USAGE OF CALCIUM SILICATE BASED MATERIALS IN ENDODONTIC TREATMENT: CASE SERIES

Abstract

Bioceramic materials with high bioactivity and biocompatibility are used in dentistry, especially in various clinical endodontic situations, including root end filling, root canal treatment, apexification, endodontic treatment, perforation repair and root defect repair. Mineral trioxide aggregate (MTA), a calcium-silicate based material, is the most widely used bioceramic material in endodontics. This case series describes the use of MTA as a root canal and root tip filling material when conventional root filling material cannot be used for iatrogenic perforations, internal and external resorption, open apices and its effect on healing.

Keywords

• endodontic treatment
• calcium silicate
• case report

Endodontik Tedavide Kalsiyum Silikat Esaslı Materyallerin Kullanımı: Vaka Serisi

Abstract

Yüksek biyoaktivite ve biyouyumluluğa sahip biyoseramik materyaller diş hekimliğinde, özellikle de kök ucu dolgusu, kök kanal tedavisi, apeksifikasyon, endodontik tedavi, perforasyon onarımı ve kök defekti onarımı dahil olmak üzere çeşitli klinik endodontik durumlarda kullanılmaktadır. Kalsiyum silikat esaslı materyallerden olan Mineral trioxide aggregate (MTA) endodontide en yaygın kullanılan biyoseramik esaslı materyaldir. Bu vaka serisinde MTA’nın iatrojenik perforasyonlar, internal ve eksternal rezorpsiyon, açık apeksler için geleneksel kök dolgu materyali kullanılamadığında kök kanal dolum maddesi ve kök ucu dolum maddesi olarak kullanımını ve iyileşme üzerine etkisi anlatılmıştır.

Keywords

• endodontik tedvi
• kalsiyum silikat
• olgu raporu

References

1. Schwartz RS, Mauger M, Clement DJ, Walker WA. Mineral trioxide aggregate: a new material for endodontics. J Am Dent Assoc. 1999;130(7), 967-75.
2. Torabinejad M, Parirokh M, Dummer PM. 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.
3. Gupta G, Agarwal A, Ansari AA, Singh RK. Nonsurgical management of a large periapical lesion with internal resorption using PRF, hydroxyapatite and MTA. BMJ Case Rep. 2022; 16;15(9):e248907.
4. Heboyan A, Avetisyan A, Karobari M, et al. Tooth root resorption: A review. Science Progress. 2022; 105(3):368504221109217
5. De Souza GHM, Pandolfo MT, Bortoluzzi EA, et al. Effect of root perforation repair with mineral aggregate-based cements on the retention of customized fiberglass posts. Odontology. 2022;110(3): 368504221109217.
6. Dong, X, Xu, X. Bioceramics in Endodontics: Updates and Future Perspectives. Bioengineering 2023; 10: 354.
7. Yildirim G, Dalci K. Treatment of lateral root perforation with mineral trioxide aggregate: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102: e55-8.
8. Clauder T. Present status and future directions– Managing perforations. Int Endod J. 2022;55, 872-91.

9. Akpınar KE, Albayrak F, Talu B. Endodontik Tedavilerde Konik Işınlı Bilgisayarlı Tomografinin Önemi. Turkiye Klinikleri Endod Special Topics. 2022; 8(3), 54-60.
10. Kadali N, Alla RK, Guduri V, Raju RV. Mineral Trioxide Aggregate: An overview of composition, properties and clinical applications. Int J Dent Mater. 2020; 2(1), 11-8.
11. Del Fabbro M, Corbella S, Sequeira-Byron P et al. Endodontic procedures for retreatment of periapical lesions. Cochrane Database of Systematic Reviews; 2016 (10): CD005511.
12. Cervino G, Laino LD, Amico C, Russo D, Nucci L, Amoroso G, Fiorillo L. Mineral trioxide aggregate applications in endodontics: A review. Eur J Dent. 2020;14(04), 683-91.
13. Patel S, Saberi N, Pimental T, Teng, PH. Present status and future directions: Root resorption. Int Endod J. 2022; 55: 892-921.
14. Sharki AM, Ali AH. 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). J Endod. 2024;1:1-7
15. Da Fonseca TS, Silva GF, Guerreiro J, et al. Biodentine and MTA modulate immunoinflammatory response favoring bone formation in sealing of furcation perforations in rat molars. Clin Oral Investig. 2019;23:1237-52.
16. Rodríguez FJ, Collado-González M, Tomás CJ, et al. GuttaFlow Bioseal promotes spontaneous differentiation of human periodontal ligament stem cells into cementoblast-like cells. Dental Mater. 2019; 35(1): 114-124.
17. Estrela C, Cintra LTA, Duarte MAH, Rossi-Fedele G, et al. Mechanism of action of bioactive endodontic materials. Braz Dental J. 2023; 34: 1-11.
18. Cechella B, de Almeida, J, Felippe W. Analysis of sealing ability of endodontic cements apical plugs. J Clin Exp Dent. 2018; 10(2): e146.
19. Main C, Mirzayan N, Torabinejad M. Repair of root perforations using mineral trioxide aggregate: a longterm study. J Endod. 2004; 30(2): 80-3.
20. Holland R, Filho JA, de Souza V, et al. Mineral trioxide aggregate repair of lateral root perforations. J Endod. 2001; 27: 281-4.
21. Torabinejad M, Hong CU, Pitt Ford TR, et al. Tissue reaction to implanted Super EBA and Mineral Trioxide Aggregate in the mandible of guinea pigs: a preliminary. J Endod. 1995; 21: 569–71.
22. Ayup, H, Duane B. Limited evidence on best material for retrograde root fillings. Evidence-based dentistry. 2018; 19(1): 8-9.
23. Schutte H, Van Hooft E. The unresolved contest between MTA and IRM as apical barrier material in apicoectomies. A retrospective cohort study. Ned Tijdschr Tandheelkd. 2022;129(1): 33-40.
24. Estrela C, Decurcio DDA, Rossi-Fedele GÁ, et al. Root perforations: a review of diagnosis, prognosis and materials. Brazil Oral Res. 2018; 32: e73.
25. Wang X, Xiao X, Song W, et al. Clinical application of calcium silicate-based bioceramics in endodontics. J Translational Med. 2023; 21(1): 853.
26. Gorni FG , Ionescu AC, Ambrogi F, Brambilla E, Gagliani MM. Prognostic factors and primary healing on root perforation repaired with MTA: a 14-year longitudinal study. J Endod. 2022; 48(9): 1092-99.
27. Pace R, Giuliani V, Nieri M, Di Nasso L, Pagavino G. Mineral trioxide aggregate as apical plug in teeth with necrotic pulp and immature apices: a 10-year case series. J Endod. 2014; 40(8): 1250-54.
28. Er O, Yaman SD, Bodrumlu E, Koçak M, Cinar S. The Use of MTA in Non-Vital Immature Teeth: Three Case Report. Int J Clin Dent. 2010; 3(1) 45-52