Introduction to Bioceramics

Summary

This video introduces three innovative bioceramic endodontic products: a root canal sealer, root repair material, and putty. These products, available globally after five years in North America, offer superior biocompatibility, antibacterial properties, and dimensional stability. The Endosequence BC sealer, in particular, stands out for its premixed convenience, chemical bonding to dentin, and non-resorbable nature, enhancing the quality and efficiency of endodontic care. The video also highlights the hydraulic condensation technique for optimal sealer adaptation and the material's surgical applications, promising improved treatment outcomes.

Takeaways

• 🌐 Bioceramic root canal sealer and root repair materials are being introduced globally after 5 years of availability in North America.
• 🦠 Bioceramics are bioactive glasses used in orthopedic medicine for 40 years, now utilized in endodontics for their antibacterial properties.
• 🔬 Bioceramic sealers have superior qualities over previous root canal cements, including high biocompatibility, antibacterial properties, dimensional stability, and chemical bonding to dentin.
• 💧 The Endosequence sealer is premixed and ready to use, simplifying the application process compared to previous materials like MTA and biodentine.
• 🏥 The Endosequence BC sealer is a true bioceramic sealer that, along with advancements in technology, has led to the development of three endosequence bioceramic compounds.
• 🛠️ The Endosequence obturation system is the first to chemically bond the cement to dentin and the gutta-percha cone, providing a superior root canal technique.
• 📈 Independent studies show that teeth treated with the Endosequence system are almost as resistant to fracture post-root canal therapy as they were pre-treatment.
• 🩺 Bioceramic sealer and root repair materials have a wide range of applications in both non-surgical and surgical endodontics, including pulp capping and perforation repairs.
• 👨‍⚕️ The hydraulic condensation technique developed by Real World Endo is gaining popularity due to its efficiency and the superior properties of bioceramic sealers.
• 🏥 Surgical applications of bioceramics are primarily in apicoectomies, repair of resorptive defects, and surgical repair of root perforations, offering more predictable outcomes.

Q & A

What are bioceramics and how are they used in endodontics?

Bioceramics are a family of bioactive glasses that have been used in orthopedic medicine for 40 years. In endodontics, they are used in the form of a sealer and root repair material, offering superior qualities such as biocompatibility, antibacterial properties, dimensional stability, and chemical bonding to dentin.

What are the three revolutionary endodontic products introduced in the video?

The three revolutionary endodontic products are the bioceramic sealer, the root repair material (RRM), and the putty. These products are designed to improve the quality and efficiency of endodontic care.

How does the Endosequence sealer differ from previous root canal cements?

The Endosequence sealer is premixed and ready for use without any mixing. It is highly biocompatible, antibacterial, dimensionally stable, and does not shrink. It also bonds chemically to dentin and is hydrophilic, making it superior to past generations of root canal cements.

What is MTA and how does it relate to bioceramic materials?

MTA (Mineral Trioxide Aggregate) is an early bioceramic material used in endodontics. It was promising but had unfavorable clinical handling properties. The creation of the Endosequence BC sealer improved upon MTA by offering a true bioceramic sealer with superior physical properties.

How is the Endosequence BC sealer applied during a root canal operation?

The BC sealer is applied using a hydraulic condensation technique where the sealer is injected into the canal using a syringe, a file is coated with the sealer and inserted into the canal, and then a gutapercha cone is coated and inserted to full working length.

What is the significance of the bioceramic-coated gutapercha cones used with the BC sealer?

The bioceramic-coated gutapercha cones are special because they have a two-micron thick layer of bioceramic compounds that bond chemically to the BC sealer. This active bonding creates a true bonded obturation, which is not available with current market systems.

How does the root repair material (RRM) differ from the BC sealer?

The RRM is more viscous and resistant to washout compared to the BC sealer, making it particularly useful during surgical procedures or repair of root defects such as perforations.

What is the clinical application of the putty formulation of the Endosequence root repair material?

The putty formulation is the most viscous and can be manipulated by hand. It is used during surgical procedures, especially in apicoectomy or perforation repair, to provide a dense retrofill that resists washout.

How do bioceramic materials contribute to the success of an apicoectomy procedure?

Bioceramic materials have revolutionized the apicoectomy procedure by providing a dense, non-resorbable retrofill that is resistant to washout, allowing for more efficient and predictable surgical outcomes.

What is the importance of the hydraulic condensation technique in using bioceramic sealers?

The hydraulic condensation technique allows for the sealer to be condensed into place, ensuring a close adaptation to the canal walls without shrinkage while bonding to the dentinal wall and the surface of the gutapercha cone.

What are the benefits of using the Endosequence BC sealer according to the video?

The Endosequence BC sealer offers benefits such as being non-toxic, antibacterial, dimensionally stable, hydrophilic, and bonding to dentin, leading to better quality results in both surgical and non-surgical endodontic procedures.