Comparação de vedamento de dois cimentos Biocerâmicos: um estudo ex vivo
DOI:
https://doi.org/10.34119/bjhrv8n5-197Keywords:
ápice aberto, agregado de trióxido mineral, cimento de silicato de cálcio, dentes permanentes imaturos, material biocerâmicoAbstract
O tratamento endodôntico tem o intuito de tratar e prevenir a doença pulpar e periapical. Isso se torna um desafio clínico quando um dente com rizogênese incompleta e necrose pulpar necessita de intervenção endodôntica, pois o tratamento se torna mais complexo. A técnica de apicificação com plug apical surgiu como uma alternativa às longas terapias com hidróxido de cálcio. Para realizar tal técnica, diversos cimentos biocerâmicos estão sendo introduzidos no mercado nos últimos anos, tais quais foram produzidos a fim de atenuar as limitações do MTA convencional. O objetivo deste estudo experimental ex vivo foi o de comparar a capacidade de vedamento de dois cimentos biocerâmicos em dentes extraídos e com rizogênese incompleta através da realização de um plug apical, preenchendo os últimos milímetros de suas raízes. A avaliação deste vedamento foi realizada através da imersão das porções apicais destes dentes em uma solução de BHI estéril e da adição de BHI e saliva humana na porção coronária.
References
SHABAHANG S. Treatment options: apexogenesis and apexification. J Endod. 2013;39(3 Suppl):S… doi:10.1016/j.joen.2012.11.045.
PARIROKH M, TORABINEJAD M. Mineral trioxide aggregate: a comprehensive literature review—Part I: chemical, physical, and antibacterial properties. J Endod. 2010;36(1):16–27. doi:10.1016/j.joen.2009.09.006.
WITHERSPOON DE. Vital pulp therapy with new materials: new directions and treatment perspectives—permanent teeth. J Endod. 2008;34(7 Suppl):S25–8. doi:10.1016/j.joen.2008.02.030.
TORABINEJAD M, CHIVIAN N. Clinical applications of mineral trioxide aggregate. J Endod. 1999;25(3):197–205. doi:10.1016/S0099-2399(06)81159-8.
MENTE J, HUFNAGEL S, LEO M, MICHEL A, GEHRIG H, PANAGIDIS D, et al. Treatment outcome of mineral trioxide aggregate in open apices. J Endod. 2013;39(1):20–6. doi:10.1016/j.joen.2012.09.004.
TORABINEJAD M, PARIROKH M, DUMMER PMH. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – Part II: other clinical applications and complications. Int Endod J. 2018;51(3):284–317. doi:10.1111/iej.12843.
TAWIL PZ, DUGGAN DJ, Galicia JC. Mineral trioxide aggregate (MTA): its history, composition, and clinical applications. Compend Contin Educ Dent. 2015;36(4):247–52. PMCID: PMC4962539.
GUIMARÃES BM, PRATI C, GANDOLFI MG, VIVAN RR, SILVA EJNL, ZAMPARINI F, et al. Physicochemical properties of calcium silicate-based repair cements (MTA Repair HP and MTA Vitalcem). Int Endod J. 2018;51(7):E… doi:10.1111/iej.12937.
CINTRA LTA, BENETTI F, DE AZEVEDO QUEIROZ ÍO, LOPES JMA, OLIVEIRA SHP, ARAÚJO GS, et al. Cytotoxicity, biocompatibility, and biomineralization of the new high-plasticity MTA. J Endod. 2017;43(5):774–8. doi:10.1016/j.joen.2016.11.025.
DARVELL BW, WU RC. “MTA”—an Hydraulic Silicate Cement: review update and setting reaction. Dent Mater.2011;27(5):407–22. doi:10.1016/j.dental.2011.02.001.
BENETTI F, QUEIROZ IAOA, LOPES JMA, OLIVEIRA SHP, ARAÚJO GS, MOREIRA MS, et al. Cytotoxicity, biocompatibility and biomineralization of Bio-C Repair compared with MTA-based materials. Braz Dent J. 2019;30(4):326–33.
