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Research Article
Cleaning protocols to enhance bond strength of fiberglass posts on root canals filled with bioceramic sealer: an in vitro comparative study
Thiago Bessa Marconato Antunes, Juliana Delatorre Bronzato, Joice Graciani, Ana Cristina Padilha Janini, Rocharles Cavalcante Fontenele, Francisco Haiter Neto, Brenda Paula Figueiredo de Almeida Gomes, Marina Angélica Marciano da Silva
Restor Dent Endod 2025;50(2):e20.   Published online May 21, 2025
DOI: https://doi.org/10.5395/rde.2025.50.e20
AbstractAbstract PDFPubReaderePub
Objectives
This study aimed to evaluate whether the agitation protocols using ultrasonic inserts or the XP-endo Finisher R file improved the removal of two different endodontic sealer remnants and the bond strength of fiberglass posts to dentin.
Methods
Seventy-two human teeth were selected. The canals were prepared with Reciproc 50 and Easy ProDesign 30/.10 and root filled according to the endodontic sealer groups: AH Plus or EndoSequence BC Sealer HiFlow. The samples were kept at 37ºC and 95% humidity for 28 days. During the post space preparation, the obturation was removed with Largo burs, and the groups were divided according to the irrigant agitation protocols (n = 12): no agitation, agitation with R1-Clearsonic associated with E1-Irrisonic ultrasonic inserts, or agitation with XP-endo Finisher R file. The fiberglass posts were cemented with RelyX ARC. The roots were sectioned into slices and submitted to the push-out test. Micro-computed tomography analysis was used to check the effectiveness of irrigating solution agitation in the elimination of remnants.
Results
The cleaning protocols with agitation were more effective in increasing the bond strength of posts to dentin for both sealer groups compared to non-agitation (p < 0.05). There was no difference between the same cleaning protocols for the different sealers. Among the different thirds, there was no statistical difference for the same sealer in the different cleaning protocols (p > 0.05).
Conclusions
Both agitation protocols effectively clean root-filled canals sealed with resin-based and calcium silicate-based sealers during fiberglass post space preparation. These protocols result in improved bond strength compared to non-agitation methods.
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Review Article
Success rate of direct pulp capping on permanent teeth using bioactive materials: a systematic review and meta-analysis of randomized clinical trials
Karem Paula Pinto, Gabriela Ribeiro da Silva, Cláudio Malizia Alves Ferreira, Luciana Moura Sassone, Emmanuel João Nogueira Leal da Silva
Restor Dent Endod 2024;49(4):e34.   Published online September 6, 2024
DOI: https://doi.org/10.5395/rde.2024.49.e34
AbstractAbstract PDFSupplementary MaterialPubReaderePub

This systematic review and meta-analysis aimed to evaluate the success rate of direct pulp capping (DPC) on permanent teeth, comparing the use of MTA with calcium hydroxide and calcium silicate-based cements. A systematic search was carried out in 4 databases until July 2023. The selection was based on PICOS criteria and only randomized clinical trials were included. The risk of bias was assessed using RoB-2 tool, and meta-analyses were performed using RevMan 5.3 software. The overall quality of evidence was determined using the GRADE tool. Thirteen studies were included. Meta-analyses indicated significantly higher success rate for DPC using MTA compared to calcium hydroxide, while no significant difference was observed between MTA and Biodentine, showing a success rate from 80% to 100% even after 3 years of follow-up. Five studies were classified as having high risk of bias and the GRADE assessment revealed low certainty of evidence. DPC is highly effective for permanent teeth when using MTA or Biodentine. There is a need for future well-designed randomized clinical trials to evaluate the efficacy of DPC using newer bioceramic materials.

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Research Articles
Nanoleakage of apical sealing using a calcium silicate-based sealer according to canal drying methods
Yoon-Joo Lee, Kyung-Mo Cho, Se-Hee Park, Yoon Lee, Jin-Woo Kim
Restor Dent Endod 2024;49(2):e20.   Published online April 19, 2024
DOI: https://doi.org/10.5395/rde.2024.49.e20
AbstractAbstract PDFPubReaderePub
Objectives

This study investigated the nanoleakage of root canal obturations using calcium silicate-based sealer according to different drying methods.

Materials and Methods

Fifty-two extracted mandibular premolars with a single root canal and straight root were selected for this study. After canal preparation with a nickel-titanium rotary file system, the specimens were randomly divided into 4 groups according to canal drying methods (1: complete drying, 2: blot drying/distilled water, 3: blot drying/NaOCl, 4: aspiration only). The root canals were obturated using a single-cone filling technique with a calcium silicate–based sealer. Nanoleakage was evaluated using a nanoflow device after 24 hours, 1 week, and 1 month. Data were collected twice per second at the nanoscale and measured in nanoliters per second. Data were statistically analyzed using the Kruskal-Wallis and Mann–Whitney U-tests (p < 0.05).

Results

The mean flow rate measured after 24 hours showed the highest value among the time periods in all groups. However, the difference in the flow rate between 1 week and 1 month was not significant. The mean flow rate of the complete drying group was the highest at all time points. After 1 month, the mean flow rate in the blot drying group and the aspiration group was not significantly different.

Conclusions

Within the limitations of this study, the canal drying method had a significant effect on leakage and sealing ability in root canal obturations using a calcium silicate-based sealer. Thus, a proper drying procedure is critical in endodontic treatment.

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Pulp stones: any relevance with the levels of serum calcium, parathyroid hormone, vitamin D and uric acid
Ceyda Gürhan, Ercan Saruhan
Restor Dent Endod 2024;49(2):e17.   Published online March 26, 2024
DOI: https://doi.org/10.5395/rde.2024.49.e17
AbstractAbstract PDFPubReaderePub
Objectives

This study evaluated the effect of serum calcium, parathyroid hormone (PTH), vitamin D, and uric acid levels on pulp stone formation.

Materials and Methods

Patients who were admitted to the Muğla Sıtkı Koçman University, Faculty of Dentistry, Department of Oral and Maxillofacial Radiology for dental complaints were registered. Among these patients, individuals who had routine biochemical tests at the same period in the Outpatient Clinics of Muğla Sıtkı Koçman University Training and Research Hospital were included in the study. The patients with at least 1 pulp stone on panoramic radiographs recorded as the “pulp stone group” while patients without any pulp stones were the “control group”. Demographic data and serum levels of calcium, PTH, vitamin D, and uric acid were retrospectively evaluated in both groups. Student t-test or Mann-Whitney U test was used to evaluate the differences between the groups.

Results

Among 151 patients, dental pulp stone was detected in 53.6% of patients, and 82.7% of these patients were female. Female sex and pulp stone formation were significantly associated (p = 0.001). The mean age of the pulp stone group was 43.9, while it was 39.9 in the control group, without any significant correlation between age and pulp stone (p > 0.05). Similarly, there were no significant differences in serum levels of PTH, vitamin D, uric acid and calcium between groups (p > 0.05).

Conclusions

According to the present study, the effect of dental factors rather than systemic factors should be considered primarily in pulp stone formation.

Citations

Citations to this article as recorded by  
  • A novel deep learning-based pipeline architecture for pulp stone detection on panoramic radiographs
    Ceyda Gürhan, Hasan Yiğit, Selim Yılmaz, Cihat Çetinkaya
    Oral Radiology.2025; 41(2): 285.     CrossRef
  • Vitamin D deficiency and oral health: a systematic review of literature
    Saida Ziada, Aws Wishahe, Najet Mabrouk, Souad Sahtout
    BMC Oral Health.2025;[Epub]     CrossRef
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Case Report
Garre’s osteomyelitis of the mandible managed by nonsurgical re-endodontic treatment
Heegyun Kim, Jiyoung Kwon, Hyun-Jung Kim, Soram Oh, Duck-Su Kim, Ji-Hyun Jang
Restor Dent Endod 2024;49(2):e13.   Published online March 18, 2024
DOI: https://doi.org/10.5395/rde.2024.49.e13
AbstractAbstract PDFPubReaderePub

Chronic osteomyelitis with proliferative periostitis, known as Garre’s osteomyelitis, is a type of osteomyelitis characterized by a distinctive gross thickening of the periosteum of bones. Peripheral reactive bone formation can be caused by mild irritation or infection. Garre’s osteomyelitis is usually diagnosed in children and young adults, and the mandible is more affected than the maxilla. The following is a case report of a 12-year-old female patient with Garre’s osteomyelitis of the mandible due to an infection of a root canal-treated tooth. Without surgical intervention, the patient’s symptoms were relieved through nonsurgical root canal re-treatment with long-term calcium hydroxide placement. A cone-beam computed tomography image obtained 6 months after treatment completion displayed complete healing of the periapical lesion and resolution of the peripheral reactive buccal bone. Due to the clinical features of Garre's osteomyelitis, which is characterized by thickening of the periosteum, it can be mistaken for other diseases such as fibrous dysplasia. It is important to correctly diagnose Garre's osteomyelitis based on its distinctive clinical features to avoid unnecessary surgical intervention, and it can lead to minimally invasive treatment options.

Citations

Citations to this article as recorded by  
  • Focal osteomyelitis with proliferative periostitis
    Zarah Yakoob
    South African Dental Journal.2025; 79(09): 508.     CrossRef
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Research Articles
A scientometric, bibliometric, and thematic map analysis of hydraulic calcium silicate root canal sealers
Anastasios Katakidis, Konstantinos Kodonas, Anastasia Fardi, Christos Gogos
Restor Dent Endod 2023;48(4):e41.   Published online November 13, 2023
DOI: https://doi.org/10.5395/rde.2023.48.e41
AbstractAbstract PDFPubReaderePub
Objectives

This scientometric and bibliometric analysis explored scientific publications related to hydraulic calcium silicate-based (HCSB) sealers used in endodontology, aiming to describe basic bibliometric indicators and analyze current research trends.

Materials and Methods

A comprehensive search was conducted in Web of Science and Scopus using specific HCSB sealer and general endodontic-related terms. Basic research parameters were collected, including publication year, authorship, countries, institutions, journals, level of evidence, study design and topic of interest, title terms, author keywords, citation counts, and density.

Results

In total, 498 articles published in 136 journals were retrieved for the period 2008–2023. Brazil was the leading country, and the universities of Bologna in Italy and Sao Paolo in Brazil were represented equally as leading institutions. The most frequently occurring keywords were “calcium silicate,” “root canal sealer MTA-Fillapex,” and “biocompatibility,” while title terms such as “calcium,” “sealers,” “root,” “canal,” “silicate based,” and “endodontic” occurred most often. According to the thematic map analysis, “solubility” appeared as a basic theme of concentrated research interest, and “single-cone technique” was identified as an emerging, inadequately developed theme. The co-occurrence analysis revealed 4 major clusters centered on sealers’ biological and physicochemical properties, obturation techniques, retreatability, and adhesion.

Conclusions

This analysis presents bibliographic features and outlines changing trends in HCSB sealer research. The research output is dominated by basic science articles scrutinizing the biological and specific physicochemical properties of commonly used HCSB sealers. Future research needs to be guided by studies with a high level of evidence that utilize innovative, sophisticated technologies.

Citations

Citations to this article as recorded by  
  • Agri-Food Sector: Contemporary Trends, Possible Gaps, and Prospective Directions
    José Roberto Herrera Cantorani, Meire Ramalho de Oliveira, Luiz Alberto Pilatti, Thales Botelho de Sousa
    Metrics.2025; 2(1): 3.     CrossRef
  • Scientific mapping of experimental research on solar cookers: Global trends, evolution, and future directions
    Flavio Odoi-Yorke, Bismark Baah, Richard Opoku
    Solar Energy Advances.2025; 5: 100093.     CrossRef
  • Bibliometric analysis of the GentleWave system: trends, collaborations, and research gaps
    Raimundo Sales de Oliveira Neto, Thais de Moraes Souza, João Vitor Oliveira de Amorim, Thaine Oliveira Lima, Guilherme Ferreira da Silva, Rodrigo Ricci Vivan, Murilo Priori Alcalde, Marco Antonio Hungaro Duarte
    Restorative Dentistry & Endodontics.2025; 50(2): e17.     CrossRef
  • A bibliometric analysis of global research trend and progress on Dy doped materials
    Sangeeta Kadyan, Manju Nain, Ashima Makhija, Poonam Punia, Anil Ohlan, Sajjan Dahiya, R. Punia, A.S. Maan
    Journal of Alloys and Compounds Communications.2024; 3: 100006.     CrossRef
  • Comparative bioactivity and immunomodulatory potential of the new Bioroot Flow and AH Plus Bioceramic sealer: An in vitro study on hPDLSCs
    José Luis Sanz, Sergio López-García, David García-Bernal, Francisco Javier Rodríguez-Lozano, Leopoldo Forner, Adrián Lozano, Laura Murcia
    Clinical Oral Investigations.2024;[Epub]     CrossRef
  • Analyzing collaboration and impact: A bibliometric review of four highly published authors’ research profiles on collaborative maps
    Willy Chou, Julie Chi Chow
    Medicine.2024; 103(28): e38686.     CrossRef
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Influence of access cavity design on calcium hydroxide removal using different cleaning protocols: a confocal laser scanning microscopy study
Seda Falakaloğlu, Merve Yeniçeri Özata, Betül Güneş, Emmanuel João Nogueira Leal Silva, Mustafa Gündoğar, Burcu Güçyetmez Topal
Restor Dent Endod 2023;48(3):e25.   Published online July 24, 2023
DOI: https://doi.org/10.5395/rde.2023.48.e25
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to evaluate the influence of endodontic access cavities design on the removal of calcium hydroxide medication of the apical third of mandibular incisor root canal walls and dentinal tubules with different cleaning protocols: EDDY sonic activation, Er,Cr:YSGG laser-activated irrigation, or conventional irrigation with IrriFlex.

