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VOLUME 21 , ISSUE 1 ( January, 2020 ) > List of Articles

ORIGINAL RESEARCH

Effect of Different Intracanal Medicaments on Apical Sealing Ability of BioRoot RCS

Kanhu Charan Sahoo, Sradhashree Dipallini, Swagata Banerjee

Keywords : BioRoot RCS, Curcuma longa, Metapex, Metrogyl DG gel forte, Triple antibiotic paste

Citation Information : Sahoo KC, Dipallini S, Banerjee S. Effect of Different Intracanal Medicaments on Apical Sealing Ability of BioRoot RCS. J Contemp Dent Pract 2020; 21 (1):47-50.

DOI: 10.5005/jp-journals-10024-2740

License: CC BY-NC 4.0

Published Online: 01-01-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aims and objectives: The aim of the present study was to determine the effect of different intracanal medicaments on the apical seal of BioRoot root canal sealer (RCS). Materials and methods: One hundred permanent single-rooted teeth were used in this study. All the samples were decoronated at the cementoenamel junction and instrumented in a sequential order from 15 to 50 number k-file. The specimens were randomly divided into five groups containing 20 teeth each. Intracanal medicaments used in this study were Metapex, triple antibiotic paste, Metrogyl DG gel forte (metronidazole gel 1.5% w/w), and curenext gel. For control group following instrumentation, the roots were obturated with laterally compacted gutta-percha with BioRoot RCS. In medicament groups after the period of 14 days, the medicaments were removed. All the four groups were obturated with BioRoot RCS and gutta-percha cones using lateral compaction technique. All the specimens were coated with nail varnish and immersed in 2% methylene blue. Then the specimens were demineralized and diphanized. The cleared teeth were analyzed by means of a stereomicroscope under 10× magnification. All the data were analyzed in SPSS version 18 software (IBM, Chicago, IL, USA). Result: Among all the intracanal medicaments, triple antibiotic paste showed the highest microleakage. When Metpaex and Metrogyl DG gel forte were compared with Curcuma longa, differences were not statistically significant. Conclusion: Among all the intracanal medicaments, triple antibiotic paste showed the highest microleakage and least was Metapex. Clinical significance: Incomplete removal of medicaments prevents the penetration of sealer into the dentinal tubules and interferes with the normal setting reaction, thus affecting the seal of obturating material leading to microleakage and subsequent treatment failure. Hence, while placing an intracanal medicament, it is important to consider its effect on leakage of the root canal system.


