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BEST BIOCERAMIC SEALERS — Transcript

by Coltene India · 2,670 words · 511 segments · language en · Watch on YouTube

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0:00good morning to one at all
0:02my topic of discussion today is
0:04bioceramic sealers
0:07let me introduce myself i am doctor
0:09nandagishojayvarma working as
0:12dental surgeon in bharath hospital kotem
0:14from kerala let's begin with
0:17brushing up our knowledge on the
0:19progression of tender kds
0:21as you can see in the slide it shows an
0:23image
0:24of a tooth becoming infected in its
0:28different stages is shown in this
0:29picture from a clinically normal to an
0:32infected with periapical abscess
0:35and as you know
0:36the treatment for these stages from
0:39early enamel theories to tendinitis it
0:42is possible to restore the tooth with
0:44different materials such as composite
0:46gic's
0:48etc
0:49but in case of an infected tooth whose
0:51pulp is in fact infected and it has a
0:54periapical infection
0:56the treatment will be
0:58rct or root canal treatment
1:01now the question is what is root canal
1:03treatment yes it's the treatment which
1:06involves removal of the pulp tissues
1:08from the tooth
1:10shaping the canal cleaning it with
1:12different solutions and filling it with
1:14the filling material
1:16what are its steps yes it's access
1:18opening biomechanical preparation and
1:21obturations
1:24now let's see what is axis opening why
1:26is it important
1:28yes as you can see in the images it
1:30shows the steps of access opening and
1:33different tool with access opened
1:36showing the purple floor and the opening
1:39of root canals okay let's see
1:42what is the goals of an access cavity
1:45preparation
1:47according to vertuzi it's the removal of
1:49all curious material and carious tooth
1:52structure
1:53and conservation of the tooth structure
1:56and complete the roofing of the pulse
1:58chamber to locate all the root canal
2:01orifices and to access a straight line
2:05to the apical foramen now what is
2:09biomechanical preparation yes
2:11it's include shaping the canal to have a
2:14continuous tapering and conical
2:16structure which allows the
2:19prepared root canal the quality of flow
2:22that is it allows the sealer and heated
2:25gutter pressure to flow
2:27and to fill in
2:28the root canals
2:31it it has an objective to keep the
2:33apical foramen as much practically as
2:36smaller and should not
2:38transport the apical foramen
2:42it uses a series of tapered instruments
2:44or files
2:46and the use of chemical agents like
2:49sodium hypochlorite
2:50to include edta for the cleaning of
2:54root canals and to make it
2:56bacterial free
2:58the biological objectives are the
3:00containment of the instruments in the
3:02root canal
3:03ensuring necrotic debris are not forced
3:06beyond the effects
3:08removal of all tissues from the root
3:10canal creation of sufficient space for
3:13optimal obturation of radicular space
3:17these are shielders objectives
3:20now let's see the different methods of
3:21biomechanical preparations mainly three
3:24types step back technique hybrid
3:26technique and crown down technique
3:29in the step back technique it involves
3:32the cleaning from epicaltar middle third
3:35and coronal third
3:36while industrial
3:38step down technique it is
3:40just the opposite from coronal third
3:42middle third and uppercut and for hybrid
3:45the coronal third instrumentation is
3:47done first then they pick up third and
3:49at last the middle third is done
3:51i am not going into deep into these
3:54subjects or these topics since
3:56my topic proper is not this
3:59just brushing up that's all
4:01now the final stage or final step of rct
4:05that is observation
4:08the different methods include cold
4:10lateral condensation
4:11warm vertical and warm lateral
4:13compaction
4:15continuous wave compaction technique
4:17thermoplasticized injection technique
4:20carried base technique which include
4:22thermophile thermoplasticized and simply
4:24filled sectional pulteration
4:26thermo mechanical compaction by max
4:29spreading
4:30solvent technique which includes skin
4:32chili plasticized
4:33gut apache
4:35and custom corn or peace sentiment
4:38technique
4:40core lateral condensation it includes
4:43the placement of
4:45sealer coated master corn into a silicon
4:48root canal
4:50compacting or condensing it laterally
4:52using a spreader and placing silicone
4:55lateral or accessory combs into the
4:57canal till we get a 3d fill
5:01in case of
5:02warm vertical condensation or compaction
5:05a primary non-standardized or greater
