scholarly journals Outcome of Root Canal Treatments Using a New Calcium Silicate Root Canal Sealer: A Non-Randomized Clinical Trial

2020 ◽  
Vol 9 (3) ◽  
pp. 782 ◽  
Author(s):  
Angelo Zavattini ◽  
Alan Knight ◽  
Federico Foschi ◽  
Francesco Mannocci

Background: The aim of this study was to compare the success rate of root canal treatments undertaken using a calcium silicate root canal sealer in combination with a single cone with non-calcium silicate cement and warm vertical condensation. Methods: 150 necrotic or pulpitic teeth were treated. (REC: 08/H0804/79). Following standardized root canal chemo-debridement. The canals were obturated using warm vertical condensation of gutta-percha and epoxy-based sealer (AH plus) or a calcium silicate sealer (BioRootTM RCS) with a single cone technique. Follow-up assessment was conducted at 12 months using Cone Beam Computed Tomography (CBCT). Results: At 1-year recall, 104 teeth were assessed (51 AH plus, 53 BioRootTM RCS). The success rate using loose criteria for the CBCT images and PA radiographs was respectively 80% and 89% in the AH plus/warm vertical condensation group, 84% and 90% in the BioRootTM RCS/single cone group. There was no statistically significant difference between the two groups (Fisher exact test p value 0.6099 for the CBCT images). Conclusion: Within the limitations of this non-randomized trial, a calcium silicate cement in combination with single cone resulted in a similar proportion of successful cases compared to warm vertical condensation and epoxy-based sealer.

2021 ◽  
Vol 9 (01) ◽  
pp. 984-990
Author(s):  
Malavika Mohan ◽  
◽  
Meenakshi R. Verma ◽  
Ashish K. Jain ◽  
Rahul D. Rao ◽  
...  

Context: Use of root canal solvents has increased the success rate of endodontic retreatment and it has made the procedure faster and simpler. Aims: During retreatment, a solvent facilitates the removal of obturation material and root canal sealer by softening it, so as to obtain a root canal free of debris and microorganisms. Hence an invitro study was done to evaluate and compare the dissolving effect of RC Solve, Eucalyptus oil and G-sol on AH Plus Root Canal Sealer. Methods and Material: Thirty standardized stainless-steel rings filled with AH Plus sealer manipulated according to manufacturers instructions were prepared and placed ten minutes for complete setting in an incubator at 37°C for 48 hours and weighed to obtain the initial weight. The samples were divided into three equal groups of 10 each and immersed in RC Solve, Eucalyptus oil and G-sol for 10 minutes and dried in an incubator at 37°C for 24 hours and weighed again for final weight. The amount of sealer lost was determined by calculating the difference between initial and final weight. Results: The dissolving effect of AH Plus sealer on all three solvents showed a marked amount of weight loss (p<0.05). The best dissolving capability on AH Plus sealer was exhibited by Eucalyptus oil followed by RC Solve and least for G-Sol. The result of the ANOVA with a p-value of 0.004 indicated a significant difference of weight change of AH Plus sealer after immersion into RC Solve, Eucalyptus Oil and G-Sol. Conclusions: Based on the findings of this study, it was concluded that Eucalyptus oil has a slightly better solvent effect.


2018 ◽  
Vol 64 (4) ◽  
Author(s):  
Przemysław Reszka ◽  
Łukasz Kucharski ◽  
Adam Klimowicz ◽  
Mariusz Lipski

ABSTRACTIntroduction: The aim of this in vitro study was to assess the pH values of selected calcium-silicate root canal sealers in comparison with AH Plus resin-based root canal sealer.Materials and methods: Six root canal sealers were included in this study: BioRoot RCS (Septodont, France), GuttaFlow bioseal (Coltėne/Whaledent, Switzerland), MTA Fillapex (Angelus, Brazil), Total Fill BC Sealer (FKG, Switzerland), Well-Root ST (Vericom, Korea) and AH Plus (Dentsply, DeTrey, Germany). Materials samples (n = 6) were placed in dishes and immersed in 10 mL of distilled water (pH = 6.8). After 1, 3, 24, 48, 72, 168, 336 and 504 hrs, water pH was determined with a pH meter calibrated with a solution of known pH. Data were statistically analyzed using Student-t test (p < 0.05).Results: There were differences in the water pH between the materials tested. The highest water pHs were exhibited by Total Fill BC Sealer, Well-Root ST and BioRoot RCS (pH ~12), followed by GuttaFlow bioseal (pH ~10.5) and MTA Fillapex (pH ~9). The lowest pH was shown by AH Plus (pH ~8).Conclusions: All calcium-silicate root canal sealers studied are able to elevate the pH level, which could have biological and antimicrobial effects. The AH Plus root canal sealer has poor alkalizing properties.


