Keywords
Biocompatible materials
Calcium silicate
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Abstract
Objective: Describe the use of bioceramic cements in endodontic obturation. Literature review: The introduction of bioceramics in Endodontics represented an important advance in the execution of complex procedures. The high clinical performance of these materials is due not only to their biocompatibility, but also to their bioactivity due to the release of calcium ions and the formation of apatite-type precipitates when in contact with physiological fluids containing phosphate. This material can serve as a substitute for biological tissue in the periradicular tissue region or be reabsorbed by the tissue and stimulate tissue regeneration and repair. The favorable properties of bioceramic obturation cement, such as hydrophilicity, slight expansion and biocompatibility, allow its use in obturation with the single cone technique, potentially creating a better sealing of the root canals. Conclusion: The results presented so far by laboratory studies demonstrate a satisfactory performance regarding most of the physicochemical and, especially, biological properties of the material, indicating advantages, limitations and future perspectives. However, the research available so far is controversial in clarifying essential topics, such as the effect of heating and the long-term solubility of the material.
References
AL-HADDAD A e CHE AB AZIZ ZA. Bioceramic-based root canal sealers: A review. Int J Biomater, 2016; 2016: 1–1.
AMOROSO-SILVA PA, et al. Apical adaptation, sealing ability and push-out bond strength of five root-end filling materials. Braz Oral Res, 2014; 28(1): 1–6.
ASHKAR I, et al. A literature review of the effect of heat on the physical-chemical properties of calcium silicate–based sealers. J Endod, 2024; 50(8): 1044-1058.
BADAWY R e ABDALLAH D. Evaluation of new bioceramic endodontic sealers: An in vitro study. Dent Med Probl, 2022; 59(1): 85–92.
BENETTI F, et al. Cytotoxicity and biocompatibility of a new bioceramic endodontic sealer containing calcium hydroxide. Braz Oral Res, 2019; 33: 42.
BRANDÃO MWC. Cimentos biocerâmicos na Endodontia [dissertação]. Gandra: Instituto Universitário de Ciências da Saúde, 2017; 38.
BRYAN TE, et al. In vitro osteogenic potential of an experimental calcium silicate–based root canal sealer. J Endod, 2010; 36(7): 1163–9.
CAMILLERI J. Classification of hydraulic cements used in dentistry. Front Dent Med, 2020; 1.
CAMPS J, et al. Bioactivity of a calcium silicate–based endodontic cement (BioRoot RCS): Interactions with human periodontal ligament cells in vitro. J Endod, 2015; 41(9): 1469–73.
CANDEIRO GTM, et al. Cytotoxicity, genotoxicity and antibacterial effectiveness of a bioceramic endodontic sealer. Int Endod J, 2015; 49(9): 858–64.
CHENG L, et al. Osteoinduction of hydroxyapatite/β-tricalcium phosphate bioceramics in mice with a fractured fibula. Acta Biomater, 2010; 6(4): 1569–74.
CHYBOWSKI EA, et al. Clinical outcome of non-surgical root canal treatment using a single-cone technique with EndoSequence bioceramic sealer: A retrospective analysis. J Endod, 2018; 44(6): 941–5.
DARVELL BW e WU RCT. “MTA”—An hydraulic silicate cement: Review update and setting reaction. Dent Mater, 2011; 27(5): 407–22.
DIBAJI F, et al. Fracture resistance of roots after application of different sealers. J Int Soc Prev Community Dent, 2017; 12(1): 50–4.
FARAONI G, et al. Avaliação comparativa do escoamento e tempo de presa do cimento MTA Fillapex®. RFO UPF, 2013; 18(2): 180–4.
GARG TG. Comparative evaluation of sealing ability of various single-cone systems: An in vitro study. Int J Prev Clin Dent Res, 2016; 3(3): 192–6.
GHONEIM AG, et al. Resistance to fracture of roots obturated with novel canal-filling systems. J Endod, 2011; 37(11): 1590–2.
GIACOMINO CM, et al. Comparative biocompatibility and osteogenic potential of two bioceramic sealers. J Endod, 2019; 45(1): 51–6.
GINEBRA MP, et al. Setting reaction and hardening of an apatitic calcium phosphate cement. J Dent Res, 1997; 76(4): 905–12.
HUANG Y, et al. Evaluation of the sealing ability of different root canal sealers: A combined SEM and micro-CT study. J Appl Oral Sci, 2018; 26: 20170366.
JITARU S, et al. The use of bioceramics in endodontics – literature review. Med Pharm Rep, 2016; 89(4): 470–3.
KOCH K, et al. A review of bioceramic technology in endodontics. Roots, 2013; 9(1): 6–13.
LEE BN, et al. Anti-inflammatory and osteogenic effects of calcium silicate–based root canal sealers. J Endod, 2019; 45(1): 73–8.
LOUSHINE BA, et al. Setting properties and cytotoxicity evaluation of a premixed bioceramic root canal sealer. J Endod, 2011; 37(5): 673–7.
MENDES AT, et al. Evaluation of physicochemical properties of new calcium silicate-based sealer. Braz Dent J, 2018; 29(6): 536–40.
MONJE MEN e HONORATO MCTM. Cimentos biocerâmicos de terceira geração. Salusvita, 2020; 39(3): 843–76.
RANE S, et al. Comparative evaluation of apical leakage in root canal obturation using AH Plus sealer, bioceramic sealer, and bioceramic sealer incorporated with chitosan nanoparticles: An in vitro study. Cureus, 2024.
RANJKESH B, et al. Apatite precipitation on a novel fast-setting calcium silicate cement containing fluoride. Acta Biomater Odontol Scand, 2016; 2(1): 68–78.
SAGHIRI MA, et al. Evaluating the solubility of endodontic sealers in response to static and dynamic stress: an in vitro study. Eur Endod J, 2024; 9(1): 231–5.
SAGSEN B, et al. Resistance to fracture of roots filled with three different techniques. Int Endod J, 2007; 40(1): 31–5.
SILVA DF, et al. Selantes biocerâmicos em endodontia: revisão integrativa. Pesqui Soc Desenvolv, 2020; 8: 882986439.
SIQUEIRA JF e RÔÇAS IN. Clinical implications and microbiology of bacterial persistence after treatment procedures. J Endod, 2008; 34(11): 1291–301.
TORABINEJAD M, et al. Physical and chemical properties of a new root-end filling material. J Endod, 1995; 21: 349–53.
TROIANO G, et al. In vitro evaluation of the cytotoxic activity of three epoxy resin-based endodontic sealers. Dent Mater J, 2018; 37(3): 374–8.
VALENTIM RDM, et al. Revisão de literatura das propriedades físico-químicas e biológicas de um cimento à base de silicato de cálcio. Rev Bras Odontol, 2016; 73(3): 237.
VIANA FLP. Atividade antimicrobiana de cimentos obturadores endodônticos biocerâmicos frente a Enterococcus faecalis em biofilme: estudo in vitro [dissertação]. Fortaleza: Universidade Federal do Ceará, 2019.
ZAMPARINI F, et al. Chemical-physical properties and bioactivity of new premixed calcium silicate-bioceramic root canal sealers. Int J Mol Sci, 2022; 23(22): 13914.
ZHOU H, et al. In vitro cytotoxicity of calcium silicate–containing endodontic sealers. J Endod, 2015; 41(1): 56–61.
ZOUFAN K, et al. Cytotoxicity evaluation of Gutta Flow and EndoSequence BC sealers. J Endod, 2011; 112(5): 657–61.