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SELECTED PROPERTIES OF CONTEMPORARY ENDODONTIC SEALERS: PART 2


Authors: M. Rosa;  Y. Morozova;  R. Moštěk;  A. Jusku;  V. Kováčová;  L. Somolová;  I. Voborná;  T. Kovalský
Authors place of work: Klinika zubního lékařství, Lékařská fakulta Univerzity Palackého a Fakultní nemocnice, Olomouc
Published in the journal: Česká stomatologie / Praktické zubní lékařství, ročník 121, 2021, 1, s. 3-10
Category: Přehledový článek

Summary

Introduction and aims: Materials intended for the definitive filling of root canals form an integral part of the equipment of every dentist's office, and may differ in some of their physical, chemical and biological properties, depending on their composition. Where some materials excel in their properties, others have serious shortcomings and, conversely, what individual manufacturers try to overcome by modifying their composition, or bring to market materials based on a different, new basis. However, this further complicates the already complex clarity between the individual types of materials. Clinicians often face the difficult task of choosing from such a wide and complicated range of materials one that would meet their requirements for workability, stability, biocompatibility, antibacterial action and, last but not least, the financial complexity of subsequent treatment.

The purpose of this article is to help clinicians in the orientation between the different types of materials used in current endodontics to definitively fill the root canal and also to facilitate the selection of the ideal material for their practice.

In the first part of this article, attention was paid to conventional and more traditional materials based on calcium hydroxide, zinc oxideugenol and the gold standard in endodontics, materials based on polyepoxide resins, discussing properties such as setting time, their solidification pH, radiopacity, solubility and susceptibility. to the formation of root filling leaks over time, volume changes occurring during and after solidification of these materials, cytotoxicity, antibacterial properties and the ability of these materials to stain hard dental tissues over time.

Materials, methods: The second part of the article deals with materials based on methacrylate resins, silicones and in the end attention is focused on the latest trend of current endodontics – bioceramic materials. By comparing the properties of the individual materials to which this part of the article is devoted, it can be said that methacrylate sealers have mild antibacterial properties, do not stain hard dental tissues, but also show a slight susceptibility to leaks and medium to high cytotoxicity. Silicone-based sealants, in turn, are characterized by excellent biocompatibility, low tendency to discolor hard tooth tissue, minimal solubility in tissue fluids, and also very little tendency to leak, but their antibacterial properties are negligible or non-existent. The new, bioceramic materials excel in particular with excellent antibacterial properties, low solubility and susceptibility to leaks, as well as a low risk of staining of hard dental tissues, but they also show a certain degree of cytotoxicity.

Keywords:

endodontic sealer – methacrylate sealer – silicone sealer – bioceramic sealer


Zdroje

1. Khandelwal D, Ballal NV. Recent advances in root canal sealers. Int J Clin Dent. 2016; 9(3): 183–194.

2. Darcey J, Roudsari RV, Jawad S, Taylor C, Hunter M. Modern endodontic principles. Part 5: Obturation. Dent Update. 2016; 43(2): 114–116, 119–120, 123–126 passim.

3. 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; 10(3): 1053–1063.

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

5. Sarangi P, Mallick R, Satapathy SK, Sharma G, Kouser F, Mohapatra S. An in vitro comparison of pushout bond strength of resilon with MetaSEAL and AH plus sealers. Contemp Clin Dent. 2017; 8(4): 613–616.

6. 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): 1531–1536.

7. Resende LM, Rached-Junior FJA, Versiani MA, Souza-Gabriel AE, Miranda CES, Silva-Sousa YTC, et al. A comparative study of physicochemical properties of AH plus, epiphany, and epiphany SE root canal sealers. Int Endod J. 2009; 42(9): 785–793.

8. Franco EB, Lopes LG, D'alpino PHP, Pereira JC, Mondelli RFL, Navarro MFL. Evaluation of compatibility between different types of adhesives and dual-cured resin cement. J Adhes Dent. 2002; 4(4): 271–275.

9. Hammad M, Qualtrough A, Silikas N. Extended setting shrinkage behavior of endodontic sealers. J Endod. 2008; 34(1): 90–93.