Materials and Methods

Seventy-eight extracted human mandibular incisors were assigned to 6 experimental groups (n = 13) according to the endodontic access cavity and cleaning protocol for calcium hydroxide removal: traditional access cavity (TradAC)/EDDY; ultraconservative access cavity performed in the incisal edge (UltraAC.Inc)/EDDY; TradAC/Er,Cr:YSGG; UltraAC.Inc/Er,Cr:YSGG; TradAC/IrriFlex; or UltraAC.Inc/IrriFlex. Confocal laser scanning microscopy images were used to measure the non-penetration percentage, maximum residual calcium hydroxide penetration depth, and penetration area at 2 and 4 mm from the apex. Data were statistically analyzed using Shapiro-Wilk and WRS2 package for 2-way comparison of non-normally distributed parameters (depth of penetration, area of penetration, and percentage of non-penetration) according to cavity and cleaning protocol with the significance level set at 5%.

Results

The effect of cavity and cleaning protocol interactions on penetration depth, penetration area and non-penetration percentage was not found statistically significant at 2 and 4 mm levels (p > 0.05).

Conclusions

The present study demonstrated that TradAC or UltraAC.Inc preparations with different cleaning protocols in extracted mandibular incisors did not influence the remaining calcium hydroxide at 2 and 4 mm from the apex.

Citations

Citations to this article as recorded by  
  • Effect of Apical Preparation Size and Preparation Taper on Smear Layer Removal Using Two Different Irrigation Needles: A Scanning Electron Microscopy Study
    Rania Lebbos, Naji Kharouf, Deepak Mehta, Jamal Jabr, Cynthia Kamel, Roula El Hachem, Youssef Haikel, Marc Krikor Kaloustian
    European Journal of Dentistry.2025; 19(03): 678.     CrossRef
  • Combination of Chitosan Nanoparticles, EDTA, and Irrigation Activation Enhances TGF-β1 Release from Dentin: A Laboratory Study
    Sıla Nur Usta, Emre Avcı, Ayşe Nur Oktay, Cangül Keskin
    Journal of Endodontics.2025;[Epub]     CrossRef
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Case Report
Successful nonsurgical treatment of type II dens invaginatus with 5 root canals using a self-adjusting file: a case report
George Táccio de Miranda Candeiro, Antônio Sérgio Teixeira de Menezes, Ana Carolina Saldanha de Oliveira, Flávio Rodrigues Ferreira Alves
Restor Dent Endod 2023;48(2):e17.   Published online April 27, 2023
DOI: https://doi.org/10.5395/rde.2023.48.e17
AbstractAbstract PDFPubReaderePub

The present report describes the endodontic treatment of an Oehlers type II dens invaginatus in a maxillary lateral incisor with 5 root canals, an extremely rare condition. Apical periodontitis and related symptoms were noted. Cone-beam computed tomography was used to aid the diagnosis, reveal tooth morphology, and assist in canal location. The pulp chamber was carefully accessed, and the root canals were explored under magnification. All root canals were prepared with an R25 Reciproc Blue system and sodium hypochlorite (NaOCl) irrigation. After initial preparation, a self-adjusting file (SAF) with NaOCl and ethylenediaminetetraacetic acid was used to complement the disinfection. Additionally, calcium hydroxide medication was applied. Vertical compaction was used to fill the canals with a calcium silicate-based endodontic sealer and gutta-percha. After 12 months, the patient exhibited healing of the periapical region, absence of symptoms, and normal dental function. In conclusion, this nonsurgical treatment protocol was successful in promoting the cure of apical periodontitis. Both complementary disinfection with an SAF and use of calcium hydroxide medication should be considered when choosing the best treatment approach for dens invaginatus with very complex anatomy.

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Research Articles
Calcium-doped zinc oxide nanocrystals as an innovative intracanal medicament: a pilot study
Gabriela Leite de Souza, Thamara Eduarda Alves Magalhães, Gabrielle Alves Nunes Freitas, Nelly Xiomara Alvarado Lemus, Gabriella Lopes de Rezende Barbosa, Anielle Christine Almeida Silva, Camilla Christian Gomes Moura
Restor Dent Endod 2022;47(4):e38.   Published online October 4, 2022
DOI: https://doi.org/10.5395/rde.2022.47.e38
AbstractAbstract PDFPubReaderePub
Objectives

This study investigated the cytotoxicity, radiopacity, pH, and dentinal tubule penetration of a paste of 1.0% calcium-doped zinc oxide nanocrystals (ZnO:1.0Ca) combined with propylene glycol (PRG) or polyethylene glycol and propylene glycol (PEG-PRG).

Materials and Methods

The pastes were prepared by mixing calcium hydroxide [Ca(OH)2] or ZnO:1.0Ca with PRG or a PEG-PRG mixture. The pH was evaluated after 24 and 96 hours of storage in deionized water. Digital radiographs were acquired for radiopacity analysis and bubble counting of each material. The materials were labeled with 0.1% fluorescein and applied to root canals, and images of their dentinal tubule penetration were obtained using confocal laser scanning microscopy. RAW264.7 macrophages were placed in different dilutions of culture media previously exposed to the materials for 24 and 96 hours and tested for cell viability using the MTT assay. Analysis of variance and the Tukey test (α = 0.05) were performed.

Results

ZnO:1.0Ca materials showed lower viability at 1:1 and 1:2 dilutions than Ca(OH)2 materials (p < 0.0001). Ca(OH)2 had higher pH values than ZnO:1.0Ca at 24 and 96 hours, regardless of the vehicle (p < 0.05). ZnO:1.0Ca pastes showed higher radiopacity than Ca(OH)2 pastes (p < 0.01). No between-material differences were found in bubble counting (p = 0.0902). The ZnO:1.0Ca pastes had a greater penetration depth than Ca(OH)2 in the apical third (p < 0.0001).

Conclusions

ZnO:1.0Ca medicaments presented higher penetrability, cell viability, and radiopacity than Ca(OH)2. Higher values of cell viability and pH were present in Ca(OH)2 than in ZnO:1.0Ca.

Citations

Citations to this article as recorded by  
  • Nano calcium zincate-assisted synthesis of benzo[ d ]thiazol-2-yl phenylisoxazoles: quantum computational, in silico molecular docking simulations and DNA interaction
    A. K. Smitha, V. Srinivasa Murthy, B. Vinay Kumar, M. Sennappan, A. H. Shridhar, Lohit Naik, K. Yogendra, N. Madhusudhana
    Nucleosides, Nucleotides & Nucleic Acids.2025; : 1.     CrossRef
  • 543 View
  • 13 Download
  • 1 Web of Science
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Effects of calcium silicate cements on neuronal conductivity
Derya Deniz-Sungur, Mehmet Ali Onur, Esin Akbay, Gamze Tan, Fügen Daglı-Comert, Taner Cem Sayın
Restor Dent Endod 2022;47(2):e18.   Published online March 7, 2022
DOI: https://doi.org/10.5395/rde.2022.47.e18
AbstractAbstract PDFPubReaderePub
Objectives

This study evaluated alterations in neuronal conductivity related to calcium silicate cements (CSCs) by investigating compound action potentials (cAPs) in rat sciatic nerves.

Materials and Methods

Sciatic nerves were placed in a Tyrode bath and cAPs were recorded before, during, and after the application of test materials for 60-minute control, application, and recovery measurements, respectively. Freshly prepared ProRoot MTA, MTA Angelus, Biodentine, Endosequence RRM-Putty, BioAggregate, and RetroMTA were directly applied onto the nerves. Biopac LabPro version 3.7 was used to record and analyze cAPs. The data were statistically analyzed.

Results

None of the CSCs totally blocked cAPs. RetroMTA, Biodentine, and MTA Angelus caused no significant alteration in cAPs (p > 0.05). Significantly lower cAPs were observed in recovery measurements for BioAggregate than in the control condition (p < 0.05). ProRoot MTA significantly but transiently reduced cAPs in the application period compared to the control period (p < 0.05). Endosequence RRM-Putty significantly reduced cAPs.

Conclusions

Various CSCs may alter cAPs to some extent, but none of the CSCs irreversibly blocked them. The usage of fast-setting CSCs during apexification or regeneration of immature teeth seems safer than slow-setting CSCs due to their more favorable neuronal effects.

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Comparative analysis of bond strength to root dentin and compression of bioceramic cements used in regenerative endodontic procedures
Maykely Naara Morais Rodrigues, Kely Firmino Bruno, Ana Helena Gonçalves de Alencar, Julyana Dumas Santos Silva, Patrícia Correia de Siqueira, Daniel de Almeida Decurcio, Carlos Estrela
Restor Dent Endod 2021;46(4):e59.   Published online November 9, 2021
DOI: https://doi.org/10.5395/rde.2021.46.e59
AbstractAbstract PDFPubReaderePub
Objectives

This study compared the Biodentine, MTA Repair HP, and Bio-C Repair bioceramics in terms of bond strength to dentin, failure mode, and compression.

Materials and Methods

Fifty-four slices obtained from the cervical third of 18 single-rooted human mandibular premolars were randomly distributed (n = 18). After insertion of the bioceramic materials, the push-out test was performed. The failure mode was analyzed using stereomicroscopy. Another set of cylindrically-shaped bioceramic samples (n = 10) was prepared for compressive strength testing. The normality of data distribution was analyzed using the Shapiro-Wilk test. The Kruskal-Wallis and Friedman tests were used for the push-out test data, while compressive strength was analyzed with analysis of variance and the Tukey test, considering a significance level of 0.05.

Results

Biodentine presented a higher median bond strength value (14.79 MPa) than MTA Repair HP (8.84 MPa) and Bio-C Repair (3.48 MPa), with a significant difference only between Biodentine and Bio-C Repair. In the Biodentine group, the most frequent failure mode was mixed (61%), while in the MTA Repair HP and Bio-C Repair groups, it was adhesive (94% and 72%, respectively). Biodentine showed greater resistance to compression (29.59 ± 8.47 MPa) than MTA Repair HP (18.68 ± 7.40 MPa) and Bio-C Repair (19.96 ± 3.96 MPa) (p < 0.05).

Conclusions

Biodentine showed greater compressive strength than MTA Repair HP and Bio-C Repair, and greater bond strength than Bio-C Repair. The most frequent failure mode of Biodentine was mixed, while that of MTA Repair HP and Bio-C Repair was adhesive.

Citations

Citations to this article as recorded by  
  • Comparación de la resistencia compresiva entre el Agregado Trióxido Mineral y BiodentineTM en perforaciones de furca de molares inferiores permanentes
    Jheymy Gerardo Huatuco-Granda, John Paul Torres-Navarro, Rosa Josefina Roncal-Espinoza
    Revista Facultad de Odontología.2024;[Epub]     CrossRef
  • Effects of different calcium-silicate based materials on fracture resistance of immature permanent teeth with replacement root resorption and osteoclastogenesis
    Gabriela Leite de Souza, Gabrielle Alves Nunes Freitas, Maria Tereza Hordones Ribeiro, Nelly Xiomara Alvarado Lemus, Carlos José Soares, Camilla Christian Gomes Moura
    Restorative Dentistry & Endodontics.2023;[Epub]     CrossRef
  • Evaluation the Marginal Adaptation for the Bio C Repair and Other Root end Filling Material by Using Scanning Electron Microscope (A Comparative In Vitro Study)
    Fatimah HAMADHİ, Zainab M.
    Cumhuriyet Dental Journal.2023; 26(3): 261.     CrossRef
  • Dentin Bond Strength of Calcium Silicate-Based Materials: A Systematic Review of In Vitro Studies
    Natalia Radulica, José Luis Sanz, Adrián Lozano
    Applied Sciences.2023; 14(1): 104.     CrossRef
  • Evaluation Of The Push-out Bond Strength Of The Bio-C Repair And Compare It With The Mineral Trioxide Aggregate And Amalgam When Used As Root-end Filling Material
    Fatimah R. Hammadi, Zainab M Abdul-Ameer
    Dental Hypotheses.2023; 14(2): 62.     CrossRef
  • Effect of different root canal irrigants on push-out bond strength of two novel root-end filling materials
    Nada Omar, Rasha M. Abdelraouf, Tamer M. Hamdy
    BMC Oral Health.2023;[Epub]     CrossRef
  • Effect of irrigation systems on the bond strength of calcium-silicate-based cement used as pulp barrier in regenerative endodontic treatment
    Cihan Hascizmeci, Burak Buldur
    Journal of Adhesion Science and Technology.2023; 37(23): 3393.     CrossRef
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Push-out bond strength and marginal adaptation of apical plugs with bioactive endodontic cements in simulated immature teeth
Maria Aparecida Barbosa de Sá, Eduardo Nunes, Alberto Nogueira da Gama Antunes, Manoel Brito Júnior, Martinho Campolina Rebello Horta, Rodrigo Rodrigues Amaral, Stephen Cohen, Frank Ferreira Silveira
Restor Dent Endod 2021;46(4):e53.   Published online October 20, 2021
DOI: https://doi.org/10.5395/rde.2021.46.e53
AbstractAbstract PDFPubReaderePub
Objectives

This study evaluates the bond strength and marginal adaptation of mineral trioxide aggregate (MTA) Repair HP and Biodentine used as apical plugs; MTA was used as reference material for comparison.