CAMPI LB, SILVA-SOUSA YT, ROSA RAD, et al. Physicochemical properties, cytotoxicity and bioactivity of a ready-to-use bioceramic repair material (Bio-C Repair) versus white MTA and Biodentine. Braz Dent J. 2023;34(1):1–10. doi:10.1590/0103-6440202305681.
ABRÃO SMS, GREGORIO D, AZEVEDO MKC, MORI GG, POLI-FREDERICO RC, Maia LP. Cytotoxicity and genotoxicity of Bio-C Repair, Endosequence BC Root Repair, MTA Angelus and MTA Repair HP. Braz Dent J. 2023;34(1):14–20. PMCID: PMC10208289.
DONNERMEYER D, BÜRKLEIN S, DAMMASCHKE T, SCHÄFER E. A novel test model to evaluate filling ability and volumetric changes of bioceramic root repair materials using micro-CT. Restor Dent Endod. 2021;46:e2. doi:10.5395/rde.2021.46.e2.
DE-DEUS G, MURAD C, PACIORNIK S, REIS CM, COUTINHO-FILHO T. The effect of the canal-filled area on the bacterial leakage of oval-shaped canals. Int Endod J. 2008;41(3):183–90. doi:10.1111/j.1365-2591.2007.01320.x.
KHAYAT A, LEE SJ, TORABINEJAD M. Human saliva penetration of coronally unsealed obturated root canals. J Endod.1993;19(9):458–61. doi:10.1016/S0099-2399(06)80533-9.
MAGURA ME, KAFRAWY AH, BROWN CE Jr, Newton CW. Human saliva coronal microleakage in obturated root canals: an in vitro study. J Endod. 1991;17(7):324–31. doi:10.1016/S0099-2399(06)81700-0.
OLIVEIRA SGD, GOMES DJ, COSTA MHN, SOUSA ER, LUND RG. Coronal microleakage of endodontically treated teeth with intracanal post exposed to fresh human saliva. J Appl Oral Sci. 2013;21(5):403–8. PMCID: PMC3881841.
YAVARI HR, SAMIEI M, SHAHI S, AGHAZADEH M, JAFARI F. Microleakage comparison of four dental materials as intra-orifice barriers in endodontically treated teeth using human saliva. Iran Endod J. 2012;7(3):156–60. PMID: 23060910.
NAGENDRABABU V, MURRAY PE, ORDINOLA-ZAPATA R, PETERS OA, RÔÇAS IN, SIQUEIRA JF, et al. PRILE 2021 guidelines for reporting laboratory studies in Endodontology: a consensus-based development. Int Endod J. 2021;54(9):1482–90. doi:10.1111/iej.13542.
DE-DEUS G, CAMILLERI J, DUMMER PMH, et al. A critical analysis of research methods and experimental models for endodontic sealers and filling techniques. Int Endod J. 2022;55(6):499–540. doi:10.1111/iej.13713.
RAMEZANI G, et al. The effect of chlorhexidine mixed with MTA on bacterial leakage of apical plug in simulated immature teeth using human fresh saliva. J Contemp Dent Pract. 2017;18(7) doi:10.5005/jp-journals-10024-2092.
AL-KAHTANI A, SHOSTAD S, SCHIFFERLE R, BHAMBHANI S. In-vitro evaluation of microleakage of an orthograde apical plug of mineral trioxide aggregate in permanent teeth with simulated immature apices. J Endod. 2005;31(2):117-119.
HACHMEISTER DR, SCHINDLER WG, WALKER WA 3RD, THOMAS DD. The sealing ability and retention characteristics of mineral trioxide aggregate in a model of apexification. J Endod. 2002;28(5):386-390.
LAWLEY GR, SCHINDLER WG, WALKER WA 3RD, KOLODRUBETZ D. Evaluation of ultrasonically placed MTA and fracture resistance with intracanal composite resin in a model of apexification. J Endod. 2004;30(3):167-172.
