Sunday, January 14, 2024

Endomethasone as root canal sealer.. is highly toxic

Endomethasone as root canal sealer:

  • A- have high solubility which dissolve and cause root canal failureX
  • B- is highly toxic
  • C- contains cortisoneX
  • D- none of the above.

The answer is: C. Contains cortisone.

Here's why the other options are incorrect:

A. High solubility:

While some older versions of Endomethasone had higher solubility concerns, modern formulations have addressed this issue and are considered adequately insoluble for root canal sealing.

B. Highly toxic:

Endomethasone is not considered highly toxic. While it can cause some tissue irritation if extruded beyond the root canal, it is generally well-tolerated within the confines of the canal.

D. None of the above:

While the improved solubility and reduced toxicity are true for modern Endomethasone, the presence of cortisone remains a concern.

Negative Consequences:

Cortisone, a corticosteroid, has anti-inflammatory properties. While this might seem beneficial for reducing post-operative inflammation, its presence in a root canal sealer can have negative consequences:

- Delayed healing:

Cortisone can suppress the immune system's response to infection, potentially delaying healing and increasing the risk of persistent apical lesions.

- Tissue resorption:

Corticosteroids can promote bone resorption, which can be detrimental to the long-term success of the root canal treatment.

Therefore, while Endomethasone has some advantages as a root canal sealer, its cortisone content raises concerns about its suitability. Many dentists prefer alternative sealers without corticosteroids due to the potential risks associated with cortisone.

If you have any specific questions or concerns about Endomethasone or other root canal sealers, it's always best to consult with your dentist for personalized advice.