COMPARISON OF THREE BIOCERAMIC SEALERS IN TERMS OF DENTINAL SEALING ABILITY IN THE ROOT CANAL

SHALINA RICARDO; CELINE MARISSA; MUNYATI USMAN; ENDANG SUPRASTIWI; RENNA MAULANA YUSUF; RATNA MEIDYAWATI

doi:10.22159/ijap.2020.v12s2.OP-6

Authors

SHALINA RICARDO Department of Conservative Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia.
CELINE MARISSA Conservative Dentistry Residency Program, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia.
MUNYATI USMAN Department of Conservative Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia.
ENDANG SUPRASTIWI Department of Conservative Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia.
RENNA MAULANA YUSUF Conservative Dentistry Residency Program, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia.
RATNA MEIDYAWATI Department of Conservative Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia.

DOI:

https://doi.org/10.22159/ijap.2020.v12s2.OP-6

Keywords:

Bioceramics, Dentinal sealing ability, Sealers, Sealing ability, Dentinal tubules, Scanning electron microscope

Abstract

Objective: The main objective of endodontic treatment is to prevent further infection or reinfection by eliminating microorganisms within the
root canal system. Proper endodontic treatment could prevent apical and coronal penetration of fluids and microorganisms. Endodontic sealer is
vital components of root canal obturation to establish a fluid-tight seal. Bioceramic-based root canal sealers are considered to be an advantageous
technology in endodontics and have been found to be both biocompatible and comparable to other commercial sealers. The aim of this study was to
compare the adhesion of three bioceramic sealers within the root canal system.
Methods: Endodontically treated teeth were obturated using three types of bioceramic sealers and then divided into three groups. Specimens were
then observed using a scanning electron microscope, and the attachment distance was measured using ImageJ.
Results: The three groups exhibited were statistically significant differences (p<0.05) in dentinal sealing ability. Calcium phosphate silicate-based
sealer showed the highest sealing ability, followed by pure tricalcium silicate-based bioceramic sealers and then tricalcium silicate and resin-based
bioceramic sealers.
Conclusion: The sealing ability of calcium phosphate silicate-based sealer is superior to that of both pure tricalcium silicate-based and tricalcium
silicate- and resin-based sealer.

Downloads

Download data is not yet available.

