A comparative analysis of microleakage of three root end filling materialsan in vitro study. All materials used in endodontic surgery have an intimate contact with the surrounding host tissues, especially in case of root end filling materials. Regarding the rootend filling endodontic materials, many studies have been published to determine the best rootend filling material regarding the physical and biological properties1,3,7,8,11,12,17,24,25,30,32,33. Introduction pushout mechanical tests have been used to evaluate bond strength of filling materials and posts to root dentin 1. The materials should demonstrate good cell and tissue compatibility. Microct analysis of filling ability and porosity of rootend. Rootcanalfilling materials are supposed to effectively kill the bacteria in the periodical lesions, densely seal the apical zones and promote healing. Longitudinal study on microleakage of three rootend filling. Different materials have been used for rootend filling during surgical endodontic treatment. The porosity of bioaggregate, biodentine, a prototype radiopacified tricalcium silicate cement tcs20zr and intermediate restorative material irm was evaluated after immersion for 28.
The influence of rootend filling materials on bone healing an. It is an example of a periradicular surgery an apicoectomy is. The use of rootend filling materials designed to stimulate hard and soft tissue repair in periradicular tissues is highly recommended. Microleakage of rootend filling materials howard m. Following root canal filling in 70 extracted human singlerooted.
However, few studies evaluated the bond strength of root end filling materials to dentinal walls after retrograde preparation. The studies collected over the years have succeeded in improving both surgical techniques, especially the dental materials used for root end filling and sealing of the apical surface 1,2,3. Rootend resection is an endodontic surgical intervention that requires high precision so that all ramifications and lateral canals so as infected tissues are eliminated. Download pdf commentary there is a wide selection of retrograde rootfilling materials for periradicular surgery and there are correspondingly wide opinions about the most appropriate choice. Ysgg laser or carbide burs with or without the placement of mta, and evaluated the presence of microcracks and gaps at the interface of gpmta and the canal walls. The introduction of thermoplastic guttapercha to dentistry in the mid19th century was a turning point in endodontic treatment. The purpose of a rootend filling is to establish a seal between the root canal space and the periapical tissues. Spectrophotometric analysis evaluating apical microleakage in. Cytotoxicity of four root end filling materials sciencedirect.
The first publication on the material was in november 1993. Root canal end filling materials certified fixed orthodontic. The ideal root end filling material seals the contents of the root canal system within the canal, preventing egress of any bacteria, bacterial byproducts, or toxic material into the surrounding periradicular tissues. Peikoff, dmd, mscd the purpose of this study was to evaluate the microleakage of various rootend filling materials using a fluid filtration system.
The introduction of microsurgical techniques has transformed this procedure and the use of mineral trioxide aggregate as a root end filling ensures that a bioactive healing response may be. Is mta an effective rootend filler for endodontic surgery. The purpose of a root end filling is to establish a seal between the root canal space and the periapical tissues. The aim of this in vitro study was to evaluate the dye penetration in different thicknesses of calcium enriched mixture cem cement as rootend filling material. Pdf antibacterial effects of some root end filling. Investigation of the physical properties of tricalcium. Fourteen rootend resections were performed in 11 patients.
The porosity of bioaggregate, biodentine, a prototype radiopacified tricalcium silicate cement tcs20zr and intermediate restorative material irm was. Bejoy mony 1, venkatachalam prakash 2 1 department of conservative dentistry and endodontics, tagore dental college and hospital, chennai 600127. Rootend filling materials should be distinguishable from the adjacent bone and root dentin. The aim of this study was to evaluate the filling ability and porosity of root end filling materials by using microcomputed tomography. Today, there are several types of materials used in endodontic surgery, either in. The journal of contemporary dental practice, march 2015. A2,b2,c2 samples have more crystal sediment on rootend fillings than samples a1,b1,c1. In old times amalgam was considered the material of choice for root end filling. Root canal filling material an overview sciencedirect topics. The aim of this study was to evaluate the porosity and assess the root dentine to material interface of four root end filling materials based on tricalcium silicate cement using two microscopy techniques. Pdf the influence of rootend filling materials on bone. The influence of rootend filling materials on bone healing.
Randomized clinical trial of rootend resection followed by rootend filling with mineral trioxide aggregate or smoothing of the orthograde guttapercha root filling1year followup. The effect of thickness on the sealing ability of cem cement. Following root canal filling in 70 extracted human singlerooted premolar teeth, the apical 3 mm of their root ends was resected. A plethora of restorative and endodontic materials have been suggested over the years for root end filling, including amalgam, zinc oxide eugenol zoe cement plain or reinforced, ethoxy benzoic acid eba and super eba cement, polycarboxylate cement, glass ionomer cement gic, guttapercha gp, burnished or injectable, composite resin, cyanoacrylate. Pdf pushout bond strength of rootend filling materials. Antibacterial effects of some root end filling materials.
