Radiological Outcome of Calcium Hydroxide as A Root Canal Sealer Constituent
DOI:
https://doi.org/10.61561/ssbj.v5i1.47Keywords:
Calcium hydroxide, zinc oxide eugenol, root canal sealer, radiological outcomes, endodontic treatment, periradicular pathosisAbstract
Background: The effectiveness of root canal sealers plays a crucial role in the success of endodontic treatments by preventing microbial leakage and promoting periapical healing. This study aimed to compare the radiological outcomes of calcium hydroxide-based sealers and zinc oxide eugenol sealers in treating teeth with periradicular pathosis.
Methods: This cross-sectional observational study was conducted at different private clinics, Dhaka, Bangladesh during the period from January 2019 to December 2019. A total of 60 permanent teeth with periradicular pathosis were randomly assigned into two groups: Group 1 (n=30), treated with zinc oxide eugenol sealer, and Group 2 (n=30), treated with calcium hydroxide-based sealer. Clinical evaluations were conducted on days 2 and 7 post-treatment, and radiological evaluations were performed at 3, 6, and 12 months. Data were analyzed using SPSS version 22.
Results: The majority of participants were aged 11-30 years, with a higher proportion of males in both groups. Trauma was the leading etiological factor, with maxillary teeth being more frequently affected. Group 2 showed significantly better radiological outcomes, with 80.00% exhibiting reduced periapical pathosis size at 3 months, compared to 26.67% in Group 1 (p < 0.001). At 6 months, 93.33% of Group 2 showed reduced pathosis size, compared to 60.00% in Group 1 (p = 0.002). At 12 months, 96.67% of Group 2 and 83.33% of Group 1 showed reduced pathosis size (p = 0.194). The final success rate was 96.67% in Group 2 and 86.67% in Group 1, with no statistically significant difference (p = 0.353).
Conclusion: Calcium hydroxide-based sealers provide superior radiological outcomes compared to zinc oxide eugenol sealers in the treatment of teeth with periradicular pathosis. These findings support the use of calcium hydroxide sealers for enhanced endodontic treatment outcomes.
Background: The effectiveness of root canal sealers plays a crucial role in the success of endodontic treatments by preventing microbial leakage and promoting periapical healing. This study aimed to compare the radiological outcomes of calcium hydroxide-based sealers and zinc oxide eugenol sealers in treating teeth with periradicular pathosis.
Methods: This cross-sectional observational study was conducted at different private clinics, Dhaka, Bangladesh during the period from January 2019 to December 2019. A total of 60 permanent teeth with periradicular pathosis were randomly assigned into two groups: Group 1 (n=30), treated with zinc oxide eugenol sealer, and Group 2 (n=30), treated with calcium hydroxide-based sealer. Clinical evaluations were conducted on days 2 and 7 post-treatment, and radiological evaluations were performed at 3, 6, and 12 months. Data were analyzed using SPSS version 22.
Results: The majority of participants were aged 11-30 years, with a higher proportion of males in both groups. Trauma was the leading etiological factor, with maxillary teeth being more frequently affected. Group 2 showed significantly better radiological outcomes, with 80.00% exhibiting reduced periapical pathosis size at 3 months, compared to 26.67% in Group 1 (p < 0.001). At 6 months, 93.33% of Group 2 showed reduced pathosis size, compared to 60.00% in Group 1 (p = 0.002). At 12 months, 96.67% of Group 2 and 83.33% of Group 1 showed reduced pathosis size (p = 0.194). The final success rate was 96.67% in Group 2 and 86.67% in Group 1, with no statistically significant difference (p = 0.353).
Conclusion: Calcium hydroxide-based sealers provide superior radiological outcomes compared to zinc oxide eugenol sealers in the treatment of teeth with periradicular pathosis. These findings support the use of calcium hydroxide sealers for enhanced endodontic treatment outcomes.
