Sealing Ability between Calcium Silicate-based Sealer and Epoxy Resin-based Sealer at Various Lengths: an In Vitro Study
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Abstract
The endodontically treated tooth often loses coronal tooth structure over time and a post is needed to retain the core and crown. The recommended length of remaining gutta percha after post space preparation should be 4-5 mm. The short root could be compromised between the length of remaining gutta percha and the post length. Recently, a bioceramic impregnated gutta percha and a calcium silicate-based sealer have been developed. The aim of this study was to evaluate the sealing ability of the remaining root canal filling materials with various lengths of bioceramic impregnated gutta percha and calcium silicate-based sealer in comparison to gutta percha and epoxy resin-based sealer. The 88 maxillary central incisors were divided into 4 groups (n=20) based on root canal filling materials and remaining lengths. Group1: gutta percha using an epoxy resin-based sealer with 4 mm of remaining root canal filling material, Group 2, 3 and 4: bioceramic impregnated gutta percha using a calcium silicate-based sealer with 2, 3 and 4 mm of remaining root canal filling material respectively. The sealing ability was assessed by conducting the bacterial leakage test using Enterococcus faecalis. After 60 days, a scanning electron microscope was used to inspect the gap between the interface of leaked and non-leaked specimens. The leakage test results showed overall percentage of leakage of 31.25%. Group 2 (BC 2 mm) had the highest percentage of leaked specimen (40%). Group 3 (BC 3mm) had the lowest percentage of leaked specimens (15%). Group 1 (AH Plus 4 mm) and group 4 (BC 4 mm) had the similar leakage percentage (35%). There were no statistically significant differences among the four groups (p≥0.05). Ninety-two percent of all specimens were leaked in 30 days. The SEM showed that the leaked specimens had more gaps (46.65%) than non-leaked specimens (19.71%). Taken together, this study indicated that the sealing ability bioceramic impregnated gutta percha and calcium silicate-based sealer of 2-4 mm lengths were comparable to the 4 mm of gutta percha and the epoxy resin-based sealer.
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
References
Sundqvist G, Figdor D. Endodontic treatment of apical periodontitis. Essential endodontology 1998:242-69.
Gutmann JL, Kuttler S, Niemczyk SP. Root canal obturation: An update. Academy of General Dentistry 2010:1-11.
Versiani M, Carvalho-Junior J, Padilha M, Lacey S, Pascon E, Sousa-Neto M. A comparative study of physicochemical properties of AH PlusTM and EpiphanyTM root canal sealants. Int Endod J 2006;39(6):464-71.
Resende L, Rached-Junior F, Versiani M, Souza-Gabriel A, Miranda C, Silva-Sousa Y, et al. A comparative study of physicochemical properties of AH Plus, Epiphany, and Epiphany SE root canal sealers. Int Endod J 2009;42(9):785-93.
Marin-Bauza GA, Rached-Junior FJA, Souza-Gabriel AE, Sousa-Neto MD, Miranda CES, Silva-Sousa YTC. Physicochemical properties of methacrylate resin–based root canal sealers. J Endod 2010; 36(9): 1531-6.
Marciano MA, Guimarães BM, Ordinola-Zapata R, Bramante CM, Cavenago BC, Garcia RB, et al. Physical properties and interfacial adaptation of three epoxy resin–based sealers. J Endod 2011; 37(10):1417-21.
Lee J, Kwak S, Ha J, Lee W, Kim H. Physicochemical properties of epoxy resin-based and bioceramic-based root canal sealers. Bioinorg Chem Appl 2017;2017.
Balguerie E, van der Sluis L, Vallaeys K, Gurgel-Georgelin M, Diemer F. Sealer penetration and adaptation in the dentinal tubules: a scanning electron microscopic study. J Endod 2011;37(11): 1576-9.
Flores D, Rached-Júnior F, Versiani M, Guedes D, Sousa-Neto MD, Pécora JD. Evaluation of physicochemical properties of four root canal sealers. Int Endod J 2011;44(2):126-35.
Schäfer E, Bering N, Bürklein S. Selected physicochemical properties of AH Plus, EndoREZ and RealSeal SE root canal sealers. Odontology 2015;103(1):61-5.
Mannocci F, Cowie J. Restoration of endodontically treated teeth. Br Dent J 2014;216(6):341-6.
Schwartz R, Jordan R. Restoration of endodontically treated teeth: the endodontist’s perspective, Part1. AAE Spring-Summer. 2004:1-6.
Henry PJ, Bower RC. Post core systems in crown and bridgework. Aust Dent J 1977;22(1):46-52.
Stern N, Hirshfeld Z. Principles of preparing endodontically treated teeth for dowel and core restorations. J Prosthet Dent 1973;30(2):162-5.
Mattison GD, Delivanis PD, Thacker Jr RW, Hassell KJ. Effect of post preparation on the apical seal. J Prosthet Dent 1984;51(6):785-9.
Neagley RL. The effect of dowel preparation on the apical seal of endodontically treated teeth. Oral Surg Oral Med Oral Pathol 1969;28(5):739-45.
Metzger Z, Abramovitz R, Abramovitz I, Tagger M. Correlation between remaining length of root canal fillings after immediate post space preparation and coronal leakage. J Endod 2000; 26(12):724-8.
Mozini ACA, Vansan LP, Sousa Neto MD, Pietro R. Influence of the length of remaining root canal filling and post space preparation on the coronal leakage of Enterococcus faecalis. Braz J Microbiol 2009;40(1):174-9.
Ree M, Schwartz R. Clinical applications of bioceramic materials in endodontics. Endod Pract 2014;7:32-40.
Trope M, Bunes A, Debelian G. Root filling materials and techniques: bioceramics a new hope?. Endod Topics 2015;32(1):86-96.
