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Badraldin
G.V.Black Dental Center
Khartoum-Sudan
Jully-2009
as antimicrobial agent
fill the discrepancies between the obturation materials and dentin
walls
as binding agent
As lubricant
Give radiopacity
As canal obturating material
1-Sealers may be classified according to their composition (Ingle)
Eugenol
Non-eugenol
Medicated
Basically the eugenol group may be divided into subgroup namely
a-silver containing
b - silver free
--- silver containing cements
Kerr sealer ( Rickert,1931)
-- Silver free cements
Grossman's sealer Tubliseal Wash's paste
. Easy handling.
. Radiopacity provided by salts of heavy metals and a halogen: lead, silver, barium,
bismuth, or iodine.
powder :
zinc oxide 34---41.2 %
precipitated silver 25-30 %
Oleo resins 30-16%
Thymol iodide 11-12%
Liquid :
oil cloves 78-80%
Canada balsam 20-22% make the sealer tacky
Advantages 1- excellent lubricating properties
2- working time more than 30 mints ratio 1:1 Completely set and
become inert within 15-30min thus reducing the inflammatory
responses compared to other That take 24-36hours to set EWT
6 hour working time
3- germicidal
4- greater bulk than any sealer this is ideal
for condensation techniques
Disadvantages-- staining of the tooth --rapid setting time in high
heat/humidity region
Zinc oxide eugenol sets because of a combination of physical and chemical reaction,
yielding hardening of the mixture is due to formation of zinc eugenolate the
presence of free eugenol tend to weaken the set and increased the cytotoxicity.
Practically all ZOE Sealer Cements are cytotoxic and invoke an inflammatory response
in connective tissues.
ease of manipulation- plasticity - radiopaque with some germicidal
properties- minimal staining accepted working time, low setting time in the absence
of moisture. good sealing properties.
- irritation & not easily absorbed from periapical tissues. Zinc eugenolate
has the disadvantage, however, of being decomposed by water through a continuous
loss of the eugenol. This makes ZOE a weak, unstable material and precludes its use in
bulk, such as for retrofillings placed apically through a surgical approach.
-The initial ZOE Cement, developed by Rickert(1931)
-The silver, added for radiopacity, causes discoloration of
the teeth, thus creating an undesirable public image for
endodontic.
a nonstaining sealer
Marketed as a two-paste system
Composition
Base:
Zinc Oxide
Oloe Resin
Bismuth trioxide
contains barium sulfate as a radiopacifier
Thymol iodide
Oil and Waxes
Catalyst:
Eugenol
Polymerized resin
Annidalin
setting time glass slab 20 minutes root canal 5 minutes.
Advantages
:
quick and easy mix and manipulation
extremely lubricated( Due to its lubrication property can be
used when it is difficult to the master cone to Reach the last
millimeter of preparation
does not stain teeth
expands after setting
Disadvantages
- Irritate periapical tissues
-very low viscosity easy extrusion through apical foramen
-short working time,rapid set especially in the presence of
moisture (used when apical surgery is to Be performed
immediately after filling)
The company has reformulated the sealer to extend working
time, it now available in auto-mix tube
According to
the manufacturers description,
Zinc Oxide- Eugenol Root canal sealer
Powder:
Zinc oxide---- Thymol iodide ---Barium Sulphate
Liquid:
Eugenol
Advantages
does not( irritate) periapical tissues
Contains antiseptic and anti-inflammatory additives
Does not stain the tooth structure
Good radiopacity
High adhesion properties (Fluid-tight seal, not
hermetic seal)
Easy of manipulation & application
acceptable work time
According to
the manufacturers description,
Endofill is a radiopaque preparation for
permanent root-canal filling.
Its composition is well tolerated by tissues
and it provides anti-inflammatory, antiseptic
actions. Before hardening, the paste penetrates
the narrowest fissures and maintains its
therapeutic effects throughout the treatment
until completely set. The final
obturation neither retracts nor resorbs.
Endofill is available as REGULAR or SLOW setting
COMPOSITION
Powder :
Dexamethasone Acetate 0.01%,
Hydrocortisone Acetate 1.0%,
Polyoxymethylene 2.2%, Thymol lodide 22.5%,
excipient ad 100%
Liquid :
Eugenol
According to
the manufacturers description,
Powder:
Enoxolone 1%, Diiodothymol, Zinc oxide,
Radio-opacifier: silver powder.
Liquid:
Eugenol.
