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PubMed2000

Five methods of calcium hydroxide intracanal placement: an in vitro evaluation.

OBJECTIVE: The purpose of this study was to evaluate root canal dressing with calcium hydroxide paste using 5 techniques of placement. STUDY DESIGN: After endodontic preparation, each of 50 single-rooted premolars was filled with calcium hydroxide paste through use of one of the following techniques: Gutta-Condensor, MecaShaper, K-type ultrasonic file, Lentulo, and Pastinject. Radiographs of all 3 third root zones were made after cleaning and shaping and obturation. Density measurements (in pixels) were registered by means of an image analyzer and then compared through use of analysis of variance and Newman-Keuls multiple means tests. RESULTS: With respect to average filling density, the techniques ranked as follows, in ascending order: Gutta-Condensor, MecaShaper, K-type ultrasonic file, Lentulo, and Pastinject. There was a significant difference (P <.0009) between the Gutta-Condensor and Pastinject techniques, between the MecaShaper and Pastinject techniques, and between the ultrasonic file and Pastinject techniques; all favored the Pastinject. There were no significant differences between the Gutta-Condensor, MecaShaper, ultrasonic file, and Lentulo techniques or between the Lentulo and Pastinject techniques. CONCLUSIONS: The use of a specially designed paste carrier (the Pastinject) improved calcium hydroxide placement in root canals.

Analysis of Variance↗
PubMed1983

Carcinogenicity examination of betel quid. II. Effect of vitamin A deficiency on rats fed semipurified diet containing betel nut and calcium hydroxide.

The effect of vitamin A deficiency on the carcinogenicity of betel quid was studied, using long-term feeding of vitamin-A-deficient and -sufficient diets with and without betel nut and calcium hydroxide in ACI rats. A high incidence of focal epithelial hyperplasia was observed in the upper digestive tract (tongue, buccal oral mucosa, esophagus, and forestomach) of rats in the group given the vitamin-A-deficient diet mixed with betel nut and calcium hydroxide. The vitamin-A-deficient group also showed a high incidence of squamous papilloma in the tongue, buccal mucosa, and forestomach. The incidence of hyperplastic lesions of the tongue and buccal oral mucosa was significantly higher in this group than in the group receiving the vitamin-A-sufficient diet with betel nut and calcium hydroxide. These results suggest that the vitamin-A-deficient condition enhanced the growth of epithelial hyperplasia that was due to the administration of the betel quid ingredients. However, vitamin A did not protect against the development of altered liver cell foci, which were frequently seen with a small number of hepatocellular neoplasms in all groups given the diets containing betel nut and calcium hydroxide (both vitamin-A-deficient and -sufficient groups).

Animals↗
PubMed1995

Dentinal diffusion of hydroxyl ions of various calcium hydroxide pastes.

The aim of this study was to analyze in vitro the dentinal diffusion of hydroxyl ions of calcium hydroxide pastes, prepared with different acid-base vehicles, in an inert nitrogen atmosphere. Sixty maxillary incisors with mature apexes were selected and after access and root canal preparation each root was filled with calcium hydroxide pastes prepared with different vehicles: saline solution, anesthetic and polyethylene glycol 400. The roots were then sectioned 2 mm from the apical vertex and the teeth mounted in the center of a round platform, filled with saline solution up to 2 mm from the root tip. The platforms remained inert in an atmosphere of nitrogen, completely sealed, in the absence of light and with a constant temperature of 36.5 degrees C. Diffusion analysis of the hydroxyl ions was carried out by a colorimetric method on days 7, 15, 30, 45 and 60. Calcium hydroxide pastes prepared with saline solution and anesthetic showed a pH change of 5-7 to 7-8 after 30 days, remaining at this level at 60 days. In the polyethylene glycol 400 group, the same alteration occurred at 45 days, and continued at 60 days.

Calcium Hydroxide↗
PubMed1992

In vitro solubility of human pulp tissue in calcium hydroxide and sodium hypochlorite.

The tissue solvent capacity of a 2% stabilized sodium hypochlorite solution (Milton) and a commercial calcium hydroxide solution (Calasept) was examined under in vitro conditions where autolyzed human pulp fragments weighing approximately 0.0065 g were immersed in these solutions at 37 degrees C for periods of up to 10 days. It appeared that sodium hypochlorite was able to dissolve half the volume of pulp tissue within 1 h and the remaining tissue after 2-2 1/2 h. Calcium hydroxide dissolved half the pulp volume within 2 h, whereas it took 1 week for the remaining tissue to dissolve. These findings support the use of sodium hypochlorite as an irrigation solution during canal preparation and calcium hydroxide as a canal dressing for the purpose of creating a canal free of pulp remnants before root filling.

Calcium Hydroxide↗
PubMed1991

[The antimicrobial efficiency of aqueous solutions of calcium hydroxide on Streptococcus mutans, Streptococcus faecalis and Candida albicans, in vitro].

