Temporary canal filling of sealers
Transcript of Temporary canal filling of sealers
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CalciumCalcium hydroxidehydroxide
TemporaryTemporary
rootroot
canalcanal
fillingfillingSubbaseSubbase
ComponentComponent
ofof
sealerssealers
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Dressing
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CalciumCalcium hydroxidehydroxide
ShortShort term term actionaction1 1 ––
2 2 weeksweeks
DesinfectionDesinfection, , haemostasishaemostasis
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CalciumCalcium hydroxidehydroxide
MidleMidle term term actionaction2 2 ––
3 3 monthsmonths
ApexificationApexificationChronicChronic
formform
ofof
apicalapical
periodontitisperiodontitis
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CalciumCalcium hydroxidehydroxide
LongLong term term actionaction3 3 monthsmonths
andand
moremore
PreventionPrevention
ofof
resprptionresprption
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Magistraliter
The
powder
is
mixed
with
destilled
water
Lentule
2 mm less
than
WL !!!!!
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Apexit®
Plus
ApexCal®
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RootRoot canalcanal fillingfilling
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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
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ClassificationClassification ofof
rootroot canalcanal
fillingsfillings
SolidSolid
SemisolidSemisolid
PastesPastes
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GuttaperchaGuttapercha
DriedDried
juicejuice
ofof
thethe
TabanTaban
treetree
((IsonandraIsonandra
perchapercha))((guttagutta) )
1,4 1,4 --
polyisoprenepolyisoprene
CrystallinCrystallin
structurestructure
(60%)(60%)
BrittleBrittle
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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
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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%
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ResilonResilon ((PentronPentron))
ThermoplasticThermoplastic syntheticsynthetic polymerpolymer
PointsPoints oror materialmaterial forfor injectioninjection
CompositionComposition: : Polyester Polyester polymerspolymersBioactiveBioactive glassglassRadioopaqueRadioopaque fillersfillers ((bismuthumbismuthum oxichloridoxichlorid a a andandbaryum baryum sulphatesulphate))
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SilverSilver oror titaniumtitanium conescones
No No goodgood sealseal
SilverSilver conescones -- corrosioncorrosion
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SealerySealery
ChemicallyChemically
curingcuring
plasticplastic
materimateriáálsls
GoodGood
adhesionadhesion
to to rootroot
canalcanal
wallswalls
as as wellwell
as solid as solid conesconesXX--
rayray
contrastcontrast
BiocompatibilityBiocompatibility
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SealersSealers
ZincZinc
OxideOxide--EugenolEugenolChloroperchaChloroperchaCalciumhydroxideCalciumhydroxideResinsResinsGlasionomerGlasionomerSiliconeSilicone
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SealersSealers
ImportanceImportance
FillingFilling
ofof
thethe
spacesspaces
betweenbetween
thethe
solid solid conescones
SealSeal
ofof
thethe
rootroot
canalcanal
fillingfilling
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ZincZinc -- Oxid Oxid EugenolEugenol
PowderPowder: : ZincZinc
oxide oxide
LiquidLiquid: : EugenolEugenolAcidicAcidic
resinsresins
GoodGood
adhesivityadhesivity, , antimikrobialantimikrobial
effecteffect, , cytotoxiccytotoxic. . resorbableresorbable))
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ZinkZink Oxid Oxid EugenolEugenol sealerssealers
Pulp Pulp CanalCanal
SealerSealer
((KerrKerr, USA)), USA))
TubuliTubuli--
SealSeal
((KerrKerr, USA), USA)
CaryosanCaryosan
((SpofaSpofa
Dental, Dental, ČČR)R)
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ChloroperchaChloropercha
PowderPowderCanadianCanadian
balsambalsam
ResinsResinsGuttaperchaGuttaperchaZincZinc
oxideoxide
LiquidLiquid::ChloroformChloroformResinsResins
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ChloroperchaChloropercha
Vlastnosti: Vlastnosti:
GoodGood
adhesivityadhesivityShrinkageShrinkageToxicityToxicity
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CalciumhydroxideCalciumhydroxide sealerssealers
Base ( Base ( powderpowder))CalciumCalcium
hydroxidehydroxide
ZincZinc
oxideoxideOtherOther
componentscomponents
andand
vehiculavehicula
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KalciumhydroxidovKalciumhydroxidovéé sealerysealery
CatalystrCatalystr
(paste)(paste)ZincZinc
stearatstearat
TitaniumTitanium
dioxidedioxideBaryum Baryum sulphatesulphateororEugenolEugenol,. Eukalypt,. Eukalypt
othersothers
