INTRODUCTION
SEALERS : These are Cements / Resins / Semiliquid / Plastic-which are
used as binding agents to fill up the gap between root canal and
obturating material.
-
IDEAL REQUIREMENTS
-
c) MEDICATED
1)
Ricketts
1)
Procos
formula Kerrs
ol
NonSealer (1931)
staining G
cement
2)
Procosol
(GrossmanRadio-opaque
1958)
silver
cement
(Grossman2)
Grossm
1936)
ans sealer
(Grossman1974)
3)
4)
1)
DIAKET
(1951)
1.
2)
AH 26 (1957)
2.
3)
Chloropercha
Eucapercha
3.
Nogenol
4.
5)
Hydron
5.
Endofil
Tublise
al
(Kerr1961)
7)
Glass Ionomer
Wachs
Paste (Wach
1925-55)
9)
Ca PO4 cements
10)
Cyanoacrylate
8)
Polycarboxylat
e
N2 (1970)
Endometha
sone
4)
6)
DIAKETA
Spad
Iodoform
paste
6.
Rieblers
paste
7.
Mynol
cement
8.
Ca (OH)2
paste (Lanes, 1962)
9.
Ca
(Frant,
[BiocalexCa(OH)2)]
(OH)2
1962)
II ACCORDING TO GROSSMAN:
1) Zinc-oxide resin cements.
2) Ca(OH)2 cements.
3) Paraformaldehyde cements.
4) Pastes.
III ACCORDING TO COHEN
Specification number 57 classifies endodontic filling materials as
follows:
Type I
Cl 1, Cl 2
Type II
Cl 1, Cl 2, Cl 3
Type III
Cl 1, Cl 2, Cl 3, Cl 4
Cements.
Pastes.
Plastic.
VI ACCORDING TO CLARK
-
Absorbable.
Non-absorbable
2. Resin based: Consists of an epoxy resin base which sets upon mixing
with an activator. Examples AH 26
-
Diaket
Hydron.
Chloropercha.
Encapercha.
Polycarboxylate cement.
Calcium phosphate.
Composite materials.
ii.
Paraformaldehyde.
Calcium hydroxide.
In the first group of pastes, the supplemented disinfectant is
Sealapex.
Biocalex.
SILVER CONTAINING
34-41.2%.
Precipitated silver
25-30.0%
Oleo resins
30-16%
8
Thymol iodide
11-12%
Liquid
Oil of cloves 78-80%
Canal balsam 20-22%
Advantages:
i.
ii.
iii.
iv.
v.
Disadvantages:
i.
Indication:
i.
Manipulation:
1.
10
2.
Granular
appearance
remains
even
after
45%
Ppt silver
17%
2%
Liquid:
Eugenol
90%
Canada balsam
10%
To get rid of stain use xylol to wash the pulp chamber after
condensation.
Indications:
1.
2.
3.
11
Packaging:
-
Mixing:
-
A)
Composition:
Composition:
Powder:
Powder:
Ba sulfate 15%
Ba sulfate 15%
Na anhydrous 1%
Liquid:
Liquid:
Eugenol 80%
Eugenol 5 parts.
12
Roths sol.
Endoseal.
Properties:
i)
It has plasticity.
ii)
iii)
iv)
13
may lodge on the walls of the canal and prevent the root-canal
filling from sealing at correct level.
Setting Time:
-
Manipulation:
-
a) Drop test
- 10-12 seconds
2) Tubliseal: 1961)
-
14
Composition:
Base:
ZnO
57-59%
Oleo resins
18.5 21.25%
Bismuth trioxide
7.5%
Thymol iodide
3.75% - 5%
10-10.1%
Barium sulphate
Catalyst:
Eugenol
Polymerized resin
Ammidalin.
It differs from Rickerts cement in that the ZnO base paste also
contains barium sulphate as a radiopacifier and mineral oil, corn, startch
and lethin, catalyst is made up of polypale resin eugenol and thermol
iodide.
Advantages:
1) Easy to mix.
2) Extensively lubricated.
3) Does not stain the tooth structure.
4) It expands after setting.
Disadvantages:
1) Irritant to peri apical tissue.
15
ii.
10g
Tricalcium phosphate
2g
Bismuth subnitrate
3.5g
Bismuth subiodide
0.3g
20ml
Oil of cloves
6ml.
