CalciumCalcium hydroxidehydroxide

TemporaryTemporary

rootroot

canalcanal

fillingfillingSubbaseSubbase

ComponentComponent

ofof

sealerssealers

Dressing

CalciumCalcium hydroxidehydroxide

ShortShort term term actionaction1 1 ––

2 2 weeksweeks

DesinfectionDesinfection, , haemostasishaemostasis

CalciumCalcium hydroxidehydroxide

MidleMidle term term actionaction2 2 ––

3 3 monthsmonths

ApexificationApexificationChronicChronic

formform

ofof

apicalapical

periodontitisperiodontitis

CalciumCalcium hydroxidehydroxide

LongLong term term actionaction3 3 monthsmonths

andand

moremore

PreventionPrevention

ofof

resprptionresprption

Magistraliter

The

powder

is

mixed

with

destilled

water

Lentule

2 mm less

than

WL !!!!!

Apexit®

Plus

ApexCal®

RootRoot canalcanal fillingfilling

IdealIdeal rootroot

canalcanal fillingfilling

((GrossmanGrossman

1988)1988)

1.1.

EasyEasy

mixingmixing2.2.

SufficientSufficient

workingworking

timetime

3.3.

GoodGood

sealseal4.4.

XX--

rayray

contrastcontrast

5.5.

EasyEasy

removalremoval6.6.

No No shrinkageshrinkage

7.7.

LongLong

term volume stabilityterm volume stability8.8.

No No bacterialbacterial

growinggrowing

9.9.

No No permeabilitypermeability

forfor

fluidsfluids10.10.

BiocompatibilityBiocompatibility

11.11.

No No stainingstaining

ClassificationClassification ofof

rootroot canalcanal

fillingsfillings

SolidSolid

SemisolidSemisolid

PastesPastes

GuttaperchaGuttapercha

DriedDried

juicejuice

ofof

thethe

TabanTaban

treetree

((IsonandraIsonandra

perchapercha))((guttagutta) )

1,4 1,4 --

polyisoprenepolyisoprene

CrystallinCrystallin

structurestructure

(60%)(60%)

BrittleBrittle

GuttaperchaGuttapercha

Beta Beta phasephase

AAlphalpha phasephase 42 42 –– 49 49 °°CC--

plasticplastic

--

GammaGamma

phasephase

56 56 ––

6262°°

(amorfn(amorfníí) ) CoolingCooling

processprocess

veryvery

slowlyslowly

((lessless

thanthan

0,50,5°°C) C) ––

alphaalpha

phasephasenormalnormal

coolingcooling––

beta beta phasephase

CompositionComposition ofof guttaperchaguttapercha materialsmaterials in in endodonticendodontic

GuttaperchaGuttapercha

19% 19% ––

22%22%

ZincZinc

oxide 59 oxide 59 --

79%79%

HeavyHeavy

metal metal saltssalts

1% 1% --

7%7%

WaxWax

oror

resinresin

1% 1% --

4%4%

ResilonResilon ((PentronPentron))

ThermoplasticThermoplastic syntheticsynthetic polymerpolymer

PointsPoints oror materialmaterial forfor injectioninjection

CompositionComposition: : Polyester Polyester polymerspolymersBioactiveBioactive glassglassRadioopaqueRadioopaque fillersfillers ((bismuthumbismuthum oxichloridoxichlorid a a andandbaryum baryum sulphatesulphate))

SilverSilver oror titaniumtitanium conescones

No No goodgood sealseal

SilverSilver conescones -- corrosioncorrosion

SealerySealery

ChemicallyChemically

curingcuring

plasticplastic

materimateriáálsls

GoodGood

adhesionadhesion

to to rootroot

canalcanal

wallswalls

as as wellwell

as solid as solid conesconesXX--

rayray

contrastcontrast

BiocompatibilityBiocompatibility

SealersSealers

ZincZinc

OxideOxide--EugenolEugenolChloroperchaChloroperchaCalciumhydroxideCalciumhydroxideResinsResinsGlasionomerGlasionomerSiliconeSilicone