The use of root end filling materials designed to stimulate hard and soft tissue repair in periradicular tissues is highly recommended. Microct analysis of filling ability and porosity of root. Yag laser have significantly lower microleakage for all tested root end filling materials. Root canal filling materials are supposed to effectively kill the bacteria in the periodical lesions, densely seal the apical zones and promote healing. The focus is on tissue response to newer alternative materials. Indian dental academy leader in continuing dental 2. Root canal filling material an overview sciencedirect.
Bioceramic rootend filling materials are shown to have success rates of. Oct 25, 2017 when should you perform a root canal in 2 visits. The art and science of contemporary surgical endodontics. Porosity and root dentine to material interface assessment. However, the brittleness of the root canal often increases after treatment due to the large size of the traditional hap. Methods and materials for detection of microleakage around dental restorations. Root canal end filling materials certified fixed orthodontic courses by indian dental academy 1. Periapical surgery with a new retrograde root canal filling. Rootend filling materials are commonly used following endodontic surgical procedures. In the past, amalgam was the rootend filling material of choice friedman, 1991. The present study compares the apical microleakage of three different rootend filling materials in which the retrograde cavity is prepared by. Us7833016b2 root canal filling materials and methods. The aim of the present study was to compare in vitro biocompatibility and in vivo tissue reaction with calcium hydroxidebased, eugenolbased and mineral trioxide aggregate root end filling.
Proper root end preparation and placement of a retro filling material are recommended for. An exploratory study was conducted to justify the clinical safety and accuracy of guided rootend resection with a trephine. Various restorative materials which have been used for coronal restorations have been tried and tested as a root end filling materials, along with development of restorative materials exclusively for use as a root end filing material. Properties of a new rootend filling material journal of endodontics. Sealing ability of mineral trioxide aggregate and biodentine. Amalgam has been shown in a number of study to have poor marginal adaptation with the dentine. A comparative prospective randomized clinical study of mta and irm as rootend filling materials in singlerooted teeth in endodontic surgery. Comparison of the radiopacities of different rootend filling. In some embodiments, a hydrophobic filler material is introduced into the root canal spaces while they are filled with liquid. Investigation of surface topography of different rootend. Periapical surgery with a new retrograde root canal. Tissue and cell reactions to implanted rootend filling. A number of materials have been suggested for use as rootend fillings, including guttapercha. Laser assisted root end filling studies revealed that.
As there is no international standardization for establishing the minimum acceptable radiopacity values for materials intended to be used as root end fillings 1, 4, the 3 mm al threshold to be distinguishable from the adjacent bone and root dentin. Effect of mineral trioxide aggregate as a root end filling. Chapters on the maxillary sinus and its relation to surgical endodontics, soft and. Comparative investigation of marginal adaptation of mineral trioxide aggregate and other commonly used rootend filling materials. Super eba he aim of a rootend filling is to fill apical resection and retro preparation is zincoxide eugenol cement modified with. However, the brittleness of the root canal often increases after treatment due to. The aim of the present study was to compare in vitro biocompatibility and in vivo tissue reaction with calcium hydroxidebased, eugenolbased and. Tissue and cell reactions to implanted rootend filling materials. The formulation was changed in 1990, when the silver was replaced with ytterbium trifluoride and ferric oxide. We predict that, due to the differences in their chemical composition, these materials will have profoundly different effects on the survival and differentiation of fibroblasts. Latest concepts in root canal treatment british dental journal. Longitudinal study on microleakage of three rootend.
Chapters on the maxillary sinus and its relation to surgical endodontics, soft and hard tissue. Microleakage of root end filling materials howard m. Jun 24, 2006 download pdf commentary there is a wide selection of retrograde rootfilling materials for periradicular surgery and there are correspondingly wide opinions about the most appropriate choice. Such materials include dental amalgam and intermediate restorative material irm. A variety of materials used routinely in dentistry as restorative materials have been utilized as root end filling materials. Comparison of the radiopacities of different rootend. In various embodiments of a method for filling root canal spaces, the root canal spaces are cleaned and irrigated, for example, by any suitable endodontic procedure, and the irrigating liquid is not removed from the canal spaces prior to filling. The very latest materials and methods utilized in providing endodontic treatment are explained thoroughly and effectively and are highlighted visually through the generous use of illustrations, many in fullcolor. Microleakage following rootend resections has a direct influence on the outcome of surgical endodontic procedures. Download pdf color atlas of endodotics dencyclopedia. The purpose of this study is compare sealing ability of mineral trioxide aggregate mta and biodentine as root end filling material, and also to compare the effect of different retro preparation techniques i. Leakage and scanning electron microscopic studies have shown that a mineral trioxide aggregate mta used as root end filling material permits significantly.