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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
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ResinsResins
RezorcinRezorcin formaldehydformaldehyd
EpoxideEpoxide
PolyketonePolyketone
MetacrylateMetacrylate
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RezorcinRezorcin formaldehydovformaldehydovéé pryskypryskyřřiceice
ToxicityToxicity
N2, N2, EndomethasonEndomethason, , RieblerRiebler´́s paste, s paste, ForedentForedent
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Epoxide Epoxide resinresin
Base (Base (powderpowder, paste), paste)BismuthBismuth
oxidoxid
TitaniumTitanium
dioxidedioxideHexametylentetramineHexametylentetramine((SilverSilver))
CatalystCatalyst ((liquideliquide, paste), paste)BisphenoldiglycidyletherBisphenoldiglycidylether
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Epoxide Epoxide resinresin AdvantagesAdvantages
LongLong workingworking timetimeHydrophilicHydrophilic ((goodgood penetrationpenetration))GoodGood adhesionadhesion to to thethe rootroot canalcanal wallswallsVolume stabilityVolume stabilityNo No dissolutiondissolutionAntibacterialAntibacterial
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Epoxide Epoxide resinresin ((disadvantagesdisadvantages))
DifficultDifficult removalremoval
StainingStaining
InitiatioryInitiatiory roxicityroxicity
No No suitablesuitable
forfor
thethe
single single conecone
techniquetechnique
!!
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PolyketonePolyketone
Base Base ZincZinc
oxideoxide
BismuthBismuth
phosphatephosphateHexametylentetramineHexametylentetramine
LequidLequidBisphenolglycidyletherBisphenolglycidylether
andand
otherother
componentscomponents
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PolyketonePolyketone ((advantagesadvantages
andand disadvantagesdisadvantages))
AdvantagesAdvantagesGoodGood
adhesionadhesion
No No contractioncontractionNo No dissolutiondissolution
DisadvantagesDisadvantagesHighHigh
sticknessstickness
Not Not removableremovableProductsProducts: : DiaketDiaket, , DiaketDiaket
A (3M ESPE)A (3M ESPE)
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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
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GlasionomerGlasionomer sealerssealers
Base (Base (powderpowder))Aluminium Aluminium silicatesilicate
glassglass
LiquidLiquidPolyacrylicPolyacrylic
acidacid, , polymaleicpolymaleic
acidacid, , tartarictartaric
acidacid
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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)
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Silicon Silicon basedbased sealerssealers
PolyvinylsiloxanePolyvinylsiloxane
((evev. in . in mixturemixture
withwith
powderedpowderedguttaperchaguttapercha
BiocompatibilityBiocompatibilityHydrofillicHydrofillic
FurtherFurther
investigationinvestigation
desirabledesirable..
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RootRoot canalcanal fillingsfillings -- formsforms
PointsPoints ((ConesCones))
MaterialsMaterials forfor injectioninjection
PlasticPlastic materialsmaterials
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InstrumentsInstruments
LentuloLentulo
CompactorsCompactors
CompactorsCompactors -- carrierscarriers
OthersOthers
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Lentulo
delivers pastes
1,5 – 2 mm ahead
at most for Ca (OH)2
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Spreader
Compactors
Pointed
Vertical introduction
Lateral condensationtechnique
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Plugger
Not pointed
Vertical introduction
Vertical condensatuion- compaction
Compactors
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FillingFilling techniquestechniques
ColdCold
WarmWarm
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WarmWarm laterallateral condensationcondensation
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VerticalVertical condensationcondensation
DifficulDifficul controlcontrol ofof thethe workingworking lengthlengthPossiblePossible extrusionextrusion ofof thethe sealersealerWarmWarm
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InjectionInjection ofof
heatedheated guttaperchaguttapercha
FastFastPossiblePossible extrusionextrusionWarmWarm
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Guttapercha
Sealer
Vertical
condensation
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guttapercha
sealer
Injection
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gutaperča
sealer
Condensation
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ThermafilThermafil
FastFastRisk Risk ofof extrusionextrusionWarmWarmDifficultDifficult to to removeremove
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guttapercha
carrier
sealer
Thermafil
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Thermafil, Soft Core
and
others.