Interappointment Medicaments and Temporary Fillings 2010

Objectives and Goals

  • The antimicrobial effects of the various endodontic medicaments.
  • The analgesic and anti-inflammatory effects if any of the various endodontic medicaments.
  • The inflammatory effects if any of the various endodontic medicaments.
  • The mechanism of action of the various endodontic medicaments.
  • The appropriate dosage if known of the various intra-canal medicaments.
  • The rationale for the use of the various endodontic intra-canal medicaments.
  • Know  what the heck Cavit is.
  • Be familiar with the various materials utilized in the past and present and their advantages and disadvantages.
  • Be  familiar with the advantages and disadvantages of the various methods of  studying leakage.
  • Be familiar with the guidelines for optimal thickness of temporary restorations.
  • Develop a  rationale for your particular choice of material(s) and usages.
  • Think about future areas of investigation and research of temporary materials.

Intracanal Medications

Bystrom A, Claesson R, Sundqvist, G.  The antibacterial effect of camphorated paramonochlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected canals.  Endod Dent Traumatol. 1985;1:170-175.            

Allard U, Stromberg U,  Stromberg T. Endodontic treatment of experimentally induced apical periodontitis in dogs.  Endodon Dent Traumatol. 1987;3:240-244.

Sjogren U, Figdor D, Spangberg L, Sundqvist G. The antimicrobial effect of calcium hydroxide as a short-term intracanal dressing. Int Endo J.1991;24:119-125.

Basrani B, Tjaderhane L, Santos J, Pascon E, etal.  Efficacy of chlorhexidine- and calcium hydroxide-containing medicaments against Enterococcus faecalis in vitro.  Oral Surg 2003;96:618

Lambrianidis T, Kosti E, Boutsioukis C, Mazinis M.  Removal efficacy of various calcium hydroxide/chlorhexidine medicaments from the root canal.  Int Endod J  2006;39:55-61

Simcock R, Hicks L.  Delivery of calcium hydroxide: Comparison of four filling techniques.  J Endodon 2006;32:7

Manzur A, Gonzalez A, Pozos A, Silva-Herzog D, Friedman S.  Bacterial quantification in teeth with apical periodontitis related to instrumentation and different intracanal medications: A randomized clinical trial.  J Endodon 2007;33:114-118

Sathorn C, Parashos P, Messer H.  Antibacterial efficacy of calcium hydroxide intracanal dressing: a systematic review and meta-analysis.  Int Endod J 2007;40:2-10

Lin S, Tsesis I, Zukerman O, Weiss EI, Fuss Z.  Effect of electrophoretically activated calcium hydroxide on bacterial viability in dentinal tubules – in vitro.  Dent Traumatol 2005;21:42-45

Barthel CR, Zaritzki FF, Raab WHM, Zimmer S.  bacterial leakage in roots filled with different medicaments and sealed with cavit.  J Endod 2006;32:127-129

Krithikadatta J, Indira R, Dorothykalyani AL.  Disinfection of dentinal tubules with 2% chlorhexidine, 2% metronidazole, bioactive glass when compared with calcium hydroxide as intracanal medicaments.  J Endod 2007;33:1473-1476

Barbin LE, Saquy PC, Costa Guedes DF, Sousa-Neto MD, Estrela C, Pecora JD.  Determination of para-chloraniline and reactive oxygen species in chlorhexidine and chlorhexidine associated with calcium hydroxide.  J Endod 2008;34:1508-1514

Kishen A, Shi Z, Shrestha A, Neoh KG.  An investigation on the antibacterial and antibiofilm efficacy of cationic nanoparticulates for root canal disinfection.  J Endod 2008;34:1515-1520

Temporary Restorations

Webber, RT, delRio CE, Brady JM, Segall RO.  Sealing quality of a temporary filling material.  Oral Surg;46:123-13.

Bobotis HG, Anderson RW, Pashley DH, Pantera EA. A microleakage study of temporary restorative materials used in endodontics. J Endodon 1989;15:569.

Turner JE, Anderson RW, Pashley DH, Pantera EA. Microleakage of temporary endodontic restorations in teeth restored with amalgam. J Endodon 1990;16:1.

Beach CW, Calhoun JC, Bramwell JD, Hutter JW, Miller GA. Clinical evaluation of bacterial leakage of endodontic temporary filling materials. J Endodon. 1996;22:459-462.

Barthel CR, Strobach A, Briedigkeit H, Gobel UB, Roulet JF. Leakage in roots coronally sealed with different temporary fillings.  J Endodon 1999;25:731-537

Slutzky H, Slutzky-Goldberg I, Weiss EI, Matalon S.  Antibacterial properties of temporary filling materials.  J Endod 2006;32:214-217

Jensen AL, Abbott PV, Salgado JC.  Interim and temporary restoration of teeth during endodontic treatment.  Austral Dent J Suppl 1 2007;52:s83-s99


Intra-Canal Medicaments

Maddox DL, Walton RE, Davis CO. Incidence of posttreatment endodontic pain related to medicaments and other factors. J Endodon. 1977;3:447-452.                                              

Moskow A, Morse DR, Krasner P, Furst ML.  Intracanal use of a corticosteroid solution as an endodontic anodyne.  Oral Surg. 1984; 58:600-604.

