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Perspectives on periradicular healing using Sealapex: a case report
1Department of Endodontics, Baylor College of Dentistry, Dallas.
International Endodontic Journal
|May 1, 1991
Summary
Sealapex, a calcium hydroxide root canal sealer, showed dissolution of excess sealer in periradicular tissues. This dissolution led to osseous repair, similar to cases without sealer extrusion, suggesting favorable healing outcomes.
Area of Science:
- Endodontics
- Dental Materials Science
Background:
- Calcium hydroxide-based root canal sealers, such as Sealapex, are utilized in endodontic therapy.
- Concerns exist regarding the solubility of Sealapex and its impact on the root canal seal and periradicular tissue healing.
Observation:
- This case report details radiographic evidence of excess Sealapex sealer extruded into periradicular tissues.
- The extruded sealer demonstrated dissolution over time within these tissues.
Findings:
- Radiographic analysis revealed the dissolution of extruded Sealapex.
- The periradicular tissues exhibited osseous repair following sealer dissolution.
- The observed healing was comparable to periradicular tissues without extruded sealer.
Implications:
- The findings suggest that the solubility of Sealapex may not adversely affect periradicular healing.
- Dissolution of extruded sealer may lead to favorable tissue regeneration.
- This case provides evidence supporting the use of Sealapex despite concerns about extrusion.