Hemostasis Control in Endodontic Surgery: A Comparative Study of Calcium Sulfate versus Gauzes and versus Ferric Sulfate
2011; Elsevier BV; Volume: 38; Issue: 1 Linguagem: Inglês
10.1016/j.joen.2011.09.019
ISSN1878-3554
AutoresAntônio Scarano, Luciano Artese, Adriano Piattelli, Francesco Carinci, Carlo Mancino, Giovanna Iezzi,
Tópico(s)Dental Anxiety and Anesthesia Techniques
ResumoIntroduction Calcium sulfate (CaS) is a simple, biocompatible material with a long history of safe use in different fields of medicine. CaS is a rapidly resorbing material that leaves behind a calcium phosphate lattice, which promotes bone regeneration and hemostasis. The aim of this study was a clinical evaluation of the hemostatic effect of CaS hemi-hydrate (CaSO4), commonly known as plaster of Paris, in endodontic surgery. Methods Twenty-four patients with 31 periradicular lesions were enrolled in this study. The apical roots were exposed, and the bleeding would have made it difficult to correctly fill the root-end cavities. To avoid such an inconvenience, the teeth were divided into 3 groups. Hemostasis was attempted by using CaS in 11 teeth (group I), gauze tamponade in another 10 teeth (group II), or 20% ferric sulfate in the last 10 teeth (group III). Results Control of the bleeding was achieved in all teeth of group I, whereas in group II adequate hemostasis was achieved in 3 of 10 cases and in group III in 6 of 10 cases. Conclusions The use of CaS completely eliminated the bleeding, with a very good level of hemostasis.
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