The aim of this study was to evaluate the filling ability and porosity of rootend filling materials by using microcomputed tomography. Root end filling materials are commonly used following endodontic surgical procedures. Department of dentistry ceased 1102018 abstract aim. Sealing ability of root end filling materials a systematic. Rootend filling materials alter fibroblast differentiation. As there is no international standardization for establishing the minimum acceptable radiopacity values for materials intended to be used as rootend fillings 1, 4, the 3 mm al threshold to be distinguishable from the adjacent bone and root dentin.
Pdf sealing ability of rootend filling materials researchgate. Mineral trioxide aggregate mta has been developed specifically as a root end filling material and for the repair of furcal perforations. For that reason it is very important to use a nontoxic material and biocompatible with the hard and soft tissues of the periodontium. Numerous materials have been tested previously for the apical seal such as amalgam, glass ionomer cement, zinc oxide eugenol based cements,2 and mineral trioxide aggregate mta.
Root end filling materials should be distinguishable from the adjacent bone and root dentin. All specimens demonstrated white crystals formation and sediment over the rootend filling materials and on the superficial border of the rootend cavities wall as a white plague. Accuracy and clinical safety of guided root end resection. Pdf the purpose of a root end filling is to establish a seal between the root canal space and the periradicular tissues. A variety of materials used routinely in dentistry as restorative materials have been utilized as rootend filling materials. To prevent bacteria and bacterial elements from spreading from or through the canal system to the periapical area, the fully instrumented root canal has to be provided with a. Since mta and biodentine are the most popularly used root end filling material, mta has shown superior sealing properties and marginal adaptation and biodentine showed biocompatibility and the ability to induce odontoblast differentiation. Peikoff, dmd, mscd the purpose of this study was to evaluate the microleakage of various root end filling materials using a fluid filtration system.
Considerations in the selection of a rootend filling material. The influence of rootend filling materials on bone. The tissue response to these materials, therefore, becomes important and may influence the outcome of surgical endodontic treatment. Use of rootend filling materials in a surgical apical. Amalgam has been shown in a number of study to have poor. May 19, 2015 laser assisted root end filling studies revealed that. The aim of this study was to evaluate the porosity and assess the root dentine to material interface of four rootend filling materials based on tricalcium silicate cement using two microscopy techniques. A plethora of restorative and endodontic materials have been suggested over the years for rootend filling, including amalgam, zinc oxide eugenol zoe cement plain or reinforced, ethoxy benzoic acid eba and super eba cement, polycarboxylate cement, glass ionomer cement gic, guttapercha gp, burnished or. The use of bioceramics as rootend filling materials in periradicular. The effect of thickness on the sealing ability of cem.
Use of rootend filling materials in a surgical apical endodontic treatment in the netherlands by m. Mta has been recommended primarily as a root end filling material, but it has also. Latest concepts in root canal treatment british dental. Apr 23, 2005 the introduction of microsurgical techniques has transformed this procedure and the use of mineral trioxide aggregate as a root end filling ensures that a bioactive healing response may be. To prevent bacteria and bacterial elements from spreading from or through the canal system to the periapical area, the fully instrumented root canal has to be provided with a tight and longlasting obturation. The biocompatibility of four rootend fillings materials, used in periapical surgery was investigated after intraosseous implantation of the.
The influence of root end filling materials on bone healing an experimental study. Pdf the aim of this study is to describe different rootend filling materials according to the literature. Randomized clinical trial of rootend resection followed. Mineral trioxide aggregate mta has been developed specifically as a rootend filling material and for the repair of furcal perforations. However, few studies evaluated the bond strength of rootend filling materials to dentinal walls after retrograde preparation. Pushout bond strength of rootend filling materials. Sixty extracted human singlerooted teeth were used. Porosity and root dentine to material interface assessment of. This comprehensive resource presents all aspects of endodontics, both surgical and nonsurgical. Stereomicroscope 32x was used to photograph the rootend filling. One of the most used conservative surgical techniques in endodontics is apicoectomy. Considering that root end filling materials are expected to be in contact with body fluids 8, 18, the present study evaluated three materials over time in a simulated clinical condition. The null hypothesis was that there is no difference between the materials, and the properties of porosity and filling ability are associated.