Hemostatic control in endo surgery: A Comparative Study of Calcium Sulfate versus Gauzes and versus Ferric Sulfate

By Scarano A, Artese L, Piattelli A, Carinci F, Mancino C, Iezzi G

Date: 06/2012
Journal: JOE

Purpose: The aim was to describe a comparative study of hemostasis obtained with the use of CaS versus gauze tamponade and versus ferric sulfate during endodontic surgical procedures.

N= 31 teeth

Inclusion and exclusion criteria:

1.Presence of PA lesion indicated for surgery.

2.Patients with severe systemic diseases , Acute inflammation,  Surgical retreatment  and Post operative complications.

 Materials and methods:

•The sample was divided to three groups:

Group I ( CaS 11 teeth ) , Group II ( gauze tamponade 10 teeth ) and Group III ( 20% ferric sulfate 10 teeth )

•Antibiotics were given to the patients 12 hours before surgery ( amoxicillin + clavulanic acid 1 gm twice daily )

•All periapical surgeries was done under the use of the OM.

•After root apices exposed , hemostasis was done using the three different materials.

•Root-end cavities were filled with MTA.

Adequate hemostasis was defined as >> Root-end preparation dry, hemorrhage-free during procedure.

Inadequate hemostasis was defined as >> Inability to keep the root end-preparation dry and hemorrhage-free.

Most highlighted results:

•Group I (CaS): Adequate hemostasis was achieved in all 11 cases.

•Group II (Gauzes): Adequate hemostasis was achieved in 3 of 10 cases . •Group III(Ferric sulfate): Adequate hemostasis was achieved in 6 of 10 cases.

Clinical significance: CaS is a successful material to control hemostasis  which enhances optimal visibility and decreases the length of surgery