16
Properties:
a) Medium WT.
b) Minimum lubricating quality.
c) Minimum periapical irritation.
d) It is sticky due to the presence of Canada balsam.
e) It should be mixed to smooth creamy consistency and
should string out at least one inch when spatula is raised
from the glass slab.
f) Increasing the thickness of the sealer lessens its lubricating
effect (so this sealer is introduced when there is a
possibility of over extension beyond the confines of the
root canal.
g) It is packaged as powder and liquid in separate bottles.
Advantages:
a)
It is germicidal.
b)
c)
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d)
Disadvantage:
a) Odour of liquid.
Indications:
a)
b)
Contraindications:
a)
Packaging:
Powder and liquid in separate bottles.
Mixing:
-
18
Ease of manipulation.
NON-EUGENOL
1) DIAKET
-
19
S.T. is 6-8 minutes on glass slab and faster in the root canal.
2) AH-26
This is an epoxy resin recommended by SHROEDER in 1954.
Powder:
Bismuth oxide
60%
20
10%
Titanium oxide
5%
Liquid:
Bisphenol diglycidyl ether
The formulation has been altered recently with the removal of
silver as one of the constituents to prevent tooth discolouration.
PROPERTIES / ADVANTAGES:
1.
2.
Antibacterial.
3.
4.
DISADVANTAGES:
1.
2.
PACKAGING
Yellow powder and viscous resin, liquid and is mixed to a thick
creamy consistency.
Its setting time:
21
Human studies:
-
EFFECTIVENESS OF SEALER:
-
19.6%
Resin
11.8%
Guttapercha
19.6%
Zinc oxide
49%
Liquid:
Chloroform
-
CHLOROPERCHA
-
INDICATIONS:
-
Perforations.
Johnston Callahan.
2.
Nygaard Ostby.
23
Johnston-Callahan method:
-
NYGAARD OSTBY
-
The canal walls are coated with kloroperka the primary cone
dipped in sealer is inserted apically.
24
2.
3.
4.
Composition: TDM-S
Powder:
a.
Tetracalcium phosphate.
b.
Dibasic Ca phosphate.
a.
Citric acid.
b.
Dibasic NaPO4.
c.
Chondrotin sulphate.
d.
Distilled H2O.
Liquid:
1.
Biocompatible.
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2.
3.
Liquid
-tricalcium phosphate
Polyacrylic acid.
Hydroxyl appatite.
Distilled H2O.
Iodoform.
Bismuth subcarbonate.
Type I
Type II
Type III
5% iodoform.
Treatment of accidental perforations.
Orthograde filling after apicectomy.
ADVANTAGES:
-
Biocompatible.
Osteogenic potential.
DISADVANTAGES:
-
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Low radioopacity.
Liquid:
ZnO.
Eugenol.
Iodoform.
Parachlorophenol.
Ca(OH)2
BaSO4
Biocompatible.
2) TS-60
Powder
Liquid
ZnO.
Fatty acids.
Rosin.
Magnesium oxide
Glycol.
27
W.T. is 6 to 8 minutes.
28
ENDOFIL:
-
Undecylenic acid.
Benzyl alcohol.
29
ADVANTAGES:
1. Ease of preparation.
2. Adjustable W.T.
3. Low working viscosity.
4. Rubbery consistency.
5. It is not a resorbable material.
DISADVANTAGES:
1. Cannot be used in the presence of H2O2.
2. Canal must be absolutely dry.
3. Shrinks upon setting but has an affinity for flowing into
open tubuli.
4. Endo-fills bonding ability to the canal walls decreases if it
is not used within about 20 minutes of mixing.
30
BIOCOMPATIBILITY:
-
ADVANTAGES:
-
Fewest voids.
Less cytotoxic.
DISADVANTAGES:
-
NOGENOL:
-
Methyl abietable.
Lauric acid.
Chlorothymol.
Salicylic acid.
POLYCARBOXYLATE CEMENTS:
-
ADVANTAGES:
1. It bonds well to dentine.
2. Antibacterial property.
3. Compounds like fluoride and Ca(OH)2 can be added.
DISADVANTAGES:
33
CYANOACRYLATE CEMENTS:
-
MEDICATED CEMENTS:
34
Examples:
Diaket A:
-
HUMAN STUDIES:
-
35
N2 :
-
N2 normal
N2 apical
Composition:
Powder
ZnO
68.51g
Pb tetroxide - 12.00g
Radiopaquers - Paraformaldehyde
4.70g
Bismuth subcarbonate
2.60g
Bismuth subnitrate
3.70g
8.40
36
0.04g
Liquid:
Eugenol.
