Clinical outcome of bioceramic sealer iRoot SP extrusion in root canal treatment: a retrospective analysis

Abstract

Background During the obturation procedure, sealer extrusion occurs in some cases. iRoot SP is a kind of bioceramic sealer with superior physicochemical and biological properties. This article reports the outcome of iRoot SP extrusion in root canal treatment and the potential factors associated with the outcome. Methods Ninety-nine patients and one hundred and eighty-five teeth treated between 2014 and 2020 were included in this retrospective study. All of the cases were filled with a single-cone technique and the iRoot SP sealer. The minimum follow-up visit period was 1 year. The outcome was evaluated by clinical examination and radiographic examination at recall and was classified as healed, healing (success), or not healed (failure). Results The overall success rate of all teeth was 96.8%. The success rate of adequately filled teeth was 97.3%, while that of iRoot SP extrusion was 95.8%; the difference was not statistically significant. Factors such as gender, age, tooth position, follow-up visit period, size of periapical lesion, treatment type and extruding sealer amount had no influence on the outcome of iRoot SP extruded teeth. Conclusions The results suggested that iRoot SP extrusion has no adverse effect on the outcome of root canal treatment, which may contribute to the endodontic treatment.

Clinical applications of calcium silicate‐based materials: a narrative review

“…According to a randomized clinical trial, iRoot SP resulted in a similar clinical performance and success rate to an epoxy resin‐based sealer at a 2‐year follow‐up when used with a warm vertical compaction technique 163 . One of the most commonly used root‐filling techniques with CSSs in clinical studies was the single cone technique 164–166 . According to a retrospective study using iRoot SP sealer with a single cone technique, the success rate was 96.8% and iRoot SP extrusion had no adverse effect on the treatment outcome 164 .…”

“…163 One of the most commonly used rootfilling techniques with CSSs in clinical studies was the single cone technique. [164][165][166] According to a retrospective study using iRoot SP sealer with a single cone technique, the success rate was 96.8% and iRoot SP extrusion had no adverse effect on the treatment outcome. 164 In prospective studies, similar success rates were reported for the single cone technique using BioRoot RCS and warm vertical compaction technique using an epoxy resin-based sealer 165 or a zinc oxide-eugenol sealer.…”

“…[164][165][166] According to a retrospective study using iRoot SP sealer with a single cone technique, the success rate was 96.8% and iRoot SP extrusion had no adverse effect on the treatment outcome. 164 In prospective studies, similar success rates were reported for the single cone technique using BioRoot RCS and warm vertical compaction technique using an epoxy resin-based sealer 165 or a zinc oxide-eugenol sealer. 167 According to a randomized clinical trial, MTA Fillapex showed a similar success rate to an epoxy resin-based sealer at a 2-year followup when used with a single cone technique.…”

Comparative bioactivity and immunomodulatory potential of the new Bioroot Flow and AH Plus Bioceramic sealer: An in vitro study on hPDLSCs

“…Currently, most root canal filling techniques are based on the use of a core material i.e., gutta-percha, and an endodontic sealer. Whether cold-based techniques i.e., lateral condensation or single-cone, or techniques involving heat i.e., warm vertical compaction or continuous wave, endodontic sealers may extrude to a variable extent from the apical foramen or accessory canals and into the periodontium [ 2 , 3 ]. Thus, they should at least exhibit an adequate cyto- and biocompatibility, meaning that when placed in contact with surrounding periodontal cells and tissues, respectively, no negative responses nor alterations in their physiological functioning should be expected [ 4 ].…”

A scientometric, bibliometric, and thematic map analysis of hydraulic calcium silicate root canal sealers

“…The first bioceramic or HCSB root canal sealer accompanied by the favorable properties of bioceramic cements was introduced in 2008, under the brand name ProRoot Endo Sealer (Dentsply Tulsa Dental Specialties, Charlotte, NC, USA) [ 9 ]. Since then, numerous HCSB sealers that exhibit advanced biological properties, such as biocompatibility and bioinductivity, have been launched commercially and used in clinical practice, including TotalFill BC Sealer (FKG, La Chaux de Fonds, Switzerland), Bio-C Sealer (Angelus, Londrína, PR, Brazil), EndoSequence Bioceramic Sealer (Brasseler USA, Savannah, GA, USA), and iRoot SP Sealer (Innovative BioCeramix Inc., Vancouver, BC, Canada) [ 10 11 12 ].…”