2021 ◽  
Vol 10 (1) ◽  
pp. 1-7
Author(s):  
Nunna Vasavi ◽  
◽  
Kantheti Sirisha ◽  

Objective: The aim of this study was to assess the micro-push-out bond strength of a mineral-based root canal sealer, BioRoot RCS in canals prepared by K3XF rotary systems of two different tapers. Material and Methods: Eighty caries free maxillary central incisors were used in this study. The samples were allocated into 4 groups (n=20) according to the root canal sealer and taper of the rotary instruments. The samples were obturated using single cone obturation technique. From each root 1mm thick slices at coronal, middle and apical thirds were collected using hard tissue microtome under continuous water coolant. Push-out tests were done for these sections using a Universal testing machine (INSTRON 8801) at a crosshead speed of 1mm/min. One-way analysis of variance (ANOVA) was used to compare the bond strengths within groups and Tukey’s multiple post hoc analysis was used for pair-wise comparison of bond strengths. Results: AH Plus exhibited higher micro-push-out bond strength than BioRootRCS though they did not differ significantly (p>0.05). Preparation of root canals with 6% taper rotary instruments showed higher bond strength than 4% though they did not differ significantly (p>0.05). Conclusion: There was no significant difference between micro-push-out bond strength values of BioRoot RCS and AH Plus. The bond strength values were high in 6% taper canals than 4% canals though the difference was not significant statistically.


2021 ◽  
Author(s):  
Zeliha Gonca Bek Kürklü ◽  
Oğuz Yoldaş

Abstract Background: The optimal bonding of adhesives to dentin requires the sealer to be completely removed from dentinal walls. This study compared the efficacy of different sealer removal protocols on the microtensile bond strengths (MTBS) of single step adhesives to a calcium silicate-based bioceramic root canal sealer contaminated dentin. Methods: Standardized box-shaped Class I cavities were prepared in human lower third molars (N=50). All cavities were contaminated with a bioceramic root canal sealer (Endosequence BC Sealer, Brasseler, Savannah, USA), except the control group cavities. For the experimental groups, dentin surfaces were wiped with dry cotton pellets, cotton pellets saturated with water or rinsed with an air water syringe for 5 seconds, or applied aqueous ultrasonic scaler for 5 seconds prior to restoration procedure. All the cavity surface was restored with a one-bottle universal adhesive and composite resin. All the specimens were subjected to both thermocycling and mechanical loading. The restored specimens were sectioned into resin-dentin beams for mictotensile bond strength (Mtbs) evaluation. Additional specimens were prepared for scanning electron microscopy (SEM) to examination of dentin-adhesive interface (N=10).Results: The Mtbs for the 5 groups, the control, dry cotton, wet cotton, water rinse, and ultrasonic rinse group, were 13.42 ± 4.68, 11.96 ± 5.26, 13.03±6.07, 12.73±3.68, and 14.39±4.22 MPa, respectively. No significant difference was found between the mean bond strengths of the groups (p=0.725). In SEM examination no residual sealer was found in any group. Conclusions: Calcium silicate-based bioceramic sealer was removed from the dentin surface with all removal protocols when evaluated with Mtbs after thermal and mechanical cycle tests.