Materials and Methods

A total of 30 single-rooted teeth with standardized, artificially created open apices were randomly divided into 3 groups (n = 10 per group), according to the material used to form 6-mm-thick apical plugs: group 1 (MTA Repair HP); group 2 (Biodentine); and group 3 (white MTA). Subsequently, the specimens were transversely sectioned to obtain 2 (cervical and apical) 2.5-mm-thick slices per root. Epoxy resin replicas were observed under a scanning electron microscope to measure the gap size at the material/dentin interface (the largest and smaller gaps were recorded for each replica). The bond strength of the investigated materials to dentin was determined using the push-out test. The variable bond strengths and gap sizes were evaluated independently at the apical and cervical root dentin slices. Data were analyzed using descriptive and analytic statistics.

Results

The comparison between the groups regarding the variables' bond strengths and gap sizes showed no statistical difference (p > 0.05) except for a single difference in the smallest gap at the cervical root dentin slice, which was higher in group 3 than in group 1 (p < 0.05).

Conclusions

The bond strength and marginal adaptation to root canal walls of MTA HP and Biodentine cement were comparable to white MTA.

Citations

Citations to this article as recorded by  
  • Evaluation of the root dentin bond strength and intratubular biomineralization of a premixed calcium aluminate-based hydraulic bioceramic endodontic sealer
    Yu-Na Lee, Min-Kyeong Kim, Hee-Jin Kim, Mi-Kyung Yu, Kwang-Won Lee, Kyung-San Min
    Journal of Oral Science.2024; 66(2): 96.     CrossRef
  • Managing Cracked Teeth with Root Extension: A Prospective Preliminary Study Using Biodentine™ Material
    Kênia Maria Soares de Toubes, Isabella Sousa Corrêa, Regina Célia Lopes Valadares, Stephanie Quadros Tonelli, Fábio Fernandes Borém Bruzinga, Frank Ferreira Silveira, Dr Karthikeyan Ramalingam
    International Journal of Dentistry.2024;[Epub]     CrossRef
  • Marginal adaptation of customized gutta percha cone with calcium silicate based sealer versus MTA and biodentine apical plugs in simulated immature permanent teeth (an in vitro study)
    Mary M. Mina, Sybel M. Moussa, Mahmoud R. Aboelseoud
    BMC Oral Health.2024;[Epub]     CrossRef
  • Comparative Evaluation of Push-Out Bond Strength of Conventional Mineral Trioxide Aggregate, Biodentine, a Modified Mineral Trioxide Aggregate, and Two Novel Antibacterial-Enhanced Mineral Trioxide Aggregates
    Arokia Rajkumar Shancy Merlin, Vignesh Ravindran, Ganesh Jeevanandan, Rajalakshmanan Eswaramoorthy, Abirami Arthanari
    Cureus.2024;[Epub]     CrossRef
  • Push out bond strength of hydraulic cements used at different thicknesses
    C. Ruiz Durán, Dra L. Gancedo-Caravia, V. Vera González, C. González Losada
    BMC Oral Health.2023;[Epub]     CrossRef
  • Effects of different calcium-silicate based materials on fracture resistance of immature permanent teeth with replacement root resorption and osteoclastogenesis
    Gabriela Leite de Souza, Gabrielle Alves Nunes Freitas, Maria Tereza Hordones Ribeiro, Nelly Xiomara Alvarado Lemus, Carlos José Soares, Camilla Christian Gomes Moura
    Restorative Dentistry & Endodontics.2023;[Epub]     CrossRef
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Close layer
Micro-computed tomographic evaluation of single-cone obturation with three sealers
Sahar Zare, Ivy Shen, Qiang Zhu, Chul Ahn, Carolyn Primus, Takashi Komabayashi
Restor Dent Endod 2021;46(2):e25.   Published online April 16, 2021
DOI: https://doi.org/10.5395/rde.2021.46.e25
AbstractAbstract PDFPubReaderePub
Objectives

This study used micro-computed tomography (µCT) to compare voids and interfaces in single-cone obturation among AH Plus, EndoSequence BC, and prototype surface pre-reacted glass ionomer (S-PRG) sealers and to determine the percentage of sealer contact at the dentin and gutta-percha (GP) interfaces.

Materials and Methods

Fifteen single-rooted human teeth were shaped using ProTaper NEXT size X5 rotary files using 2.5% NaOCl irrigation. Roots were obturated with a single-cone ProTaper NEXT GP point X5 with AH Plus, EndoSequence BC, or prototype S-PRG sealer (n = 5/group).

Results

The volumes of GP, sealer, and voids were measured in the region of 0–2, 2–4, 4–6, and 6–8 mm from the apex, using image analysis of sagittal µCT scans. GP volume percentages were: AH Plus (75.5%), EndoSequence BC (87.3%), and prototype S-PRG (94.4%). Sealer volume percentages were less: AH Plus (14.3%), EndoSequence BC (6.8%), and prototype S-PRG (4.6%). Void percentages were AH Plus (10.1%), EndoSequence BC (5.9%), and prototype S-PRG (1.0%). Dentin-sealer contact ratios of AH Plus, EndoSequence BC, and prototype S-PRG groups were 82.4% ± 6.8%, 71.6% ± 25.3%, and 70.2% ± 9.4%, respectively. GP-sealer contact ratios of AH Plus, EndoSequence BC, and prototype S-PRG groups were 65.6% ± 29.1%, 80.7% ± 25.8%, and 87.0% ± 8.6%, respectively.

Conclusions

Prototype S-PRG sealer created a low-void obturation, similar to EndoSequence BC sealer with similar dentin-sealer contact (> 70%) and GP-sealer contact (> 80%). Prototype S-PRG sealer presented comparable filling quality to EndoSequence BC sealer.

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    Tuba Gok, Adem Gok, Haydar Onur Aciksoz
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    Loai Alsofi, Mohammed Yagmoor, Tariq AbuHaimed, Hassan Abed, Ehab Alshouibi, Rafif Mandura, Turki Bakhsh, Hanaa Ashkar, Mey Al-Habib
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    Yang Yu, Chong-Yang Yuan, Xing-Zhe Yin, Xiao-Yan Wang
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    Jinah Kim, Kali Vo, Gurmukh S. Dhaliwal, Aya Takase, Carolyn Primus, Takashi Komabayashi
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    Israa Ashkar, José Luis Sanz, Leopoldo Forner, James Ghilotti, María Melo
    Journal of Endodontics.2024; 50(8): 1044.     CrossRef
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    Özben Özden, İnci Timur, Hale Ezgi Açma, Duygu Şimşekli, Barış Gülerman, Özgür Kurt
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Close layer
Interface between calcium silicate cement and adhesive systems according to adhesive families and cement maturation
Nelly Pradelle-Plasse, Caroline Mocquot, Katherine Semennikova, Pierre Colon, Brigitte Grosgogeat
Restor Dent Endod 2021;46(1):e3.   Published online December 9, 2020
DOI: https://doi.org/10.5395/rde.2021.46.e3
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to evaluate the interface between a calcium silicate cement (CSC), Biodentine and dental adhesives in terms of sealing ability.

Materials and Methods

Microleakage test: 160 standardized class II cavities were prepared on 80 extracted human molars. The cavities were filled with Biodentine and then divided into 2 experimental groups according to the time of restoration: composite resin obturation 15 minutes after Biodentine handling (D0); restoration after 7 days (D7). Each group was then divided into 8 subgroups (n = 5) according to the adhesive system used: etch-and-rinse adhesive (Prime & Bond); self-etch adhesive 2 steps (Optibond XTR and Clearfil SE Bond); self-etch adhesive 1 step (Xeno III, G-aenial Bond, and Clearfil Tri-S Bond); and universal used as etch-and-rinse or self-etch (ScotchBond Universal ER or SE). After thermocycling, the teeth were immersed in a silver nitrate solution, stained, longitudinally sectioned, and the Biodentine/adhesive percolation was quantified. Scanning electron microscopic observations: Biodentine/adhesive interfaces were observed.

Results

A tendency towards less microleakage was observed when Biodentine was etched (2.47%) and when restorations were done without delay (D0: 4.31%, D7: 6.78%), but this was not significant. The adhesives containing 10-methacryloyloxydecyl dihydrogen phosphate monomer showed the most stable results at both times studied. All Biodentine/adhesive interfaces were homogeneous and regular.

Conclusions

The good sealing of the CSC/adhesive interface is not a function of the system adhesive family used or the cement maturation before restoration. Biodentine can be used as a dentine substitute.

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Close layer
Review Article
Calcium silicate-based root canal sealers: a literature review
Miyoung Lim, Chanyong Jung, Dong-Hoon Shin, Yong-bum Cho, Minju Song
Restor Dent Endod 2020;45(3):e35.   Published online June 9, 2020
DOI: https://doi.org/10.5395/rde.2020.45.e35
AbstractAbstract PDFPubReaderePub

Epoxy resin-based sealers are currently widely used, and several studies have considered AH Plus to be the gold-standard sealer. However, it still has limitations, including possible mutagenicity, cytotoxicity, inflammatory response, and hydrophobicity. Drawing upon the advantages of mineral trioxide aggregate, calcium silicate-based sealers were introduced with high levels of biocompatibility and hydrophilicity. Because of the hydrophilic environment in root canals, water resorption and solubility of root canal sealers are important factors contributing to their stability. Sealers displaying lower microleakage and stronger push-out bond strength are also needed to endure the dynamic tooth environment. Although the physical properties of calcium silicate-based sealers meet International Organization for Standardization recommendations, and they have consistently reported to be biocompatible, they have not overcome conventional resin-based sealers in actual practice. Therefore, further studies aiming to improve the physical properties of calcium silicate-based sealers are needed.

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    Materials Today Bio.2023; 23: 100815.     CrossRef
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    Dalia Nayil Alharith, Iman T. Mansi, YoumnaElsaid Abdulmotalib, HebaFuad Amous, TagreedSuliman Aljulban, Haifa Mohammed Al Aiban, Sali Mohamad Haffar
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    N. Linas, M.-L. Munoz-Sanchez, N. Decerle, P.-Y. Cousson
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    Ali Al-Ahmad, Michael Haendel, Markus Altenburger, Lamprini Karygianni, Elmar Hellwig, Karl Wrbas, Kirstin Vach, Christian Tennert
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    Miyoung Lim, Seunghoon Yoo
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    Naji Kharouf, Salvatore Sauro, Ammar Eid, Jihed Zghal, Hamdi Jmal, Anta Seck, Valentina Macaluso, Frédéric Addiego, Francesco Inchingolo, Christine Affolter-Zbaraszczuk, Florent Meyer, Youssef Haikel, Davide Mancino
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    Raphael Lichaa, George Deeb, Rami Mhanna, Carla Zogheib
    The Journal of Contemporary Dental Practice.2022; 23(2): 143.     CrossRef
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    Flavia M. Saavedra, Lauter E. Pelepenko, William S. Boyle, Anqi Zhang, Christopher Staley, Mark C. Herzberg, Marina A. Marciano, Bruno P. Lima
    International Endodontic Journal.2022; 55(7): 772.     CrossRef
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    Min-Kyung Jung, So-Chung Park, Yu-Jin Kim, Jong-Tae Park, Jonathan C. Knowles, Jeong-Hui Park, Khandmaa Dashnyam, Soo-Kyung Jun, Hae-Hyoung Lee, Jung-Hwan Lee
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    International Endodontic Journal.2022; 55(S2): 384.     CrossRef
  • Bioactivity Potential of Bioceramic-Based Root Canal Sealers: A Scoping Review
    Mauro Schmitz Estivalet, Lucas Peixoto de Araújo, Felipe Immich, Adriana Fernandes da Silva, Nadia de Souza Ferreira, Wellington Luiz de Oliveira da Rosa, Evandro Piva
    Life.2022; 12(11): 1853.     CrossRef
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    Sunanda Laxman Gaddalay, Damini Vilas Patil, Ramchandra Kabir
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  • The Effect of Bioceramic HiFlow and EndoSequence Bioceramic Sealers on Increasing the Fracture Resistance of Endodontically Treated Teeth: An In Vitro Study
    Mohamad Khir Abdulsamad Alskaf, Hassan Achour, Hasan Alzoubi
    Cureus.2022;[Epub]     CrossRef
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  • A Micro-CT Analysis of Initial and Long-Term Pores Volume and Porosity of Bioactive Endodontic Sealers
    Mateusz Radwanski, Michal Leski, Adam K. Puszkarz, Jerzy Sokolowski, Louis Hardan, Rim Bourgi, Salvatore Sauro, Monika Lukomska-Szymanska
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    Ivan Matovic, Jelena Vucetic
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    Paola Castillo-Villagomez, Elizabeth Madla-Cruz, Fanny Lopez-Martinez, Idalia Rodriguez-Delgado, Jorge Jaime Flores-Treviño, Guadalupe Ismael Malagon-Santiago, Myriam Angelica de La Garza-Ramos
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    Anita Aminoshariae, Carolyn Primus, James C. Kulild
    The Journal of the American Dental Association.2022; 153(8): 750.     CrossRef
  • Influence of variations in the environmental pH on the solubility and water sorption of a calcium silicate‐based root canal sealer
    E. J. N. L. Silva, C. M. Ferreira, K. P. Pinto, A. F. A. Barbosa, M. V. Colaço, L. M. Sassone
    International Endodontic Journal.2021; 54(8): 1394.     CrossRef
  • Calcium Silicate-Based Root Canal Sealers: A Narrative Review and Clinical Perspectives
    Germain Sfeir, Carla Zogheib, Shanon Patel, Thomas Giraud, Venkateshbabu Nagendrababu, Frédéric Bukiet
    Materials.2021; 14(14): 3965.     CrossRef
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    Angelica Bertacci, Daniele Moro, Gianfranco Ulian, Giovanni Valdrè
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    Jessica Emanuella Rocha Paz, Priscila Oliveira Costa, Albert Alexandre Costa Souza, Ingrid Macedo de Oliveira, Lucas Fernandes Falcão, Carlos Alberto Monteiro Falcão, Maria Ângela Area Leão Ferraz, Lucielma Salmito Soares Pinto
    Restorative Dentistry & Endodontics.2021;[Epub]     CrossRef
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    Mi-Ah Kim, Vinicius Rosa, Prasanna Neelakantan, Yun-Chan Hwang, Kyung-San Min
    Materials.2021; 14(11): 2863.     CrossRef
  • Synthesis and Characterization of Novel Calcium-Silicate Nanobioceramics with Magnesium: Effect of Heat Treatment on Biological, Physical and Chemical Properties
    Konstantina Kazeli, Ioannis Tsamesidis, Anna Theocharidou, Lamprini Malletzidou, Jonathan Rhoades, Georgia K. Pouroutzidou, Eleni Likotrafiti, Konstantinos Chrissafis, Theodoros Lialiaris, Lambrini Papadopoulou, Eleana Kontonasaki, Evgenia Lymperaki
    Ceramics.2021; 4(4): 628.     CrossRef
  • Calcium Silicate Cements vs. Epoxy Resin Based Cements: Narrative Review
    Mario Dioguardi, Cristian Quarta, Diego Sovereto, Giuseppe Troiano, Khrystyna Zhurakivska, Maria Bizzoca, Lorenzo Lo Muzio, Lucio Lo Russo
    Oral.2021; 1(1): 23.     CrossRef
  • In Vitro Microleakage Evaluation of Bioceramic and Zinc-Eugenol Sealers with Two Obturation Techniques
    Francesco De Angelis, Camillo D’Arcangelo, Matteo Buonvivere, Rachele Argentino, Mirco Vadini
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  • Efficacy Of Calcium Silicate-Based Sealers In Root Canal Treatment: A Systematic Review
    Hattan Mohammed Omar Baismail, Mohammed Ghazi Moiser Albalawi, Alaa Mofareh Thoilek Alanazi, Muhannad Atallah Saleem Alatawi, Badr Soliman Alhussain
    Annals of Dental Specialty.2021; 9(1): 87.     CrossRef
  • Apical Sealing Ability of Two Calcium Silicate-Based Sealers Using a Radioactive Isotope Method: An In Vitro Apexification Model
    Inês Raquel Pereira, Catarina Carvalho, Siri Paulo, José Pedro Martinho, Ana Sofia Coelho, Anabela Baptista Paula, Carlos Miguel Marto, Eunice Carrilho, Maria Filomena Botelho, Ana Margarida Abrantes, Manuel Marques Ferreira
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Research Articles
Calcium hydroxide intracanal medication effects on pain and flare-up: a systematic review and meta-analysis
Ahmed Mohamed Ibrahim, Siza Yacoub Zakhary, Suzan Abdul Wanees Amin
Restor Dent Endod 2020;45(3):e26.   Published online May 22, 2020
DOI: https://doi.org/10.5395/rde.2020.45.e26
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Objectives

