Evaluation of Mean Apical Sealing Ability of Bio Ceramic and AH Plus (Dentsply Sirona) Sealer in Single Rooted Teeth: An In Vitro Study: Apical Sealing for Single Rooted Teeth

Jazib Memon; Kanza Iqbal; Mariam Raza Mallick; Mohsin Ali Dehraj; Ahsan Ali; Kelash Kumar

doi:10.54393/pjhs.v5i05.1508

Authors

Jazib Memon Department of Operative Dentistry and Endodontics, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
Kanza Iqbal Department of Operative Dentistry and Endodontics, Institute of Dentistry, Combined Military Hospital Lahore Medical College, Lahore, Pakistan
Mariam Raza Mallick Department of Operative Dentistry and Endodontics, Pakistan Institute of Medical Sciences, Islamabad, Pakistan
Mohsin Ali Dehraj Department of Operative Dentistry and Endodontics, Muhammad Dental College, Mirpurkhas, Pakistan
Ahsan Ali Department of Operative Dentistry, Rehman College of Dentistry, Peshawar, Pakistan
Kelash Kumar Department of Operative Dentistry and Endodontics, Baqai Dental College, Karachi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i05.1508

Keywords:

Apical Leakage, Bioceramic Sealer, Dye Penetration, Blue Stain, Root Canal

Abstract

A good seal is essential to prevent bacteria from re-entering the canal. Sealers can significantly impact the success of the treatment. Understanding which sealant works better can help dentists improve the outcome of root canal treatments. Objective: To compare mean apical sealing ability of bioceramic sealer and AH plus sealer in single rooted tooth. Methods: Extracted single-rooted teeth were divided into two groups and sealed with either bioceramic or AH plus sealer. After soaking in dye solution, the depth of dye penetration was measured to assess leakage. Results: Bioceramic sealer showed significantly better apical sealing ability (mean 5.43 mm) compared to AH plus (mean 8.55 mm), suggesting it may be a more effective choice for preventing future problems after root canal treatment. Conclusions: The study concluded that bioceramic sealer is superior to AH plus in sealing the tips of single-rooted teeth. This finding can help dentists choose the most effective sealant for their patients, potentially reducing the chance of treatment failure.

References

Dentistry. 2016 Jan; 10(01): 144-7. doi: 10.4103/1305-7456.175682. DOI: https://doi.org/10.4103/1305-7456.175682

Seema T, Ahammed H, Parul S, Cheranjeevi J. Comparative evaluation of dentin removal and taper of root canal preparation of hand K file, ProTaper rotary file, and Kedo S rotary file in primary molars using cone-beam computed tomography. International Journal of Clinical Pediatric Dentistry. 2020 Jul; 13(4): 332. doi: 10.5005/jp-journals-10005-1787. DOI: https://doi.org/10.5005/jp-journals-10005-1787

Ahluwalia Y, Sharma U, Kumar N, Malik A, Singh A, Narayan A. Adaptation of single-cone gutta-percha in curved canals prepared and obturated with protaper and heroshaper systems by using cone beam computed tomography. Journal of International Society of Preventive and Community Dentistry. 2019 Mar; 9(2): 185-93. doi: 10.4103/jispcd.JISPCD_398_18. DOI: https://doi.org/10.4103/jispcd.JISPCD_398_18

Vishwanath V and Rao HM. Gutta-percha in endodontics-A comprehensive review of material science. Journal of Conservative Dentistry and Endodontics. 2019 May; 22(3): 216-22. doi: 10.4103/JCD.JCD_420_18. DOI: https://doi.org/10.4103/JCD.JCD_420_18

Li GH, Niu LN, Zhang W, Olsen M, De-Deus G, Eid AA et al. Ability of new obturation materials to improve the seal of the root canal system: a review. Acta Biomaterialia. 2014 Mar; 10(3): 1050-63. doi: 10.1016/j.actbio.2013.11.015. DOI: https://doi.org/10.1016/j.actbio.2013.11.015

Sultana M, Musani MA, Ahmed IM. An in-vitro comparative study for assessment of apical sealing ability of Epiphany/AH Plus sealer with Resilon/gutta-percha root canal filling materials. Journal of International Society of Preventive and Community Dentistry. 2016 Jul; 6(4): 321-6. doi: 10.4103/2231-0762.186806. DOI: https://doi.org/10.4103/2231-0762.186806

