Int J Stomatol

Int J Stomatol ›› 2024, Vol. 51 ›› Issue (4): 475-482.doi: 10.7518/gjkq.2024047

• Reviews • Previous Articles    

Research progress on the removal of calcium silicate-based root canal sealers during retreatment process

Bo Zhang1(),Xia Li2(),Mengqi Yang1   

  1. 1.School of Stomatology, Shanxi Medical University, Taiyuan 030001, China
    2.Dept. of Cariology and Endodontics 1, Hospital of Stomatology, Shanxi Medical University, Taiyuan 030001, China Supported by: Foundation:Scientific Research Fund of Stomatological Hospital of Shanxi Medical University (KY 201904 )
  • Received:2023-03-10 Revised:2024-04-18 Online:2024-07-01 Published:2024-06-24
  • Contact: Xia Li E-mail:1831732479@qq.com;lixia6881@163.com

RichHTML

36

PDF (PC)

634

Abstract:

In recent years, Calcium Silicate-based Root Canal Sealers have been widely used in root canal therapy because of its excellent adhesive sealing and biocompatibility. Its superior adhesive sealing improves the effect of root canal therapy, but when the root canal therapy fails and needs to be retreated, the current conventional root canal retreatment methods, as well as the technical improvement of mechanical preparation and chemical irrigation, are difficult to effectively remove the Calcium Silicate-based Root Canal Sealers, and the power of root canal retreatment is also challenged. Therefore, this paper focuses on the dissolution of the irrigating agents on the Calcium Silicate-based Root Canal Sealers, and summarizes the ability of the irrigating agent components to remove the Calcium Silicate-based Root Canal Sealers from both physical dissolution and chemical dissolution, with a view to providing a new idea for the clinical selection of root canal irrigating agent that can effectively remove the Calcium Silicate-based Root Canal Sealers, as well as the exploration of appropriate root canal irrigation strategies.

Key words: calcium silicate-based root canal sealer, irrigating agent, physical dissolution, chemical dissolution, solubility

CLC Number: 

  • R781.05

TrendMD: 

Tab 1

Types and main components of calcium silicate-based materials"

商品名生产商主要成分
MTA FillapexSeptodont公司，法国

单组份：水杨酸基树脂、稀释树脂、天然树脂、三氧化二铋、纳米二氧化硅

颗粒、MTA和颜料

MTA-AAngelus公司，巴西

粉剂：氧化钾、氧化钠、氧化硫、氧化钙、氧化镁、三氧化二铋、三氧化二铝、硫酸钾、硅酸钠、二氧化硅晶体

液剂：水

White ProRoot MTADentsply Sirona公司，美国

粉剂：白色硅酸钙、氧化铋

液剂：水

Neo-MTA PlusAvalon Biomed公司，美国

粉剂：硅酸三钙、硅酸二钙、钽铁矿、硫酸钙、二氧化硅

液剂：水凝胶

BiodentineSeptodont公司，法国

粉剂：硅酸三钙

液剂：氯化钙水溶液、赋形剂

iRoot SPInnovative BioCeramix Inc公司，加拿大单组份：硅酸钙、磷酸钙、氢氧化钙、氧化铌、氧化锆
EndoSequence BC SealerBrasseler公司，美国单组份：硅酸钙、磷酸二氢钙、氢氧化钙、氧化锆、氧化钽、填料、增稠剂
EndoSequence BC Sealer HiFlowBrasseler公司，美国单组份：硅酸钙、磷酸二氢钙、氢氧化钙、氧化锆、氧化钽、填料、增稠剂
BioRoot RCSSeptodont公司，法国

