Skip to main content Skip to main navigation menu Skip to site footer
MedNext Journal of Medical and Health Sciences
Review
DOI: 10.54448/mdnt22309
Submitted: 08-28-2022
Published: 08-28-2022

Main clinical considerations of bioceramic cement in endodontic treatment: a brief systematic review

UNORTE - University Center of Northern São Paulo, Dentistry department, São José do Rio Preto, São Paulo, Brazil
UNIPOS - Post graduate and continuing education, Dentistry department, São José do Rio Preto, São Paulo, Brazil
Bioceramic cement Pulp protection Endodontic treatment Endodontic Surgery

Abstract

Introduction: Endodontic treatment is usually indicated when periapical lesions are found, deep caries reach the pulp chamber, or in specific cases of prosthetic rehabilitation. The repair of periapical tissues depends on the total obturation of the root canal system and its hermetic sealing employing physically and biologically compatible materials. Objective: A brief systematic review was carried out to list the main clinical studies on the use of bioceramic cement in endodontic treatments and endodontic surgery. Methods: The rules of the Systematic Review-PRISMA Platform (Transparent reporting of systematic reviews and meta-analysis-HTTP://www.prisma-statement.org/) were followed. The research was carried out from May 2022 to June 2022 and developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: Current endodontic surgery has achieved high success rates, through the use of modern techniques such as operative microscopy, ultrasonic inserts, and the choice of good materials to fill the retro filling cavity. MTA was the first bioceramic cement developed and has provided much better results than previously used materials, such as amalgam and Super Eba. This is mainly due to its better sealing properties and its low cytotoxicity. MTA is still the standard material of choice for most endodontists who opt for Endodontic Surgery. However, new bioceramic types of cement are being developed rapidly, trying to improve biological responses, accelerate tissue regeneration, and decrease the rate of residual microorganisms.

Metrics

Metrics Loading ...

