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Hemostasis control in endodontic surgery: a comparative study of calcium sulfate versus gauzes and versus ferric sulfate.

By Antonio Scarano, Luciano Artese, Adriano Piattelli, Francesco Carinci, Carlo Mancino and Giovanna Iezzi

Abstract

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.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).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.The use of CaS completely eliminated the bleeding, with a very good level of hemostasis

Topics: Calcium sulfate hemi-hydrate, endodontic surgery, hemostasis
Year: 2012
DOI identifier: 10.1016/j.joen.2011.09.019
OAI identifier: oai:iris.unife.it:11392/1829106
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