2016 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Haslinda Haslinda ◽  
Christine Anastasia Rovani ◽  
Aries Chandra Trilaksana

<p>The aim of this research was to determine the microleakage apical sealer based on epoxy resin and methacrylate resin with continuous wave obturation technique.Thirty  permanent  lateral incisors were selected at random and  divided into 3 groups (N=10), namely AH Plus obturator group (epoxy resin), EndoREZ group (methacrylate resin), and negative control. The samples were decoronated, root canal preparation, then kept in incubator of 37°C for 72 hours. Sample were coated with nail varnish then immersed in methylene blue for 48 hours. The samples were washed with distilled water, dried and nail varnish removed. The samples were clearing. Penetration was measured using microscope and given score 0-4. Measurements were analyzed statistically. By using Kruskal Wallis test and Mann Whitney test, there is no significant difference between the apical microleakage of the the epoxy resin root canal sealer with methacrylate root canal sealer based (p&gt;0,05). It means that the apical microleakage of the epoxy resin root canal sealer based comparable with merhacrylate root canal sealer based. It was concluded that the apical microleakage of epoxy resin based sealer does not different to the methacrylate resin based sealer.</p>


2016 ◽  
Vol 1 (1) ◽  
pp. 20
Author(s):  
Haslinda Haslinda ◽  
Christine A. Rovani ◽  
Aries C. Trilaksana

The aim of this research was to determine the microleakage apical sealer based on epoxy resin and methacrylate resin with continuous wave obturation technique.Thirty  permanent  lateral incisors were selected at random and  divided into 3 groups (N=10), namely AH Plus obturator group (epoxy resin), EndoREZ group (methacrylate resin), and negative control. The samples were decoronated, root canal preparation, then kept in incubator of 37°C for 72 hours. Sample were coated with nail varnish then immersed in methylene blue for 48 hours. The samples were washed with distilled water, dried and nail varnish removed. The samples were clearing. Penetration was measured using microscope and given score 0-4. Measurements were analyzed statistically. By using Kruskal Wallis test and Mann Whitney test, there is no significant difference between the apical microleakage of the the epoxy resin root canal sealer with methacrylate root canal sealer based (p>0,05). It means that the apical microleakage of the epoxy resin root canal sealer based comparable with merhacrylate root canal sealer based. It was concluded that the apical microleakage of epoxy resin based sealer does not different to the methacrylate resin based sealer


2017 ◽  
Vol 28 (3) ◽  
pp. 380-384 ◽  
Author(s):  
Luciana Martins Domingues de Macedo ◽  
Yara Silva-Sousa ◽  
Silvio Rocha Corrêa da Silva ◽  
Samantha Schaffer Pugsley Baratto ◽  
Flares Baratto-Filho ◽  
...  

Abstract The influence of root canal filling techniques on the penetration of AH Plus into dentinal tubules was evaluated using confocal laser scanning microscopy (CLSM) and the impact on the bond strength of the filling material on the root dentin was evaluated using the push-out test. Roots of the maxillary central incisors (n=40) were prepared with ProTaper Universal and assigned to four groups: lateral condensation, vertical compaction, modified Tagger hybrid and single cone. After root canal filling with gutta-percha and AH Plus, along with the addition of 0.01% fluorescein, the roots were cut into 2-mm slices. CLSM was performed on the first slice of each root third, followed by the push-out test. The second slice was analyzed under SEM. ANOVA demonstrated a statistically significant difference between the root canal filling techniques and the root thirds (p<0.05). For percent penetration, Tukey’s test showed that the vertical compaction (91.77±13.51), lateral condensation (89.18±10.91) and modified Tagger hybrid (87.53±15.42) presented the highest values, which significantly differed (p<0.05) from those of the single cone (78.19±22.46). For bond strength (MPa), lateral condensation (3.42±0.54) and vertical compaction (3.47±0.53) had the highest values (p<0.05), while the modified Tagger hybrid (2.19±0.41) and single cone (0.54±0.21) had the lowest. In conclusion, the lateral condensation, vertical compaction and Modified Tagger’s hybrid techniques resulted in greater penetration and bond strength to the intra-radicular dentin.


2018 ◽  
Vol 17 ◽  
pp. 1-8
Author(s):  
Tatiana Vieira de Melo ◽  
Marina Carvalho Prado ◽  
Raphael Hirata Junior ◽  
Sandra Rivera Fidel ◽  
Emmanuel João Nogueira Leal da Silva ◽  
...  

