Comparative Evaluation of the Apical Sealing Ability of Two Root Canal Sealers Using the Two Different Placement Techniques: An In Vitro Study
S Pallavi, A Devadathan, Baby James, Jose Jacob, Manuja Nair, NJ Nagaraj
AH Plus sealer, Microleakage, MTA fillapex, Root canal sealer
Citation Information :
Pallavi S, Devadathan A, James B, Jacob J, Nair M, Nagaraj N. Comparative Evaluation of the Apical Sealing Ability of Two Root Canal Sealers Using the Two Different Placement Techniques: An In Vitro Study. Cons Dent Endod J 2020; 5 (1):11-14.
Aim: To compare and evaluate the effect of two different sealer placement techniques on the apical sealing ability of MTA Fillapex and AH Plus root canal sealers. Materials and methods: Study was performed on 40 extracted human single-rooted permanent teeth, which were decoronated and the root canals were instrumented. The specimens were randomly divided into four groups and obturated using single-cone technique. Group IA: Using AH Plus sealer; placed using master gutta percha (GP) cone, group IB: Using AH Plus sealer; placed using size 30 lentulospiral, group IIA: Using MTA Fillapex; placed using master GP cone, and group IIB: Using MTA Fillapex; placed using size 30 lentulospiral. Microleakage was evaluated using dye penetration method. Teeth were split longitudinally and then horizontal markings were made at 1.5, 4, and 6 mm from the apex. Dye penetration evaluation was performed under stereomicroscope (4× magnification) and statistically evaluated. Results: The lowest microleakage values were obtained with group IIB (MTA Fillapex placed using lentulospiral) and the highest with group IA (AH Plus placed using mastercone). Conclusion: Within the limitations of the study, MTA Fillapex sealer placed using lentulospiral achieved highest apical seal among the experimental groups. Though leakage cannot be totally eliminated from the fate of a root canal treated teeth, the type of root canal sealer and its placement plays a major role in the success of an endodontic treatment.
Gutmann JL, Kuttler S, Niemczyk SP. Root canal obturation: An update. Academy of Dental Therapeutics and Stomatology, a division of PennWel. 2010.
Zhou HM, Shen Y, Zheng W, et al. Physical properties of 5 root canal sealers. J Endod 2013;39(10):1281–1286. DOI: 10.1016/j.joen.2013.06.012.
Pawar SS, Pujar MA, Makandar SD. Evaluation of the apical sealing ability of bioceramic sealer, AH plus & epiphany: an in vitro study. J Conservat Dent: JCD 2014;17(6):579. DOI: 10.4103/0972-0707.144609.
Torabinejad M, Parirokh M. Mineral trioxide aggregate: a comprehensive literature review—part II: leakage and biocompatibility investigations. J Endod 2010;36(2):190–202. DOI: 10.1016/j.joen.2009.09.010.
Kossev D, Stefanov V. Ceramics-based sealers as new alternative to currently used endodontic sealers. Roots 2009;1:42–48.
Ken K. A review of bioceramic technology in endodontics. Roots 2012;4:6–12.
Lin LM, Skriber JE, Gaengler P. Factors associated with endodontic treatment failures. J Endod 1992;18(12):625–627. DOI: 10.1016/S0099-2399(06)81335-X.
Nikhil V, Bansal P, Sawani S. Effect of technique of sealer agitation on percentage and depth of MTA Fillapex sealer penetration: a comparative in-vitro study. J Conservat Dent: JCD 2015;18(2):119. DOI: 10.4103/0972-0707.153073.
Saunders EM, Saunders WP, Rashid MY. The effect of post space preparation on the apical seal of root fillings using chemically adhesive materials. Int Endod J 1991;24(2):51–57. DOI: 10.1111/j.1365-2591.1991.tb00807.x.
Ørstavik D. Materials used for root canal obturation: technical, biological and clinical testing. Endod Topics 2005;12(1):25–38. DOI: 10.1111/j.1601-1546.2005.00197.x.
Bernardes RA, de Amorim Campelo A, Junior DSS, et al. Evaluation of the flow rate of 3 endodontic sealers: Sealer 26, AH plus and MTA obtura. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109(1):e47–e49. DOI: 10.1016/j.tripleo.2009.08.038.
Taylor MJ, Lynch E. Microleakage. J Dent 1992;20(1):3–10. DOI: 10.1016/0300-5712(92)90002-t.
Veríssimo DM, do Vale MS. Methodologies for assessment of apical and coronal leakage of endodontic filling materials: a critical review. J Oral Sci 2006;48(3):93–98. DOI: 10.2334/josnusd.48.93.
Ahlberg KM, Assavanop P, Tay WM. A comparison of the apical dye penetration patterns shown by methylene blue and India ink in root-filled teeth. Int Endod J 1995;28(1):30–34. DOI: 10.1111/j.1365-2591.1995.tb00153.x.
Pereira AC, Nishiyama CK, de Castro Pinto L. Single-cone obturation technique: a literature review. RSBO revista sul-brasileira de. Odontologia 2012;9(4):442–447.
Inan U, Aydin C, Tunca YM, et al. In vitro evaluation of matched-taper single-cone obturation with a fluid filtration method. J Can Dent Assoc 2009;75(2):123.
Vitti RP, Prati C, Silva EJ, et al. Physical properties of MTA Fillapex sealer. J Endod 2013;39(7):915–918. DOI: 10.1016/j.joen.2013. 04.015.
Guinesi AS, Faria G, Tanomaru-Filho M, et al. Influence of sealer placement technique on the quality of root canal filling by lateral compaction or single cone. Braz Dent J 2014;25(2):117–122. DOI: 10.1590/0103-6440201302370.
Said HM, Bakar WZ, Farea M, et al. The effect of different sealer placement techniques on sealing ability: an in vitro study. J Conservat Dent: JCD 2012;15(3):257. DOI: 10.4103/0972-0707.97952.
Ahuja L, Jasuja P, Verma KG, et al. A comparative evaluation of sealing ability of new MTA based sealers with conventional resin based sealer: an in-vitro study. J Clin Diagnos Res 2016;10(7):ZC76. DOI: 10.7860/JCDR/2016/18909.8194.
Al-Haddad A, Ab Aziz C, Zeti A. Bioceramic-based root canal sealers: a review. Int J Biomater 2016;2016:9753210. DOI: 10.1155/2016/9753210.
Benezra MK, Wismayer PS, Camilleri J. Interfacial characteristics and cytocompatibility of hydraulic sealer cements. J Endod 2018;44(6):1007–1017. DOI: 10.1016/j.joen.2017.11.011.
Kim YK, Grandini S, Ames JM, et al. Critical review on methacrylate resin–based root canal sealers. J Endod 2010;36(3):383–399. DOI: 10.1016/j.joen.2009.10.023.