Ohara P,  Torabinejad, M, Kettering JD. Antibacterial effects of various endodontic medicaments on selected anaerobic bacteria. J Endodon 1993;19:498-500.

Spangberg L, Rutberg M, Rydinge E.  Biologic effects of endodontic antimicrobial agents. J Endodon. 1979; 5:166-175.                                                                 

Hata G, Nishikawa I, Kawazoe S, Toda T.  Systemic distribution of 14C-labeled formaldehyde applied in the root canal following pulpectomy.  J Endodon. 1989;15:539-543.

Hill SD, Berry CW, Seale NS, Kaga M.  Comparison of antimicrobial and cytotoxic effects of glutaraldehyde and formocresol. Oral Surg 1991;71:89-95.

Sato I, Anddo-kurihara N, Kota K, Iwaku M, Hoshino E. Sterilization of infected root-canal dentine by topical application of a mixture of ciprofloxacin, metronidazole and minocycline in situ. Int Endodon J. 1996;29:118-124.

Barthel CR, Zimmer S, West G, Roulet JF.  Bacterial leakage in obturated root canals following the use of different intracanal medicaments.  Endodo Dent Traumatol 2000;16:282-286

Gomes B, Sato E, Ferraz C, Teixeira F, Zaia A, Souza-Filho F.  Evaluation of time required for recontamination of coronally sealed canals medicated with calcium hydroxide and chlorhexidine.  Int Endodon J 2003;36:604

Torres C.  Intracanal placement of calcium hydroxide: A comparison of techniques, revisited.  J Endodon 2004;4:225

Trope M.  Relationship of intracanal medicaments to endodontic flare-ups. Endod Dent Traumatol 1990;6:226-229.

Hasselgren G, Reit C.  Emergency pulpotomy: Pain relieving effect with and without the use of sedative dressings.  J Endodon. 1989;15:254-256.

Walton R, Holton I, Michelich R.  Calcium hydroxide as an intracanal medication:effect on posttreatment pain. J Endodon 2003;10:627

Ribeiro D, Marques M, Salvadori D.  Lack of genotoxicity of formocresol, paramonochlorophenol, and calcium hydroxide on mammalian cells by comet assay.  J Endodon 2004;8:593

Molander A, Dahlen G.  Evaluation of the antibacterial potential of tetracycline of erythromycin mixed with calcium hydroxide as intracanal dressing against Enterococcus faecalis in vivo.  Oral Surg 2003;96:744

Temporary Restorations

Grossman L.  A study of temporary fillings as hermetic sealing materials.  JDR 1939;18:67-71.

Blaney TD, Peters DD, Setterstrom J, Bernier WE.  Marginal sealing quality of IRM and Cavit assessed by microbial penetration. J Endodon 1981;7:453-45

Deveaux E, Hildelbert P, Neut C, Boniface B, Romond C. Bacterial microleakage of cavit, IRM, and TERM.  Oral Surg 1992; 74:634.

Carman JE, Wallace JA. An in vitro comparison of microleakage of restorative materials in the pulp chambers of human molar teeth. J Endodon 1994;20:571-575.

Lim KC  Microleakage of intermediate restorative materials. J Endodon 1990;16:116.

Anderson RW, Powell BJ, Pashley DH.  Microleakage of IRM used to restore endodontic access preparations.  Endod Dent Traumatol 1990; 6:137.

Barkhordar RA, Kempler D, Watanabe LG.  The effect of endodontic medicaments on the sealing ability of provisional restorative materials.  Quint Int 1997;28:393-396.

Mayer T. Eickholz P.  Microleakage of temporary restorations after thermocycling and mechanical loading.  J Endodon 1997;23:320-322

Tewari S, TewariS.  Assessment of coronal microleakage in intermediately restored endodontic access cavities.  Oral Surg 2002;93:716-719

Galvan RR, West LA, Liewehr FR, Pashley DH.  Coronal microleakage of five materials used to create an intracoronal seal in endodontically treated teeth. J Endodon 2002:28:59-61

Jeansonne MJ, White RR. A comparison of 2.0% chlorhexidine gluconate and 5.25% sodium hypochlorite as antimicrobial endodontic irrigants. J Endodon 1994;20:276-278.

Siqueira JF, de Uzeda M. Intracanal medicaments: evaluation of the antibacterial effects of chlorhexidine, metronidazole, and calcium hydroxide associated with three vehicles.  J Endodon 1997;23:167-169

Derkson GD, Pashley DH, Derkson ME. et al; Microleakage measurement of selected restorative materials: a new in vitro method. J Prosth Dent 1986;56:435.

Pashley DH.  Clinical considerations of microleakage.  J Endodon 1990; 2:70.