation. To reduce the particle size, the wet beads milling process with distilled water as the medium is commonly used, but often results in great carbonation of the final product. Polyethylene Glycol (PEG) may inhibit the carbonation process as well as re-agglomeration. However, it requires intensive drying of the fine Ca(OH)2 particles. As an alternative, we used ethanol as a medium in the milling process, which is easily dried and compatible with PEG as a surfactant. This study aimed to evaluate PEG 400 as a dispersing agent in ethanol medium in the beads milling process to prevent carbonation of the fine Ca(OH)2 particles. The following groups were analysed CaP-PEG (Ca(OH)2-PEG) with ethanol as a medium, CaP-Eth (Ca(OH)2 with ethanol as a medium), CaP-DW (Ca(OH)2 with distilled water as a medium), CaPC (Ca(OH)2-carbonated) as the negative control and CaC (Ca(OH)2 analytical grade) as the positive control The final particle results were characterized to evaluate the crystal structure, functional groups, and particle size. The corresponding pH and antimicrobial activity against Enterococcus faecalis were assessed at 1, 3, 7, and 14 days. The penetration ability was evaluated by Scanning Electron Microscope. The data obtained were analysed by ANOVA with a significance level of 5%. PEG was able to inhibit carbonation and stabilize pH for up to 14 days, providing increased antimicrobial activity against E. faecalis. PEG also facilitates the ability of fine Ca(OH)2 particles to penetrate deeper into the dentine tubules by reducing particle size.
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Affiliation(s)
- Atia Nurul Sidiqa
- Doctoral Study Program, Faculty of Medicine, Universitas Padjadjaran, Jalan Ir. Soekarno KM. 21, Jatinangor, Sumedang, 45363, West Java, Indonesia
- Department of Dental Materials, Faculty of Dentistry, Universitas Jenderal Achmad Yani, Jalan Terusan Jenderal Sudirman, Cimahi, 40531, West Java, Indonesia
| | - Myrna Nurlatifah Zakaria
- Department of Endodontology and Operative Dentistry, Faculty of Dentistry, Universitas Jenderal Achmad Yani, Jalan Terusan Jenderal Sudirman, Cimahi, 40531, West Java, Indonesia
- Department of Restorative Dentistry, Faculty of Dentistry, Universiti Malaya, Jalan Profesor Diraja Ungku Aziz, Seksyen 13, 50603, Kuala Lumpur, Malaysia
| | - Arief Cahyanto
- Department of Dental Materials Science and Technology, Faculty of Dentistry, Universitas Padjadjaran, Jalan Ir. Soekarno KM. 21, Jatinangor, Sumedang, 45363, West Java, Indonesia
- Department of Restorative Dentistry, Faculty of Dentistry, Universiti Malaya, Jalan Profesor Diraja Ungku Aziz, Seksyen 13, 50603, Kuala Lumpur, Malaysia
| | - I Made Joni
- Department of Physics, Faculty of Mathematics and Natural Sciences, Universitas Padjadjaran, Jalan Ir. Soekarno KM. 21, Jatinangor, Sumedang, 45363, West Java, Indonesia
- Functional Nano Powder University Center of Excellence, Universitas Padjadjaran, Jalan Ir. Soekarno KM. 21, Jatinangor, Sumedang, 45363, West Java, Indonesia
| | - Ani Melani Maskoen
- Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, Jalan Ir. Soekarno KM. 21, Jatinangor, Sumedang, 45363, West Java, Indonesia
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