PROPERTIES
SEALITE ULTRA contains Enoxolone): non
steroidal anti-inflammatory agent with
good local and systemic safety. It is used for the
relief of post-operative pain following root canal.
work cement witch perfectly fills even the smallest
canals, very thin film thickness, no disintegration,
very slow solubility, very high flexibility of handling,
adequate working time and setting time
According to
the manufacturers description,
Root Canal Sealant Based On Grossman's Formula
Antibacterial,non inflammatory
* Root canal sealing using gutta percha points
* Root canal sealing without using gutta percha points
* Root canal filling for infected root canals
Composition:
* Zinc Oxide * Bismuth Subcarbonate*Iodoform
* Epoxy Resins* Barium Sulphate* Sodium borate
Eugenol
* Setting Time 5 - 10 Minutes*
Working Time 4 - 6 Seconds
Product Benefits:
* Antibacterial and non inflammatory
* Based on Grossman's Formula
* Radiopaque and non staining
* Excellent thermal insulation
Side Effects
Avoid contact of
with the skin mucous
membranes and the eyes. Unset Apexit Plus may cause
slight irritations.
Interactions
The setting time of
in the root canal is
dependent upon the availability of moisture. The
setting reaction can progress very quickly in canals
which have been inadequately dried.
The material begins to set at the apex, as
dentin is thinnest in this region and the apical foramen
admits additional moisture. Thus even when using
, make sure to thoroughly dry the root canal
system prior to performing the obturation. Outside the
mouth, on the mixing pad,
may remain soft
for several days, depending on the ambient humidity
The setting time of
is between two and five
hours. In very dry canals, the setting time can be more
than ten hours.
similar to SealApex
Contain 40% Iodoform
Contain Iodoform& ZOE
Developed to replace gutta percha and traditional sealers for root canal treatment
Contains
-Urethane Dimethacrylate(UDMA)
-Poly(ethylkene glycol)dimethacrylate(PEGDMA)
-BisphenolA-dimethacrylate(BisGMA)resins
- Silane-treated barium borosilicate glass,
-Barium sulfate,
-silica,
-calcium hydroxide,
-bisthmus oxychloride with amines,
- peroxide,
-photo inhibiter, pigments.
designed for use with Polycaprolactone core material.Self-cures in about 25minutes.
It comes with a self-etch prime.
Sodium hypochlorite may negatively affect bond strength.the last irrigation should be EDTA&
Sterile water or chlorhexidine. When obturation is completed ,the coronal surface may be
Light-cured for 40 seconds to create coronal seal.
.)
Ease of manipulation radiopacity,
Best bond to dentin,
Fewest voids,
Lowest surface tension,
Best flow.
Their greatest concern was the problem of removal in the event of re-treatment since
there is no known solvent for glass ionomers . Experimental Sealer .
- biocompatible
- the mixture is a loose granular aggregate, so it doesn't stick to any
instrument( cement 0r amalgam carrier),unless compacted very lightly
the loosely bong aggregate will be pushed out of the cavity.
-Bacteriostatic
- Difficult to manipulate
- long setting time
- costly
: - Apexification
- Root resorptions
- Root perforations
- Pulp capping
- Root end filling material ( grafting endodontic)
:
1-MTA material should be kept in closed container to avoid moisture
2- should be stored in dry area
3- material should be immediately placed after mixing to prevent
dehydration during setting
4- working time is about five minutes, if more time working is need
The mixed material should be covered by moist gauge to prevent evaporation
Or add small drop of water during capillary condensation technique.
According to
1. During setting hard ceramic-based sealers expand. Expansion of BioAggregate and iRoot
SP and iRoot BP is significant 0.20%
2. Bioceramic-based sealers are capable of achieving fast alleviation of the pain in cases of
acute periapical inflammation. After appropriate instrumentation and cleaning of the root
canal, followed by immediate filling with iRoot SP, pain rapidly diminishes and most often is
totally gone within a period of 50 minutes to few hours.
In cases of MTA-based materials extrusion outside the root canal is associated with severe
pain felt by the patient.
When bioceramic-based sealers BioAggregate or iRoot SP are extruded, the pain is
relatively small or totally absent. Such lack of pain may be explained with the
characteristics of these new materials. During hardening they produce
hydroxylapatite and after the end of hardening process they exhibit the same features as
non-resorbable hydroxylapatite-based bioceramics used for bone replacement in oral
surgery. Due to the hydroxylapatite formed, they are also osseoconductive
3. MTA-based materials and BioAggregate have quite poor radiopacity, different from
bioceramic based iRoot SP and iRoot BP sealers.