Calcium hydroxide preparations Ca(OH)2 are used as water solutions, putly, liner, cement or artificial material. The therapeutic effect of each medicaments depends on physical and chemical characteristic of additional components. The aim of the paper is to research the sensitivity of Streptococcus faecalis and Candida albicans to different water solution concentrations of calcium hydroxide. As solid plates, Bacto-Mitis-Salivarius agar was used for S. mutans, Torlak blood agar for S. faecalis and Sabourand agar "Torlak" for C. albicans. The holes were drilled in solid plates and were filled by 0.2 ml of water solutions of Ca(OH)2. Preparations, created as described were incubated aerobically at 37 degrees C in the period of 48 hrs. Results were read after 24 as well as after 48 hrs. The examined solutions of Ca(OH)2, revealed the highest antimicrobic effect after 24 hrs. The result remained unchanged even after 48 hrs. The inhibition of S. mutans growth on the solid plate occurred with the concentration of Ca(OH)2 solution from 271.18 x 10(-2) mol/dm3 and pH 12.76. The growth of S. faecalis at the solid plate was inhibited with the concentration of 3335.21 x 10(-3) mol/dm3 and pH 12.82. The inhibition of C. albicans growth on solid plate occurred with the concentration of Ca(OH)2 solution from 1023.20 x 10(-3) mol/dm3 and pH 12.84. The difference in the sensitivity of the examined microorganisms at the same concentrations of Ca(OH)2 solution was observed.

Calcium Hydroxide↗
PubMed2003

Mineral trioxide aggregate (MTA) and calcium hydroxide as pulp-capping agents in human teeth: a preliminary report.

AIM: To compare mineral trioxide aggregate (MTA) with calcium hydroxide when used as pulp-capping materials in human teeth. METHODOLOGY: Eleven pairs of maxillary third molars in subjects between 20 and 25 years of age were subjected to mechanical pulp exposure. The exposed pulps were capped with MTA or calcium hydroxide, covered with ZOE and restored with amalgam. A total of 14 teeth were extracted after periods of 1 week (two molars) 2 months (three molars), 3 months (five molars), 4 months (two molars) and 6 months (two molars). RESULTS: Histological evaluation demonstrated less inflammation, hyperaemia and necrosis plus thicker dentinal bridge and more frequent odontoblastic layer formation with MTA than calcium hydroxide. CONCLUSIONS: Although the results favour the use of MTA, more studies with larger samples and a longer follow up are suggested.

Adult↗
PubMed2001

Control of microorganisms in vitro by calcium hydroxide pastes.

AIM: The aim of this study was to determine the influence of vehicles on the antimicrobial efficiency of calcium hydroxide. METHODOLOGY: A total of 588 size 50 sterile absorbent paper points, were immersed in various microbial suspensions for 3 min. The points were then placed on Petri dishes and covered with intracanal dressings containing calcium hydroxide: Ca(OH)2 + saline; Ca(OH)2 + camphorated paramonochlorophenol; Ca(OH)2 + 1% chlorhexidine solution: Ca(OH)2 + 3% sodium lauryl sulphate; Ca(OH)2 + Otosporin. After 1 min, 48 and 72 h and 7 days, 147 absorbent paper cones were removed from contact with the intracanal dressings and individually transported and immersed in 5 mL of Letheen Broth, followed by incubation at 37 degrees C for 48 h. Microbial growth was evaluated by turbidity of the culture medium. A 0.1-mL inoculum obtained from the Letheen Broth was transferred to 5 mL of BHI, and incubated at 37 degrees C for 48 h. Bacterial growth was again evaluated by turbidity of the culture medium. Positive BHI tubes were selected and inocula were spread on the surface of BHI agar and incubated at 37 degrees C for 48 h. Gram staining of the BHI growth and from colonies growing on BHI agar was carried out. RESULTS: An antimicrobial effect occurred after 48 h on the cultures of S. mutans, E. faecalis, S. aureus, P aeruginosa, B. subtilis, C. albicans and a mixed culture, irrespective of the intracanal dressing. CONCLUSIONS: Under the conditions of this study, the various vehicles associated with calcium hydroxide pastes did not influence the time required for microbial inactivation.

Anti-Infective Agents, Local↗
PubMed2005

[Comparison of calcium hydroxide and chlorhexidine as intracanal medications in endodontics: review of the literature].

Calcium hydroxide has found its use in endodontic treatments. On the other hand, chlorhexidine is more and more proposedfor uses in clinical endodontics. Could chlorhexidine surpass calcium hydroxide and what are the benefits of chlorhexidine? This literature overview concludes that both medications are useful and that further studies are necessary before chosing one above the other.

Bacteria↗
PubMed2001

Calcium hydroxide in endodontic retreatment after two nonsurgical and two surgical failures: report of a case.

AIM: To describe the role of calcium hydroxide in infection control during complex endodontic retreatment. SUMMARY: A case is presented in which two conventional endodontic treatments and two surgical interventions failed to bring periapical healing. Despite this history, a further conventional treatment augmented by long-term disinfection with calcium hydroxide finally delivered a successful outcome. KEY LEARNING POINTS: Periapical healing follows proper intracanal infection control. Despite repeated surgical and nonsurgical intervention, careful retreatment can often bring healing. Calcium hydroxide has long-acting antimicrobial and soft-tissue dissolving activity. It is a helpful adjunct in endodontic retreatment.

