The use of latest generation bioceramic materials in orthograde and surgical endodontics
The so-called “bioceramic” materials were an evolution of the Mineral Trioxide Aggregate which now three decades ago revolutionized the management of some complex clinical problems which until its introduction had a poor prognosis such as perforations, bleeding apices and surgical repairs of hard tissue defects . The main limitation of MTA, which is mainly made up of calcium silicates, was its consistency and the difficulty of application which limited its possibilities of use, especially as a cement in orthograde endodontics. The evolution of materials based on biocompatible and bioactive calcium silicates has made it possible to improve the physical and smoothness properties, producing it in different typologies from putty to fluid cement with different indications and characteristics of use. Scientific evidence demonstrates that these materials, in addition to being well tolerated by the periapical tissues, also have antibacterial activity and an effective seal and adhesion to the canal walls. In this course, the differences between the different materials that the market makes available to us will be analyzed and their methods of use in different clinical situations will be illustrated.