References
Tyagi S, Mishra P, Tyagi P. Evolution of root canal sealers: An insight story. European Journal of General Dentistry [Internet]. 2021 Nov 1 [cited 2024 Jun 29];2:199–218. Available from: https://www.thieme-connect.com/products/ejournals/abstract/10.4103/2278-9626.115976
Santos GCF, Oliveira GLD, Fernandes CDS, Braitt AH, Maia DCA, Souza CC, et al. Importância do selamento coronário no sucesso do tratamento endodôntico / Importance of coronary seal in the success of endodontic treatment. BJHR [Internet]. 2020 [cited 2024 Jun 29];3(6):17797–812. Available from: https://www.brazilianjournals.com/index.php/BJHR/article/view/21005/16755
Baras BH, Melo MAS, Thumbigere-Math V, Tay FR, Fouad AF, Oates TW, et al. Novel Bioactive and Therapeutic Root Canal Sealers with Antibacterial and Remineralization Properties. Materials [Internet]. 2020 Jan [cited 2024 Jun 29];13(5):1096. Available from: https://www.mdpi.com/1996-1944/13/5/1096
Kawashima N, Wadachi R, Suda H, Yeng T, Parashos P. Root canal medicaments. International dental journal [Internet]. 2009 [cited 2024 Jun 29];59 1:5–11. Available from: https://consensus.app/papers/root-medicaments-kawashima/474044bda10e5657b021afa970b98e56/
Huang TH, Lee H, Kao C. Evaluation of the genotoxicity of zinc oxide eugenol-based, calcium hydroxide-based, and epoxy resin-based root canal sealers by comet assay. Journal of endodontics [Internet]. 2001 [cited 2024 Jun 29];27 12:744–8. Available from: https://consensus.app/papers/evaluation-genotoxicity-zinc-oxide-eugenolbased-calcium-huang/988e919492a15f7d84bc2571df082128/
Huang F, Tai K, Chou M, Chang YC. Cytotoxicity of resin-, zinc oxide-eugenol-, and calcium hydroxide-based root canal sealers on human periodontal ligament cells and permanent V79 cells. International endodontic journal [Internet]. 2002 [cited 2024 Jun 29];35 2:153–8. Available from: https://consensus.app/papers/cytotoxicity-resin-zinc-oxideeugenol-calcium-huang/afff942c2cda5485b258f275057f6316/
Rajesh P, Kamath M, Bhat KS. A comparative evaluation of apical linear dye penetration of Glass ionomer based sealers with conventional root canal sealers. An in vitro study. Indian journal of dental research : official publication of Indian Society for Dental Research [Internet]. 2000 [cited 2024 Jun 29];11 1:13–7. Available from: https://consensus.app/papers/evaluation-penetration-glass-ionomer-based-sealers-rajesh/0e1c8b1331eb5d66a30a535c36a3a7dc/
Giudice R, Nicita F, Puleio F, Alibrandi A, Cervino G, Lizio A, et al. Accuracy of Periapical Radiography and CBCT in Endodontic Evaluation. International Journal of Dentistry [Internet]. 2018 [cited 2024 Jun 29];2018. Available from: https://consensus.app/papers/accuracy-periapical-radiography-cbct-endodontic-giudice/222508828d115b4d9ae6476efcc3c93d/
Setzer F, Lee S min. Radiology in Endodontics. Dental clinics of North America [Internet]. 2021 [cited 2024 Jun 29];65 3:475–86. Available from: https://consensus.app/papers/radiology-endodontics-setzer/5c9419b5161d58d6ab8a5041e4e4d08d/
[Guidelines for radiographic examination in cariology and endodontics]. Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology [Internet]. 2021 [cited 2024 Jun 29];56 4:311–7. Available from: https://consensus.app/papers/guidelines-examination-cariology-endodontics/eb7b93033b9b57e5a77a8213152e7011/
Scarfe W. Use of cone-beam computed tomography in endodontics Joint Position Statement of the American Association of Endodontists and the American Academy of Oral and Maxillofacial Radiology. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics [Internet]. 2011 [cited 2024 Jun 29];111 2:234–7. Available from: https://consensus.app/papers/conebeam-computed-tomography-endodontics-position-scarfe/b77c16cf4b0750ed88fd3c2c58e4d369/
Gröndahl HG, Huumonen S. Radiographic manifestations of periapical inflammatory lesions. Endodontic Topics [Internet]. 2004 [cited 2024 Jun 29];8(1):55–67. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1601-1546.2004.00082.x
