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.
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