Abstract
Objetivo: comparar a capacidade de adesão do cimento biocerâmico EndoSequence BC e do cimento resinoso AH Plus através de uma revisão integrativa. Material e Métodos: os bancos de dados online Medline/PubMed, Scopus, Web of Science e BVS foram utilizados para a revisão da literatura. Os critérios de elegibilidade incluíram artigos disponíveis na íntegra nas bases de dados pesquisadas, em inglês, e o conteúdo referente à adesão do cimento Endosequence BC sealer em comparação ao AH Plus. Resultados: foram encontrados 45 artigos. Após a remoção duplicada, 22 artigos foram selecionados. Após a leitura dos resumos, textos completos e aplicação dos critérios de inclusão, foram incluídos no total oito artigos. Em relação à capacidade de adesão dos cimentos testados, o AH Plus apresentou melhor adesão do que o cimento BC sealer em três artigos e menor adesão em dois artigos. Força de adesão semelhante foi observada entre os grupos em três estudos. Conclusões: com base nos estudos incluídos, o AH Plus apresenta maior resistência de união quando comparado ao BC Sealer
Highlights
IntroductionThe success of endodontic therapy depends on the cleaning, shaping and filling of the root canal system (RCS) to prevent the penetration or proliferation of microorganisms into the periradicular tissue.[1,2] To this end, RCS filling materials should adapt to the dentin walls, in order to avoid infiltration throughout the canal and the apical region,[3,4,5] during mechanical stresses due to masticatory function and restorative and surgical procedures, ensuring that the seal is maintained.[6]
The success of endodontic therapy depends on the cleaning, shaping and filling of the root canal system (RCS) to prevent the penetration or proliferation of microorganisms into the periradicular tissue.[1,2] To this end, RCS filling materials should adapt to the dentin walls, in order to avoid infiltration throughout the canal and the apical region,[3,4,5] during mechanical stresses due to masticatory function and restorative and surgical procedures, ensuring that the seal is maintained.[6]As gutta-percha does not display the ability to adhere to root dentin, the most widely applied method for RCS obturation is its use associated with endodontic sealers.[7]
Bioactive endodontic sealers have been developed to improve the quality of root canal filling, since they are formed by nanospheric particles that allow for a sealer flow through canal irregularities and dentinal tubules[12] while establishing a chemical connection between dentin and the filling materials.[13]
Summary
The success of endodontic therapy depends on the cleaning, shaping and filling of the root canal system (RCS) to prevent the penetration or proliferation of microorganisms into the periradicular tissue.[1,2] To this end, RCS filling materials should adapt to the dentin walls, in order to avoid infiltration throughout the canal and the apical region,[3,4,5] during mechanical stresses due to masticatory function and restorative and surgical procedures, ensuring that the seal is maintained.[6]. As gutta-percha does not display the ability to adhere to root dentin, the most widely applied method for RCS obturation is its use associated with endodontic sealers.[7] The AH Plus sealer (Dentsply Maillefer, Tulsa, OK, USA) consists in an epoxy resin[8,9] and has been considered the gold standard material for RCS filling, due to its low solubility, good dimensional stability, good adaptation and adhesion to dentinal walls.[10]. Bioactive endodontic sealers have been developed to improve the quality of root canal filling, since they are formed by nanospheric particles that allow for a sealer flow through canal irregularities and dentinal tubules[12] while establishing a chemical connection between dentin and the filling materials.[13]
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