Related Experiment Videos
[Root-end filling materials in apicoectomy--a review]
I Grossman1, A Abu el Naag, M Peled
1Dept. of Oral and Maxillofacial Surgery, Rambam Medical Center, Haifa.
Refu'At Ha-Peh Veha-Shinayim (1993)
|July 2, 2003
Summary
Finding the ideal root-end filling material for apicoectomy is ongoing. While amalgam is common, materials like MTA offer superior results in leakage, biocompatibility, and hard tissue induction, despite a longer setting time.
Area of Science:
- Endodontics
- Dental Materials Science
- Surgical Procedures
Context:
- Root-end filling materials are crucial for successful apicoectomy.
- A 20-year literature review identified over 19 materials used for this purpose.
- The search for an ideal root-end filling material continues.
Purpose:
- To review and compare the efficacy of various root-end filling materials used in apicoectomy.
- To evaluate materials based on leakage, biocompatibility, and clinical outcomes.
- To identify the most suitable material for apicoectomy procedures.
Summary:
- Amalgam is frequently used but not ideal.
- Iodoform-based Root Canal Sealer (IRM) and Super EBA are zinc oxide-eugenol cements, with Super EBA showing less cytotoxicity.
- Mineral Trioxide Aggregate (MTA) demonstrates superior performance in leakage control, biocompatibility, and hard tissue induction compared to IRM and Super EBA.
- MTA's long setting time is a drawback, but it is often the preferred choice.
Impact:
- Highlights the limitations of commonly used materials like amalgam.
- Identifies IRM, Super EBA, and particularly MTA as more effective alternatives.
- Provides evidence-based insights for clinicians selecting root-end filling materials in endodontic surgery.