Aim: This study investigated the sealing ability produced by AH Plus (Dentsply DeTrey, Konstaz, Germany), EndoSequence BC sealer (Brasseler USA, Savannah, GA, USA), GuttaFlow (Coltène/Whaledent, Altstätten, France) and MTA Fillapex (Angelus, Londrina, Brazil). Methdos: A total of forty-six single-root human canines were prepared and randomly divided into four experimental groups (n=10): MTA Fillapex, EndoSequence BC Sealer, AH Plus or GuttaFlow. Teeth with intact crowns served as negative controls (n=3) and teeth filled with only gutta-percha served as positive controls (n=3). Teeth were mounted in a two-chamber apparatus and exposed to Enterococcus faecalis. The number of days over a 60-days period was recorded for the appearance of turbidity in the lower chamber. Kaplan-Meier method was used to estimate the survival curves. The nonparametric log-rank test was used to compare the survival curves using a significance level of 0.05. Results: The results at the end of the observation time were further analyzed by chi-square testing. All positive controls leaked within 24 h, whereas none of the negative controls leaked after 60 days. EndoSequence BC Sealer and MTA Fillapex had significant less bacterial leakage (P<0.05) than the other tested sealers. No significant difference between AH Plus and GuttaFlow was observed (P>0.05). Conclusion: In conclusion, calcium-silicate based root canal sealers promoted improved sealing ability when compared to other endodontic sealers.


Author(s):  
Salma Omidi ◽  
Alireza Ahadian ◽  
Golnaz Hadidi ◽  
Seyed Jaber Mousavi ◽  
Maryam Forghani

Objectives: This study aimed to assess the dentin adaptability of a certain type of fluoride varnish, as a novel root canal sealer, in comparison with AH-Plus sealer. Materials and Methods: Twenty-four extracted single-rooted, single-canal human permanent teeth with straight and fully formed roots and no internal calcification, resorption or cracks, were selected and decoronated such that the remaining root length was 14 mm in all teeth. Root canals were prepared using the Mtwo rotary file system according to the manufacturer's instructions and filled with gutta-percha and either AH-Plus (n=12) or fluoride varnish (n=12) via the lateral compaction technique. Each root was then sectioned at 4 and 8 mm distances from the apex for evaluation under a scanning electron microscope (SEM). The gap size between the sealer and dentin was measured. Statistical analysis was performed using the Kolmogorov-Smirnov test and t-test with the significance level set at 0.05. Results: The mean gap size was 14.407±1.402 µm and 8.342±0.694 µm in the roots obturated with AH-Plus and fluoride varnish sealers, respectively. The t-test revealed a statistically significant difference (P<0.001) in this regard between the two groups. Conclusion: Fluoride varnish, as a root canal sealer, has a superior adaptation to dentinal canal walls compared to the AH-Plus sealer.


Materials ◽  
2021 ◽  
Vol 14 (10) ◽  
pp. 2661
Author(s):  
Kiche Shim ◽  
Young-Eun Jang ◽  
Yemi Kim

Background: This clinical trial aimed to compare the effects of bioceramic sealer and resin-based sealer on the incidence and intensity of postoperative pain. Methods: Patients with anterior teeth or premolars requiring root canal treatment were assigned to group 1 (n = 51). Those with molars requiring treatment were assigned to group 2 (n = 57). In groups 1En and 2En, root canals were obturated with Endoseal MTA using the single-cone technique. In groups 1AH and 2AH, the sealer used was AH Plus with the continuous wave technique. On the day of canal filling, each patient was instructed to indicate their pain intensity over the 7 day postoperative period, at rest and, while biting, using a visual analog scale. Results: There was no significant difference in the incidence or intensity of postoperative pain between the Endoseal MTA and AH Plus groups during the 7 day postoperative period (p > 0.05). Less time was needed to seal the root canals with Endoseal MTA, especially in group 2 (p < 0.05). Conclusions: Endoseal MTA and AH Plus had similar effects on the incidence and intensity of postoperative pain. The obturation time was shorter when using Endoseal MTA compared to AH Plus.


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