粉剂：硅酸三钙、二氧化锆、聚维酮

液剂：水、氯化钙、聚羧酸盐

Bio-C SealerAngelus公司，巴西单组份：硅酸钙、铝酸钙、氧化钙、氧化锆、氧化铁、二氧化硅、聚乙二醇
Sealer Plus BCMK Life公司，巴西单组份：氧化锆、硅酸三钙、硅酸二钙、氢氧化钙、丙二醇
TotalFill BCFKG Dentaire SA公司，瑞士单组份：氧化锆、硅酸钙、磷酸钙、氢氧化钙、填料、增稠剂
EdgeBioCeramicEdgeEndo，美国单组份：氧化锆、硅酸三钙、硅酸二钙、氢氧化钙、填料、增稠剂
1 Hargreaves KM, Cohen S, Berman LH. Preface[M]//Cohen’s pathways of the pulp. Amsterdam: Elsevier, 2011.
2 Rossi-Fedele G, Ahmed HM. Assessment of root canal filling removal effectiveness using micro-computed tomography: a systematic review[J]. J Endod, 2017, 43(4): 520-526.
3 马昂. Er: YAG激光活化冲洗技术对根管内氢氧化钙清除效果和根尖封闭性能的影响[D]. 长春: 吉林大学, 2022.
Ma A. Effect of Er:YAG laser activation irrigation technology on removal effect of calcium hydroxide in root canals and apical sealing ability[D]. Chang-chun: Jilin University, 2022.
4 Primus CM, Tay FR, Niu LN. Bioactive tri/dical-cium silicate cements for treatment of pulpal and pe-riapical tissues[J]. Acta Biomater, 2019, 96: 35-54.
5 Camilleri J. Classification of hydraulic cements used in dentistry[J]. Front Dent Med, 2020, 1: 9.
6 Akcay M, Arslan H, Durmus N, et al. Dentinal tubule penetration of AH Plus, iRoot SP, MTA fillapex, and guttaflow bioseal root canal sealers after different final irrigation procedures: a confocal microscopic study[J]. Lasers Surg Med, 2016, 48(1): 70-76.
7 Atav Ates A, Dumani A, Yoldas O, et al. Post-obturation pain following the use of carrier-based system with AH Plus or iRoot SP sealers: a randomized controlled clinical trial[J]. Clin Oral Investig, 2019, 23(7): 3053-3061.
8 Kebudi Benezra M, Schembri Wismayer P, Camilleri J. Interfacial characteristics and cytocompatibility of hydraulic sealer cements[J]. J Endod, 2018, 44(6): 1007-1017.
9 Harrison JW. Irrigation of the root canal system[J]. Dent Clin North Am, 1984, 28(4): 797-808.
10 Boutsioukis C, Arias-Moliz MT, Chávez de Paz LE. A critical analysis of research methods and experimental models to study irrigants and irrigation systems[J]. Int Endod J, 2022, 55(): 295-329.
11 Eren SK, Örs SA, Aksel H, et al. Effect of irrigants on the color stability, solubility, and surface characteristics of calcium-silicate based cements[J]. Restor Dent Endod, 2022, 47(1): e10.
12 Rebolloso de Barrio E, Gancedo-Caravia L, García-Barbero E, et al. Effect of exposure to root canal irrigants on the push-out bond strength of calcium silicate-based cements[J]. Clin Oral Investig, 2021, 25(5): 3267-3274.
13 Barton AFM. Solubility parameters[J]. Chem Rev, 1975, 75(6): 731-753.
14 Salimi A, Roosta A. Experimental solubility and thermodynamic aspects of methylene blue in diffe-rent solvents[J]. Thermochimica Acta, 2019, 675: 134-139.
15 Borges RP, Sousa-Neto MD, Versiani MA, et al. Changes in the surface of four calcium silicate-containing endodontic materials and an epoxy resin-based sealer after a solubility test[J]. Int Endod J, 2012, 45(5): 419-428.
16 Zhou HM, Shen Y, Zheng W, et al. Physical properties of 5 root canal sealers[J]. J Endod, 2013, 39(10): 1281-1286.
17 Faria-Júnior NB, Tanomaru-Filho M, Berbert FL, et al. Antibiofilm activity, pH and solubility of endo-dontic sealers[J]. Int Endod J, 2013, 46(8): 755-762.
18 Siboni F, Taddei P, Zamparini F, et al. Properties of BioRoot RCS, a tricalcium silicate endodontic sea-ler modified with povidone and polycarboxylate[J]. Int Endod J, 2017, 50(): e120-e136.
19 Camilleri J, Wang C, Kandhari S, et al. Methods for testing solubility of hydraulic calcium silicate ce-ments for root-end filling[J]. Sci Rep, 2022, 12(1): 7100.
20 Komabayashi T, Colmenar D, Cvach N, et al. Comprehensive review of current endodontic sealers[J]. Dent Mater J, 2020, 39(5): 703-720.
21 Antunes TBM, Janini ACP, Pelepenko LE, et al. Heating stability, physical and chemical analysis of calcium silicate-based endodontic sealers[J]. Int Endod J, 2021, 54(7): 1175-1188.
22 Eskandari F, Razavian A, Hamidi R, et al. An upda-ted review on properties and indications of calcium silicate-based cements in endodontic therapy[J]. Int J Dent, 2022, 2022: 6858088.
