Root-end filling materials are crucial in periradicular (apical) surgery especially during apicoectomy to seal the cavity at the resected tooth apex. Their main function is to prevent microleakage of bacteria toxins and fluids between the root canal and surrounding tissues thereby ensuring successful healing. Over time materials such as amalgam glass ionomer cement composite resins and Mineral Trioxide Aggregate (MTA) have been used. Currently bioceramic materials like MTA and Biodentine are considered the gold standard due to their superior biocompatibility sealing ability and regenerative properties. Traditional materials like IRM Super EBA and amalgam are less favored because of poorer biological and sealing qualities. Selecting the appropriate material depends on factors like handling properties setting time biocompatibility and clinical situation. With ongoing advancements in bioceramics offer promising improvement in outcome of apical surgery. Hence this book highlights different root end filling materials.
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