remixed Bioceramic Materials

General 3D bioceramic concept The aim of canal filling is to provide an impermeable seal, to prevent recolonisation of the canal system by bacteria, and to eliminate any free space that could potentially accommodate them. Preceded by appropriate canal shaping, cleaning and disinfection, bioceramics are designed to provide a 3D hermetic seal of the root canal, in order to ensure the long-term effectiveness of the treatment. Bioceramics have been used for many years in various medical fields; but their introduction in endodontics is relatively recent. TotalFill® range products are part of the bioceramics...

01 Filling The objective of canal filling is to maintain low microbial count obtained after the disinfection phase of endodontic treatment. It is used to seal the treated canal system, and limit development of residual bacteria to prevent any resumption of infection. TotalFill® BC Sealer™, dedicated to canal sealing, was developed in order to meet these objectives. © Dr. Yohsuke Hayashi (Japan), All rights reserved © University of Pennsylvania, Department of Endodontics, All rights reserved 3D filling using TotalFill BC Sealer and TotalFill BC Points

TotalFill® BC Sealer™ Unlike conventional filling cements, the setting reaction of TotalFill BC Sealer is triggered by the moisture present in the dentinal tubules. Using this moisture, TotalFill BC Sealer forms hydroxyapatite, to ensure optimum chemical adhesion between the dentin and the cement. Product advantages ► Ease of manipulation and deployment *- Economic *- 3D filling at room temperature Clinical advantages ► Bond between cement and dentin ► Bond between cement and TotalFill® BC Points™ *- Increased fracture resistance *- Limited microorganism growth *- Conservative...

Unlike traditional Gutta Percha points, TotalFill BC Points are coated and impregnated with bioceramic nanoparticles. Combined use of TotalFill BC Sealer and TotalFill BC Points obtains a bond and therefore adhesion between the bioceramic particles of the two materials, thereby eliminating any gap there may be between a cement and a standard Gutta Percha point.

Superior quality sealing Push-Out Bond Strength (MPA) In order to ensure optimum 3D filling, the cement must provide perfect adhesion to the dentin and the cone used. Adhesion between these various components is influenced by the moisture present in the tooth. As the components of TotalFill BC Sealer enable the formation of calcium hydroxide and hydroxyapatite, they ensure an excellent bond to both the dentin and the filling material. The study below demonstrated that TotalFill BC Sealer has a stronger bond than other commonly used cements. This study compared the influence of the moisture conditions...

SEM views The canal filling must limit the development of residual bacteria, by depriving them of nutrients and limiting any free space that could potentially accommodate them. Hence the filling materials used must ensure a 3D filling, leaving no empty space that could compromise the filling impermeability (including between the cement and cone). The SEM views below make it possible to compare the adhesion of a conventional cement, on the one hand, and TotalFill BC Sealer on the other hand, on the surface of the dentin and of the Gutta Percha. Spaces between a conventional sealing cement (SE),...

Clinical cases, TotalFill BC Sealer and TotalFill BC Points Case 1 Cleaned canals Cement injection Filled canals Cone insertion Obturated canals © Dr. Ali Nasseh (USA), All rights reserved © Dr. Bartosz Cerkaski (Poland), All rights reserved

02 Root repair Root repair materials can be used in cases of orthograde or retrograde repairs. These materials must ideally present physico-chemical and biological properties such as biocompatibility, bioactivity and radio-opacity. They must remain dimensionally stable. Their ability to provide a perfectly impermeable seal, in order to counter bacteria and fluid leakages that might cause inflammation, is also of the utmost importance. It has been demonstrated by a host of studies that TotalFill range repair materials meet all of these conditions. Furthermore, thanks to their ease of manipulation...

Total Fill BC RRM Paste is dedicated both to treating perforations and resorptions, as well as pulp capping. The objective is to provide a perfectly impermeable seal and enable tissue regeneration. BC RRM Paste is present in the form of low-viscosity premixed injectable paste, and is packed in 1 g syringes. Product advantages *- Ease of manipulation and introduction ► Highly resistant to washout ► Radiopaque »- Short setting time (approx. 2 hours) Clinical advantages ► Highly biocompatible *- Bioactive and osteogenic “We now have a root repair material with an easy and efficient delivery...

Excellent biocompatibility Biocompatibility is a vital factor in the success of an endodontic treatment. This means that the material must not be cytotoxic. The graph below presents the results of cytotoxicity tests conducted on TotalFill BC RRM, as well as on other common root repair materials. Cytotoxicity comparison 3-day set samples 120% Cell Viability A = TotalFill® BC RRMTM; B = Harmaa MTA; C = Valkoinen MTA; D = AH26 Source: Cytotoxicity evaluation of endosequence root repair material. Alanezi AZ, Jiang J, Safavi KE, Spangberg LS, Zhu Q; Oral Surg Oral Med Oral Pathol Oral Radiol Endod....

Clinical cases, TotalFill BC RRM Paste Case 1 Root perforation © Dr. Ali Nasseh (USA), All rights reserved Case 2 Pulp capping © Dr. Mohammed A. Alharbi (Saudi Arabia), All rights reserved

Apexification and retrofilling TotalFill® BC RRM™ Putty TotalFill BC RRM Putty is dedicated to apexification and retrofilling. The main objective is to create a long-lasting apical barrier and tissue regeneration. TotalFill BC RRM Putty comes in the form of premixed condensible putty. Its consistency is slightly thicker and more malleable than TotalFill BC RRM Paste. This product is packed in 2.5 g jar. Product advantages ► Malleable, easy to manipulate and apply ► Highly resistant to washout *- Radiopaque *- Short setting time (approx. 2 hours) ► Usable for various clinical applications...