Zhou H, Du T, Shen Y, Wang Z, Zheng Y, Haapasalo M. In vitro cytotoxicity of calcium silicate–containing endodontic sealers. J Endod 2015;41(1):56-61.
Debelian G, Trope M. The use of premixed bioceramic materials in endodontics. G Ital Endod 2016;30(2): 70-80.
Wolanek G, Loushine R, Weller R, Kimbrough W, Volkmann K. In vitro bacterial penetration of endodontically treated teeth coronally sealed with a dentin bonding agent. 2001 May 1;27(5):354-7. J Endod 2001;27(5):354-7.
Mavec JC, McClanahan SB, Minah GE, Johnson JD, Blundell Jr RE. Effects of an intracanal glass ionomer barrier on coronal microleakage in teeth with post space. J Endod 2006;32(2):120-2.
Er K, Taşdemir T, Bayramoğlu G, Siso Ş. Comparison of the sealing of different dentin bonding adhesives in root-end cavities: a bacterial leakage study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106(1):152-8.
Pinheiro E, Gomes B, Ferraz C, Sousa E, Teixeira F, Souza-Filho F. Microorganisms from canals of root-filled teeth with periapical lesions. Int Endod J 2003 36(1):1-11.
Timpawat S, Amornchat C, Trisuwan W. Bacterial coronal leakage after obturation with three root canal sealers. J Endod 2001;27(1):36-9.
Brosco VH, Bernardineli N, Torres SA, Consolaro A, Bramante CM, de Moraes IG, et al. Bacterial leakage in obturated root canals-part 2: a comparative histologic and microbiologic analyses. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109(5): 788-94.
Li G, Niu L, Zhang W, Olsen M, De-Deus G, Eid A, et al. Ability of new obturation materials to improve the seal of the root canal system: a review. Acta Biomater 2014;10(3):1050-63.
Baruah K, Mirdha N, Gill B, Bishnoi N, Gupta T, Baruah Q. Comparative study of the effect on apical sealability with different levels of remaining gutta-percha in teeth prepared to receive posts: An in vitro study. Contemp Clin Dent 2018;9(Suppl 2):S261.
Huang Y, Orhan K, Celikten B, Orhan A, Tufenkci P, Sevimay S. Evaluation of the sealing ability of different root canal sealers: a combined SEM and micro-CT study. J Appl Oral Sci 2018;26.
Wu MK, Wesselink P. Endodontic leakage studies reconsidered. Part I. Methodology, application and relevance. Int Endod J 1993;26(1):37-43.
Wu MK, De Gee A, Wesselink P. Fluid transport and dye penetration along root canal fillings. Int Endod J 1994;27(5):233-8.
Abramovitz I, Tagger M, Tamse A, Metzger Z. The effect of immediate vs. delayed post space preparation on the apical seal of a root canal filling: a study in an increased-sensitivity pressure-driven system. J Endod 2000;26(8):435-9.
Xu Q, Fan M, Fan B, Cheung G, Hu H. A new quantitative method using glucose for analysis of endodontic leakage. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99(1):107-11.
Brosco V, Bernardineli N, Torres S, Consolaro A, Bramante C, de Moraes I, et al. Bacterial leakage in root canals obturated by different techniques. Part 1: microbiologic evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105(1):e48-53.
Chailertvanitkul P, Saunders W, MacKenzie D. Coronal leakage in teeth root-filled with gutta-percha and two different sealers after long-term storage. Dental Traumatology 1997;13(2):82-7.
Khumprasit C, Yanpiset K, Srisatjaluk R, Banomyong D. Bacterial leakage in root canals filled with calcium silicate sealer-based technique and post spaces prepared. M Dent J 2020;40(1):1-7.
Salz U, Poppe D, Sbicego S, Roulet J. Sealing properties of a new root canal sealer. Int Endod J 2009;42:1084-9.
Pitout E, Oberholzer TG, Blignaut E, Molepo J. Coronal leakage of teeth root-filled with gutta-percha or Resilon root canal filling material. J Endod 2006;32(9):879-81.
Yanpiset K, Banomyong D, Chotvorrarak K, Srisatjaluk RL. Bacterial leakage and micro-computed tomography evaluation in round-shaped canals obturated with bioceramic cone and sealer using matched single cone technique. Restor Dent Endod 2018;43(3):e30.
Chotvorrarak K, Yanpiset K, Banomyong D, Srisatjaluk RL. In vitro antibacterial activity of oligomer-based and calcium silicate-based root canal sealers. M Dent J 2017;4:5.
Osiri S, Banomyong D, Sattabanasuk V, Yanpiset K. Root reinforcement after obturation with calcium silicate–based sealer and modified gutta-percha cone. J Endod 2018;44(12):1843-8.
Zhou H, Shen Y, Zheng W, Li L, Zheng Y, Haapasalo M. Physical properties of 5 root canal sealers. J Endod 2013;39(10):1281-6.
Smith RS, Weller RN, Loushine RJ, Kimbrough WF. Effect of varying the depth of heat application on the adaptability of gutta-percha during warm vertical compaction. J Endod 2000;26(11):668-72.
Sinkhanarak B, Wanachantararak P, Sastraruji T, Chuveera P, Louwakul P. Comparison of leakage and quality of root canal filled with single cone technique with either bioceramic sealer or AH Plus sealer after post space preparation in the difference length of gutta percha remaining. Khon Kaen Dent J 2021;24(3):58-68.
Banphakarn N, Yanpiset K, Banomyong D. Shear bond strengths of calcium silicate-based sealer to dentin and calcium silicate-impregnated gutta-percha. J Investig Clin Dent 2019;10(4):e12444.