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A Journal on Dentistry and Maxillofacial Surgery

Official Journal of the Italian Society of Odontostomatology and Maxillofacial Surgery
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Minerva Stomatologica 2007 October;56(10):509-17

language: English, Italian

Influence of calcium hydroxide debris on the quality of endodontic apical seal

Contardo L., De Luca M., Bevilacqua L., Breschi L., Di Lenarda R.

Clinic University Department of Biomedicine University of Trieste, Trieste, Italy


Aim. The aim of the study was to study investigate the influence of calcium hydroxide used as intermediate medication on the quality of apical seal of a silicon based and an experimental resin based endodontic sealer.
Methods. Eighty endodontic canals were prepared and divided in four groups. Calcium hydroxide was applied in groups 2 and 4. After 7 days, medication was removed and canals were filled with gutta-percha and RoekoSeal Automix (groups 1 and 2) or Scotchbond MP+C&B cement B (groups 3 and 4). Specimens were placed into India ink, cleared and analyzed under a stereomicroscope to investigate apical leakage.
Results. Specimens that received calcium hydroxide medication showed leakage means higher than the corresponding untreated ones (i.e. group 1< group 2 and group 3< group 4; P<0.001).
Conclusions. Calcium hydroxide interferes with the sealing ability of silicon based sealer, since it frequently remains entrapped within the endodontic space even after careful removal procedures.

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