Development Strategy of Endodontic Filling Materials Based on Engineering and Medical Approaches

This article is a literature review aimed at presenting the general state of knowledge in manufacturing engineering and materials engineering to develop engineering materials applied for endodontic treatment as filling materials. Particular attention was paid to theoretical analyses concerning the s...

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Autores principales:	Leszek A. Dobrzański, Joanna Dobrzańska, Lech B. Dobrzański, Anna D. Dobrzańska-Danikiewicz, Klaudiusz Gołombek
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	materials science and engineering dental engineering dentistry endodontics filling materials gutta-percha Chemical technology TP1-1185 Chemistry QD1-999
Acceso en línea:	https://doaj.org/article/79d1b078ba1d447fa3462300ff3ba692
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spelling	oai:doaj.org-article:79d1b078ba1d447fa3462300ff3ba6922021-11-25T18:51:29ZDevelopment Strategy of Endodontic Filling Materials Based on Engineering and Medical Approaches10.3390/pr91120142227-9717https://doaj.org/article/79d1b078ba1d447fa3462300ff3ba6922021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9717/9/11/2014https://doaj.org/toc/2227-9717This article is a literature review aimed at presenting the general state of knowledge in manufacturing engineering and materials engineering to develop engineering materials applied for endodontic treatment as filling materials. Particular attention was paid to theoretical analyses concerning the selection of methods for developing and obturating root canals and discussing the results of experimental studies available in the literature. These activities aimed to compare the importance of the most commonly used endodontic filling materials based on gutta-percha or polymeric polyester materials, commonly known as resilon, respectively. The motivation to take up this complex, multi-faceted topic in this paper is the extent of caries, periodontal disease, and other oral diseases in 3 to 5 billion people, often affecting toothlessness and contributing to an increase in the index of disability-adjusted life years (number). Endodontics is an important element of the authors’ concept of Dentistry Sustainable Development (DSD) > 2020. The principles of qualifying patients for endodontic treatment are discussed. The introduction of rotary tools, especially manufactured from Nitinol alloy, to develop root canals and the latest thermohydraulic and condensation techniques for obturation guarantee progress in endodontics. The “Digital Twins” methodology was used, rooted in the idea of Industry 4.0 and the resulting idea of Dentistry 4.0, as well as knowledge management methods, to perform experimental research in virtual space, concerning methods of developing and obturating the root canal and assessing the tightness of fillings. Microscopic visualization methods were also used. Significant factors determining the effectiveness of endodontic obturation are the selection of the filling material and the appropriate obturation method. The generalized dendrological matrix of endodontic filling materials considers the criteria of mechanical strength influencing the potential root fracture and the quality of root canal filling. The results of the SWOT point analysis (strengths and weaknesses, opportunities, threats) were also compared. For both filling materials, the weaknesses are much less than the strengths, while the threats are slightly less than the opportunities for the gutta-percha-based material, while for resilon the opportunities are much smaller than the threats. It requires the application of an appropriate development strategy, i.e., MAXI-MAXI in the case of a filling material based on gutta-percha and MAXI-MINI in the case of resilon. Therefore, the analysis of these experimental data does not indicate the real competitiveness of resilon for the gutta-percha-based material. This material deservedly maintains its strong position as the “Gold Standard of Endodontics”.Leszek A. DobrzańskiJoanna DobrzańskaLech B. DobrzańskiAnna D. Dobrzańska-DanikiewiczKlaudiusz GołombekMDPI AGarticlematerials science and engineeringdental engineeringdentistryendodonticsfilling materialsgutta-perchaChemical technologyTP1-1185ChemistryQD1-999ENProcesses, Vol 9, Iss 2014, p 2014 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	materials science and engineering dental engineering dentistry endodontics filling materials gutta-percha Chemical technology TP1-1185 Chemistry QD1-999
spellingShingle	materials science and engineering dental engineering dentistry endodontics filling materials gutta-percha Chemical technology TP1-1185 Chemistry QD1-999 Leszek A. Dobrzański Joanna Dobrzańska Lech B. Dobrzański Anna D. Dobrzańska-Danikiewicz Klaudiusz Gołombek Development Strategy of Endodontic Filling Materials Based on Engineering and Medical Approaches