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  1. Siqueira JF, Roças IN, Lopes HP, et al. Coronal leakage of two root canal sealers containing calcium hydroxide after exposure to human saliva. J Endod 1999;25(1):14–16. DOI: 10.1016/S0099-2399(99)80391-4.
  2. Tandan M, Hegde MN, Hegde P. Effect of four different intracanal medicaments on the apical seal of the root canal system: a dye extraction study. Indian J Dent Res 2014;25(5):607–612. DOI: 10.4103/0970-9290.147104.
  3. Karim IE, Kennedy J, Hussey D. The antimicrobial effects of root canal irrigation and medication. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103(4):560–569. DOI: 10.1016/j.tripleo.2006.10.004.
  4. Byström A, Sundqvist G. Bacteriologic evaluation of the efficacy of mechanical root canal instrumentation in endodontic therapy. Scand J Dent Res 1981;89(4):321–328. DOI: 10.1111/j.1600-0722.1981.tb01689.x.
  5. Almyroudi A, Mackenzie D, McHugh S, et al. The effectiveness of various disinfectants used as endodontic intracanal medications: an in vitro study. J Endod 2002;28(3):163–167. DOI: 10.1097/00004770-200203000-00005.
  6. Hamidi RM, Mahomoudi E, Moghadamnia AA, et al. Effect of calcium hydroxide and chlorhexidine medicaments on the apical seal. Iran Endod J 2012;7(1):15–19.
  7. Foreman P, Barnes I. A review of calcium hydroxide. Int Endod J 1990;23(6):283–297. DOI: 10.1111/j.1365-2591.1990.tb00108.x.
  8. Caliskan M, Turkun M, Turkun L. Effect of calcium hydroxide as an intracanal dressing on apical leakage. Int Endod J 1998;31(3):173–177. DOI: 10.1046/j.1365-2591.1998.00145.x.
  9. Prabhakar AR, Taur S, Hadakar S, et al. Comparison of antibacterial efficacy of calcium hydroxide paste, 2% chlorhexidine gel and turmeric extract as an intracanal medicament and their effect on microhardness of root dentine: an invitro study. Int J Clin Pediatr Dent 2013;6(3):171–177. DOI: 10.5005/jp-journals-10005-1213.
  10. Saha S, Nair R, Asrani H. Comparative evaluation of propolis, metronidazole with chlorhexidine, calcium hydroxide and Curcuma longa extract as intracanal medicament against E. faecalis—an in vitro study. J Clin Diagn Res 2015;9(11):ZC19–ZC21. DOI: 10.7860/JCDR/2015/14093.6734.
  11. Pai S, Pai V, Thomas MS, et al. Effect of calcium hydroxide and triple antibiotic paste as intracanal medicaments on the incidence of inter-appointment flare-up in diabetic patients: an in vivo study. J Conserv Dent 2014;17(3):208–211. DOI: 10.4103/0972-0707.131776.
  12. Krittikadutta J, Rajamani I, Dorothykalyani AL. Disinfection of dentinal tubule with 2% chlorhexidine, 2% metronidazole, bioactive glass when compared with calcium hydroxide as intracanal medicaments. J Endod 2007;33(12):1473–1476. DOI: 10.1016/j.joen.2007.08.016.
  13. Reszka P, Nowicka A, Lipski M, et al. A comparative chemical study of calcium silicate-containing and epoxy resin-based root canal sealers. Biomed Res Int 2016;2016:9808432. DOI: 10.1155/2016/9808432.
  14. Viapiana R, Momzadeh A, Camiller L, et al. Porosity and sealing ability of root fillings with gutta-percha and BioRoot RCS or AH Plus sealers. Evaluation by three ex vivo methods. Int Endod J 2016;49(8):774–782. DOI: 10.1111/iej.12513.
  15. Xuereb M, Veua P, Damidot D, et al. In situ assessment of the setting of tricalcium silicate based sealer using a dentin pressure model. J Endod 2015;41(1):111–124. DOI: 10.1016/j.joen.2014.09.015.
  16. Camps J, Jeanneau C, Ayachi IE. Bioactivity of a calcium silicate-based endodontic cement (BioRoot RCS): interactions with human periodontal ligament cells in vitro. J Endod 2015;41(9):1469–1473. DOI: 10.1016/j.joen.2015.04.011.
  17. Costa F, Sousa Gomes P, Fernandes MH. Osteogenic and angiogenic response to calcium silicate-based endodontic sealers. J Endod 2016;42(1):113–119. DOI: 10.1016/j.joen.2015.09.020.
  18. Prati C, Gandolfi MG. Calcium silicate bioactive cements: biological perspectives and clinical applications. Dent Mater 2015;31(4):351–370. DOI: 10.1016/j.dental.2015.01.004.
  19. Mestieri LB, Gomes-Cornélio AL, Rodrigues EM, et al. Biocompatibility and bioactivity of calcium silicate-based endodontic sealers in human dental pulp cells. J Appl Oral Sci 2015;23(5):467–471. DOI: 10.1590/1678-775720150170.
  20. Lim ES, Park YB, Kwon YS, et al. Physical properties and biocompatibility of an injectable calcium-silicate-based root canal sealer: in vitro and in vivo study. BMC Oral Health 2015;15:12. DOI: 10.1186/s12903-015-0112-9.
  21. Schmalz G, Widbiller M, Galler KM. Material tissue interaction-from toxicity to tissue regeneration. Oper Dent 2016;41(2):117–131. DOI: 10.2341/15-249-BL.
  22. Porkaew P, Retief DH, Barfield RD, et al. Effects of calcium hydroxide paste as an intracanal medicament on apical seal. J Endod 1990;16(8):369–374. DOI: 10.1016/S0099-2399(06)81908-4.
  23. Kim SK, Kim YO. Influence of calcium hydroxide intracanal medication on apical seal. Int Endod J 2002;35(7):623–628. DOI: 10.1046/j.1365-2591.2002.00539.x.
  24. Sokhi RR, Sumanthini MV, Shenoy V, et al. Effect of calcium hydroxide based intracanal medicaments on the apical sealing ability of resin based sealer and guttapercha obturated root canals. J Clin Diagn Res 2017;11(1):75–79. DOI: 10.7860/JCDR/2017/22834.9202.
  25. Akcay M, Arslan H, Topcuoglu HS, et al. Effect of calcium hydroxide and double and triple antibiotic pastes on the bond strength of epoxy resin based sealer to root canal. J Endod 2014;40(10):1663–1667. DOI: 10.1016/j.joen.2014.05.006.
  26. Berkhott JA, Chen PB, Teixeira FB, et al. Evaluation of triple antibiotic paste removal by different irrigation procedures. J Endod 2014;40(8):117–127. DOI: 10.1016/j.joen.2013.12.027.
  27. Arslan H, Caper ID, Saygili G, et al. Efficacy of various irrigation protocols on the removal of triple antibiotic paste. Int Endod J 2014;47(6):594–599. DOI: 10.1111/iej.12194.
  28. Camillers J. Sealers and warm gutta percha obturation techniques. J Endod 2015;41(1):72–78. DOI: 10.1016/j.joen.2014.06.007.
  29. Paragliola R, Franco V, Fabiani C. Final rinse optimization: Influence of different agitation protocols. J Endod 2010;36(2):282–285. DOI: 10.1016/j.joen.2009.10.004.
  30. Alani AH, Toh CG. Detection of microleakage around dental restorations: a review. Oper Dent 1997;22(4):173–185.
  31. Hedge V, Amlani H. Microleakage: apical seal vs coronal seal. World J Dent 2013;4(2):113–116. DOI: 10.5005/jp-journals-10015-1215.
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