Sealing ability of bioceramic furcation perforation repair materials – A systematic review
Aim: Furcation perforation is a critical complication in endodontic treatment that occurs when a communication is established between the root canal and the periodontal space. This defect can lead to severe sequelae, including infection, abscess formation, and tooth loss. To prevent these adverse ou...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Endodontology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/endo.endo_143_24 |
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| Summary: | Aim:
Furcation perforation is a critical complication in endodontic treatment that occurs when a communication is established between the root canal and the periodontal space. This defect can lead to severe sequelae, including infection, abscess formation, and tooth loss. To prevent these adverse outcomes, it is imperative to seal the perforation with a biocompatible material that provides a hermetic seal. Such a material can effectively prevent bacterial ingress and subsequent tissue damage. The objective of this systematic review is to assess the sealing efficacy of various materials employed for furcation perforation repair.
Methods:
Online electronic databases such as PubMed-MEDLINE and Google Scholar were explored for suitable studies. In this evaluation, papers were deemed eligible for the data extraction if they included in vitro studies evaluating the sealing ability of furcation perforation repair materials. Only articles written in English language were included in this systematic review. The review was conducted according to the Reporting Items for Systematic Reviews and Meta-Analyses checklist.
Results:
The search identified around 2240 articles; 61 articles were included after primary screening. Twenty-three articles were included in the review based on inclusion and exclusion criteria.
Conclusion:
As per rigorous investigation done, mineral trioxide aggregate (MTA) is the most commonly used material for repairing furcation perforations, but it has lower sealing ability compared to Biodentine and EndoSequence. New materials such as ParaCore, G-aenial Universal Flo, and nano-MTA offer improved sealing capabilities and may provide better protection against microleakage, especially in complex cases where MTA may be less effective. |
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| ISSN: | 0970-7212 2543-0831 |