References

1. Schilder H. filling root canals in three dimensions 1967. J Endod
2006;32:281-90.
2. Sahebi S, Sobhnamayan F, Naghizade S. The effects of various
endodontic irrigants on the push-out bond strength of calciumenriched
mixture cement and mineral trioxide aggregate. Iran Endod J
2016;11:280-5.
3. Carvalho CN, Bauer J, Ferrari PH, Souza SF, Soares SP, Loguercio AD,
et al. Influence of calcium hydroxide intracanal medication on bond
strength of two endodontic resin-based sealers assessed by micropushout
test. Dent Traumatol 2013;29:73-6.
4. Desai S, Chandler N. Calcium hydroxide-based root canal sealers: A
review. J Endod 2009;5:475-80.
5. Ozkocak I, Sonat B. Evaluation of effects on the adhesion of various
root canal sealers after Er:YAG laser and irrigants are used on the
dentin surface. J Endod 2015;41:1331-6.
6. Neelakantan P, Subbarao C, Subbarao CV, De-Deus G, Zehnder M. The
impact of root dentine conditioning on sealing ability and push-out bond
strength of an epoxy resin root canal sealer. Int Endod J 2011;44:491-8.
7. Pawar AM, Pawar S, Kfir A, Pawar M, Kokate S. Push-out bond
strength of root fillings made with C-point and BC sealer versus guttapercha
and AH plus after the instrumentation of oval canals with the
self-adjusting file versus WaveOne. Int Endod J 2016;49:374-81.
8. Chivian N. Resilon-the missing link in sealing the root canal. Compend
Contin Educ Dent 2004;25:823.
9. Singh H, Markan S, Kaur M, Gupta G. Endodontic sealers: Current
concepts and comparative analysis. Dent Open J 2015;2:32-7.
10. Gutmann JL. Adaptation of injected thermoplasticized gutta-percha in
the absence of the dentinal smear layer. Int Endod J 1993;26:87-92.
11. Chen H, Zhao X, Qiu Y, Xu D, Cui L, Wu B. The tubular penetration
depth and adaption of four sealers: A scanning electron microscopic
study. Biomed Res Int 2017;2017:2946524.
12. Camilleri J. BioRoot™ RCS. Endo Sealer or Biological Filler? Milano:
Clinical Insights; 2017.
13. Siboni F, Taddei P, Zamparini F, Prati C, Gandolfi MG. Properties of
BioRoot RCS, a tricalcium silicate endodontic sealer modified with
povidone and polycarboxylate. Int Endod J 2017;50 suppl 2:e120-36.
14. Zhou HM, Shen Y, Wang ZJ, Li L, Zheng YF, Häkkinen L, et al.
In vitro cytotoxicity evaluation of a novel root repair material. J Endod
2013;39:478-83.
15. Abada HM, Farag AM, Alhadainy HA, Darrag AM. Push-out bond
strength of different root canal obturation systems to root canal dentin.
Tanta Dent J 2015;12:185-91.
16. Sagsen B, Ustün Y, Demirbuga S, Pala K. Push-out bond strength of two
new calcium silicate-based endodontic sealers to root canal dentine. Int
Endod J 2011;44:1088-91.
17. McMichael GE, Primus CM, Opperman LA. Dentinal tubule penetration
of tricalcium silicate sealers. J Endod 2016;42:632-6.
18. Tagger M, Tagger E, Tjan AH, Bakland LK. Measurement of adhesion
of endodontic sealers to dentin. J Endod 2002;28:351-4.
19. Kim JS, Baek SH, Bae KS. in vivo study on the biocompatibility of
newly developed calcium phosphate-based root canal sealers. J Endod
2004;30:708-11.
20. Mamootil K, Messer HH. Penetration of dentinal tubules by endodontic
sealer cements in extracted teeth and in vivo. Int Endod J 2007;40:873-81.
21. Zhang W, Li Z, Peng B. Assessment of a new root canal sealer’s
apical sealing ability. Oral Surg Med Oral Pathol Oral Radiol Endod
2009;107:e79-82.
22. Ghoneim AG, Lutfy RA, Sabet NE, Fayyad DM. Resistance to
fracture of roots obturated with novel canal-filling systems. J Endod
2011;37:1590-2.
23. Chandra SS, Shankar P, Indira R. Depth of penetration of four resin
sealers into radicular dentinal tubules: A confocal microscopic study. J
Endod 2012;38:1412-6.
24. Tuncer AK, Tuncer S, Gökyay SS. Correlation between sealer
penetration into dentinal tubules and bond strength of two new calcium
silicate-based and an epoxy resin-based, endodontic sealer. J Adhes Sci
Technol 2014;28:702-10.
25. Camilleri J, Sorrentino F, Damidot D. Characterization of un-hydrated
and hydrated BioAggregate™ and MTA Angelus™. Clin Oral Investig
2015;19:689-98.
26. Leal F, De-Deus G, Brandao C, Luna A, Souza E, Fidel S. Similar
sealability between bioceramic putty ready-to-use repair cement and
white MTA. Braz Dent J 2013;24:362-6.
27. Yoshikawa M, Hayami S, Tsuji I, Toda T. Histopathological study of a
newly developed root canal sealer containing tetracalcium-dicalcium
phosphates and 1.0% chondroitin sulfate. J Endod 1997;23:162-6.
28. Bilginer S, Esener IT, Söylemezo?lu F, Tiftik AM. The investigation
of biocompatibility and apical microleakage of tricalcium phosphate
based root canal sealers. J Endod 1997;23:105-9.
29. Zoufan K, Jiang J, Komabayashi T, Wang YH, Safavi KE, Zhu Q.
Cytotoxicity evaluation of gutta flow and endo sequence BC sealers.