Comparative evaluation of apical sealing ability of different root canal sealers

Year 2018, Volume: 52 Issue: 3, 117 - 121, 01.09.2018

Halenur Altan , Zeynep Göztaş Gülsüm İnci Gül Tosun

Abstract

Purpose

The aim of this study was to compare the
short and long term apical sealing ability of different root canal sealers.

Materials and methods

Fifty-five extracted human anterior
single-root teeth were used. The coronal part of each tooth was removed and the
root canals were prepared with NiTi rotary instruments. Teeth were divided into
5 study groups; Group I: MTA Fillapex (Angelus, Brazil); Group II: Sealapex
(Sybron-Kerr, Romulus, MI, USA) and Group III: AH Plus (Dentsply, Konstanz,
Germany) (n=15) and negative and positive control groups (n=5). The quality of
root canal sealing was assessed by a fluid filtration method performed at 24 h
and 180-day time intervals. Kruskal Wallis and Mann Whitney U tests were used
to compare the groups.

Results

At 24 h evaluation, MTA Fillapex presented
significantly less microleakage than the Sealapex and AH Plus (p<0.05). At
long term interval (180-day), Sealapex and AH Plus presented significantly less
microleakage than the MTA Fillapex (p<0.05).

Conclusion

Sealapex and AH Plus showed significantly
better sealing abilities than MTA Fillapex in the long term.

Keywords

MTA fillapex; AH plus; Sealapex; microleakage; fluid filtration method

References

• 1. Zhang W, Li Z, Peng B. Assessment of a new root canal sealer’s apical sealing ability. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107: e79-82. 2. Mannocci F, Innocenti M, Bertelli E, Ferrari M. Dye leakage and sem study of roots obturated with thermafill and dentin bonding agent. Endod Dent Traumatol 1999; 15: 60-4. 3. Bouillaguet S, Shaw L, Barthelemy J, Krejci I, Wataha JC. Long-term sealing ability of pulp canal sealer, ah-plus, guttaflow and epiphany. Int Endod J 2008; 41: 219-26. 4. Caicedo R, von Fraunhofer JA. The properties of endodontic sealer cements. J Endod 1988; 14: 527-34. 5. Huang TH, Yang JJ, Li H, Kao CT. The biocompatibility evaluation of epoxy resin-based root canal sealers in vitro. Biomaterials 2002; 23: 77-83. 6. Murata SS, Holland R, Souza V, Dezan Junior E, Grossi JA, Percinoto C. Histological analysis of the periapical tissues of dog deciduous teeth after root canal filling with diferent materials. J Appl Oral Sci 2005; 13: 318-24. 7. Sousa-Neto MD, Silva Coelho FI, Marchesan MA, Alfredo E, Silva-Sousa YT. Ex vivo study of the adhesion of an epoxy-based sealer to human dentine submitted to irradiation with Er : YAG and Nd : YAG lasers. Int Endod J 2005; 38: 866-70. 8. Holland R, de Souza V. Ability of a new calcium hydroxide root canal filling material to induce hard tissue formation. J Endod 1985; 11: 535-43. 9. Miranda RB, Fidel SR, Boller MA. L929 cell response to root perforation repair cements: An in vitro cytotoxicity assay. Braz Dent J 2009; 20: 22-6. 10. Torabinejad M, Hong CU, Lee SJ, Monsef M, Pitt Ford TR. Investigation of mineral trioxide aggregate for root-end filling in dogs. J Endod 1995; 21: 603-8. 11. Gomes-Filho JE, Watanabe S, Lodi CS, Cintra LT, Nery MJ, Filho JA, Dezan E, Jr., Bernabe PF. Rat tissue reaction to mta fillapex(r). Dent Traumatol 2012; 28: 452-6. 12. Gomes-Filho JE, Moreira JV, Watanabe S, Lodi CS, Cintra LT, Dezan Junior E, Bernabe PF, Nery MJ, Otoboni Filho JA. Sealability of mta and calcium hydroxidecontaining sealers. J Appl Oral Sci 2012; 20: 347-51. 13. Jafari F, Sobhani E, Samadi-Kafil H, Pirzadeh A, Jafari S. In vitro evaluation of the sealing ability of three newly developed root canal sealers: A bacterial microleakage study. J Clin Exp Dent 2016; 8: e561-5. 14. Wu MK, De Gee AJ, Wesselink PR. Fluid transport and dye penetration along root canal fillings. Int Endod J 1994; 27: 233-8. 15. Gandolfi MG, Prati C. Mta and f-doped mta cements used as sealers with warm gutta-percha. Long-term study of sealing ability. Int Endod J 2010; 43: 889-901. 16. Ozbay G, Kitiki B, Peker S, Kargul B. Apical sealing ability of a novel material: Analysis by fluid filtration technique. Acta Stomatol Croat 2014; 48: 132-9. 17. Vasconcelos BC, Bernardes RA, Duarte MA, Bramante CM, Moraes IG. Apical sealing of root canal fillings performed with five different endodontic sealers: Analysis by fluid filtration. J Appl Oral Sci 2011; 19: 324-8. 18. Brackett MG, Martin R, Sword J, Oxford C, Rueggeberg FA, Tay FR, Pashley DH. Comparison of seal after obturation techniques using a polydimethylsiloxane-based root canal sealer. J Endod 2006; 32: 1188-90. 19. Orstavik D, Nordahl I, Tibballs JE. Dimensional change following setting of root canal sealer materials. Dent Mater 2001; 17: 512-9. 20. Xu Q, Fan MW, Fan B, Cheung GS, Hu HL. A new quantitative method using glucose for analysis of endodontic leakage. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 99: 107-11. 21. Sagsen B, Er O, Kahraman Y, Orucoglu H. Evaluation of microleakage of roots filled with different techniques with a computerized fluid filtration technique. J Endod 2006; 32: 1168-70. 22. Canalda-Sahli C, Brau-Aguade E, Sentis-Vilalta J, Aguade-Bruix S. The apical seal of root canal sealing cements using a radionuclide detection technique. Int Endod J 1992; 25: 250-6. 23. Joseph R, Singh S. Evaluation of apical sealing ability of four different sealers using centrifuging dye penetration method: An in vitro study. J Contemp Dent Pract 2012; 13: 830-3. 24. Razavian H, Barekatain B, Shadmehr E, Khatami M, Bagheri F, Heidari F. Bacterial leakage in root canals filled with resin-based and mineral trioxide aggregate-based sealers. Dent Res J (Isfahan) 2014; 11: 599-603. 25. Sonmez IS, Oba AA, Sonmez D, Almaz ME. In vitro evaluation of apical microleakage of a new mta-based sealer. Eur Arch Paediatr Dent 2012; 13: 252-5. 26. Asawaworarit W, Yachor P, Kijsamanmith K, Vongsavan N. Comparison of the apical sealing ability of calcium silicate-based sealer and resin-based sealer using the fluid-filtration technique. Med Princ Pract 2016; 25: 561-5. 27. Silva EJ, Carvalho NK, Prado MC, Zanon M, Senna PM, Souza EM, De-Deus G. Push-out bond strength of injectable pozzolan-based root canal sealer. J Endod 2016; 42: 1656-9.