BIOCERAMIC-BASED ROOT CANAL SEALERS  – USE IN ENDODONTICS

Czech version

Authors: L. Somolová; Z. Zapletalová; M. Rosa; Ľ. Harvan; I. Voborná; Y. Morozova
Authors‘ workplace: Klinika zubního lékařství, Lékařská fakulta Univerzity Palackého a Fakultní nemocnice, Olomouc
Published in: Česká stomatologie / Praktické zubní lékařství, ročník 121, 2021, 2, s. 41-47
Category: Practical Report
doi: https://doi.org/10.51479/cspzl.2021.006

Overview

Introduction and aim: Calcium silicate-based sealers, also referred to as bioceramic-based sealers, can, thanks to their properties, ensure hermetic sealing of root canals in endodontics. The recommended single-cone hydraulic cold obturation method or possibly the method of cold lateral condensation of gutta-percha seems to be a suitable way of using this type of sealers in endodontic obturation. With the correct selection of the main gutta-percha cone, which corresponds exactly to the apical dimension after the root canal has been instrumented, reliable sealing can be achieved in conjunction with a sealer applied as a filler. Due to the high degree of biocompatibility, the possible extrusion of the material into the periodontal tissues does not cause any or only a small postoperative sensitivity. Bioceramic-based root canal sealers have the ability to fill in the anatomical irregularities of the root canal, or to seal iatrogenic defects. The minimal necessary preparation of coronary dentin, chemical bonding to dentin and relatively low condensation pressure when filling the root canal contribute to reducing the risk of root fracture. Filling the root canals with this group of seals provides, according to the available information, at least comparable results as the gold standard in endodontics – obturation by the method of lateral condensation of gutta-percha.

For post-endodontic treatment, it is recommended to perform the final filling therapy at the same visit, preferably using adhesive filling materials. An important point is the separation of the bioceramic sealer, which is hydrophilic in nature, from the adhesive materials, which are hydrophobic. In practice, it is recommended to use a small amount of hot gutta-percha or glass ionomer cement as such a spacer. Depending on the clinical situation, FRC posts introduced at the same visit or a subsequent prosthetic solution can also be used for postendodontic reconstruction.

Secondary endodontic treatment is possible with the use of bioceramic-based sealers, but the removal of material that has a chemical bond to the walls of the root canal is difficult and belongs more to the hands of an endodontic specialist.

Conclusion: By simplifying the work procedure, bioceramic-based sealers can contribute to the improvement of obturation in a general dentist's office. However, they can also be of benefit to the work of an endodontic specialist not only in solving complicated cases. However, further research is needed to finally evaluate this type of sealer in endodontic field.

Keywords:

root canal obturation – Bioceramics – calcium silicate-based sealer

Sources

1. Septodont. Case Studies Collection
No. 13 – March 2016. BioRoot™ RCS The new biomaterial for root canal filling. [cit. 30. 1. 2021]. Dostupné z: https://www.septodont.ie/sites/ie/files/2019-04/CSC13_BioRoot™%20RCS%20a%20new%20biomaterial%20for%20root%20canal%20filling_3.pdf

2. Somolová L, Zapletalová Z, Rosa M, Novotná B, Voborná I, Morozova Y. Endodontické sealery na bázi biokeramiky.
Čes stomatol Prakt zubní lék. 2021; 121(3)..

3. Koch K, Brave DG, Nasseh AA. A review of bioceramic technology in endodontics. Roots. 2013; 1: 6–13.

4. Malhotra S, Hedge MN, Shetty C. Bioceramic technology in endodontics. Brit J Med Medical Res. 2014; 4(12): 2446–2454.

5. Trope M, Bunes A, Debelian G. Root filling materials and techniques: bioceramics a new hope? Endod Topics. 2015; 32: 86–96.