This study aimed to systematically review the pain and flare-up effects of calcium hydroxide (CH) as intracanal medication (ICM) in non-vital mature teeth.

Materials and Methods

Electronic-databases searching for published and grey literature and manual searching were conducted. Only randomized clinical trials (RCTs) were included comparing CH to other ICMs in non-vital mature teeth. The risk of bias was assessed using the RoB 2.0 Cochrane tool. The main outcomes were pain and flare-up. Qualitative and quantitative analysis, wherever applicable, was performed. The certainty of evidence (CoE) was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE).

Results

Sixteen articles were included in 6 comparisons at different time points for different outcomes. CH reduced pain risk than no ICM within the 1–14-days interval (p < 0.05) and than triple-antibiotic paste within the first day (p < 0.05) and was similar to corticosteroid/antibiotics combination (p > 0.05). Chlorhexidine (CHX) or CH/CHX, however, reduced pain levels than CH alone (p < 0.05). CH showed higher flare-up risk than CHX (p < 0.05). CoE, however, ranged from very low to moderate.

Conclusion

Most comparisons for different outcomes are based on very few studies, mostly low-powered, with an overall low CoE. Thus, the available evidence is considered insufficient to either support or refute CH effectiveness or to recommend one ICM over another. Therefore, further well-designed, larger RCTs are required.

Trial Registration

PROSPERO database Identifier: CRD42016041953

Citations

Citations to this article as recorded by  
  • Garre’s osteomyelitis of the mandible managed by nonsurgical re-endodontic treatment
    Heegyun Kim, Jiyoung Kwon, Hyun-Jung Kim, Soram Oh, Duck-Su Kim, Ji-Hyun Jang
    Restorative Dentistry & Endodontics.2024;[Epub]     CrossRef
  • Interpretation by literature review of the use of calcium hydroxide as an intra-ductal medication
    María Belén Muñoz Padilla, Verónica Alicia Vega Martínez, Camila Alejandra Villafuerte Moya
    Salud, Ciencia y Tecnología.2024; 4: 924.     CrossRef
  • ProTaper Ultimate: The Evolution of Rotary Systems and Their Clinical Applicability
    Mateo-Castillo JF, Siqueira-Sandrin VDS, Moreira RA, Brandelero Junior S, Olano-Dextre TL, Claudia R Pinheiro
    Journal of Operative Dentistry & Endodontics.2024; 9(1): 16.     CrossRef
  • Comparative Evaluation of Bacterial Reduction by Laser-Activated Irrigation Technique (LAI) With Conventional Needle Irrigation (CNI) in Single-Rooted Teeth With Pulpal Necrosis: A Single-Blinded Randomized Controlled Trial
    Keerthika Rajamanickam, Sandhya Raghu, J Vijayashree Priyadharsini, Delphine Priscilla Antony, Nivedhitha Malli Sureshbabu
    Cureus.2023;[Epub]     CrossRef
  • Post-Operative Endodontic Pain Management: An Overview of Systematic Reviews on Post-Operatively Administered Oral Medications and Integrated Evidence-Based Clinical Recommendations
    Federica Di Spirito, Giuseppe Scelza, Roberto Fornara, Francesco Giordano, Donato Rosa, Alessandra Amato
    Healthcare.2022; 10(5): 760.     CrossRef
  • Management of External Inflammatory Root Resorption following Tooth Autotransplantation Using a Modified Combination of Triple Antibiotics
    Saeed Asgary, Ardavan Parhizkar, Paulo J. Palma
    Case Reports in Dentistry.2022;[Epub]     CrossRef
  • Calcium hydroxide as an intracanal medication for postoperative pain during primary root canal therapy: A systematic review and meta-analysis with trial sequential analysis of randomised controlled trials
    Muhammad Zubair Ahmad, Durre Sadaf, Khalid A Merdad, Amani Almohaimeed, Igho J. Onakpoya
    Journal of Evidence-Based Dental Practice.2022; 22(1): 101680.     CrossRef
  • Post-operative Pain and Antibacterial Efficacy of Silver Nanoparticles Formulations Intracanal Medication: A Randomized Controlled Clinical Study
    Nermine Hassan, Alaa Diab, Geraldine Ahmed
    Open Access Macedonian Journal of Medical Sciences.2021; 9(D): 248.     CrossRef
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A micro-computed tomographic evaluation of root canal filling with a single gutta-percha cone and calcium silicate sealer
Jong Cheon Kim, Maung Maung Kyaw Moe, Sung Kyo Kim
Restor Dent Endod 2020;45(2):e18.   Published online February 12, 2020
DOI: https://doi.org/10.5395/rde.2020.45.e18
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to evaluate the void of root canal filling over time when a calcium silicate sealer was used in the single gutta-percha cone technique.

Materials and Methods

Twenty-four J-shaped simulated root canals and twenty-four palatal root canals from extracted human maxillary molars were instrumented with ProFile Ni-Ti rotary instruments up to size 35/0.06 or size 40/0.06, respectively. Half of the canals were filled with Endoseal MTA and the other half were with AH Plus Jet using the single gutta-percha cone technique. Immediately after and 4 weeks after the root canal filling, the samples were scanned using micro-computed tomography at a resolution of 12.8 μm. The scanned images were reconstructed using the NRecon software and the void percentages were calculated using the CTan software, and statistically analyzed by 1-way analysis of variance, paired t-test and Tukey post hoc test.

Results

After 4 weeks, there were no significant changes in the void percentages at all levels in both material groups (p > 0.05), except at the apical level of the AH Plus Jet group (p < 0.05) in the simulated root canal showing more void percentage compared to other groups. Immediately after filling the extracted human root canals, the Endoseal MTA group showed significantly less void percentage compared to the AH Plus Jet group (p < 0.05).

Conclusions

Under the limitations of this study, the Endoseal MTA does not seem to reduce the voids over time.

Citations

Citations to this article as recorded by  
  • Evaluation of various obturation techniques with bioceramic sealers in 3D-printed C-shaped canals
    Maryam Gharechahi, Melika Hoseinzadeh, Saeed Moradi, Mina Mehrjouei
    BMC Oral Health.2024;[Epub]     CrossRef
  • Comparison of obturation quality in natural and replica teeth root-filled using different sealers and techniques
    Chuta Kooanantkul, Richard M Shelton, Josette Camilleri
    Clinical Oral Investigations.2023; 27(5): 2407.     CrossRef
  • Obturation canalaire
    N. Linas, M.-L. Munoz-Sanchez, N. Decerle, P.-Y. Cousson
    EMC - Médecine buccale.2023; 16(5): 1.     CrossRef
  • The Effect of Sealer Application Methods on Voids Volume after Aging of Three Calcium Silicate-Based Sealers: A Micro-Computed Tomography Study
    Amre R. Atmeh, Rakan Alharbi, Ibrahim Aljamaan, Abdulrahman Alahmari, Ashwin C. Shetty, Ahmed Jamleh, Imran Farooq
    Tomography.2022; 8(2): 778.     CrossRef
  • Clinical Efficacy of Sealer-based Obturation Using Calcium Silicate Sealers: A Randomized Clinical Trial
    Ji-hyung Kim, Sin-Yeon Cho, Yoonwoo Choi, Do-hyun Kim, Su-Jung Shin, Il-Young Jung
    Journal of Endodontics.2022; 48(2): 144.     CrossRef
  • A critical analysis of research methods and experimental models to study root canal fillings
    Gustavo De‐Deus, Erick Miranda Souza, Emmanuel João Nogueira Leal Silva, Felipe Gonçalves Belladonna, Marco Simões‐Carvalho, Daniele Moreira Cavalcante, Marco Aurélio Versiani
    International Endodontic Journal.2022; 55(S2): 384.     CrossRef
  • Calcium Silicate Cements vs. Epoxy Resin Based Cements: Narrative Review
    Mario Dioguardi, Cristian Quarta, Diego Sovereto, Giuseppe Troiano, Khrystyna Zhurakivska, Maria Bizzoca, Lorenzo Lo Muzio, Lucio Lo Russo
    Oral.2021; 1(1): 23.     CrossRef
  • Physico-Chemical Properties of Calcium-Silicate vs. Resin Based Sealers—A Systematic Review and Meta-Analysis of Laboratory-Based Studies
    Viresh Chopra, Graham Davis, Aylin Baysan
    Materials.2021; 15(1): 229.     CrossRef
  • Micro-computed tomography in preventive and restorative dental research: A review
    Mehrsima Ghavami-Lahiji, Reza Tayefeh Davalloo, Gelareh Tajziehchi, Paria Shams
    Imaging Science in Dentistry.2021; 51(4): 341.     CrossRef
  • Main and Accessory Canal Filling Quality of a Premixed Calcium Silicate Endodontic Sealer According to Different Obturation Techniques
    Su-Yeon Ko, Hae Won Choi, E-Deun Jeong, Vinicius Rosa, Yun-Chan Hwang, Mi-Kyung Yu, Kyung-San Min
    Materials.2020; 13(19): 4389.     CrossRef
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  • 10 Crossref
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A micro-computed tomography evaluation of voids using calcium silicate-based materials in teeth with simulated internal root resorption
Vildan Tek, Sevinç Aktemur Türker
Restor Dent Endod 2020;45(1):e5.   Published online November 29, 2019
DOI: https://doi.org/10.5395/rde.2020.45.e5
AbstractAbstract PDFPubReaderePub
Objectives

The obturation quality of MTA, Biodentine, Total Fill BC root canal sealer (RCS), and warm gutta-percha (WGP) in teeth with simulated internal root resorption (IRR) was evaluated by using micro-computed tomography.

Materials and Methods

Standardized IRR cavities were created using 40 extracted maxillary central incisor teeth and randomly assigned into 4 groups (n = 10). IRR cavities were filled with MTA, Biodentine, Total Fill BC RCS (bulk-fill form) and WGP + Total Fill BC RCS. Percentage of voids between resorptive cavity walls and obturation material (external void), and inside the filling materials (internal voids) were measured.

Results

Total Fill BC sealer in the bulk-fill form presented significantly highest values of external and internal void percentages (p < 0.05). Biodentine showed a significantly lowest external void percentage (p < 0.05). WGP + Total Fill BC RCS presented significantly lower values of internal void percentages than all groups (p < 0.05), except Biodentine (p > 0.05).

