Calcium Silicate-Based Sealer Dentinal Tubule Penetration—A Systematic Review of In Vitro Studies

Ashkar, Israa; Sanz, José Luis Graupera; Forner, Leopoldo; Melo, María

doi:10.3390/ma16072734

Cited by 9 publications

(4 citation statements)

References 96 publications

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“…Consistent with prior studies, we observed a substantial reduction in PAI scores following endodontic treatment in both groups [56,57]. In line with other investigations, tooth mobility and pain at the intervention site were significantly reduced after treatment across both sealers [58,59].…”

Section: Analysis Of Results and Literature Findingssupporting

confidence: 92%

Assessing the Sealing Performance and Clinical Outcomes of Endodontic Treatment in Patients with Chronic Apical Periodontitis Using Epoxy Resin and Calcium Salicylate Seals

et al. 2023

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Background and Objectives: Recognizing the significance of a hermetic apical seal for successful root canal treatment, the present investigation aimed to evaluate two sealing materials through an in vitro analysis, as well as to ascertain the clinical outcomes of patients treated with these two sealers in an in vivo setting. Materials and Methods: For the in vitro part of the study, two control groups of thirty monoradicular teeth were obturated with two sealers. Then, the sealers’ performance was tested based on a predefined protocol. Group A included 30 patients treated with an epoxy oligomer resin-based sealer (Adseal, MetaBiomed), while Group S comprised 30 patients treated with a polymeric calcium salicylate-based sealer (Sealapex, Kerr). Samples were sectioned and evaluated under the microscope to determine the sealer’s tightness by measuring the dye penetration into the root canal filling. For the in vivo part, a prospective study was designed to include 60 patients with chronic apical periodontitis in two endodontic treatment groups, using the same two sealers. Results: The in vitro analysis found that dye penetration in Group A was 0.82 mm (±0.428), while in Group S, the dye penetration was statistically significantly deeper, being 1.23 mm (±0.353). In the in vivo part of the study, the periapical index (PAI) significantly decreased 6 months after endodontic treatment, with 80.0% of patients in Group A having a PAI score of 2 compared to only 56.7% in Group S (p-value = 0.018). Similarly, tooth mobility scores significantly decreased after treatment, but with no difference between groups. The marginal bone loss decreased significantly more in the Adseal group compared to the Sealapex group (23.3% vs. 50.0%, p-value = 0.032). At the same time, 40.0% of patients in Group S had failed tooth healing compared to only 13.3% in Group A (p-value = 0.048). Conclusions: The in vitro study showed that Adseal had a better sealing capacity and a lower degree of dye penetration compared to Sealapex. However, on clinical evaluation in the in vivo study, both patient groups exhibited significant improvements in periapical index, tooth mobility scores, and pain reduction following endodontic treatment. Nevertheless, patients treated with Adseal showed a significantly greater improvement in PAI values, tooth mobility, and teeth healing after treatment. Overall, Adseal, as an endodontic sealer, may provide better sealing capabilities and enhanced clinical outcomes in the treatment of chronic apical periodontitis.

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Section: Analysis Of Results and Literature Findingssupporting

confidence: 92%

Assessing the Sealing Performance and Clinical Outcomes of Endodontic Treatment in Patients with Chronic Apical Periodontitis Using Epoxy Resin and Calcium Salicylate Seals

et al. 2023

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“…The sealer adaptation depends on many factors, including smear layer removal, root canal dimension, dentin permeability, dentinal tubule diameter, physical and chemical properties, constituents, particle size, consistency, surface tension, and contact angle of the root canal sealers. 21 - 23 …”

Section: Discussionmentioning

confidence: 99%

“…Similarly, other findings have confirmed that using small particles decreases the contact angle and increases the surface area of the sealer, thereby enhancing the spread and adaptation of the sealer into lateral and accessory root canals. 22 , 23 Therefore, the small particle size and greater fluidity of the C 3 S-BG-P and Nishika allowed their better adaptation to root canal walls. Chew et al 30 compared three different sealers (EndoSeal MTA, CeraSeal, and Nishika Canal Sealer BG) with an AH Plus in oval root canals.…”

Section: Discussionmentioning

confidence: 99%

Interfacial adaptation of newly prepared nano-tricalcium silicate-58s bioactive glass-based endodontic sealer