6. Septodont. Case Studies Collection No. 15 – May 2017. BioRoot™ RCS A reliable bioceramic material for root canal obturation. [cit. 30. 1. 2021]. Dostupné z: https://www.septodontusa.com/sites/default/files/2019-04/CSC15_BioRoot™%20RCS%2C%20a%20reliable%20bioceramic%20material%20for%20root%20canal%20obturation_13.pdf

7. Heran J, Khalid S, Albaaj F,
Tomson PL, Camilleri J. The single cone obturation technique with a modified warm filler. J Dent. 2019; 89: 103181. doi: 10.1016/j.jdent.2019.103181

8. Septodont. BioRoot™ RCS. Endo sealer or biological filler? [cit. 24. 5. 2020]. Dostupné z: https://info.septodontusa.com/bioroot-rcs-case-studies?hsCtaTracking=65731647-df31-43c0-80a8-9b74d1d07ede%7C6c93f3d9-b5bf-4c11-ba7f-8c4a5e077c0a

9. Viapiana R, Moinzadeh AT, Camilleri L, Wesselink PR, Tanomaru Filho M, Camilleri J.
Porosity and sealing ability of root fillings with gutta-percha and Bioroot RCS or AH Plus sealers. Evaluation by three ex vivo methods. Int Endod J. 2016; 49(8): 774–782.

10. Brasseler USA. BC Sealer HiFlow Brochure. [cit. 30. 1. 2021]. Dostupné z: http://media.brasselerusa.com/userfiles/IFU%2CManuals%2CBrochures/B_5019_ENG_HiFlow%20NPR.pdf

11. FKG Dentaire. TotalFill BC Sealer HiFlow – Flyer EN. [cit. 30. 1. 2021]. Dostupné z: https://www.fkg.ch/sites/default/files/FKG_TotalFill%20BC%20Sealer%20HiFlow_Flyer_EN_WEB_202001.pdf

12. Real World Endo. Vertical Condensation with BC Sealer! [cit. 30. 1. 2021]. Dostupné z:
https://realworldendo.com/vertical-condensation-with-bc-sealer/

13. Rosa M, Morozova Y, Moštěk R, Jusku A,
Kováčová V, Somolová L, Voborná I, Kovalský T. Vybrané vlastnosti súčasných endodontických sealerov: Časť 1. Čes stomatol Prakt zubní lék. 2020; 120(4): 107–115.

14. Septodont. BioRoot™ RCS Bioactive Root Canal Sealer. [cit. 30. 1. 2021]. Dostupné z: http://www.oraverse.com/bio/img/BioRoot-ScientificFile.pdf

15. Real World Endo. Is hydraulic condensation a single cone technique?
[cit. 30. 1. 2021]. Dostupné z: https://realworldendo.com/is-hydraulic-condensation-a-single-cone-technique-friday-questions/.

16. Real World Endo. FAQ: Hydraulic condensation. [cit. 30. 1. 2021]. Dostupné z: https://realworldendo.com/faq-hydraulic-condensation/

17. Chybowski EA, Glickman GN, Patel Y,
Fleury A, Solomon E, He J. Clinical outcome of non-surgical root canal treatment using a single-cone technique with endosequence bioceramic sealer: a retrospective analysis. J Endod. 2018; 44(6): 941–945.

18. Cohen RG. Successful single-cone obturation. Inside Dent. 2018; (14)3: 60–61.

19. Koch KA, Brave GD, Nasseh AA. Bioceramic technology: closing the endo-restorative circle, part 2. Dent Today. 2010; 29(3): 98, 100, 102–105.

20. Koçak MM, Darendeliler-Yaman S. Sealing ability of lateral compaction and tapered single cone gutta-percha techniques in root canals prepared with stainless steel and rotary nickel titanium instruments. J Clin Exp Dent. 2012; 4(3): 156–159.

21. Krug R, Krastl G, Jahreis M. Technical quality of a matching-taper single-cone filling technique following rotary instrumentation compared with lateral compaction after manual preparation: a retrospective study. Clin Oral Investig. 2017; 21(2): 643–652.

22. Hegde V, Arora S. Sealing ability of three hydrophilic single-cone obturation systems:
An in vitro glucose leakage study. Contemp Clin Dent. 2015; 6(1): 86–89.

23. Žižka R, Šedý J, Škrdlant J, Kučera P. Kalciumsilikátové cementy – 2. část: Klinické využití. LKS. 2018; 28(3): 60–67.

24. Žižka R, Šedý J, Škrdlant J, Kučera P, Čtvrtlík R, Tomaštík J. Kalciumsilikátové cementy – 1. část: Vlastnosti a rozdělení. LKS. 2018; 28(2), 37–43.

