Outcome of root canal treatment using Bioceramic sealer and resinbased sealer: An observational analytical study

Abstract

The proper shaping and cleaning followed by well-sealed root canal system is desired for successful outcome of the endodontic treatment. With the advent of Bioceramic sealers and their beneficial biological properties, they have been widely incorporated in clinical practice. So, the purpose of this study was to find out the difference in the healing outcome of root canal treatments and retreatments carried out with either single cone obturation technique (SCO) or warm vertical compaction technique (WVC). This was observational analytical study (Cohort study), carried out in private practice. The patients were recalled at-least at six months. When association of healing with type of sealer was considered there was a statistically significant association between healing potential and type of sealer (p-value 0.03). Kaplan -Meier analysis for time to healing showed that with progress of time probability of healing was seen to be more in bioceramic sealer group. Within the limitations of this study the SCO had good healing potential and can be used as a safe alternative in obturation.

The efficacy of premixed bioceramic sealers versus standard sealers on root canal treatment outcome, extrusion rate and post‐obturation pain: A systematic review and meta‐analysis

“…Six studies were evaluated (Gautam et al., 2022; Hu et al., 2022; Kim et al., 2021; Pontoriero et al., 2023; Song et al., 2022; Zamparini et al., 2023). Of these, three were randomized clinical studies (Hu et al., 2022; Kim et al., 2021; Song et al., 2022), and three were prospective non‐randomized cohort studies (Gautam et al., 2022; Pontoriero et al., 2023; Zamparini et al., 2023). All studies had at least one control group, consisting in epoxy resin‐based sealers (AH Plus) or a powder‐liquid CaSi sealer.…”

“…All the studies used periapical radiological methods for investigation. All studies were prospective (Drumond et al., 2021; Fonseca et al., 2019; Gautam et al., 2022; Kim et al., 2021; Pontoriero et al., 2023; Shim et al., 2021; Song et al., 2022; Zamparini et al., 2023), and five of these included a randomization of the filling techniques (Drumond et al., 2021; Fonseca et al., 2019; Kim et al., 2021; Shim et al., 2021; Song et al., 2022). A total of five studies used the premixed sealer with a cold single cone technique, while three studies adopted a warm technique in one of the groups.…”

“…Clinical studies analysing PICO 1 (survival and success rates) Six studies were evaluated (Gautam et al, 2022;Hu et al, 2022;Kim et al, 2021;Pontoriero et al, 2023;Song et al, 2022;Zamparini et al, 2023). Of these, three were randomized clinical studies (Hu et al, 2022;Kim et al, 2021;Song et al, 2022), and three were prospective non-randomized cohort studies (Gautam et al, 2022;Pontoriero et al, 2023;Zamparini et al, 2023). All studies had at least one control group, consisting in epoxy resin-based sealers (AH Plus) or a powder-liquid CaSi sealer.…”

Evaluation of various obturation techniques with bioceramic sealers in 3D-printed C-shaped canals

“…However, research on obturating C-shaped canals with bioceramic sealers is scarce [ 17 ]. Given the bioceramic sealers’ favorable properties, easy application, and capability to reach anatomically challenging areas, they emerge as potential filling material in the root canal treatment of teeth with complex anatomies [ 4 ]. To the best of our knowledge, this research is the pioneering study to compare different obturation techniques employing bioceramic sealers in C-shaped canal printed replicas.…”

“…Although there are different classes of root canal sealers, recently, bioceramic sealers have gained popularity in modern root canal treatments due to their biochemical and biological properties and ease of use [ 4 ]. They are biocompatible and bond chemically to dentin due to high amounts of calcium and phosphate and create a crystal structure similar to hydroxyapatite [ 5 , 6 ].…”