References

  1. Zafar K, Jamal S, Ghafoor R. Bio-active cements-Mineral Trioxide Aggregate based calcium silicate materials: a narrative review. J Pak Med Assoc. 2020 Mar;70(3):497-504. doi: 10.5455/JPMA.16942. PMID: 32207434.
  2. Montero-Miralles P, Ibáñez-Barranco R, Cabanillas-Balsera D, Areal-Quecuty V, Sánchez-Domínguez B, Martín-González J, Segura-Egea JJ, JiménezSánchez MC. Biomaterials in periapical regeneration after microsurgical endodontics: A narrative review. J Clin Exp Dent. 2021 Sep 1;13(9):e935-e940. doi: 10.4317/jced.58651. PMID: 34603623; PMCID: PMC8464390.
  3. Gonçalves, S B. Avaliaçäo in vitro da capacidade seladora do Super-EBA e do MTA em quarto técnicas de obturação retrógrada. Dissertação de Mestrado, Faculdade de Odontologia de Bauru (Catálogo USP), Bauru, 2002.
  4. Ogutlu F, Karaca I. Clinical and Radiographic Outcomes of Apical Surgery: A Clinical Study. J Maxillofac Surg. 2018 Mar; 17(1): 75-83.
  5. Abusrewil SM, McLean W, Scott JA. The use of Bioceramics as root-end filling materials in periradicular surgery: A literature review. Saudi Dent J. 2018 Oct;30(4):273-282. doi: 10.1016/j.sdentj.2018.07.004. Epub 2018 Jul 24. PMID: 30202163; PMCID: PMC6128316.
  6. Bianco E, Calvelli C, Citterio CL, Pellegatta A, Venino PM, Maddalone M. Evaluation with Micro-CT of the Canal Seal Made with Two Different Bioceramic Cements: GuttaFlow Bioseal and BioRoot RCS. J Contemp Dent Pract. 2020 Apr 1;21(4):359-366. PMID: 32584269.
  7. Olcay K, Taşli PN, Güven EP, Ülker GMY, Öğüt EE, Çiftçioğlu E, Kiratli B, Şahin F. Effect of a novel bioceramic root canal sealer on the angiogenesisenhancing potential of assorted human odontogenic stem cells compared with principal tricalcium silicate-based cements. J Appl Oral Sci. 2020 Jan 10;28:e20190215. doi: 10.1590/1678-7757-2019-0215. PMID: 31939521; PMCID: PMC6919198.
  8. Aqrabawi J. Capacidade de vedação de amálgama, cimento super EBA e MTA quando usado como materiais de enchimento retrógrados. Br Dent J, 2000 11 de março; 188(5): 266-8.
  9. Raghavendra S S, Jadhav G R, Gathani K M, Kotadia P. Bioceramics in endodontics – a review. J Istanb Univ Fac Dent. 2017; 51 (3 suppl 1): S128S137.
  10. Baek SH, Lee WC, Setzer FC, Kim S. Periapical bone regeneration after endodontic microsurgery with three different root-end filling materials: amalgam, SuperEBA, and mineral trioxide aggregate. J Endod. 2010 Aug; 36(8): 1323-5.
  11. Coaguila-Llerena H, Vaisberg A, Velasques-Huamán Z. In Vitro Cytotoxicity Evaluation of Three Root-End Filling Materials in Human Periodontal Ligament Fibroblasts. Braz. Dent. J. vol 27 n. 2 Ribeirão Preto Mar/Apr. 2016.
  12. Torabinejad M, Pitt Ford T, Hong C. Investigation of mineral trioxide aggregate for root and filling in dogs. J Endod. 1995 21(12): 603-8.
  13. Kim S, Song M, Shin S J, Kim E. Um estudo controlado aleatório de trióxido mineral agregado e ácido super etoxibenzoico como materiais de preenchimento de ponta final em microcirurgia endodontica: resultados a longo prazo. J Endod. 2016 Jul;42(7): 997-1002.
  14. Steining TH, Regand JD, Gutmann JL. O uso e a colocação previsível de Mineral Trioxide Aggegate em casos de apexificação de uma visita. Aust Endod J. 2003 Apr; 29(1): 34-42.
  15. Costa DD, Mariano MMC, Muniz YS, Duplat CBS, Patrocinio DSJ, Santos JLS. Agregado de trióxido mineral: uma revisão da sua composição, mecanismo de ação e indicações clínicas. Rev. Saúde Com. 2012, 8(2): 24-33.
  16. Coaguila-Llerena H, Vaisberg A, Velásquez-Huamán Z. In Vitro Cytotoxicity Evaluation of Three Root-End Filling Materials in Human Periodontal Ligament Fibroblasts. Braz Dent J. 2016 Mar-Apr;27(2):187-91. doi: 10.1590/01036440201600447. PMID: 27058382.
  17. Baraba A, Pejelij-Ribaric, Roguljic M, Miletic I. Cytotoxicity of Two Bioactive Root Canal Sealers. Acta Stomatol Croat. 2016 Mar; 50(1): 8-13.
  18. Jitaru S, Hodisan I, Timis L, Lucian A, Bud M. The use of bioceramics in endodontics – literature review. Clujul Med. 2016; 89(4): 470-473.
  19. Agrafioti A, Koursoumis A D, Kontakiotis E G. Re-establishing apical patency after obturation with Gutta-percha and two novel calcium silicate-based sealers. Eur j Dent 2015 Oct-Dec; 9(4): 457-461.
  20. Jiang S, Wu HAO, Zhang C F. Partial Pulpotomy of Immature Teeth wih Apical Periodontitis using Bioceramics and Mineral tRioxide Aggregate: A Report of Three Cases. Chin J Dent Res 2016; 19(2): 115-120.
  21. Asgary S, Fayazi S. Endodontic Surgery of a Symptomatic overfilled MTA apical plug: A Histological and Clinical Case Report. Iran Endod J. 2017; 12(3): 376-380.

How to Cite

Giraldi, L. C., & Sant’anna Jr, A. (2022). Main clinical considerations of bioceramic cement in endodontic treatment: a brief systematic review. MedNEXT Journal of Medical and Health Sciences, 3(3). https://doi.org/10.54448/mdnt22309