23 Torres FFE, Zordan-Bronzel CL, Guerreiro-Tanomaru JM, et al. Effect of immersion in distilled water or phosphate-buffered saline on the solubility, volumetric change and presence of voids within new calcium silicate-based root canal sealers[J]. Int Endod J, 2020, 53(3): 385-391.
24 Donnermeyer D, Bürklein S, Dammaschke T, et al. Endodontic sealers based on calcium silicates: a sys-tematic review[J]. Odontology, 2019, 107(4): 421-436.
25 国家食品药品监督管理局. 牙科根管封闭材料: [S]. 北京: 中国标准出版社, 2010.
State Food and Drug Administration of the People’s Republic of China. Dental root canal sealing mate-rials: [S]. Beijing: Standards Press of China, 2010.
26 International Organization for Standardization. Dentistry-Root canal sealing materials: [S]. International Organization for Standardization, 2012.
27 Dotto L, Sarkis-Onofre R, Bacchi A, et al. The use of solvents for gutta-percha dissolution/removal du-ring endodontic retreatments: a scoping review[J]. J Biomed Mater Res B Appl Biomater, 2021, 109(6): 890-901.
28 Katunarić A, Dijanić P, Jurić Kaćunić D, et al. Efficiency evaluation of various solvents in retreatment of endodontic filling in extracted teeth[J]. Acta Stomatol Croat, 2022, 56(1): 2-11.
29 Whitworth JM, Boursin EM. Dissolution of root canal sealer cements in volatile solvents[J]. Int Endod J, 2000, 33(1): 19-24.
30 Bayram E, Dalat D, Bayram M. Solubility evaluation of different root canal sealing materials[J]. J Contemp Dent Pract, 2015, 16(2): 96-100.
31 Alzraikat H, Taha NA, Hassouneh L. Dissolution of a mineral trioxide aggregate sealer in endodontic solvents compared to conventional sealers[J]. Braz Oral Res, 2016, 30: S1806-S83242016000100215.
32 Ma JZ, Al-Ashaw AJ, Shen Y, et al. Efficacy of ProTaper Universal Rotary Retreatment system for gutta-percha removal from oval root canals: a micro-computed tomography study[J]. J Endod, 2012, 38(11): 1516-1520.
33 Oltra E, Cox TC, LaCourse MR, et al. Retreatability of two endodontic sealers, EndoSequence BC Sealer and AH Plus: a micro-computed tomographic comparison[J]. Restor Dent Endod, 2017, 42(1): 19-26.
34 Kaplowitz GJ. Evaluation of gutta-percha solvents[J]. J Endod, 1990, 16(11): 539-540.
35 张文文. 硬化水泥石高效清洗剂的研究[D]. 天津: 天津工业大学, 2014.
Zhang WW. Study on the highly efficient cleaning agent of hardened cement stone[D]. Tianjin: Tiangong University, 2014.
36 Wang T, Wu K, Kan LL, et al. Current understan-ding on microbiologically induced corrosion of concrete in sewer structures: a review of the evaluation methods and mitigation measures[J]. Constr Build Mater, 2020, 247: 118539.
37 Nandini S, Natanasabapathy V, Shivanna S. Effect of various chemicals as solvents on the dissolution of set white mineral trioxide aggregate: an in vitro study[J]. J Endod, 2010, 36(1): 135-138.
38 Saghiri MA, Garcia-Godoy F, Gutmann JL, et al. Removal of white mineral trioxide aggregate cement: a promising approach[J]. Biomed Res Int, 2013, 2013: 469164.
39 Wang Z, Ma J, Shen Y, et al. Acidic pH weakens the microhardness and microstructure of three trical-cium silicate materials[J]. Int Endod J, 2015, 48(4): 323-332.
40 Scrivener K, Ouzia A, Juilland P, et al. Advances in understanding cement hydration mechanisms[J]. Cem Concr Res, 2019, 124: 105823.
41 Garrib M, Camilleri J. Retreatment efficacy of hydraulic calcium silicate sealers used in single cone obturation[J]. J Dent, 2020, 98: 103370.
42 Inderpal SS. In vitro evaluation of the solubility of Endosequence BC sealer in acidic solutions[D]. Ri-chmond Virginia: Virginia Commonwealth University, 2021.
43 Rezaei G, Liu XH, Jalali P. Efficacy of different solvents for achieving patency in teeth obturated using bioceramic sealer[J]. J Endod, 2023, 49(2): 219-223.
44 Carrillo CA. Retreatability of tricalcium silicate-based boot canal sealing materials using different solutions[D]. Texas: University of Texas School of Dentistry, 2020.
45 Carrillo CA, Kirkpatrick T, Freeman K, et al. Retrievability of calcium silicate-based root canal sea-lers during retreatment: an ex vivo study[J]. J Endod, 2022, 48(6): 781-786.