Oleum Rosae
Oleum Lavandulal
-
TOXICITY:
-
ENDOMETHASONE:
-
Powder:
ZnO
- 100.0gm
0.019g
Hydrocortisone
1.6g
37
Thymol iodide
25.0g
Paraformaldehyde 2.20g
Liquid:
Eugenol
-
SPAD:
-
Composition:
Powder:
ZnO
72.9g
Ba Sulphate
13.00g
Titanium dioxide
6.30g
Paraformaldehyde 4.70g
Hydrocortisone acetate 2.00g
38
Ca(OH)2
0.94g
87.00g
Glycerine
13.00g
Liquid (LD)
(RED) Glycerine
55g
Resorcinol
25g
HCl acid
20g
INDICATIONS:
-
39
IODOFORM PASTE:
-
Walkhoff (1928).
It is a resorbable paste.
Consists of: 60 parts of iodoform.
40 parts of solution 45% parachlorphenol,
Antiseptic
49% of camphor
6% menthol.
40
DISADVANTAGE:
1) Pa irritation during construction of post crown (so call has
to be filled with non-absorbable material according to
Laws (1959) apical quarter of the canal with a section of
gutta-percha + paste and the remaining with nonresorbable material.
2) Discoloration.
3) Cannot be used in patients who have sensitivity to iodine.
RIEBLERS PASTE:
Powder:
ZnO
Formaldehyde
Ba sulphate.
Phenol.
41
Liquid:
Formaldehyde.
Sulphuric acid.
Ammonia.
Glycerine.
MYNOL CEMENT:
Powder:
ZnO.
Iodoform.
Rosin.
Bismuth subnitrate.
Liquid:
Eugenol.
Creosol.
Thymol.
-
APPLICATION OF A SEALER
-
Reamer.
Lentulo-spiral.
42
Reamer:
-
Spinning the sealer into the canal slow gentle pumping action +
helps a lateral rotary motion of the instrument helps to caat the
walls thoroughly and dispersal air trapped in the canal.
Lentulospiral:
-
43
pH 12.3 to 12.5.
(A)
44
Composition:
-
Catalyst
Ba sulphate.
Titanium dioxide radioopaque.
Resin.
Isobutyl salicylate and Acrocil R972.
Composition:
Powder:
ZnO
Hydrogenated rosin.
Ba SO4
Ca(OH)2 14%
Bismuth subcarbonate.
45
Liquid:
Eugenol
Eucalyptol.
-
(B)
LIFE
-
(C)
VITAPEX
-
(D)
BIOCALEX
-
The end result is that the contents of the canals are subjected to
chemical incineration with sterilization occurring by the action of
OH ions and sealing of the canal by decomposition of Ca(CO3).
47
NEWER SEALERS
1. Endofloss.
2. Appetite root canal sealer.
3. RCS containing tetra-calcium dicalcium phosphate and 1%
chondrotin sulphate.
1)
ENDOFLOSS:
-
Powder:
ZnO.
Iodoform.
Ca(OH)2
BaSO4
Liquid:
Eugenol.
Parachlorophenol.
-
Biocompatible.
48
2)
Powder:
Liquid:
-trica PO4
Polyacrylic acid.
Hydroxyl appetite.
Distilled H2O
Iodoform.
Bismuth subcarbonate.
3 types: - Type I; II and III:
1. Type I : ARS used for vital pulpectomy.
Type II : 30% iodoform used in infected canals that has
radioopacity; bactericide and bone invigoration effects.
Type III : in between cases which contains 5% iodoform.
2. Treatment of accidental perforations.
3. Orthograde filling.
Advantages:
Disadvantages:
1. Biocompatible.
essential.
1.
Sets
quickly;
hence
49
multiple
mix
TDM
Powder:
Tetracalcium PO4
Tetraca phosphate
Dibasic Ca PO4
Dibasic Ca phosphate
Liquid:
Citric acid
Dibasic NaPO4
Chondrotin sulphate
Distilled H2O
50
BIOSEAL:
Sealing ability of a new-hydroxyapatite containing endodontic
sealer using lateral condensation and thermatic composition of guttapercha in vitro JOE, Vol. 22; No. 4: April 96.
Hydrox:
1. Is assumed to influence the apical healing.
2. It may effect the sealing ability of the cement because of its
composite structure additive did not effect the sealing ability.
BIOSEAL : PCS.
IEJ (97) 30; 205-209: Ca(OH)2 RCS : evaluation of pH Ca ion
concentration and conductivity.
Sealapex
Hygienic CRCS
IInd.
IIIrd.
PCS ENT
AH-26; Ketac Endo; Sealapex Thick and thin layers.
51