Conclusion

None of the filling materials were created void-free obturation in resorption cavities. Biodentine may favor its application in teeth with IRR over Angelus MTA and bulk-fill form of Total Fill BC.

Citations

Citations to this article as recorded by  
  • Evaluation of Different Techniques and Materials for Filling in 3-dimensional Printed Teeth Replicas with Perforating Internal Resorption by Means of Micro–Computed Tomography
    Angelo J.S. Torres-Carrillo, Helena C. Assis, Rodrigo E. Salazar-Gamarra, Leonardo Moreira Teodosio, Alice C. Silva-Sousa, Jardel F. Mazzi-Chaves, Priscila B. Ferreira-Soares, Manoel D. Sousa-Neto, Fabiane C. Lopes-Olhê
    Journal of Endodontics.2024; 50(2): 205.     CrossRef
  • Three-Dimensional Measurement of Obturation Quality of Bioceramic Materials in Filling Artificial Internal Root Resorption Cavities Using Different Obturation Techniques: An In Vitro Comparative Study
    Ammar M. Sharki, Ahmed H. Ali
    Journal of Endodontics.2024; 50(7): 997.     CrossRef
  • Evaluation of calcium hydroxide root canal filling materials by cone beam computed tomography and three-dimensional modeling
    Asel Usdat Ozturk, Ekin Dogan, Venus Seyedoskuyi, Berk Senguler, Asli Topaloglu-Ak
    Folia Medica.2024; 66(2): 250.     CrossRef
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    S Küçükkaya Eren
    Australian Dental Journal.2023;[Epub]     CrossRef
  • A critical analysis of research methods and experimental models to study root canal fillings
    Gustavo De‐Deus, Erick Miranda Souza, Emmanuel João Nogueira Leal Silva, Felipe Gonçalves Belladonna, Marco Simões‐Carvalho, Daniele Moreira Cavalcante, Marco Aurélio Versiani
    International Endodontic Journal.2022; 55(S2): 384.     CrossRef
  • An Updated Review on Properties and Indications of Calcium Silicate-Based Cements in Endodontic Therapy
    Fateme Eskandari, Alireza Razavian, Rozhina Hamidi, Khadije Yousefi, Susan Borzou, Zohaib Khurshid
    International Journal of Dentistry.2022; 2022: 1.     CrossRef
  • Efficacy Of Calcium Silicate-Based Sealers In Root Canal Treatment: A Systematic Review
    Hattan Mohammed Omar Baismail, Mohammed Ghazi Moiser Albalawi, Alaa Mofareh Thoilek Alanazi, Muhannad Atallah Saleem Alatawi, Badr Soliman Alhussain
    Annals of Dental Specialty.2021; 9(1): 87.     CrossRef
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  • 7 Crossref
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Bioactivity of endodontic biomaterials on dental pulp stem cells through dentin
Bahar Javid, Narges Panahandeh, Hassan Torabzadeh, Hamid Nazarian, Ardavan Parhizkar, Saeed Asgary
Restor Dent Endod 2020;45(1):e3.   Published online November 4, 2019
DOI: https://doi.org/10.5395/rde.2020.45.e3
AbstractAbstract PDFPubReaderePub
Objectives

This study investigated the indirect effect of calcium-enriched mixture (CEM) cement and mineral trioxide aggregate (MTA), as 2 calcium silicate-based hydraulic cements, on human dental pulp stem cells (hDPSCs) through different dentin thicknesses.

Materials and Methods

Two-chamber setups were designed to simulate indirect pulp capping (IPC). Human molars were sectioned to obtain 0.1-, 0.3-, and 0.5-mm-thick dentin discs, which were placed between the 2 chambers to simulate an IPC procedure. Then, MTA and CEM were applied on one side of the discs, while hDPSCs were cultured on the other side. After 2 weeks of incubation, the cells were removed, and cell proliferation, morphology, and attachment to the discs were evaluated under scanning electron microscopy (SEM). Energy-dispersive X-ray (EDXA) spectroscopy was performed for elemental analysis. Alkaline phosphatase (ALP) activity was assessed quantitatively. The data were analyzed using the Kruskal-Wallis and Mann-Whitney tests.

Results

SEM micrographs revealed elongated cells, collagen fibers, and calcified nucleations in all samples. EDXA verified that the calcified nucleations consisted of calcium phosphate. The largest calcifications were seen in the 0.1-mm-thick dentin subgroups. There was no significant difference in ALP activity across the CEM subgroups; however, ALP activity was significantly lower in the 0.1-mm-thick dentin subgroup than in the other MTA subgroups (p < 0.05).

Conclusions

The employed capping biomaterials exerted biological activity on hDPSCs, as shown by cell proliferation, morphology, and attachment and calcific precipitations, through 0.1- to 0.5-mm-thick layers of dentin. In IPC, the bioactivity of these endodontic biomaterials is probably beneficial.

Citations

Citations to this article as recorded by  
  • Effect of pulp capping materials on odontogenic differentiation of human dental pulp stem cells: An in vitro study
    Mahmoud M. Bakr, Mohamed Shamel, Shereen N. Raafat, Robert M. Love, Mahmoud M. Al‐Ankily
    Clinical and Experimental Dental Research.2024;[Epub]     CrossRef
  • Effects of Growth Factors on the Differentiation of Dental Stem Cells: A Systematic Review and Meta-analysis (Part I)
    Sayna Shamszadeh, Armin Shirvani, Hassan Torabzadeh, Saeed Asgary
    Current Stem Cell Research & Therapy.2024; 19(4): 523.     CrossRef
  • The Role of Growth Factor Delivery Systems on Cellular Activities of Dental Stem Cells: A Systematic Review (Part II)
    Sayna Shamszadeh, Armin Shirvani, Saeed Asgary
    Current Stem Cell Research & Therapy.2024; 19(4): 587.     CrossRef
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    Saeed Asgary, Mahtab Aram, Mahta Fazlyab
    BioMedical Engineering OnLine.2024;[Epub]     CrossRef
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    Basma Ahmed, Mai H. Ragab, Rania A. Galhom, Hayam Y. Hassan
    BMC Oral Health.2023;[Epub]     CrossRef
  • Characterization of Dental Pulp Stem Cell Responses to Functional Biomaterials Including Mineralized Trioxide Aggregates
    Sejin Bae, Bueonguk Kang, Hyungbin Lee, Harrison Luu, Eric Mullins, Karl Kingsley
    Journal of Functional Biomaterials.2021; 12(1): 15.     CrossRef
  • Incorporation of amoxicillin-loaded microspheres in mineral trioxide aggregate cement: an in vitro study
    Fábio Rocha Bohns, Vicente Castelo Branco Leitune, Isadora Martini Garcia, Bruna Genari, Nélio Bairros Dornelles, Silvia Stanisçuaski Guterres, Fabrício Aulo Ogliari, Mary Anne Sampaio de Melo, Fabrício Mezzomo Collares
    Restorative Dentistry & Endodontics.2020;[Epub]     CrossRef
  • 399 View
  • 7 Download
  • 7 Crossref
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Review Article
Effect of calcium hydroxide on inflammatory root resorption and ankylosis in replanted teeth compared with other intracanal materials: a review
Maryam Zare Jahromi, Mahmood Reza Kalantar Motamedi
Restor Dent Endod 2019;44(3):e32.   Published online August 1, 2019
DOI: https://doi.org/10.5395/rde.2019.44.e32
AbstractAbstract PDFPubReaderePub

Calcium hydroxide (CH) is the gold-standard intracanal dressing for teeth subjected to traumatic avulsion. A common complication after the replantation of avulsed teeth is root resorption (RR). The current review was conducted to compare the effect of CH with that of other intracanal medications and filling materials on inflammatory RR and replacement RR (ankylosis) in replanted teeth. The PubMed and Scopus databases were searched through June 2018 using specific keywords related to the title of the present article. The materials that were compared to CH were in 2 categories: 1) mineral trioxide aggregate (MTA) and endodontic sealers as permanent filling materials for single-visit treatment, and 2) Ledermix, bisphosphonates, acetazolamide, indomethacin, gallium nitrate, and enamel matrix-derived protein (Emdogain) as intracanal medicaments for multiple-visit management of avulsed teeth prior to the final obturation. MTA can be used as a single-visit root filling material; however, there are limited data on its efficacy due to a lack of clinical trials. Ledermix and acetazolamide were comparable to CH in reducing RR. Emdogain seems to be an interesting material, but the data supporting its use as an intracanal medication remain very limited. The conclusions drawn in this study were limited by the insufficiency of clinical trials.

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  • Efficacy of Simvastatin in Inhibiting Bone Resorption and Promoting Healing in Delayed Tooth Avulsion: A Case Series
    Rajesh Kumar, Supraja N Atluri, Alekhya Achanta, Chittaranjan Bogishetty, Tejaswini R Chunduri, Tejaswini PSS, Ramakrishna Ravi
    Cureus.2025;[Epub]     CrossRef
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    Camila Soares Lopes, Mateus Machado Delfino, Mário Tanomaru-Filho, Estela Sasso-Cerri, Juliane Maria Guerreiro-Tanomaru, Paulo Sérgio Cerri
    Journal of Materials Science: Materials in Medicine.2024;[Epub]     CrossRef
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    L.Yu. Kharkova, M.V. Korolenkova
    Stomatology.2024; 103(4): 59.     CrossRef
  • Instant Re-Implantation of Avulsed Teeth
    Smita Paul, Sambarta Das, Nirmal Debbarma, Barun Dasgupta, Bidyut Seal, Ayesha Satapathy
    Journal of Pharmacy and Bioallied Sciences.2024; 16(Suppl 4): S3461.     CrossRef
  • Interpretation by literature review of the use of calcium hydroxide as an intra-ductal medication
    María Belén Muñoz Padilla, Verónica Alicia Vega Martínez, Camila Alejandra Villafuerte Moya
    Salud, Ciencia y Tecnología.2024; 4: 924.     CrossRef
  • Evaluation of the physicochemical properties of intracanal medications used in traumatized teeth
    Patricia Almeida da Silva de Macedo, Walbert de Andrade Vieira, Paulo Henrique Gabriel, Karla de Faria Vasconcelos, Francisco Haiter Neto, Ana Carolina Correia Laurindo de Cerqueira Neto, Brenda Paula Figueiredo de Almeida Gomes, Marcos Roberto dos Santo
    Brazilian Journal of Oral Sciences.2024; 23: e242997.     CrossRef
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    Damla Erkal, Abdullah Başoğlu, Damla Kırıcı, Nezahat Arzu Kayar, Simay Koç, Kürşat Er
    Galician Medical Journal.2023;[Epub]     CrossRef
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    Ibadat Preet Kaur, Ashok Kumar, Mukul Kumar, Kanistika Jha
    Clinical Case Reports.2023;[Epub]     CrossRef
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    Nishad Kadulkar, Rubi Kataki, Adrija Deka, Salouno Thonai
    Cureus.2023;[Epub]     CrossRef
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    Ibadat Preet Kaur, Jitendra Sharan, Pallawi Sinha, Ashok Kumar, Anand Marya, Leandro Napier de Souza
    Case Reports in Dentistry.2023; 2023: 1.     CrossRef
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    Zohaib Khurshid, Faris Yahya I. Asiri, Shariq Najeeb, Jithendra Ratnayake
    Materials.2022; 15(8): 2776.     CrossRef
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Case Report
Surgical management of an accessory canal in a maxillary premolar: a case report
Hee-Jin Kim, Mi-Kyung Yu, Kwang-Won Lee, Kyung-San Min
Restor Dent Endod 2019;44(3):e30.   Published online July 29, 2019
DOI: https://doi.org/10.5395/rde.2019.44.e30
AbstractAbstract PDFPubReaderePub

We report the surgical endodontic treatment of a maxillary first premolar with a lateral lesion that originated from an accessory canal. Although lesions originating from accessory canals frequently heal with simple conventional endodontic therapy, some lesions may need additional and different treatment. In the present case, conventional root canal retreatment led to incomplete healing with the need for further treatment (i.e., surgery). Surgical endodontic management with a fast-setting calcium silicate cement was performed on the accessory canal using a dental operating microscope. At the patient's 9-month recall visit, the lesion was resolved upon radiography.

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  • Predictive analysis of root canal morphology in relation to root canal treatment failures: a retrospective study
    Mohmed Isaqali Karobari, Vishnu Priya Veeraraghavan, P. J. Nagarathna, Sudhir Rama Varma, Jayaraj Kodangattil Narayanan, Santosh R. Patil
    Frontiers in Dental Medicine.2025;[Epub]     CrossRef
  • Endodontic management of internal replacement resorption of two maxillary central incisors with the aid of cone-beam computed tomography as the diagnostic tool: a case report and review of literature
    Fatemeh Eskandari, Safoora Sahebi, Negar Ghorbani Jahandizi, Hossein Mofidi
    Journal of Medical Case Reports.2025;[Epub]     CrossRef
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    Sofian Youssef, Phillip Tomson, Amir Reza Akbari, Natalie Archer, Fayjel Shah, Jasmeet Heran, Sunmeet Kandhari, Sandeep Pai, Shivakar Mehrotra, Joanna M Batt
    Cureus.2023;[Epub]     CrossRef
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    Su-Yeon Ko, Hae Won Choi, E-Deun Jeong, Vinicius Rosa, Yun-Chan Hwang, Mi-Kyung Yu, Kyung-San Min
    Materials.2020; 13(19): 4389.     CrossRef
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Research Articles
Coronal tooth discoloration induced by regenerative endodontic treatment using different scaffolds and intracanal coronal barriers: a 6-month ex vivo study
Noushin Shokouhinejad, Hassan Razmi, Maryam Farbod, Marzieh Alikhasi, Josette Camilleri
Restor Dent Endod 2019;44(3):e25.   Published online July 16, 2019
DOI: https://doi.org/10.5395/rde.2019.44.e25
AbstractAbstract PDFPubReaderePub
Objective

The aim of this study was to evaluate discoloration of teeth undergoing regenerative endodontic procedures (REPs) using blood clot or platelet-rich fibrin (PRF) as the scaffolds and different calcium silicate-based materials as the intracanal coronal barriers in an ex vivo model.