5:08type of
5:10corresponding to last
5:11instrument used is fitted
5:14the canal is coated with a thin layer of
5:16root canal sealer
5:17the master cord is inserted up to the
5:19working length the coronal end of the
5:22corn is cut off with a heated instrument
5:24a heat carrier such as a plugger
5:27is used for this a vertical condenser
5:30plugger of suitable size is inserted and
5:33vertical pressure is applied
5:35to the gutta pacha
5:37to force plasticized material apparently
5:41the remaining portion of the canal is
5:42plugged with warm sections of additional
5:44pieces of gatta percha the materials
5:47used for observation it includes the
5:49oldest silver corns resilient and the
5:52commonly used cutter percha points
5:55and sealer
5:56now let's see what are root canal
5:58sealers
6:00they are used in conjunction with
6:02biologically acceptable solid or
6:04semi-solid obturating materials to get a
6:07tight seal of root canal system it's
6:09nothing but their chemicals which are
6:12used to court or seal the root canal
6:15surfaces its irregularities and the
6:17small lateral or accessory canals where
6:20the solid or semi-solid observative
6:23materials such as gatta pacha can't go
6:27what are the functions of root concealer
6:30yes it structurates the lateral canals
6:33acts as a lubricant
6:35improves an impervious hermetic seal it
6:38can assist in microbial control it's
6:41given for a increased radio obesity and
6:44as a filler for canal irregularities and
6:47minor discrepancies
6:49between root canal world and core
6:52filling material
6:54let's also go through some ideal
6:56properties of a
6:57sealer
6:58it should be
6:59excellent sealing property
7:01it should adhere to wall and filling
7:03material a radio pick non-staining
7:06dimensionally stable
7:07ease of mixed and placing into the canal
7:11insoluble tissue fluids bacteria
7:13residuals should have adequate water
7:15working time
7:16easily removable if necessary
7:20now the classification of sealer or
7:23types of sealer based on the chemical
7:25composition
7:27it's divided into single oxide based
7:29sealers
7:30calcium hydroxide base sealers glass
7:32synonymous cls resin sealers and bios
7:36around sealers
7:38now the classification of sealer or
7:40types of sealer based on the chemical
7:42composition it's divided into zinc oxide
7:46based sealers
7:47calcium hydroxide base sealers glass
7:50synonymous resin sealers and biosarang
7:53sealants
7:55now let's begin with the proper topic of
7:58the day bioceramic sealers it has many
8:01examples which are available
8:03now in market like sarasota
8:06serra seals bio root rcs bioc sealer
8:09guttaflow biosee
8:11seraphila cs
8:13etc
8:15on hearing the term we may have many
8:18questions in our mind like what are
8:21bioceramic sealer why do we not need
8:23that
8:25what makes it so different
8:27let's check it out
8:29what are bioceramic cells
8:31they are sealers
8:33those contain calcium silicate
8:36and or or calcium phosphate as their
8:39main component
8:41yes
8:42they are sealers which
8:44contains calcium silicate or calcium
8:46phosphate which help
8:48in the rebuilding of
8:50hydroxyapatite apatite
8:53to make it stronger seal with the
8:56dentin wall and mastecon or gp points
9:01what is bioactivity bioactivity of a
9:04biomaterial plays a key role in tissue
9:07regeneration and healing
9:09the performance of calcium silicate
9:11materials is largely attributable to
9:14their bioactivity that is
9:16their capacity to release calcium ion
9:19and produce apatite like crystalline
9:20precipitates when in contact with
9:23phosphate containing physiological
9:25fluids
9:26the precipitates are produced as a
9:28result of the dissolution of calcium
9:30hydroxide formed via hydration reactions
9:34the resulting increase in alkalinity and
9:36calcium concentration
9:38enhances the supersaturation
9:40of phosphate containing fluid with
9:43respect to apatite and hence promotes
9:45precipitation
9:47now let's go through its properties it
9:49is biocompatible and do not induce any
9:52critical cytotoxic effects
9:54it helps in the formation of a
9:56nanocomposite network of
9:58gel like calcium silicate hydrate
10:00intimately mixed with hydroxyapatite
10:03bioceramic and forms a hermetic seal
10:06when applied inside of canal
10:08there precipitates calcium phosphate on
10:11hydration with the same strength as
10:13human bone
10:14eye root bp is non-mutagenic does not
10:17cause an allergic potential after
10:19multiple uses and has a good tolerance
10:22by subcutaneous tissues
10:24high alkalinity increases the
10:26mineralization process also its
10:29bactericidal properties
