Retreatability of calcium silicate-based sealers based on micro-computed tomographic evaluation − A systematic review

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Sundus Mohammed Bukhary
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引用次数: 0

Abstract

Introduction

Endodontic retreatment procedures with calcium silicate-based sealers (CSS) have been receiving greater credibility in clinically challenging situations. The objective of this systematic review was to analyze the published in vitro studies for the retrievability of CSS in comparison to resin-based sealers evaluated using micro-computed tomography (micro-CT) in terms of the volume of the residual root canal filling materials, time taken, efficacy of the solvent, and different systems used during the retreatment procedure.

Methods

The study protocol was registered in the International Prospective Register of Systematic Reviews and conducted in adherence to PRISMA 2020 checklist. Accordingly, an electronic literature search was done to identify studies published in English language, within the time frame from January 2004 to June 2024. The search was conducted through popular databases including PubMed (Medline – National Library of Medicine), Scopus (Science Direct), EMBASE and Google Scholar following the inclusion and exclusion criteria answering the research question in focus.

Results

After thorough scrutiny, 15 studies qualified for the systematic review. Following retreatment, in all of the studies pre-treatment working length was achieved, with both the types of endodontic sealers. However, none of the micro-CT studies reported complete removal of endodontic filling material from the root canals. Irrespective of the sealer type used, within each root canal, apical third had the greatest amount of remaining filling material, followed by the middle and coronal thirds.

Conclusions

Retreatment of canals obturated with bioceramic sealers is feasible in most cases using traditional instruments and techniques. Active irrigation and supplemental mechanical removal, which employs lasers, XP-Finisher, and ultrasonics, adds advantage to maximize material removal.
基于微型计算机断层扫描评估的硅酸钙封孔剂的可退回性--系统综述
导言使用硅酸钙封闭剂(CSS)进行牙髓再治疗手术在临床上具有挑战性的情况下越来越受到信任。本系统性综述的目的是分析已发表的体外研究,从残留根管填充材料的体积、所需时间、溶剂的功效以及再治疗过程中使用的不同系统等方面,评估硅酸钙封闭剂与树脂基封闭剂的可回收性。因此,我们进行了电子文献检索,以确定 2004 年 1 月至 2024 年 6 月期间发表的英文研究。检索是通过流行的数据库进行的,包括 PubMed(Medline - 美国国家医学图书馆)、Scopus(Science Direct)、EMBASE 和 Google Scholar,检索时遵循了回答重点研究问题的纳入和排除标准。再治疗后,所有研究中的两种牙髓封闭剂都达到了治疗前的工作长度。但是,没有一项显微 CT 研究报告根管中的牙髓充填材料被完全清除。无论使用哪种类型的封闭剂,在每个根管内,根尖三分之一处剩余的充填材料最多,其次是中间三分之一处和冠状三分之一处。利用激光、XP-Finisher 和超声波进行主动冲洗和辅助机械清除,可以最大限度地清除材料。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Saudi Dental Journal
Saudi Dental Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.60
自引率
0.00%
发文量
86
审稿时长
22 weeks
期刊介绍: Saudi Dental Journal is an English language, peer-reviewed scholarly publication in the area of dentistry. Saudi Dental Journal publishes original research and reviews on, but not limited to: • dental disease • clinical trials • dental equipment • new and experimental techniques • epidemiology and oral health • restorative dentistry • periodontology • endodontology • prosthodontics • paediatric dentistry • orthodontics and dental education Saudi Dental Journal is the official publication of the Saudi Dental Society and is published by King Saud University in collaboration with Elsevier and is edited by an international group of eminent researchers.
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