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      Resilon: A Comprehensive Literature Review

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          Abstract

          Background and aims. An ideal root canal filling material should completely seal the entire root canal space and block communication between the root canal system and its surrounding tissues; it should also be nontoxic, noncarcinogenic, non-genotoxic, biocompatible, insoluble in tissue fluids and dimensionally stable. Bonding to dentin is a promising property, which can prevent leakage and improve the sealing ability of root canal filling materials. Resilon was developed and rec-ommended initially because the existing rootcanal filling materials did not bond to root canal dentin. Since its introduction in 2004, numerous reports have been published regarding various aspects of this material. The aim of this literature review is to present investigations regarding Resilon’s physical and chemical properties and leakage studies.

          Materials and methods. A review of the literature was performed by using electronic and hand searching methods for Resilon from May 2004 to April 2012.

          Results. There are many published reports regarding Resilon. The searchshowed that Resilon is composed of a parent polymer, polycaprolactone or Tone, which is a biodegradable aliphatic polyester, with filler particles consisting of bioactive glass, bismuth oxychloride and barium sulfate. It possesses some antibacterial and antifungal properties. It is a promising material for root canal filling. Despite the presence of numerous case reports and case series regarding these applications, there are few designed research studies on clinical applications of this material. Resilon has some drawbacks such as high cost.

          Conclusion. Resilon seals well and is a biocompatible material. However, more clinical studies are needed to confirm its efficacy compared with other materials.

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          Most cited references165

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          An evaluation of microbial leakage in roots filled with a thermoplastic synthetic polymer-based root canal filling material (Resilon).

          The purpose of this study was to compare bacterial leakage using Streptococcus mutans and Enterococcus faecalis through gutta-percha and a thermoplastic synthetic polymer-based root filling (Resilon) using two filling techniques during a 30-day period. Teeth were decoronated, roots prepared to a length of 16 mm, and instrumented to ISO sizes 40 to 50. A total of 156 roots were randomly divided into 8 groups of 15 roots (groups 1-8) and 3 control groups (12 roots each). Roots were filled using lateral and vertical condensation techniques with gutta-percha and AH 26 sealer (groups 1 and 2) or with gutta-percha and Epiphany sealer (groups 3 and 4). Groups 5 and 6 were filled with Resilon and Epiphany sealer using the lateral or vertical condensation techniques. A split chamber microbial leakage model was used in which S. mutans placed in the upper chamber could reach the lower chamber only through the filled canal. Groups 7 and 8 were identical to groups 5 and 6 respectively; however, E. faecalis was used to test the leakage. Positive controls were filled with Resilon (12 roots) and gutta-percha (12 roots) without sealer and tested with bacteria, whereas negative controls (12 roots) were sealed with wax to test the seal between chambers. All but one positive control leaked within 24 h, whereas none of the negative controls leaked. Resilon showed minimal leakage (group 8: one leakage; groups 5-7: each with two leakages), which was significantly less than gutta-percha, in which approximately 80% of specimens with either technique or sealer leaked. Kruskal-Wallis test showed statistical significance when all groups were compared (p < 0.05). Mann-Whitney U test compared the respective groups and found Resilon groups superior to gutta-percha groups (p < 0.05).
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            An in vitro comparison of bond strength of various obturation materials to root canal dentin using a push-out test design.

            The purpose of this in vitro study was to compare the bond strength of various obturation materials to root canal dentin by using a push-out test design. Twenty-five single-rooted extracted human teeth were used in this study. The crowns were removed, and root canal instrumentation was completed by using Endogel-coated 0.06 EndoSequence rotary files (Brasseler, Savannah, GA) and appropriate irrigation with 5.25% NaOCl and a final rinse with 17% EDTA. After instrumentation, the roots were randomly divided into five single-matched cone obturation groups (n = 5 roots/group), as follows: group 1, gutta percha with Kerr EWT (Kerr Corp, Romulus, MI); group 2, gutta percha with AH Plus (Dentsply, DeTrey, Germany); group 3, Resilon (Pentron Clinical Technologies, Wallingford, CT) and Epiphany (Pentron); group 4, Activ GP (Brasseler) obturation system; and group 5, EndoREZ obturation system (Ultradent, South Jordan, UT). The obturated roots were cut perpendicular to the long access to create 1-mm thick slices from the apical, middle, and coronal thirds. The bond strength was measured for each test slice with a push-out testing machine. Statistical analysis was completed by using a two-way analysis of variance and the post hoc Tukeys test with significance set at p < 0.05. Group 2 showed a significantly (p < 0.05) greater bond strength compared with all other groups. Also, groups 1 and 4 had significantly (p < 0.05) higher bond strengths compared with groups 3 and 5.
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              The effectiveness of manual and mechanical instrumentation for the retreatment of three different root canal filling materials.

              The aim of this study was to compare the effectiveness of the Mtwo R (Sweden & Martina, Padova, Italy), ProTaper retreatment files (Dentsply-Maillefer, Ballaigues, Switzerland), and a Hedström manual technique in the removal of three different filling materials (gutta-percha, Resilon [Resilon Research LLC, Madison, CT], and EndoRez [Ultradent Products Inc, South Jordan, UT]) during retreatment. Ninety single-rooted straight premolars were instrumented and randomly divided into 9 groups of 10 teeth each (n = 10) with regards to filling material and instrument used. For all roots, the following data were recorded: procedural errors, time of retreatment, apically extruded material, canal wall cleanliness through optical stereomicroscopy (OSM), and scanning electron microscopy (SEM). A linear regression analysis and three logistic regression analyses were performed to assess the level of significance set at p = 0.05. The results indicated that the overall regression models were statistically significant. The Mtwo R, ProTaper retreatment files, and Resilon filling material had a positive impact in reducing the time for retreatment. Both ProTaper retreatment files and Mtwo R showed a greater extrusion of debris. For both OSM and SEM logistic regression models, the root canal apical third had the greatest impact on the score values. EndoRez filling material resulted in cleaner root canal walls using OSM analysis, whereas Resilon filling material and both engine-driven NiTi rotary techniques resulted in less clean root canal walls according to SEM analysis. In conclusion, all instruments left remnants of filling material and debris on the root canal walls irrespective of the root filling material used. Both the engine-driven NiTi rotary systems proved to be safe and fast devices for the removal of endodontic filling material.
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                Author and article information

                Journal
                J Dent Res Dent Clin Dent Prospects
                J Dent Res Dent Clin Dent Prospects
                Journal of Dental Research, Dental Clinics, Dental Prospects
                Journal of Dental Research, Dental Clinics, Dental Prospects
                Tabriz University of Medical Sciences
                2008-210X
                2008-2118
                2013
                30 August 2013
                : 7
                : 3
                : 119-130
                Affiliations
                1Professor, Department of Endodontic, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
                2Postgraduate Student, Department of Endodontic, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
                3Dental and Periodontal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
                4Associate Professor, Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
                5Research Associated, Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public health, Madison, WI, USA
                6Independent Research Scientist, Orumieh, Iran
                Author notes
                [* ]Corresponding Author; Neginghasemi64@ 123456gmail.com
                Article
                10.5681/joddd.2013.020
                3779370
                24082982
                fb71c16f-bc20-4506-8cdc-1804ee1e035a
                © 2013 The Authors; Tabriz University of Medical Sciences

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 2 May 2012
                : 23 March 2013
                Categories
                Review

                Dentistry
                antibacterial activity,chemical and physical properties,clinical outcome,cytotoxicity,disinfection,leakage,resilon,retreatment

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