Materials and Methods

Forty-eight bovine incisors were prepared and disinfected using 1 mg/mL double antibiotic paste (DAP). The specimens were then randomly divided into 2 groups (n = 24) according to the scaffolds (blood or PRF). After placement of scaffolds each group was divided into 2 subgroups (n = 12) according to the intracanal coronal barriers (ProRoot MTA or Biodentine). The pulp chamber walls were sealed with dentin bonding agent before placement of DAP and before placement of scaffolds. The color changes (∆E) were measured at different steps. The data were analyzed using 2-way analysis of variance.

Results

Coronal discoloration induced by DAP was not clinically perceptible (ΔE ≤ 3.3). Regarding the type of the scaffold, coronal discoloration was significantly higher in blood groups compared with PRF groups at the end of REP and after 1 month (p < 0.05). However, no significant difference was found between PRF and blood clot after 6 months (p > 0.05). Considering the type of intracanal coronal barrier, no significant difference existed between ProRoot MTA and Biodentine (p > 0.05).

Conclusions

With sealing the dentinal tubules of pulp chamber with a dentin bonding agent and application of DAP as an intracanal medicament, coronal color change of the teeth following the use of PRF and blood sealed with either ProRoot MTA or Biodentine was not different at 6-month follow-up.

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  • Impact of Biodentine Placement on Fracture Resistance and its Influence on Discoloration with Different Scaffolds
    Evren Sarıyılmaz, Öznur Sarıyılmaz, Burak Çarıkçıoğlu, Gülşah Uslu, Raif Alan
    Journal of Endodontics.2025;[Epub]     CrossRef
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    Luana Raphael da SILVA, Jader Camilo PINTO, Juliane Maria GUERREIRO-TANOMARU, Mário TANOMARU-FILHO
    Brazilian Oral Research.2024;[Epub]     CrossRef
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    Mahsa Samani, Hamid Majzoub, Faramarz Zakavi, Ayyub Mojaddami
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    Rasoul Sahebalam, Marzie Boskabady, Maryam Naghavi, Samira Dehghanitafti
    Saudi Endodontic Journal.2024; 14(2): 199.     CrossRef
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    NB Altun, A Turkyilmaz
    Nigerian Journal of Clinical Practice.2024; 27(7): 897.     CrossRef
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    Melis Oya Ateş, Zeliha Uğur Aydın
    Clinical Oral Investigations.2023; 27(8): 4595.     CrossRef
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    Noushin Shokouhinejad, Mehrfam Khoshkhounejad, Fatemeh Hamidzadeh, Murilo Baena Lopes
    International Journal of Dentistry.2022; 2022: 1.     CrossRef
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    Irini Fagogeni, Joanna Metlerska, Tomasz Falgowski, Maciej Górski, Mariusz Lipski, Alicja Nowicka
    Journal of Clinical Medicine.2022; 11(23): 7016.     CrossRef
  • Microstructure and color stability of calcium silicate-based dental materials exposed to blood or platelet-rich fibrin
    Noushin Shokouhinejad, Ibrahim Abu Tahun, Shima Saber Tahan, Fatemeh Mohandes, Mohammad H. Nekoofar, Paul M. H. Dummer
    Clinical Oral Investigations.2022; 27(3): 1193.     CrossRef
  • Spectrophotometric analysis of internal bleaching of traumatized teeth with coronal discoloration following regenerative endodontic procedures
    Jaqueline Lazzari, Walbert Vieira, Vanessa Pecorari, Brenda Paula Figueiredo de Almeida Gomes, José Flávio Affonso de Almeida, Adriana De-Jesus-Soares
    Brazilian Journal of Oral Sciences.2021;[Epub]     CrossRef
  • Biological parameters, discolouration and radiopacity of calcium silicate‐based materials in a simulated model of partial pulpotomy
    Lilian Vieira Oliveira, Gabriela Leite de Souza, Gisele Rodrigues da Silva, Thamara Eduarda Alves Magalhães, Gabrielle Alves Nunes Freitas, Ana Paula Turrioni, Gabriella Lopes de Rezende Barbosa, Camilla Christian Gomes Moura
    International Endodontic Journal.2021; 54(11): 2133.     CrossRef
  • Effect of hydrogel-based antibiotic intracanal medicaments on crown discoloration
    Rayan B. Yaghmoor, Jeffrey A. Platt, Kenneth J. Spolnik, Tien Min Gabriel Chu, Ghaeth H. Yassen
    Restorative Dentistry & Endodontics.2021;[Epub]     CrossRef
  • The effect of different calcium silicate-based pulp capping materials on tooth discoloration: an in vitro study
    Ahmad S. Al-Hiyasat, Dana M. Ahmad, Yousef S. Khader
    BMC Oral Health.2021;[Epub]     CrossRef
  • Knowledge, attitudes, and practices of undergraduate students concerning Regenerative Endodontics
    Ligia B. da Silva, Mariana Gabriel, Márcia M. Marques, Fernanda C. Carrer, Flávia Gonçalves, Giovanna Sarra, Giovanna L. Carvalho, Ana Armas-Vega, Maria S. Moreira
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    Mazen Doumani, Mohammad Yaman Seirawan, Kinda Layous, Mohammad Kinan Seirawan
    World Journal of Dentistry.2020; 11(1): 52.     CrossRef
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Effect of intracanal medications on the interfacial properties of reparative cements
Andrea Cardoso Pereira, Mariana Valerio Pallone, Marina Angélica Marciano, Karine Laura Cortellazzi, Marcos Frozoni, Brenda P. F. A. Gomes, José Flávio Affonso de Almeida, Adriana de Jesus Soares
Restor Dent Endod 2019;44(2):e21.   Published online May 9, 2019
DOI: https://doi.org/10.5395/rde.2019.44.e21
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of the present study was to evaluate the effect of calcium hydroxide with 2% chlorhexidine gel (HCX) or distilled water (HCA) compared to triple antibiotic paste (TAP) on push-out bond strength and the cement/dentin interface in canals sealed with White MTA Angelus (WMTA) or Biodentine (BD).

Materials and Methods

A total of 70 extracted human lower premolars were endodontically prepared and randomly divided into 4 groups according to the intracanal medication, as follows: group 1, HCX; group 2, TAP; group 3, HCA; and group 4, control (without intracanal medication). After 7 days, the medications were removed and the cervical third of the specimens was sectioned into five 1-mm sections. The sections were then sealed with WMTA or BD as a reparative material. After 7 days in 100% humidity, a push-out bond strength test was performed. Elemental analysis was performed at the interface, using energy-dispersive spectroscopy. The data were statistically analyzed using analysis of variance and the Tukey test (p < 0.05).

Results

BD presented a higher bond strength than WMTA (p < 0.05). BD or WMTA in canals treated with calcium hydroxide intracanal medications had the highest bond strength values, with a statistically significant difference compared to TAP in the WMTA group (p < 0.05). There were small amounts of phosphorus in samples exposed to triple antibiotic paste, regardless of the coronal sealing.

Conclusions

The use of intracanal medications did not affect the bond strength of WMTA and BD, except when TAP was used with WMTA.

Citations

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    V. A. Popov, E. S. Pestova, S. A. Anisimova
    Endodontics Today.2025; 23(2): 282.     CrossRef
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    Mohammed Nasser Alhajj, Fadhilah Daud, Sadeq Ali Al‐Maweri, Yanti Johari, Zuryati Ab‐Ghani, Mariatti Jaafar, Yoshihito Naito, Widyasri Prananingrum, Zaihan Ariffin
    Journal of Esthetic and Restorative Dentistry.2022; 34(8): 1166.     CrossRef
  • Evaluation of a Novel Tool for Apical Plug Formation during Apexification of Immature Teeth
    Yasser Alsayed Tolibah, Line Droubi, Saleh Alkurdi, Mohammad Tamer Abbara, Nada Bshara, Thuraya Lazkani, Chaza Kouchaji, Ibrahim Ali Ahmad, Ziad D. Baghdadi
    International Journal of Environmental Research and Public Health.2022; 19(9): 5304.     CrossRef
  • Spectrophotometric analysis of internal bleaching of traumatized teeth with coronal discoloration following regenerative endodontic procedures
    Jaqueline Lazzari, Walbert Vieira, Vanessa Pecorari, Brenda Paula Figueiredo de Almeida Gomes, José Flávio Affonso de Almeida, Adriana De-Jesus-Soares
    Brazilian Journal of Oral Sciences.2021;[Epub]     CrossRef
  • Do intracanal medications used in regenerative endodontics affect the bond strength of powder-to-liquid and ready-to-use cervical sealing materials?
    MarinaCarvalho Prado, Kevillin Martiniano, AndreaCardoso Pereira, KarineL Cortellazzi, MarinaA Marciano, Gabriel Abuna, Adriana de-Jesus-Soares
    Journal of Conservative Dentistry.2021; 24(5): 464.     CrossRef
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Discoloration of teeth due to different intracanal medicaments
Farzaneh Afkhami, Sadaf Elahy, Alireza Mahmoudi Nahavandi, Mohamad Javad Kharazifard, Aidin Sooratgar
Restor Dent Endod 2019;44(1):e10.   Published online February 12, 2019
DOI: https://doi.org/10.5395/rde.2019.44.e10
AbstractAbstract PDFPubReaderePub
Objectives

The objective of this study was to assess coronal discoloration induced by the following intracanal medicaments: calcium hydroxide (CH), a mixture of CH paste and chlorhexidine gel (CH/CHX), and triple antibiotic paste (3Mix).

Materials and Methods

Seventy extracted single-canal teeth were selected. Access cavities were prepared and each canal was instrumented with a rotary ProTaper system. The specimens were randomly assigned to CH, CH/CHX, and 3Mix paste experimental groups (n = 20 each) or a control group (n = 10). Each experimental group was randomly divided into 2 subgroups (A and B). In subgroup A, medicaments were only applied to the root canals, while in subgroup B, the root canals were completely filled with medicaments and a cotton pellet dipped in medicament was also placed in the pulp chamber. Spectrophotometric readings were obtained from the mid-buccal surface of the tooth crowns immediately after placing the medicaments (T1) and at 1 week (T2), 1 month (T3), and 3 months (T4) after filling. The ∆E was then calculated. Data were analyzed using 2-way analysis of variance (ANOVA), 3-way ANOVA, and the Scheffé post hoc test.

Results

The greatest color change (ΔE) was observed at 3 months (p < 0.0001) and in 3Mix subgroup B (p = 0.0057). No significant color change occurred in the CH (p = 0.7865) or CH/CHX (p = 0.1367) groups over time, but the 3Mix group showed a significant ΔE (p = 0.0164).

Conclusion

Intracanal medicaments may induce tooth discoloration. Use of 3Mix must be short and it must be carefully applied only to the root canals; the access cavity should be thoroughly cleaned afterwards.

Citations

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  • Effects of Intra-canal Medicaments on Infrared Light Energy Transmission Through Enamel and Dentin During Photobiomodulation: An In Vitro Study
    Sachin Kulkarni, Laurence J. Walsh, Yash Bhurani, Roy George
    Journal of Endodontics.2025; 51(5): 616.     CrossRef
  • Tooth discoloration caused by nanographene oxide as an irrigant and intracanal medicament in the endodontic treatment of extracted single-rooted teeth: An ex-vivo study
    Abbas Abbaszadegan, Zeinab Rafiee, Bahar Asheghi, Ahmad Gholami, Mohmed Isaqali Karobari
    PLOS One.2025; 20(6): e0325430.     CrossRef
  • Effect of Calcium Hydroxide Versus Double Antibiotic Paste on Endodontic Treatment Outcomes in Teeth With Large Periapical Lesions: A Triple‐Blind Randomized Clinical Trial
    Afsaneh Rahmati, Farshad Seyedein, Omid Dianat, Sara Saedi, Golriz Rostami, Alireza Akbarzadeh Baghban, Shima Sabertahan, Majid Kazem, Kee Y. Kum
    International Journal of Dentistry.2024;[Epub]     CrossRef
  • The effect of different intracanal irrigants on the push-out bond strength of dentin in damaged anterior primary teeth
    Leila Bassir, Shirin Taravati, Farzad Nouri, Saeide Rahimi
    Journal of Medicine and Life.2024; 17(5): 536.     CrossRef
  • In Vıtro Evaluatıon of Dıscoloratıon Caused by Root Canal Sealers and Color Changes after Bleachıng
    Emre Bodrumlu, Esma Dinger
    Annals of Dental Specialty.2024; 12(1): 77.     CrossRef
  • Assessment of Discoloration Induced by Root Canal Sealers and Color Alterations Post-Bleaching
    T.P. Van der Burgt, T.P. Mullaney, A.J.M. Plasschaert
    International Journal of Dental Research and Allied Sciences.2024; 4(1): 1.     CrossRef
  • The effect of four different intracanal medicaments on the push-out bond strength of root canal sealers
    Shalu Maan, Vijaya Dhar Bhatt, Rohit Singh, Sayak Gupta, Syed Alay Noorain, Aashna Gill, Pradeep Kumar, Sushil Yadav, Preeti Sharma
    Journal of Medicine and Life.2022; 15(4): 448.     CrossRef
  • Effect of hydrogel-based antibiotic intracanal medicaments on crown discoloration
    Rayan B. Yaghmoor, Jeffrey A. Platt, Kenneth J. Spolnik, Tien Min Gabriel Chu, Ghaeth H. Yassen
    Restorative Dentistry & Endodontics.2021;[Epub]     CrossRef
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Effects of the exposure site on histological pulpal responses after direct capping with 2 calcium-silicate based cements in a rat model
Panruethai Trongkij, Supachai Sutimuntanakul, Puangwan Lapthanasupkul, Chitpol Chaimanakarn, Rebecca Wong, Danuchit Banomyong
Restor Dent Endod 2018;43(4):e36.   Published online August 22, 2018
DOI: https://doi.org/10.5395/rde.2018.43.e36
AbstractAbstract PDFPubReaderePub
Objectives

Direct pulp capping is a treatment for mechanically exposed pulp in which a biocompatible capping material is used to preserve pulpal vitality. Biocompatibility tests in animal studies have used a variety of experimental protocols, particularly with regard to the exposure site. In this study, pulp exposure on the occlusal and mesial surfaces of molar teeth was investigated in a rat model.