SealersSealers

ImportanceImportance

FillingFilling

ofof

thethe

spacesspaces

betweenbetween

thethe

solid solid conescones

SealSeal

ofof

thethe

rootroot

canalcanal

fillingfilling

ZincZinc -- Oxid Oxid EugenolEugenol

PowderPowder: : ZincZinc

oxide oxide

LiquidLiquid: : EugenolEugenolAcidicAcidic

resinsresins

GoodGood

adhesivityadhesivity, , antimikrobialantimikrobial

effecteffect, , cytotoxiccytotoxic. . resorbableresorbable))

ZinkZink Oxid Oxid EugenolEugenol sealerssealers

Pulp Pulp CanalCanal

SealerSealer

((KerrKerr, USA)), USA))

TubuliTubuli--

SealSeal

((KerrKerr, USA), USA)

CaryosanCaryosan

((SpofaSpofa

Dental, Dental, ČČR)R)

ChloroperchaChloropercha

PowderPowderCanadianCanadian

balsambalsam

ResinsResinsGuttaperchaGuttaperchaZincZinc

oxideoxide

LiquidLiquid::ChloroformChloroformResinsResins

ChloroperchaChloropercha

Vlastnosti: Vlastnosti:

GoodGood

adhesivityadhesivityShrinkageShrinkageToxicityToxicity

CalciumhydroxideCalciumhydroxide sealerssealers

Base ( Base ( powderpowder))CalciumCalcium

hydroxidehydroxide

ZincZinc

oxideoxideOtherOther

componentscomponents

andand

vehiculavehicula

KalciumhydroxidovKalciumhydroxidovéé sealerysealery

CatalystrCatalystr

(paste)(paste)ZincZinc

stearatstearat

TitaniumTitanium

dioxidedioxideBaryum Baryum sulphatesulphateororEugenolEugenol,. Eukalypt,. Eukalypt

othersothers

KalciumhydroxideKalciumhydroxide sealerssealers

IncreaseIncrease ofof thethe healighealig potentialpotential ofof periapicalperiapical tissuestissues

AntibacterialAntibacterial effecteffect

EasyEasy manipulationmanipulationButBut!!ResorbableResorbable

ifif

not not homogeneushomogeneus

Not Not suitablesuitable

forfor

thethe

single single conecone

techniquetechnique

ResinsResins

RezorcinRezorcin formaldehydformaldehyd

EpoxideEpoxide

PolyketonePolyketone

MetacrylateMetacrylate

RezorcinRezorcin formaldehydovformaldehydovéé pryskypryskyřřiceice

ToxicityToxicity

N2, N2, EndomethasonEndomethason, , RieblerRiebler´́s paste, s paste, ForedentForedent

Epoxide Epoxide resinresin

Base (Base (powderpowder, paste), paste)BismuthBismuth

oxidoxid

TitaniumTitanium

dioxidedioxideHexametylentetramineHexametylentetramine((SilverSilver))

CatalystCatalyst ((liquideliquide, paste), paste)BisphenoldiglycidyletherBisphenoldiglycidylether

Epoxide Epoxide resinresin AdvantagesAdvantages

LongLong workingworking timetimeHydrophilicHydrophilic ((goodgood penetrationpenetration))GoodGood adhesionadhesion to to thethe rootroot canalcanal wallswallsVolume stabilityVolume stabilityNo No dissolutiondissolutionAntibacterialAntibacterial

Epoxide Epoxide resinresin ((disadvantagesdisadvantages))

DifficultDifficult removalremoval

StainingStaining

InitiatioryInitiatiory roxicityroxicity

No No suitablesuitable

forfor

thethe

single single conecone

techniquetechnique

!!

