Plus and RealSeal. (Folia Morphol 2016; 75, 1: 14-20)

Do the new, modern dental resin composites improve the sealing in cavities restorations? The present study was designed to compare the effect of two different, but most used layering techniques of the dental composite in reducing the marginal microleakage when a brand-new material is used; Class I black cavities were prepared on 120 human extracted teeth and then restored using oblique and horizontal layering technique. The dye penetration analysis, the atomic force microscopy (AFM), scanning electron microscopy (SEM) together with energy-dispersive X-ray spectroscopy (EDX) and Fourier transform infra-red spectroscopy (FTIR) technique were used to assess the adaptation of the restorative material to the dental structures. Some better results were obtained for oblique layering technique, but the differences to the other method have not been statistically validated. The composite layering technique still remains an open quest and, moreover, in vivo studies should be designed in order to assess microleakage in real conditions of the oral environment.

(1) Background: Which are the adhesion characteristics of four root canal sealers: two experimental (dual cure resin based endodontic sealer (E1-DCR) and bioceramic based sealer (E2-BC)), and two commercial (RealSeal and TotallFill BC (FKG Germany)). (2) Methods. One-hundred-twenty extracted monoradicular teeth received mechanic-antiseptic preparation and then endodontic filling using gutta-percha in combination with one of the four sealers. Samples from the apical third were selected from each tooth and were randomly distributed for Scanning Electron Microscopy (SEM), Atomic Force Microscopy (AFM) and push-out bond strength. Fourier Transform Infrared (FTIR) Spectroscopy was made exclusively for experimental sealers. (3) Results. The two experimental materials did not present a significant difference in apical sealing ability based on SEM evaluation. Gaps were identified in case of RealSeal samples and also lower penetration into the dentinal tubules compared to TotalFill BC. On AFM analysis a more pronounced penetration into the tubules was observed in case of E2-BC sealer was observed. E1-DCR registered a lower bond strength (0.7177 ± 0.55) in the apical third compared to Total Fill BC (p = 0.01). (4) Conclusions. Within the limitations of the current study, it can be stated that the two experimental sealers’ characteristics are comparable to that of the two consecrated materials.

All authors have equal contributions to this study. AbstractAim. The current study aims to evaluate, using scanning electronic microscopy, the sealing ability of two bioceramic endodontic sealers, one consecrated and one experimental. Methods. Twenty monoradicular teeth were included in the study. The teeth were endodontically prepared at the working length. The shaping and cleaning involved the use of chelating gel MM EDTA 19% and continuous irrigation with sodium hypochlorite 2.5%. The radicular filling was performed using gutta-percha in association with a sealer. Ten teeth were filled with consecrated endodontic filling material and the others ten with the experimental bioceramic based sealer. Results. The evaluation of the sealers using SEM analysis allowed the identification and the measurement of gaps on the radicular dentin/sealer interface and the degree of apical sealing ability. No significant statistical difference was observed between the gap dimensions in the three areas for the tested bioceramic materials (p<0.005). In the apical region a homogenous layer with extensions intersecting the hybrid layer was observed when the experimental bioceramic sealer was used. In case of teeth filled with commercial sealer, peripheral hybrid extended areas were identified. Conclusions. The two bioceramic sealers presented similar apical sealing. Gaps were identified in both sealers but also the presence of hybrid layer was identified.

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