Materials and Methods

A total of 58 maxillary first molars of Wistar rats were used. Forty molars were mechanically exposed and randomly assigned according to 3 factors: 1) the exposure site (occlusal or mesial), 2) the pulp-capping material (ProRoot White MTA or Bio-MA), and 3) 2 follow-up periods (1 day or 7 days) (n = 5 each). The pulp of 6 intact molars served as negative controls. The pulp of 12 molars was exposed without a capping material (n = 3 per exposure site for each period) and served as positive controls. Inflammatory cell infiltration and reparative dentin formation were histologically evaluated at 1 and 7 days using grading scores.

Results

At 1 day, localized mild inflammation was detected in most teeth in all experimental groups. At 7 days, continuous/discontinuous calcified bridges were formed at exposure sites with no or few inflammatory cells. No significant differences in pulpal response according to the exposure site or calcium-silicate cement were observed.

Conclusions

The location of the exposure site had no effect on rat pulpal healing. However, mesial exposures could be performed easily, with more consistent results. The pulpal responses were not significantly different between the 2 capping materials.

Citations

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  • The road map to proper dental pulp experiments in animal models
    Nuha A Elmubarak
    International Dental Journal of Student's Research.2024; 11(4): 163.     CrossRef
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    Kanyarat Tungputsa, Danuchit Banomyong, Sittichoke Osiri, Supachai Sutimuntanakul
    Endodontology.2024; 36(4): 315.     CrossRef
  • Biological evaluation of novel phosphorylated pullulan‐based calcium hydroxide formulations as direct pulp capping materials: An in vivo study on a rat model
    Md Refat Readul Islam, Rafiqul Islam, Yunqing Liu, Yu Toida, Yasuhiro Yoshida, Hidehiko Sano, Hany Mohamed Aly Ahmed, Atsushi Tomokiyo
    International Endodontic Journal.2024; 57(9): 1247.     CrossRef
  • 3D-printed microgels supplemented with dentin matrix molecules as a novel biomaterial for direct pulp capping
    Diana Cunha, Nayara Souza, Manuela Moreira, Nara Rodrigues, Paulo Silva, Cristiane Franca, Sivaporn Horsophonphong, Ashley Sercia, Ramesh Subbiah, Anthony Tahayeri, Jack Ferracane, Pamela Yelick, Vicente Saboia, Luiz Bertassoni
    Clinical Oral Investigations.2022; 27(3): 1215.     CrossRef
  • Calcium silicate and calcium aluminate cements for dentistry reviewed
    Carolyn Primus, James L. Gutmann, Franklin R. Tay, Anna B. Fuks
    Journal of the American Ceramic Society.2022; 105(3): 1841.     CrossRef
  • Pulpal response to mineral trioxide aggregate containing phosphorylated pullulan-based capping material
    Yu TOIDA, Shimpei KAWANO, Rafiqul ISLAM, Fu JIALE, AFM A CHOWDHURY, Shuhei HOSHIKA, Yasushi SHIMADA, Junji TAGAMI, Masahiro YOSHIYAMA, Satoshi INOUE, Ricardo M. CARVALHO, Yasuhiro YOSHIDA, Hidehiko SANO
    Dental Materials Journal.2022; 41(1): 126.     CrossRef
  • The Effect of Calcium-Silicate Cements on Reparative Dentinogenesis Following Direct Pulp Capping on Animal Models
    Mihai Andrei, Raluca Paula Vacaru, Anca Coricovac, Radu Ilinca, Andreea Cristiana Didilescu, Ioana Demetrescu
    Molecules.2021; 26(9): 2725.     CrossRef
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    Rafiqul Islam, Yu Toida, Fei Chen, Toru Tanaka, Satoshi Inoue, Tetsuya Kitamura, Yasuhiro Yoshida, Abu Faem Mohammad Almas Chowdhury, Hany Mohamed Aly Ahmed, Hidehiko Sano
    International Endodontic Journal.2021; 54(10): 1902.     CrossRef
  • Effectiveness of Direct Pulp Capping Bioactive Materials in Dentin Regeneration: A Systematic Review
    Ermin Nie, Jiali Yu, Rui Jiang, Xiangzhen Liu, Xiang Li, Rafiqul Islam, Mohammad Khursheed Alam
    Materials.2021; 14(22): 6811.     CrossRef
  • A strontium and amorphous calcium phosphate dipped premixed injectable calcium silicate-based ceramic for dental root canal sealing
    Huimin Jin, Yuzhu Li, Qingqing Wang, Menglu Dong, Mengmeng Yang, Wendy Chen, Shengrui Wang, Heng Zhang, Shunli Zheng, Chris Ying Cao, Zheng Zhou, Quan-Li Li
    Ceramics International.2021; 47(23): 33738.     CrossRef
  • Bioactive tri/dicalcium silicate cements for treatment of pulpal and periapical tissues
    Carolyn M. Primus, Franklin R. Tay, Li-na Niu
    Acta Biomaterialia.2019; 96: 35.     CrossRef
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Retention of BioAggregate and MTA as coronal plugs after intracanal medication for regenerative endodontic procedures: an ex vivo study
Suzan Abdul Wanees Amin, Shaimaa Ismail Gawdat
Restor Dent Endod 2018;43(3):e18.   Published online April 26, 2018
DOI: https://doi.org/10.5395/rde.2018.43.e18
AbstractAbstract PDFPubReaderePub
Objectives

This study compared the retention of BioAggregate (BA; Innovative BioCeramix) and mineral trioxide aggregate (MTA; Angelus) as coronal plugs after applying different intracanal medications (ICMs) used in regenerative endodontics.

Materials and Methods

One-hundred human maxillary central incisors were used. The canals were enlarged to a diameter of 1.7 mm. Specimens were divided into 5 groups (n = 20) according to the ICM used: calcium hydroxide (CH), 2% chlorhexidine (CHX), triple-antibiotic paste (TAP), double-antibiotic paste (DAP), and no ICM (control; CON). After 3 weeks of application, ICMs were removed and BA or MTA were placed as the plug material (n = 10). The push-out bond strength and the mode of failure were assessed. The data were analyzed using 2-way analysis of variance, the Tukey's test, and the χ2 test; p values < 0.05 indicated statistical significance.

Results

The type of ICM and the type of plug material significantly affected bond strength (p < 0.01). Regardless of the type of ICM, BA showed a lower bond strength than MTA (p < 0.05). For MTA, CH showed a higher bond strength than CON, TAP and DAP; CHX showed a higher bond strength than DAP (p < 0.01). For BA, CH showed a higher bond strength than DAP (p < 0.05). The mode of failure was predominantly cohesive for BA (p < 0.05).

Conclusions

MTA may show better retention than BA. The mode of bond failure with BA can be predominantly cohesive. BA retention may be less affected by ICM type than MTA retention.

Citations

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    Gouthami Datta, Ramya Raghu, Ashish Shetty, Gautham P Manjunath, Dishant Patel, Subhashini Rajasekhara
    Endodontology.2023; 35(1): 60.     CrossRef
  • Effects of calcium hydroxide intracanal medicament on push‐out bond strength of endodontic sealers: A systematic review and meta‐analysis
    Mohammed Nasser Alhajj, Fadhilah Daud, Sadeq Ali Al‐Maweri, Yanti Johari, Zuryati Ab‐Ghani, Mariatti Jaafar, Yoshihito Naito, Widyasri Prananingrum, Zaihan Ariffin
    Journal of Esthetic and Restorative Dentistry.2022; 34(8): 1166.     CrossRef
  • A Breakthrough in the Era of Calcium Silicate-Based Cements: A Critical Review
    Payal S Chaudhari, Manoj G Chandak, Akshay A Jaiswal, Nikhil P Mankar, Priyanka Paul
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    Н.В. Шаковец, О.С. Романова
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    MarinaCarvalho Prado, Kevillin Martiniano, AndreaCardoso Pereira, KarineL Cortellazzi, MarinaA Marciano, Gabriel Abuna, Adriana de-Jesus-Soares
    Journal of Conservative Dentistry.2021; 24(5): 464.     CrossRef
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    Wencheng Song, Wei Sun, Lili Chen, Zhenglin Yuan
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    Rayan B. Yaghmoor, Jeffrey A. Platt, Kenneth J. Spolnik, Tien Min Gabriel Chu, Ghaeth H. Yassen
    European Journal of Dentistry.2020; 14(04): 575.     CrossRef
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Case Report
Periodontal healing following non-surgical repair of an old perforation with pocket formation and oral communication
Saeed Asgary, Prashant Verma, Ali Nosrat
Restor Dent Endod 2018;43(2):e17.   Published online April 13, 2018
DOI: https://doi.org/10.5395/rde.2018.43.e17
AbstractAbstract PDFPubReaderePub

Iatrogenic perforations negatively impact the outcome of endodontic treatments. Studies on prognostic factors showed that perforations in the coronal third of the root with periodontal pocket formation have an unfavorable prognosis. A 36-year-old female was referred for endodontic evaluation of tooth #13 with a history of an iatrogenic perforation, happened 3 years ago. There was a sinus tract associated with perforation, 10 mm probing on the mesial and mesio-palatal, bleeding on probing, radiolucent lesion adjacent to the perforation and complete resorption of the interdental bone between teeth #13 and #12. After the treatment options were discussed, she chose to save the tooth. The tooth was accessed under rubber dam isolation, the perforation site was cleaned and disinfected using 0.5% sodium hypochlorite and sealed with calcium-enriched mixture cement. Eighteen months after treatment the tooth was functional and asymptomatic. The probing depths were normal without bleeding on probing. Radiographically, the interdental crestal bone formed between teeth #13 and #12. Despite all negative prognostic factors in this case (i.e., perforations in the coronal third, pocket formation, and radiolucent lesion), healing was unexpectedly achieved via non-surgical repair of the perforation. Further research on biological aspects of healing in the periodontium following iatrogenic perforations are recommended.

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  • Managing Internal Inflammatory Root Resorption and Perforation of a Mandibular Primary Molar: A Case Report With 15 Months Follow‐Up
    Mana Mowji, Motahareh Khosrojerdi
    Clinical Case Reports.2025;[Epub]     CrossRef
  • Nonsurgical Management of Furcation Defects Using Cervical Sealing With Calcium–Silicate Cements: A Clinical Case Series
    Saeed Asgary, Shamimul Hasan
    Case Reports in Medicine.2025;[Epub]     CrossRef
  • Comprehensive review of composition, properties, clinical applications, and future perspectives of calcium-enriched mixture (CEM) cement: a systematic analysis
    Saeed Asgary, Mahtab Aram, Mahta Fazlyab
    BioMedical Engineering OnLine.2024;[Epub]     CrossRef
  • External Cervical Resorption: A Volumetric Analysis on Evolution of Defects over Time
    Ali Nosrat, Omid Dianat, Prashant Verma, Martin D. Levin, Jeffery B. Price, Anita Aminoshariae, Fabio Antonio Piola Rizzante
    Journal of Endodontics.2023; 49(1): 36.     CrossRef
  • Comparative evaluation of mineral trioxide aggregate, endoseal, and biodentine in furcation perforation repair
    Udita Khare Baralay, Srinidhi Surya Raghavendra
    Endodontology.2022; 34(1): 22.     CrossRef
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    Juan G. Robledo, Pablo A. Rodríguez
    Open Journal of Stomatology.2021; 11(08): 317.     CrossRef
  • Vital Pulp Therapy as a Conservative Approach for Management of Invasive Cervical Root Resorption: A Case Series
    Saeed Asgary, Mahdieh Nourzadeh, Prashant Verma, M. Lamar Hicks, Ali Nosrat
    Journal of Endodontics.2019; 45(9): 1161.     CrossRef
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Research Articles
Removal efficacy and cytotoxicity of a calcium hydroxide paste using N-2-methyl-pyrrolidone as a vehicle
Myung-Jin Lim, Hyun-Jin Jang, Mi-Kyung Yu, Kwang-Won Lee, Kyung-San Min
Restor Dent Endod 2017;42(4):290-300.   Published online October 20, 2017
DOI: https://doi.org/10.5395/rde.2017.42.4.290
AbstractAbstract PDFPubReaderePub
Objectives

This study investigated the removal efficacy and cytotoxicity of a newly developed calcium hydroxide paste (cleaniCal, Maruchi) using N-2-methyl-pyrrolidone (NMP) as a vehicle in comparison with ApexCal (Ivoclar Vivadent) and Calcipex II (Nishika), which use different vehicles such as polyethylene glycol and propylene glycol, respectively.