46 Kaushal R, Bansal R, Malhan S. A comparative evaluation of smear layer removal by using ethy-lenediamine tetraacetic acid, citric acid, and maleic acid as root canal irrigants: an in vitro scanning electron microscopic study[J]. J Conserv Dent, 2020, 23(1): 71-78.
47 Ballal NV, Sona M, Tay FR. Effects of smear layer removal agents on the physical properties and microstructure of mineral trioxide aggregate cement[J]. J Dent, 2017, 66: 32-36.
48 Dąbrowska K, Palatyńska-Ulatowska A, Klimek L. The effect of irrigation with citric acid on biodentine tricalcium silicate-based cement: SEM-EDS in vitro study[J]. Materials (Basel), 2022, 15(10): 3467.
49 Ballal NV, Ulusoy Öİ, Rao S, et al. The efficacy of different irrigation protocols in removing tricalcium silicate-based sealers from simulated root canal irregularities[J]. Microsc Res Tech, 2019, 82(11): 1862-1868.
50 Zhekov K. Obtrution of the root canal system with hydraulic condesation and bioceramic sealer[D]. Bulgaria: Pharmacy Plovdiv University, 2022.
51 青岛四通八达商贸有限公司. 一种精密仪器雾化器积垢清洁剂: 201711086951.5[P]. 2019-05-14.
Qingdao Sitong Bada Trading Co Ltd. A scale cleaner for precision instrument atomizer: 201711086-951.5 [P]. 2019-05-14.
52 Halder N, Vemuri S, Guptha Anila BS, et al. To co-mpare the efficacy of various organic solvents on retrievability of Biodentine and their effect on microhardness of Biodentine and radicular dentin: an in vitro study[J]. J Conserv Dent, 2023, 26(1): 98-103.
[1] Yanduo Yang,Hong Chen,Zuda Xu,Yuan Zhao. A meta-analysis of the efficacy between bioceramic material iRoot BP Plus and mineral trioxide aggregate in pulpo-tomy [J]. Int J Stomatol, 2024, 51(2): 176-186.
[2] Huang Xin,Xu Xiaojie,Zhang Ronghua,Zhao Yuan. A review of pulp calcification and its treatment methods [J]. Int J Stomatol, 2024, 51(1): 82-90.
[3] Xing Guiqi,Guo Linxi,Su Qin. Clinical evaluation and treatment strategies for post-treatment endodontic disease [J]. Int J Stomatol, 2021, 48(5): 579-584.
[4] Liao Wenxiao,Ma Xindi,Hong Zhiwei,Wu Xinyu,Xing Yundi,Liu Jingwei,Chen Lei. Clinical effect of surgical extrusion in the treatment of complicated crown-root fracture of anterior teeth [J]. Int J Stomatol, 2021, 48(5): 541-548.
[5] Peng Weiqi,Gao Yuan,Xu Xin. The minimally invasive concept and research progress on access cavity design [J]. Int J Stomatol, 2021, 48(4): 433-438.
[6] Li Zheru,Dan Hongxia,Chen Qianming. Treatment of verrucous leukoplakia recurred after surgical excision using photodynamic therapy: a case report [J]. Int J Stomatol, 2021, 48(3): 318-321.
[7] Wang Hongyuan,He Lu,Zhang Ru,Zheng Deqiang,Li Hong. Comparative study on the shaping ability of thermally treated continuous rotating nickel-titanium systems for severely curved simulated canals [J]. Int J Stomatol, 2021, 48(3): 297-304.
[8] Meng Xiuping,Hou Jianhua,Li Yiran,Sun Mengyao. Research progress on the selection and design of base materials in deep margin elevation [J]. Int J Stomatol, 2021, 48(3): 280-286.
[9] Ji Mengzhen,Qi Meiyao,Du Kexin,Quan Shuqi,Zhang Yuqiang,Zheng Qinghua. Three-dimensional finite element study on the effect of pulp opening cavity on the resistance of cracked teeth after full crown restoration [J]. Int J Stomatol, 2021, 48(1): 41-49.
[10] Xue Jing. Development and clinical application of proximal matrix system [J]. Int J Stomatol, 2020, 47(6): 621-626.
[11] Ning Chenxi,Li Xia. Research progress on the effect of root canal sealers on root fracture resistance [J]. Int J Stomatol, 2020, 47(6): 711-716.
[12] Tan Kaixuan,Li Fan,Zhang Lijuan,Li Shanshan,Lu Jie,Zhang Ying,Yang Fang. Root canal retreatment with subcutaneous emphysema: a case report [J]. Int J Stomatol, 2020, 47(5): 563-566.
[13] Li Jiyao, Zheng Guangning. Spontaneous vertical root fracture: a diagnosis and treatment challenge [J]. Int J Stomatol, 2020, 47(4): 373-382.
[14] Li Mei,Wen Ningning,Zhao Yuan. Treatment options for young permanent teeth with pulp necrosis [J]. Int J Stomatol, 2020, 47(4): 445-451.
[15] Tang Bei,Zhao Wenjun,Wang Hu,Zheng Guangning,You Meng. Inferior alveolar nerve injury due to apical overfilling: two cases reports [J]. Int J Stomatol, 2020, 47(3): 293-296.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!