Kikly A, Jaâfoura S, Kammoun D, Sahtout S. Sealing ability of endodontic cements: An in vitro study. International Journal of Dentistry. 2020 Feb; 2020(1): 5862598. doi: 10.1155/2020/5862598. DOI: https://doi.org/10.1155/2020/5862598

Kwak SW, Koo J, Song M, Jang IH, Gambarini G, Kim HC. Physicochemical properties and biocompatibility of various bioceramic root canal sealers: in vitro study. Journal of Endodontics. 2023 Jul; 49(7): 871-9. doi: 10.1016/j.joen.2023.05.013. DOI: https://doi.org/10.1016/j.joen.2023.05.013

Ozbay G, Kitiki B, Peker S, Kargul B. Apical sealing ability of a novel material: analysis by fluid filtration technique. Acta Stomatologica Croatica: International Journal of Oral Sciences and Dental Medicine. 2014 Jul; 48(2): 132-9. doi: 10.15644/asc48/2.132. DOI: https://doi.org/10.15644/asc48/2.132

Pawar SS, Pujar MA, Makandar SD. Evaluation of the apical sealing ability of bioceramic sealer, AH plus & epiphany: An: in vitro: study. Journal of Conservative Dentistry and Endodontics. 2014 Nov; 17(6): 579-82. doi: 10.4103/0972-0707.144609. DOI: https://doi.org/10.4103/0972-0707.144609

Wolch I. A new approach to the basic principles of endodontics. International Dental Journal. 1975 Sep; 25(3): 179-84.

Siotia J, Acharya SR, Gupta SK. Efficacy of ProTaper retreatment system in root canals obturated with gutta‐percha using two different sealers and GuttaFlow. International Journal of Dentistry. 2011 Oct; 2011(1): 676128. doi: 10.1155/2011/676128. DOI: https://doi.org/10.1155/2011/676128

Nunes VH, Silva RG, Alfredo E, Sousa-Neto MD, Silva-Sousa YT. Adhesion of Epiphany and AH Plus sealers to human root dentin treated with different solutions. Brazilian Dental Journal. 2008; 19: 46-50. doi: 10.1590/S0103-64402008000100008. DOI: https://doi.org/10.1590/S0103-64402008000100008

Aggarwal V, Singla M, Rizvi A, Miglani S. Comparative evaluation of local infiltration of articaine, articaine plus ketorolac, and dexamethasone on anesthetic efficacy of inferior alveolar nerve block with lidocaine in patients with irreversible pulpitis. Journal of Endodontics. 2011 Apr; 37(4): 445-9. doi: 10.1016/j.joen.2011.01.016. DOI: https://doi.org/10.1016/j.joen.2011.01.016

Asgary S, Kamrani FA, Taheri S. Evaluation of antimicrobial effect of MTA, calcium hydroxide, and CEM cement. Iranian Endodontic Journal. 2007 Oct; 2(3): 105–109.

Roberts HW, Toth JM, Berzins DW, Charlton DG. Mineral trioxide aggregate material use in endodontic treatment: a review of the literature. Dental Materials. 2008 Feb; 24(2): 149-64. doi: 10.1016/j.dental.2007.04.007. DOI: https://doi.org/10.1016/j.dental.2007.04.007

Cervino G, Laino L, D'Amico C, Russo D, Nucci L, Amoroso G et al. Mineral trioxide aggregate applications in endodontics: A review. European Journal of Dentistry. 2020 Oct; 14(04): 683-91. doi: 10.1055/s-0040-1713073. DOI: https://doi.org/10.1055/s-0040-1713073

Silva RV, Silveira FF, Horta MC, Duarte MA, Cavenago BC, Morais IG et al. Filling effectiveness and dentinal penetration of endodontic sealers: a stereo and confocal laser scanning microscopy study. Brazilian Dental Journal. 2015 Oct; 26: 541-6. doi: 10.1590/0103-6440201300138. DOI: https://doi.org/10.1590/0103-6440201300138

Al-Haddad A, Kasim NH, Ab Aziz ZA. Interfacial adaptation and thickness of bioceramic-based root canal sealers. Dental Materials Journal. 2015 Jul; 34(4): 516-21. doi: 10.4012/dmj.2015-049. DOI: https://doi.org/10.4012/dmj.2015-049

Russell A, Friedlander L, Chandler N. Sealer penetration and adaptation in root canals with the butterfly effect. Australian Endodontic Journal. 2018 Dec; 44(3): 225-34. doi: 10.1111/aej.12238 DOI: https://doi.org/10.1111/aej.12238