Materials and Methods

Thirty maxillary premolars with oval-shaped canals were divided into 3 groups and the teeth were filled with one of the pastes. After removal of the paste, micro-computed tomographic (μ-CT) imaging was obtained to assess the volume of residual paste in the root canal of each tooth. The teeth were then split longitudinally and the area of the paste-coated surface was evaluated by stereomicroscopy. The cytotoxicity of each product was assessed using an agar overlay assay. The effect of each vehicle on cell viability was evaluated using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. The data were analyzed using one-way analysis of variance and Tukey's tests to detect any significance (p < 0.05).

Results

In the μ-CT and stereomicroscopic analysis, cleaniCal exhibited less remnants of medicament than ApexCal and Calcipex. cleaniCal showed a higher cytotoxicity than the other pastes in the agar overlay assay. Furthermore, NMP exhibited lower cell viability compared to the other vehicles.

Conclusions

cleaniCal showed better removal efficacy compared to the other products. However, clinicians should be aware of the higher cytotoxicity of the NMP-based material and consider its possible adverse effects on periradicular tissue when it is overfilled.

Citations

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  • Synergistic effects of reduced graphene oxide on the antibacterial activity of calcium hydroxide-based intracanal medicaments containing different vehicles
    Mi-Ah Kim, Min-Kyeong Kim, Eun-Sook Kang, Kyung-San Min
    Journal of Oral Science.2025; 67(1): 35.     CrossRef
  • Lipoteichoic Acid from Lacticaseibacillus rhamnosus GG as a Novel Intracanal Medicament Targeting Enterococcus faecalis Biofilm Formation
    Ji-Young Yoon, Somin Park, Dongwook Lee, Ok-Jin Park, WooCheol Lee, Seung Hyun Han
    Journal of Microbiology.2024; 62(10): 897.     CrossRef
  • Rheological properties and handling characteristics of four injectable calcium hydroxide pastes
    Min-Jung KIM, In-Bog LEE
    Dental Materials Journal.2024; 43(6): 796.     CrossRef
  • Role of vehicles on antimicrobial efficacy of calcium hydroxide
    Dikshya Purohit, Shronika, Pradyumna Misra, Gaurav Jain, Preeti Shukla
    Asian Journal of Oral Health and Allied Sciences.2023; 13: 9.     CrossRef
  • Removal of Calcium Hydroxide Paste Leaked Into the Maxillary Sinus
    Dohee Kim, Young Kim, Jeong Joon Han
    Ear, Nose & Throat Journal.2023;[Epub]     CrossRef
  • Conservative Management of Molar Incisor Hypomineralization Using Biomimetic Material in a 9-Year-Old Boy
    Sahili Mungekar-Markandey, Ashwin Jawdekar
    Journal of Dental Research and Review.2022; 9(4): 320.     CrossRef
  • Sonic irrigation for removal of calcium hydroxide in the apical root canal: A micro-CT and light-coupled tracking analysis
    Wonjoon Moon, Shin Hye Chung, Juhea Chang, Zhaoqiang Zhang
    PLOS ONE.2022; 17(6): e0268791.     CrossRef
  • Effect of N-2-methyl-pyrrolidone on Enterococcus faecalis biofilms
    Mi-Ah KIM, Prasanna NEELAKANTAN, Kyung-San MIN
    Dental Materials Journal.2022; 41(5): 774.     CrossRef
  • Characterization, Antimicrobial Effects, and Cytocompatibility of a Root Canal Sealer Produced by Pozzolan Reaction between Calcium Hydroxide and Silica
    Mi-Ah Kim, Vinicius Rosa, Prasanna Neelakantan, Yun-Chan Hwang, Kyung-San Min
    Materials.2021; 14(11): 2863.     CrossRef
  • Synthesis, structure, and theoretical studies of a calcium complex of a unique dianion derived from 1-methylpyrrolidin-2-one
    Ray J. Butcher, Andrew P. Purdy, Paul A. Brown, Daniel Gunlycke
    Acta Crystallographica Section E Crystallographic Communications.2021; 77(1): 70.     CrossRef
  • Effect of a calcium hydroxide-based intracanal medicament containing N-2-methyl pyrrolidone as a vehicle against Enterococcus faecalis biofilm
    Taegun KIM, Mi-Ah KIM, Yun-Chan HWANG, Vinicius ROSA, Massimo DEL FABBRO, Kyung-San MIN
    Journal of Applied Oral Science.2020;[Epub]     CrossRef
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White mineral trioxide aggregate mixed with calcium chloride dihydrate: chemical analysis and biological properties
Hany Mohamed Aly Ahmed, Norhayati Luddin, Thirumulu Ponnuraj Kannan, Khairani Idah Mokhtar, Azlina Ahmad
Restor Dent Endod 2017;42(3):176-187.   Published online April 17, 2017
DOI: https://doi.org/10.5395/rde.2017.42.3.176
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to evaluate the chemical and biological properties of fast-set white mineral trioxide aggregate (FS WMTA), which was WMTA combined with calcium chloride dihydrate (CaCl2·2H2O), compared to that of WMTA.

Materials and Methods

Surface morphology, elemental, and phase analysis were examined using scanning electron microscope (SEM), energy dispersive X-ray microanalysis (EDX), and X-ray diffraction (XRD), respectively. The cytotoxicity and cell attachment properties were evaluated on human periodontal ligament fibroblasts (HPLFs) using methyl-thiazol-diphenyltetrazolium (MTT) assay and under SEM after 24 and 72 hours, respectively.

Results

Results showed that the addition of CaCl2·2H2O to WMTA affected the surface morphology and chemical composition. Although FS WMTA exhibited a non-cytotoxic profile, the cell viability values of this combination were lesser than WMTA, and the difference was significant in 7 out of 10 concentrations at the 2 time intervals (p < 0.05). HPLFs adhered over the surface of WMTA and at the interface, after 24 hours of incubation. After 72 hours, there were increased numbers of HPLFs with prominent cytoplasmic processes. Similar findings were observed with FS WMTA, but the cells were not as confluent as with WMTA.

Conclusions

The addition of CaCl2·2H2O to WMTA affected its chemical properties. The favorable biological profile of FS WMTA towards HPLFs may have a potential impact on its clinical application for repair of perforation defects.

Citations

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  • The effect of three additives on properties of mineral trioxide aggregate cements: a systematic review and meta-analysis of in vitro studies
    Behnam Bolhari, Faranak Noori, Hadi Assadian, Amir Raee, Sholeh Ghabraei, Ahmad-Reza Shamshiri, Artak Heboyan
    BMC Oral Health.2024;[Epub]     CrossRef
  • Evaluation of sorption and solubility of materials based on calcium aluminate
    Renata Josipovic, Violeta Petrovic, Marijana Popovic-Bajic, Irena Kuzmanovic-Radman, Mirjana Umicevic-Davidovic, Aleksandra Djeri, Slavoljub Zivkovic
    Stomatoloski glasnik Srbije.2023; 70(1): 26.     CrossRef
  • Chitosan-Based Accelerated Portland Cement Promotes Dentinogenic/Osteogenic Differentiation and Mineralization Activity of SHED
    Hasan Subhi, Adam Husein, Dasmawati Mohamad, Nik Rozainah Nik Abdul Ghani, Asma-Abdullah Nurul
    Polymers.2021; 13(19): 3358.     CrossRef
  • Chemical modification of MTA and CEM cement to decrease setting time and improve bioactivity properties by adding alkaline salts
    Faeze Jamali Zavare, Hanieh Nojehdehian, Maryam Moezizadeh, Mehdi Daneshpooya
    Journal of Dental Research, Dental Clinics, Dental Prospects.2020; 14(1): 1.     CrossRef
  • Biological effects of acid-eroded MTA Repair HP and ProRoot MTA on human periodontal ligament stem cells
    Mar Collado-González, Sergio López-García, David García-Bernal, Ricardo E. Oñate-Sánchez, Christopher J. Tomás-Catalá, Jose M. Moraleda, Adrián Lozano, Leopoldo Forner, Francisco J. Rodríguez-Lozano
    Clinical Oral Investigations.2019; 23(10): 3915.     CrossRef
  • Comparative Cytocompatibility and Mineralization Potential of Bio-C Sealer and TotalFill BC Sealer
    Sergio López-García, Miguel R. Pecci-Lloret, Julia Guerrero-Gironés, María P. Pecci-Lloret, Adrián Lozano, Carmen Llena, Francisco Javier Rodríguez-Lozano, Leopoldo Forner
    Materials.2019; 12(19): 3087.     CrossRef
  • Evaluation of changes in ion release and biological properties of NeoMTA‐Plus and Endocem‐MTA exposed to an acidic environment
    F. J. Rodríguez‐Lozano, M. Collado‐González, S. López‐García, D. García‐Bernal, J. M. Moraleda, A. Lozano, L. Forner, L. Murcia, R. E. Oñate‐Sánchez
    International Endodontic Journal.2019; 52(8): 1196.     CrossRef
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Effect of three nanobiomaterials on microhardness of bleached enamel
Maryam Khoroushi, Farinaz Shirban, Sara Kaveh, Samaneh Doustfateme
Restor Dent Endod 2016;41(3):196-201.   Published online July 14, 2016
DOI: https://doi.org/10.5395/rde.2016.41.3.196
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this in vitro study was to evaluate the effect of incorporating three different nanobiomaterials into bleaching material on microhardness of bleached enamel.

Materials and Methods

The crowns of 24 extracted sound human molars were sectioned. Sixty enamel specimens (2 × 3 × 4 mm) were selected and divided into five groups (n = 12): Group 1 received no bleaching procedure (control); Group 2 underwent bleaching with a 40% hydrogen peroxide (HP) gel; Groups 3, 4, and 5 were bleached with a 40% HP gel modified by incorporation of bioactive glass (BAG), amorphous calcium phosphate (ACP) and hydroxyapatite (HA), respectively. The enamel microhardness was evaluated. The differences in Knoop microhardness data of each group were analyzed by one-way ANOVA, followed by post hoc Tukey tests.

Results

Significant differences were observed between the study groups. The enamel microhardness changes in Groups 1, 3, 4, and 5 were significantly lower than that of Group 2 (p < 0.001).

Conclusions

Within the limitations of this study, it can be concluded that incorporation of each one of the three tested biomaterials as remineralizing agents might be effective in decreasing enamel microhardness changes subsequent to in-office bleaching.

Citations

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  • Protective role of calcium-based agents in dental bleaching gels: insights from a systematic review and meta-analysis of clinical and laboratory evidence
    Gabriel Pereira Nunes, Renata de Oliveira Alves, Geórgia Rondó Peres, Matheus Henrique Faccioli Ragghianti, Priscila Toninatto Alves de Toledo, Alexandre Henrique dos Reis Prado, Carla Ferreira-Baptista, Alberto Carlos Botazzo Delbem
    Clinical Oral Investigations.2025;[Epub]     CrossRef
  • Analysis of Enamel Surface and Shear Bond Strength with Orthodontic Bracket at Different Time Intervals After Bleaching Treatment
    Yu-Jin Lee, Ji-Yeon Hong, Hye-Min Ku, Song-Yi Yang
    Journal of Dental Hygiene Science.2025; 25(2): 130.     CrossRef
  • Effect of strontium fluorophosphate bioactive glass on color, microhardness and surface roughness of bleached enamel
    Shiza Yezdani, Monisha Khatri, Sampath Vidhya, Sekar Mahalaxmi
    Technology and Health Care.2024; 32(1): 285.     CrossRef
  • In vitro evaluation of the effect of addition of biomaterials to carbamide peroxide on the bleaching efficacy and microhardness of enamel
    Sowmya Kavoor, M. A. Ranjini, Naval Abdul Aziz, H. K. Ashok, Roopa R. Nadig
    Journal of Conservative Dentistry and Endodontics.2024; 27(3): 310.     CrossRef
  • Effect of hydrogen peroxide and its combination with nano-hydroxyapatite or nano-bioactive glass on the enamel demineralization and tooth color: An in vitro study
    Elham Kheradmand, Alirea Daneshkazemi, Abdolrahim Davari, Maede Kave, Solmaz Ghanbarnejad
    Dental Research Journal.2023;[Epub]     CrossRef
  • Over‐the‐counter bleaching agents can help with tooth whitening maintenance
    Olívia Santana Jorge, Carolina Noronha Ferraz de Arruda, Rafaella Tonani Torrieri, Rocio Geng Vivanco, Fernanda de Carvalho Panzeri Pires‐de‐Souza
    Journal of Esthetic and Restorative Dentistry.2022; 34(2): 328.     CrossRef
  • Effect of Indigenously Developed Nano-Hydroxyapatite Crystals from Chicken Egg Shell on the Surface Hardness of Bleached Human Enamel
    Divya Kunam, Vidhya Sampath, Sujatha Manimaran, Mahalaxmi Sekar
    Contemporary Clinical Dentistry.2019; 10(3): 489.     CrossRef
  • Influence of Time Intervals between Bleaching Procedures on Enamel Microhardness and Surface Roughness
    Roberta Pimentel de Oliveira, Juliana Costa Pereira Baia, Mara Eliane Soares Ribeiro, Mario Honorato da Silva e Souza Junior, Sandro Cordeiro Loretto
    The Open Dentistry Journal.2018; 12(1): 555.     CrossRef
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