Calcium Hydroxide↗
PubMed2004

Endodontics: Part 9. Calcium hydroxide, root resorption, endo-perio lesions.

For more than 70 years calcium hydroxide has played a major role in endodontic therapy, although many of its functions are now being taken over by the recently introduced material MTA. Calcium hydroxide may be used to preserve the vital pulp if infection and bleeding are controlled; to repair root fractures, perforations, open apices and root resorptions. Endo-perio lesions are complex and the correct diagnosis is essential if treatment is to be successful. However, root canal treatment will always be the first phase in treating such lesions.

Alveolar Bone Loss↗
PubMed1994

Re-evaluating pulp protection: calcium hydroxide liners vs. cohesive hybridization.

Certain clinical and biological studies have reported that prepared dentin and the underlying pulp must be protected with a calcium hydroxide base and liners that supposedly impart biological and structural integrity to tissues. Since the mid-1950s, dentists have relied on a number of calcium hydroxide medicaments for this goal. But recent studies imply that clinicians need to re-evaluate the generous use of certain calcium hydroxide medicaments under restorations.

Acid Etching, Dental↗
PubMed2000

pH changes in root dentin after root canal dressing with gutta-percha points containing calcium hydroxide.

Alkalinizing action on root dentin was investigated by treating the enlarged root canals of a total of 120 extracted teeth for 24 h, 3 days, or 7 days with either gutta-percha points (size 40) containing calcium hydroxide or an equivalent quantity of aqueous calcium hydroxide suspension. After splitting the teeth longitudinally the pH of the dentin was determined using a pH microelectrode in small cavities at each of four set measuring points. The gutta-percha points were unable to alkalinize the root dentin over a period of 7 days. Clear, rapid, and prolonged alkalinization of the dentin extending through to the root surface was achieved, however, with the aqueous calcium hydroxide suspension.

Alkalies↗
PubMed2000

Delayed replantation of avulsed mature teeth with calcium hydroxide treatment.

Three avulsed teeth that were replanted and splinted after approximately a 200-min dry extraoral period in two patients are presented. In case 1 calcium hydroxide treatment was performed 1 month after replantation, because the patient did not come for endodontic treatment on the day after replantation as requested. In case 2, calcium hydroxide treatment was initiated on the day after replantation. Calcium hydroxide treatment was used to prevent or treat inflammatory root resorption. During the follow-up periods the teeth reported in these cases have remained in a stable, functional position and did not reveal clinical ankylosis or replacement resorption.

Calcium Hydroxide↗
PubMed2004

In vitro antibacterial effect of calcium hydroxide combined with chlorhexidine or iodine potassium iodide on Enterococcus faecalis.

Several studies have shown a higher success rate of root canal therapy when the canal is free from bacteria at the time of obturation. Treatment strategies that are designed to eliminate this microflora should include agents that can effectively disinfect the root canal. Enterococcus faecalis is often associated with persistent endodontic infections. While in vivo studies have indicated calcium hydroxide to be the most effective all-purpose intracanal medicament, iodine potassium iodide (IKI) and chlorhexidine (CHX) may be able to kill calcium hydroxide-resistant bacteria. Supplementing the antibacterial activity of calcium hydroxide with IPI or CHX preparations was studied in bovine dentine blocks. While calcium hydroxide was unable to kill E. faecalis in the dentine, calcium hydroxide combined with IKI or CHX effectively disinfected the dentine. The addition of CHX or IKI did not affect the alkalinity of the calcium hydroxide suspensions. It may be assumed that combinations also have the potential to be used as long-term medication. Cytotoxicity tests using the neutral red method indicated that the combinations were no more toxic than their pure components.

Animals↗
PubMed2004

Selected cases of periapical changes treated with calcium hydroxide preparations.

Success in endodontic treatment with application of non-hardening calcium hydroxide preparations to periapical pathosis has been described. The clinical procedures consisted in elaboration of root canals and temporary filling with Biopulp preparation. Control clinical and radiological investigations were carried out after 3 and 6 months. In spite of occurrence of initial periapical pathosis, the method of treatment with calcium hydroxide preparations permitted to achive positive results of healing of periapical pathosis thus eliminating the necessity of surgical operation.

Adult↗
PubMed1995

Apical leakage following root canal dressing with calcium hydroxide.

The purpose of this study was to analyse the apical leakage in teeth filled by the lateral condensation technique following medication with calcium hydroxide. One hundred and twenty extracted human teeth were biomechanically prepared by using exclusively reaming motion with files up to #40. Half of the teeth received a calcium hydroxide dressing for 3 days. The medication was removed by irrigation and reaming motion with files #40 up to #70. The teeth were divided in 6 experimental groups, according to the dimension of the utilized instrument. The root canals were filled and posteriorly the teeth were placed into a 2% methylene blue dye solution inside a flask, which was attached to a vacuum pump. Leakage was measured linearly, and the results showed significantly (p<0.01) less leakage in the experimental groups that received calcium hydroxide dressings than in the control groups. The results persisted even after the removal of 300 micrometers of dentin from the root canal dentinal walls.

Analysis of Variance↗