PACE R, GIULIANI V, PINI PRATO L, BACCETTI T, PAGAVINO G. Apical plug technique using mineral trioxide aggregate: results from a case series. Int Endod J. 2007;40:478-484. doi:10.1111/j.1365-2591.2007.01240.x.
CAMILLERI J. Hydration mechanisms of mineral trioxide aggregate. Int Endod J. 2007;40(6):462-470.
CAMILLERI J. Characterization of hydration products of mineral trioxide aggregate. Int Endod J. 2008;41(5):408-417.
TRIPATHI R, SHARMA A, SHARMA S, KUMAR P, ANAND V. Coronal tooth discoloration after the use of white mineral trioxide aggregate in nonvital pulpotomy. J Endod. 2020;46(11):1783-1788.
SALEM-MILANI A, GHASEMI S, RAHIMI S, et al. The discoloration effect of white mineral trioxide aggregate materials. Dent Res J (Isfahan). 2017;14(2):83-87.
CAMILLERI J, BORG B. Colour and chemical stability of bismuth oxide in dental materials with solutions used in routine clinical practice. PLoS One. 2020;15(10):e0240634.
ISO 6876:2012. Dentistry — Root canal sealing materials. Geneva: International Organization for Standardization; 2012.
TORRES FFE, GUERREIRO-TANOMARU JM, ZUZA EP, et al. A micro-CT test model for filling ability and volumetric changes of premixed bioceramics. Restor Dent Endod. 2021;46:e2. (Estudo-modelo aplicável ao Bio-C Repair).
DA CUNHA MENDONÇA G, et al. Volumetric change of calcium silicate–based repair cements at different pHs. BMC Oral Health. 2024;24.
ELDEHA AM, et al. Micro-CT analysis of apical plug using premixed bioceramics (BIO-C Repair, NeoMTA Putty, BC RRM). Dent J. 2025;13(3)
AFKHAMI F, AKBARI S, et al. Bacterial leakage assessment in root canals sealed with AH Plus modified with silver nanoparticles: two-chamber saliva model. BMC Oral Health. 2021;21:530.
SAVADKOUHI ST, AJAMI M, et al. In vitro and ex vivo microbial leakage assessment in endodontics: two-chamber models revisited. Dent Res J. 2016;13(5):387-397.
BRENES-VALVERDE K, et al. Evaluation of microleakage by gas permeability and marginal adaptation of MTA and Biodentine apical plugs. Odovtos Int J Dent Sci. 2018;20(1):57-66.
ARVELAIZ C, VALECILLO C, CHIESA M, et al. In vitro comparison of MTA and BC RRM-Fast Set Putty as retrograde filling materials. Dent J (Basel). 2022;10(10):192.
SHINBORI N, GRAMA AM, Patel Y, et al. Clinical outcome of endodontic microsurgery using EndoSequence BC Root Repair Material as root-end filling. J Endod. 2015;41(5):607-612.
ESCRIBANO-ESCRIVÁ B, et al. MTA apical barrier: in vitro study of ultrasonic vs manual placement. J Clin Exp Dent.2016;8(3):e256-e261.
JIANG R, Han P, et al. Effects of two disinfection/sterilization methods for dentin specimens on dentin permeability. Lasers Med Sci. 2019;34(2):367-374.
SALEM-MILANI A, RAHIMI S, et al. The effect of protocol for disinfection of extracted teeth on dentin permeability. J Dent Res Dent Clin Dent Prospects. 2015;9(4):221-225.
BURNS LE, et al. Apexification outcomes in the United States: a retrospective analysis. J Endod. 2023;49(9):1141-1147.
ABBAS A, et al. Efficacy of MTA and Biodentine as apical barriers in immature permanent teeth: a microbiological study. Int J Clin Pediatr Dent. 2020;13(6):
YADAV A, et al. Comparative evaluation of MTA, Biodentine and CPC as single-visit apexification agents. Int J Clin Pediatr Dent. 2020;13(5)