PolyketonePolyketone

Base Base ZincZinc

oxideoxide

BismuthBismuth

phosphatephosphateHexametylentetramineHexametylentetramine

LequidLequidBisphenolglycidyletherBisphenolglycidylether

andand

otherother

componentscomponents

PolyketonePolyketone ((advantagesadvantages

andand disadvantagesdisadvantages))

AdvantagesAdvantagesGoodGood

adhesionadhesion

No No contractioncontractionNo No dissolutiondissolution

DisadvantagesDisadvantagesHighHigh

sticknessstickness

Not Not removableremovableProductsProducts: : DiaketDiaket, , DiaketDiaket

A (3M ESPE)A (3M ESPE)

MethacrylateMethacrylate resinsresins

EndoEndo

ReZReZ

((UltradentUltradent))

––

UDMAUDMAForFor

injectioninjection

––

single single conecone

techniquetechnique

EpiphanyEpiphany

((PentronPentron))BisBis--

GMA, GMA, etoxyetoxy

bifbif--

GMA, GMA, hydrophilichydrophilic

bifunctionalbifunctional

methacrylatesmethacrylatesCalciumCalcium

hydroxide, baryum hydroxide, baryum sulphatesulphate, baryum , baryum glassglass

silicasilica..SealerSealer in in combinationcombination withwith ResilonResilon

GlasionomerGlasionomer sealerssealers

Base (Base (powderpowder))Aluminium Aluminium silicatesilicate

glassglass

LiquidLiquidPolyacrylicPolyacrylic

acidacid, , polymaleicpolymaleic

acidacid, , tartarictartaric

acidacid

GlasionomerGlasionomer sealerssealers

((AdvantagesAdvantages andand

disadvantagesdisadvantages))AdvantagesAdvantages: : CuringCuring

underunder

wettwett

conditionsconditions, , chemicalchemical

bondingbonding

to to hardhard

dental dental tissuestissues, no , no stainingstaining

DisadvantagesDisadvantagesShortShort

workingworking

timetime, , difficultdifficult

removalremoval,,

porousporousProductsProductsKetacKetac

EndoEndo

(3M ESPE), (3M ESPE), EndionEndion

(VOCO)(VOCO)

Silicon Silicon basedbased sealerssealers

PolyvinylsiloxanePolyvinylsiloxane

((evev. in . in mixturemixture

withwith

powderedpowderedguttaperchaguttapercha

BiocompatibilityBiocompatibilityHydrofillicHydrofillic

FurtherFurther

investigationinvestigation

desirabledesirable..

RootRoot canalcanal fillingsfillings -- formsforms

PointsPoints ((ConesCones))

MaterialsMaterials forfor injectioninjection

PlasticPlastic materialsmaterials

InstrumentsInstruments

LentuloLentulo

CompactorsCompactors

CompactorsCompactors -- carrierscarriers

OthersOthers

Lentulo

delivers pastes

1,5 – 2 mm ahead

at most for Ca (OH)2

Spreader

Compactors

Pointed

Vertical introduction

Lateral condensationtechnique

Plugger

Not pointed

Vertical introduction

Vertical condensatuion- compaction

Compactors

FillingFilling techniquestechniques

ColdCold

WarmWarm

WarmWarm laterallateral condensationcondensation

VerticalVertical condensationcondensation

DifficulDifficul controlcontrol ofof thethe workingworking lengthlengthPossiblePossible extrusionextrusion ofof thethe sealersealerWarmWarm

InjectionInjection ofof

heatedheated guttaperchaguttapercha

FastFastPossiblePossible extrusionextrusionWarmWarm

Guttapercha

Sealer

Vertical

condensation

guttapercha

sealer

Injection

gutaperča

sealer

Condensation

ThermafilThermafil

FastFastRisk Risk ofof extrusionextrusionWarmWarmDifficultDifficult to to removeremove

guttapercha

carrier

sealer

Thermafil

Thermafil, Soft Core

and

others.