Sanggaya DK, Prabu D, Ramanathan V. Association of gender in patients with extractions of endodontically treated teeth. The Journal of Contemporary Issues in Business and Government [Internet]. 2020 [cited 2024 Jun 29];26:206–11. Available from: https://consensus.app/papers/association-gender-patients-extractions-endodontically-sanggaya/7c0ae431f66e57ed88ef5216ff664381/
Sert DDS, Özçelik DDC, Tunca DDYM, Şahinkesen DDG. The Distribution of Endotontically Treated Teeth in Various Age Groups. Gulhane Medical Journal [Internet]. 2003 [cited 2024 Jun 29];45:249–55. Available from: https://consensus.app/papers/distribution-endotontically-treated-teeth-various-sert/e8a0c80834f2579683549af2367bd47b/
Rocha MJ, Cardoso M. Survival analysis of endodontically treated traumatized primary teeth. Dental traumatology : official publication of International Association for Dental Traumatology [Internet]. 2007 [cited 2024 Jun 29];23 6:340–7. Available from: https://consensus.app/papers/analysis-endodontically-treated-teeth-rocha/255c5c02e6dd560fa15b1d1ba5416dfe/
Venere DD, Rapone B, Corsalini M. Dental trauma in the anterior sector: an analysis of the predisposing factors in a group of orthodontic patients. La Clinica terapeutica [Internet]. 2020 [cited 2024 Jun 29];171 6:481–5. Available from: https://consensus.app/papers/dental-trauma-anterior-sector-analysis-predisposing-venere/dd33dd9d85d157219ef5be4123d3f5aa/
Sutter S, Knoll K. Role of Endodontics in Dental Trauma. 2018 [cited 2024 Jun 29];57–75. Available from: https://consensus.app/papers/endodontics-dental-trauma-sutter/77b3b2ce62245af18f53ea68dd30dabf/
Rocha MJ, Cardoso M. Traumatized permanent teeth in Brazilian children assisted at the Federal University of Santa Catarina, Brazil. Dental traumatology : official publication of International Association for Dental Traumatology [Internet]. 2001 [cited 2024 Jun 29];17 6:245–9. Available from: https://consensus.app/papers/traumatized-teeth-children-assisted-federal-university-rocha/ef36321bce4657a5bbf9cf1f125558c1/
Baumotte K, Bombana AC, Cai S. Microbiologic endodontic status of young traumatized tooth. Dental traumatology : official publication of International Association for Dental Traumatology [Internet]. 2011 [cited 2024 Jun 29];27 6:438–41. Available from: https://consensus.app/papers/microbiologic-status-traumatized-tooth-baumotte/4710fdfaa7d75200b59985b0d46466ce/
Swetha V, Ganapathy D, Kumar K. Root canal sealers in dental practice. International Journal of Research in Pharmaceutical Sciences [Internet]. 2020 [cited 2024 Jun 29]; Available from: https://consensus.app/papers/root-sealers-practice-swetha/3a67660dfc62537b9fd6e86b2a33b44f/
Imura N, Pinheiro ET, Gomes B, Zaia A, Ferraz CC, Souza-Filho FJ. The outcome of endodontic treatment: a retrospective study of 2000 cases performed by a specialist. Journal of endodontics [Internet]. 2007 [cited 2024 Jun 29];33 11:1278–82. Available from: https://consensus.app/papers/treatment-retrospective-study-2000-cases-performed-imura/3b768162493f538cb5dce17cf537bcf4/
Hannahan JP, Eleazer P. Comparison of success of implants versus endodontically treated teeth. Journal of endodontics [Internet]. 2008 [cited 2024 Jun 29];34 11:1302–5. Available from: https://consensus.app/papers/comparison-success-implants-versus-endodontically-hannahan/9f299554fc2e5e9583c362102da73b4d/
Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature - part 1. Effects of study characteristics on probability of success. International endodontic journal [Internet]. 2007 [cited 2024 Jun 29];40 12:921–39. Available from: https://consensus.app/papers/outcome-root-treatment-review-literature-part-effects-ng/973cfaf9974a5ca8a5ad6dd1365a7af8/
Friedman S, Mor C. The success of endodontic therapy--healing and functionality. Journal of the California Dental Association [Internet]. 2004 [cited 2024 Jun 29];32 6:493–503. Available from: https://consensus.app/papers/success-therapyhealing-functionality-friedman/1c1d82b4073e5b08ae9f964f972c66fa/
Downloads
Published
How to Cite
Issue
Section
