Falkowska-Ostrowska Joanna, Dura Włodzimierz
Department of Preclinical Conservative Dentistry and Preclinical Endodontics, Pomeranian Medical University in Szczecin, Al. Powstancow Wlkp. 72, 70-111 Szczecin, Poland.
J Clin Med. 2025 Apr 3;14(7):2446. doi: 10.3390/jcm14072446.
When performing an apicoectomy avoiding the microleakage is desired. That is why materials used for this procedure should be resistant to washout. Washout refers to the tendency of freshly prepared materials to disintegrate upon contact with fluids. /: The aim of this paper is to provide a literature review on the washout resistance of bioactive root-end filling materials. : This systematic review was conducted following the PRISMA 2020 guidelines. International databases (PubMed, Google Scholar, ScienceDirect, and Wiley Online Library) were searched, and articles published in the last 20 years were selected for analysis. The following keywords were used "antiwashout", "washout resistance", "washout in dentistry", "root-end filling materials", "calcium silicate-based cements", "bioceramic materials". A total of 6 in vitro studies that met all the inclusion criteria were included in the analysis. The overall risk of bias was low in all six studies. : Most tested bioceramic materials are Endocem, Capasio, and Ceramicrete-D. Generex-A, MTA-Plus, MTA-AW, Bioaggregate, and MTA HP usually demonstrate very good washout resistance. ProRoot and MTA Angelus performed differently depending on the test; however, generally they showed good washout resistance. The Biodentine material showed significant washout, and requires further research. There is still a lack of a unified method for washout evaluation in dentistry, which makes it difficult to compare different studies. : The study the confirmed excellent washout resistance of EndoCem, Capasio, Ceramicrete-D, Generex-A, Bioaggregate, MTA-Plus, and MTA HP. ProRoot, MTA-Angelus, and MTA Angelus White exhibited lower washout resistance. Biodentine shows poor washout resistance, and requires further research. A unified method for assessing washout would be beneficial for comparing different studies.
进行根尖切除术时，需要避免微渗漏。这就是为什么用于该手术的材料应具有抗冲刷性。冲刷是指新制备的材料接触流体后解体的趋势。本文旨在对生物活性根尖充填材料的抗冲刷性进行文献综述。本系统评价按照PRISMA 2020指南进行。检索了国际数据库（PubMed、谷歌学术、ScienceDirect和Wiley在线图书馆），并选择过去20年发表的文章进行分析。使用了以下关键词：“抗冲刷”、“抗冲刷性”、“牙科中的冲刷”、“根尖充填材料”、“硅酸钙基水泥”、“生物陶瓷材料”。共有6项符合所有纳入标准的体外研究纳入分析。所有6项研究的总体偏倚风险较低。大多数测试的生物陶瓷材料有Endocem、Capasio和Ceramicrete-D。Generex-A、MTA-Plus、MTA-AW、Bioaggregate和MTA HP通常表现出非常好的抗冲刷性。ProRoot和MTA Angelus的表现因测试而异；然而，总体而言它们表现出良好的抗冲刷性。Biodentine材料表现出明显的冲刷现象，需要进一步研究。牙科中仍缺乏统一的冲刷评估方法，这使得不同研究之间难以比较。该研究证实EndoCem、Capasio、Ceramicrete-D、Generex-A、Bioaggregate、MTA-Plus和MTA HP具有优异的抗冲刷性。ProRoot、MTA-Angelus和MTA Angelus White表现出较低的抗冲刷性。Biodentine表现出较差的抗冲刷性，需要进一步研究。统一的冲刷评估方法将有助于比较不同的研究。