description	This article is a literature review aimed at presenting the general state of knowledge in manufacturing engineering and materials engineering to develop engineering materials applied for endodontic treatment as filling materials. Particular attention was paid to theoretical analyses concerning the selection of methods for developing and obturating root canals and discussing the results of experimental studies available in the literature. These activities aimed to compare the importance of the most commonly used endodontic filling materials based on gutta-percha or polymeric polyester materials, commonly known as resilon, respectively. The motivation to take up this complex, multi-faceted topic in this paper is the extent of caries, periodontal disease, and other oral diseases in 3 to 5 billion people, often affecting toothlessness and contributing to an increase in the index of disability-adjusted life years (number). Endodontics is an important element of the authors’ concept of Dentistry Sustainable Development (DSD) > 2020. The principles of qualifying patients for endodontic treatment are discussed. The introduction of rotary tools, especially manufactured from Nitinol alloy, to develop root canals and the latest thermohydraulic and condensation techniques for obturation guarantee progress in endodontics. The “Digital Twins” methodology was used, rooted in the idea of Industry 4.0 and the resulting idea of Dentistry 4.0, as well as knowledge management methods, to perform experimental research in virtual space, concerning methods of developing and obturating the root canal and assessing the tightness of fillings. Microscopic visualization methods were also used. Significant factors determining the effectiveness of endodontic obturation are the selection of the filling material and the appropriate obturation method. The generalized dendrological matrix of endodontic filling materials considers the criteria of mechanical strength influencing the potential root fracture and the quality of root canal filling. The results of the SWOT point analysis (strengths and weaknesses, opportunities, threats) were also compared. For both filling materials, the weaknesses are much less than the strengths, while the threats are slightly less than the opportunities for the gutta-percha-based material, while for resilon the opportunities are much smaller than the threats. It requires the application of an appropriate development strategy, i.e., MAXI-MAXI in the case of a filling material based on gutta-percha and MAXI-MINI in the case of resilon. Therefore, the analysis of these experimental data does not indicate the real competitiveness of resilon for the gutta-percha-based material. This material deservedly maintains its strong position as the “Gold Standard of Endodontics”.
format	article
author	Leszek A. Dobrzański Joanna Dobrzańska Lech B. Dobrzański Anna D. Dobrzańska-Danikiewicz Klaudiusz Gołombek
author_facet	Leszek A. Dobrzański Joanna Dobrzańska Lech B. Dobrzański Anna D. Dobrzańska-Danikiewicz Klaudiusz Gołombek
author_sort	Leszek A. Dobrzański
title	Development Strategy of Endodontic Filling Materials Based on Engineering and Medical Approaches
title_short	Development Strategy of Endodontic Filling Materials Based on Engineering and Medical Approaches
title_full	Development Strategy of Endodontic Filling Materials Based on Engineering and Medical Approaches
title_fullStr	Development Strategy of Endodontic Filling Materials Based on Engineering and Medical Approaches
title_full_unstemmed	Development Strategy of Endodontic Filling Materials Based on Engineering and Medical Approaches
title_sort	development strategy of endodontic filling materials based on engineering and medical approaches
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/79d1b078ba1d447fa3462300ff3ba692
work_keys_str_mv	AT leszekadobrzanski developmentstrategyofendodonticfillingmaterialsbasedonengineeringandmedicalapproaches AT joannadobrzanska developmentstrategyofendodonticfillingmaterialsbasedonengineeringandmedicalapproaches AT lechbdobrzanski developmentstrategyofendodonticfillingmaterialsbasedonengineeringandmedicalapproaches AT annaddobrzanskadanikiewicz developmentstrategyofendodonticfillingmaterialsbasedonengineeringandmedicalapproaches AT klaudiuszgołombek developmentstrategyofendodonticfillingmaterialsbasedonengineeringandmedicalapproaches
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Development Strategy of Endodontic Filling Materials Based on Engineering and Medical Approaches

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