Al-Sabawi,

Al-Jubori

2024

J Dent Res Dent Clin Dent Prospects

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Background. The sealer’s interfacial adaptability is one of the critical factors for successful root canal therapy. This study evaluated and compared the interfacial adaptability of newly prepared nano-tricalcium silicate-58s bioactive glass-based endodontic sealer (C3 S-BG-P) to root dentin with two bioactive sealers Nishika Canal Sealer BG and BioRootTM RCS. Methods. Thirty newly extracted single-rooted lower premolars were decoronated and instrumented. The roots were assigned to three groups: C3 S-BG-P, Nishika Canal Sealer BG, and BioRootTM RCS (n=10) and obturated with the single-cone method. Each root was sectioned horizontally to obtain three slices at 2, 5, and 10 mm from the apex. The width of the gaps at the sealer‒dentin interface from each section’s mesial and distal sides was measured under a field emission scanning electron microscope (FESEM) at×1.0 using the Digimizer software program. One-way ANOVA and post hoc Tukey tests for multiple comparisons were used to interpret and analyze the collected data. Results. The mean gap width at the sealer‒dentin interface of C3 S-BG-P and Nishika Canal Sealer BG was significantly less than that of BioRootTM RCS at all root sections (P≤0.05). However, the mean gap width at the sealer‒dentin interface of C3 S-BG-P was not significantly different from Nishika Canal Sealer BG (P>0.05). Moreover, there were greater interfacial gaps at the apical level than at the coronal level for all the tested sealers. Conclusion. C3 S-BG-P exhibited interfacial adaptation that was nearly comparable to Nishika Canal Sealer BG and superior to BioRootTM RCS.

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“…On the other hand, rhodamine has less affinity to calcium in the sealer. For this reason, Fluo-3 dye was suggested as a suitable dye alternative to rhodamine in the detection of the sealer penetration of calciumsilicate-based endodontic sealers (Ashkar et al, 2023;Coronas et al, 2020). Fluo-3 dye can bind to the calcium in these sealers and cause fluorescence.…”

Section: Mean Penetration Depthmentioning

confidence: 99%

Comparison of the dentin tubule penetration of AH Plus, WellRoot ST, and MTA BioSeal after obturation, retreatment, and re‐shaping of the root canals

Uysal,

Arıcan

2023

Microscopy Res & Technique

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It was aimed to compare the dentine tubule penetration of AH Plus, MTA Bioseal, and WellRoot ST after filling, retreating, and reshaping the root canals by using a novel microscopic method. Seventy‐five mandibular incisors with single root canals were shaped with Protaper Next system (PTN; X2‐25/0.06) The teeth were obturated with AH Plus labeled with Rhodamin B and MTA Bioseal or WellRoot ST sealer which were labeled with Fluo‐3. Then the root canal fillings were removed with Protaper Universal Retreatment files. At the last stage, the teeth were reshaped with PTN (X3‐30/0.07). The samples were transversally sectioned and examined using a Cytation 5 reader and Gen5 software regarding the mean and the maximum depth of sealer penetration. No significant difference was observed between the groups, except for the 6 mm level after reshaping the root canals (p < .05). It is not possible to completely remove the sealer remnants from the dentin walls even after reshaping the root canals.Research Highlights Even after reshaping the root canals in the retreatment procedure, it is not possible to completely remove the filling residues of the epoxy‐resin‐based, calcium‐silicate‐based and MTA‐based endodontic pastes from the dentin walls.

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Calcium Silicate-Based Sealer Dentinal Tubule Penetration—A Systematic Review of In Vitro Studies

Cited by 9 publications

References 96 publications

Assessing the Sealing Performance and Clinical Outcomes of Endodontic Treatment in Patients with Chronic Apical Periodontitis Using Epoxy Resin and Calcium Salicylate Seals

Assessing the Sealing Performance and Clinical Outcomes of Endodontic Treatment in Patients with Chronic Apical Periodontitis Using Epoxy Resin and Calcium Salicylate Seals

Interfacial adaptation of newly prepared nano-tricalcium silicate-58s bioactive glass-based endodontic sealer

Comparison of the dentin tubule penetration of AH Plus, WellRoot ST, and MTA BioSeal after obturation, retreatment, and re‐shaping of the root canals

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