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[Ionomeric vitreous cement for retrograde root filling]
Zeitschrift Fur Stomatologie (1984)
|November 1, 1989
Summary
Retrograde filling materials were tested for sealing properties in apicectomized teeth. Ionomeric vitreous cement and ceramic pins offered superior seals compared to guttapercha and amalgam.
Area of Science:
- Endodontics
- Dental Materials Science
- Restorative Dentistry
Background:
- Apicectomy involves retrograde filling to seal the root apex.
- Effective sealing is crucial to prevent coronal microleakage and apical periodontitis.
- Various materials are used, but their comparative sealing efficacy requires investigation.
Purpose of the Study:
- To compare the in vitro sealing properties of commonly used retrograde filling materials.
- To evaluate the efficacy of ionomeric vitreous cement against other materials.
Main Methods:
- An in vitro study using extracted teeth.
- Materials tested: heat-sealed guttapercha, guttapercha + phosphate cement, amalgam, standardized ceramic pins, and ionomeric vitreous cement.
- Sealing ability assessed using methylene blue dye perfusion.
Main Results:
- Heat-sealed guttapercha, guttapercha + phosphate cement, and non-gamma-2 amalgam showed inferior sealing.
- Ionomeric vitreous cement demonstrated superior sealing properties.
- Standardized aluminum oxide ceramic pins also exhibited excellent sealing.
Conclusions:
- Ionomeric vitreous cement and standardized ceramic pins are more effective retrograde filling materials.
- Traditional materials like guttapercha and amalgam show limitations in achieving a complete seal.
- Material selection is critical for successful apicoectomy outcomes.