25. Reszka P, Nowicka A, Lipski M, Dura W,
Droździk A, Woźniak K. A comparative chemical study of calcium silicate-containing and epoxy resin-based root canal sealers. Biomed Res Int. 2016; 2016: 9808432. doi: 10.1155/2016/9808432

26. Real World Endo. Should I use coated BC Cones or regular gutta percha with bioceramic sealer? [cit. 30. 1. 2021]. Dostupné z: https://realworldendo.com/should-i-use-coated-bc-cones-or-regular-gutta-percha-with-bioceramic-sealer-friday-questions/

27. Wang Z. Bioceramic materials in endodontics. Endod Topics. 2015; 32: 3–30.

28. Ghoneim AG, Lutfy RA, Sabet NE,
Fayyad DM. Resistance to fracture of roots obturated with novel canal-filling systems.
J Endod. 2011; 37(11): 1590–1592.

29. Kossev D, Stefanov V.
Ceramics–based sealers as new alternative
to currently used endodontic sealers.
Roots. 2009; 1: 42–48.

30. Tyagi S, Mishra P, Tyagi P.
Evolution of root canal sealers: An insight story.
Eur J Dent. 2013; 2(3): 199–218.

31. Žižka R, Šedý J, Voborná I.
Ošetření zubu s neukončeným vývojem a dens invaginatus pomocí kalciumsilikátové zátky. LKS. 2020; 30(2): 26–31.

32. Kayahan MB, Nekoofar MH, Kazandağ M,
Canpolat C, Malkondu O, Kaptan F, Dummer PM. Effect of acid-etching procedure on selected physical properties of Mineral Trioxide Aggregate. Int Endod J. 2009; 42(11): 1004–1014.

33. Meraji N, Camilleri J.
Bonding over dentin replacement materials. J Endod. 2017; 43(8): 1343–1349.

34. Bogen G, Kuttler S. Mineral Trioxide Aggregate obturation: a review and case series. J Endod. 2009; 35(6): 777–790.

35. DentistryIQ.
5 tips for using bioceramics in the general dental practice. [cit. 30. 1. 2021]. Dostupné z: https://www.dentistryiq.com/dentistry/endodontics/article/16353181/5-tips-for-using-bioceramics-in-the-general-dental-practice

36. Ree MH, Schwartz RS. Long-term success of nonvital, immature permanent incisors treated with a Mineral Trioxide Aggregate plug and adhesive restorations: a case series from a private endodontic practice. J Endod. 2017; 43(8): 1370–1377.

37. Patil P, Banga KS, Pawar AM, Pimple S,
Ganeshan R. Influence of root canal obturation using gutta-percha with three different sealers on root reinforcement of endodontically treated teeth. An in vitro comparative study of mandibular incisors.
J Conserv Dent. 2017; 20(4): 241–244.

38. Topçuoğlu HS, Tuncay Ö, Karataş E, Arslan H, Yeter K. In vitro fracture resistance of roots obturated with epoxy resin-based, mineral trioxide aggregate-based, and bioceramic root canal sealers. J Endod. 2013; 39(12): 1630–1633.

39. Debelian G, Trope M.
The use of premixed bioceramic materials in endodontics. Giornale Italiano di Endodonzia. 2016; 30(2): 70–80.

40. Pocket Dentistry. Etiology of vertical root fractures. [cit. 30. 1. 2021]. Dostupné z: https://pocketdentistry.com/etiology-of-vertical-root-fractures/

41. Hess D, Solomon E, Spears R, He J. Retreatability of a bioceramic root canal sealing material. J Endod, 2011, 37(11): 1547–1549.

42. Kakoura F, Pantelidou O.
Retreatability of root canals filled with gutta percha and a novel bioceramic sealer:
A scanning electron microscopy study. J Conserv Dent. 2018; 21(6): 632–636.

43. Kim H, Kim E, Lee SJ, Shin SJ.
Comparisons of the retreatment efficacy of calcium silicate and epoxy resin-based sealers and residual sealer in dentinal tubules. J Endod. 2015; 41(12): 2025–2030.

44. Ersev H, Yilmaz B, Dinçol ME,
Dağlaroğlu R.
The efficacy of ProTaper Universal rotary retreatment instrumentation to remove single gutta-percha cones cemented with several endodontic sealers. Int Endod J. 2012; 45(8): 756–762.

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Article was published in

Czech Dental Journal

2021 Issue 2

BIOCERAMIC-BASED ROOT CANAL SEALERS – USE IN ENDODONTICS