10:32hydrophilic and root canal hydration
10:34aids in the formation of calcium
10:36phosphate hence gives strength
10:38low contact angle hence these features
10:41also allow them to spread easily over
10:43the tendon walls of root canal and to
10:45get inside and fill the lateral canals
10:49these new bioceramic sealers also form
10:51chemical bond with the canal stand
10:53involved that is why no space is left
10:55between the sealer and involves
10:58they are also osu conducting and has
11:01very good radio opacity
11:03hydrophilic and root canal hydration
11:06aids in the formation of calcium
11:08phosphate hence gives strength
11:10low contact angle hence these features
11:13also allow them to spread easily over
11:15the tendon walls of root canal and to
11:17get inside and fill the lateral canals
11:21these new bioceramic sealers also form
11:23chemical bond with the canal stand
11:25involved that is why no space is left
11:27between the sealer and involves
11:30they are also osteoconducting and has
11:33very good radio opacity
11:35it has a setting time of three to four
11:37hour hence it gives ample amount of time
11:40for placement in the root canal
11:42bioceramics do not shrink upon sitting
11:44in fact they actually expand slightly on
11:46completion of the sitting process
11:48furthermore
11:50bioceramics will not result in a
11:52significant inflammatory response
11:55if an overfill occurs during the
11:57observation
11:59it has a setting time of three to four
12:01hour hence it gives ample amount of time
12:04for placement in the root canal
12:06bioceramics do not shrink upon sitting
12:08in fact they actually expand slightly on
12:10completion of the sitting process
12:12furthermore
12:14bioceramics will not result in a
12:16significant inflammatory response
12:18if an overfill occurs during the
12:21observation
12:23types of bioceramic sealers
12:25they are classified into three main
12:27different types according to the main
12:29content as calcium phosphate silicate
12:31based
12:32pure dry calcium silicate based
12:35bioceramic sealers dry calcium silicate
12:38and resin based bioceramic sealers
12:41now let's
12:43see in detail the product of the day
12:45gutta flow biosyl a bioceramic sealer by
12:50colton let's see its composition
12:54it has gatapatcha powder particles
12:57polydimethylsiloxane platinum catalyst
13:00zirconium dioxide calcium salicylate
13:03bioactive glass ceramic color pigments
13:06nano silver particles
13:08silicates silicon oils and zinc oxide
13:15let's answer the question why do we need
13:17bioceramic sealers by looking into its
13:20properties
13:22due to the good alkalinizing activity
13:24combined with low solubility slight
13:26calcium release and ideal calcium
13:29phosphate ratio
13:30gutta flow biosale has apatite forming
13:33and bioactive abilities and represents
13:36the first choice for optimal root canal
13:39sealing and regeneration of bone and
13:41tendon tissues
13:43it's flowable two-in-one core filling
13:46system that is it has sealer and get
13:50apache particle in a single system
13:53expansion no time consuming condensation
13:56required yes
13:58we do not need any time consuming
14:00condensation processes it is available
14:02in a double barrel syringe with a mixing
14:05tip which allows a homogeneous mix to be
14:08dispensed the either directly quartered
14:11into a gatapota common
14:14which has this material has an expansion
14:17potential so there is no need of any
14:19condensation
14:21adhesion to get apache point and then
14:23denver has a better adhesion to get
14:26apache and indian wall
14:28the use of additional seals is not
14:29required it has in itself so no
14:32other sealers are required
14:34it has excellent flowable properties
14:37which helps to fill the irregularities
14:39and lateral canals
14:41allows for excellent pose preparation
14:43solubility is virtually zero so micro
14:46leakage is reduced
14:48it has an optimum protection against
14:50reinfection due to silver particles
14:52excellent radio opacity is we get a
14:55thigh seal of the root canal it has a
14:57walking time of 5 minutes and curing
14:59time 12 to 16 minutes
15:02after curing the new gutta flow bioseal
15:04forms hydroxyapatite crystals on the
15:06surface
15:07the crystals significantly improve
15:09adhesion and also stimulate natural
15:12triggers especially the regeneration of
15:15bone and dendritic tissue
15:18mta or bioglass have exhibited similar
15:21regenerative and supportive properties
15:23however the major disadvantages of these
15:25materials involve the long querying time
15:28and complicated handling
15:31guttaflow bioseal also combines free
15:33flow gatta percha with an appropriate
15:35sealer at room temperature
15:38now let's go through the results of some
15:40different research studies
15:42first one the effect of ah plus and
15:45gatta flow bioseal sealers on the
15:47fracture resistance of endodontically
15:49treated roots instrument with reciprocal
15:52rotary system the result obtained was
15:54both the sealers which was tested like
15:56aged plus and guttaflow bioseal
15:59improved the fracture resistance of the
16:01observatory without statistically
16:04significant differences between them
16:07the lowest mean value of the fracture
16:08resistance was seen in the control group
16:13now let's see the result of the second
16:16research
16:17that is ceiling ability of h plus and
16:19gata flow
16:21it was shown that the mean leakage in
16:24the gutta flow bioseal with gp group was
16:27lower than gp with h group and the
16:30control group gutter flow bioseal can be
16:32used in single con obturation technique
16:36next study was about guttaflow bioseals
16:39cytotoxicity
16:41assessment in vitro study
16:43it was shown that guttaflow biosales
16:45shows a lower cytotoxic potential or
16:48profile compared to the ah-26 sealant
16:52let's see one more study about cutter
16:54flow biosee as monocorn obturation
16:57technique a scanning electron microscopy
16:59study it showed that gutter flow bioseal
17:02with the gp con shows better coverage as
17:05compared to rhokosial atomic's root
17:08canal sealer and a gp corn
17:10yes it says that the guttaflow bioseal
17:14has a fluidity which permits a uniform
17:19flow in the root canal which causes
17:22minimum number or lesser number of voids
17:25and shows a continuous filling and a
17:27proper filling in the root canal and and
17:30hessian between the root canal wall or
17:33dentin wall and the mastocon or
17:35gatapatcha corn was excellent
17:39after looking into the properties and
17:41the results of many studies now let's
17:43see how can we use this clinically
17:46it has a
17:48dual barrel make syringe with the mixing
17:50tip so we can get easily get and
17:53homogeneously mixed
17:55sealer at the tip
17:57you can directly either directly inject
17:59the sealer directly into the root canal
18:02or you can just put it into a mixing pad
18:06coat the gutta pacha or the lendulo
18:08spiral with the sealer just transfer it
18:11into the walls of the
18:13road canal
18:14if you're using directly into the canal
18:16just use your mast account or the
18:19uh lentil spiral just pump it two to
18:22three times up and down in the canal
18:24coat the master con with the
18:27cutter flow place it until you get the
18:29tuck back your
18:31if you need any other accessory con you
18:33can place it in the similar way
18:35cut it
18:37your observation is completed
18:39this very simple
18:41very time saving to use
18:43to fill a canal with the new guttaflow 2
18:46syringe delivery system apply light
18:48pressure to the plunger to dispense the
18:50premix material from the tip
18:54insert guttaflow 2 into the root canal
18:56with the master point the last used
18:59apical file or a lincelo spiral
19:03if using the master point set the apical
19:05stop coat the master point and then
19:08apply guttaflow 2 to the canal
19:13remove the master point re-coat with
19:15sufficient gutta flow 2 and slowly
19:17insert the master point for permanent
19:20placement
19:24if the canal is not completely filled
19:26coat one or more accessory gutta-percha
19:29points insert into the canal and sear
19:32off the points with a heated hand
19:34instrument
19:35no lateral or vertical condensation is
19:38necessary
19:39now let's conclude
19:42the properties of gatta flow bioseal
19:45such as its availability with the
19:47incorporated gatta perch and sealer into
19:49a single
19:51syringe it's ease of application and the
19:54availability of homogeneous mix with
19:56mixing tips its expansion properties
19:59better hydration less voids and the
20:02microbial properties all this combined
20:04together make this a better sealant
20:08which
20:09reduces the chances of
20:11root canal treatment failure
20:14for references you could refer
20:16grossman's endodontic practice 13 volume
20:20and for references of the
20:22studies which was shown in the slides it
20:25is given in the respective slides
20:29i hope you all got some ideas about the
20:32root canal treatment its different steps
20:35the sealers used and especially the bio
20:38ceramic sealer and gutter flow biosim
20:42thank you thank you all for listening to
20:44my small lecture

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