10. Ito S, Hashimoto M, Wadgaonkar B, Svizero N, Carvalho RM, Yiu C, Rueggeberg FA, Foulger S, Saito T, Nishitani Y, Yoshiyama M, Tay FR, Pashley DH. Effects of resin hydrophilicity on water sorption and changes in modulus of elasticity. Biomaterials. 2005; 26(33): 6449–6459.

11. Eldeniz AU, Shehata M, Högg C, Reichl FX. DNA double-strand breaks caused by new and contemporary endodontic sealers. Int Endod J. 2016; 49(12): 1141–1151.

12. Garza EG, Wadajkar A, Ahn C, Zhu Q, Opperman LA, Bellinger LL, Nguyen KT, Komabayashi T. Cytotoxicity evaluation of methacrylate-based resins for clinical endodontics in vitro. J Oral Sci. 2012; 54(3): 213–237.

13. Konjhodzic-Prcic A, Jakupovic S, Hasic-Brankovic L, Vukovic A. In vitro comparison of cytotoxicity of four root canal sealers on human gingival fibroblasts. Med Arch. 2015; 69(1): 24–27.

14. Ioannidis K, Beltes P, Lambrianidis T, Kapagiannidis D, Karagiannis V. Crown discoloration induced by endodontic sealers: spectrophotometric measurement of Commission International de I'Eclairage's L*, a*, b* chromatic parameters. Oper Dent. 2013; 38(3): E1–E12.

15. Kumar NS, Palanivelu A, Lakshmi Narayanan L. Evaluation of the apical sealing ability and adaptation to the dentin of two resin-based Sealers: An in vitro study. J Conserv Dent. 2013; 16(5): 449–453.

16. Tay FR, Loushine RJ, Monticelli F, Weller RN, Breschi L, Ferrari M, Pashley DH. Effectiveness of resin-coated gutta-percha cones and a dual-cured, hydrophilic methacrylate resin-based sealer in obturating root canals. J Endod. 2005; 31(9): 659–664.

17. Conte G, Mancini M, Cerroni L, Costantini M, Cianconi L. Fluid filtration and dye leakage testing of Resilon/Epiphany and guttapercha/Pulp Canal Sealer root canal fillings. Open J Stomatol. 2013; 3: 14–21.

18. Rexford A. Biodegradability of Resilon, a resin-based root canal obturating material, by typical endodontic pathogens [Internet]. Indiana University School of Dentistry; 2012. Available from: https://scholarworks.iupui. edu/handle/1805/3179.

19. Tay FR, Pashley DH, Yiu CKY, Yau JYY, Yiu-fai M, Loushine RJ, Weller RN, Kimbrough WF, King NM. Susceptibility of a polycaprolactone-based root canal filling material to degradation. II. Gravimetric evaluation of enzymatic hydrolysis. J Endod. 2005; 31(10): 737–741.

20. Zhang H, Shen Y, Ruse ND, Haapasalo M. Antibacterial activity of endodontic sealers by modified direct contact test against Enterococcus faecalis. J Endod. 2009; 35(7): 1051–1055.

21. Prestegaard H, Portenier I, Orstavik D, Kayaoglu G, Haapasalo M, Endal U. Antibacterial activity of various root canal sealers and root-end filling materials in dentin blocks infected ex vivo with Enterococcus faecalis. Acta Odontol Scand. 2014; 72(8): 970–976.

22. Zhou HM, Shen Y, Zheng W, Li L, Zheng YF, Haapasalo M. Physical properties of 5 root canal sealers. J Endod. 2013; 39(10): 1281–1286.

23. Flores DSH, Rached-Júnior FJA, Versiani MA, Guedes DFC, Sousa-Neto MD, Pécora JD. Evaluation of physicochemical properties of four root canal sealers. Int Endod J. 2011; 44(2): 126–135.

24. Camargo RV de, Silva-Sousa YTC, Rosa RPF da, Mazzi-Chaves JF, Lopes FC, Steier L, Sousa-Neto MD. Evaluation of the physicochemical properties of silicone – and epoxy resin-based root canal sealers. Braz Oral Res. 2017; 31: e72.

25. Saygili G, Saygili S, Tuglu I, Capar ID. In vitro cytotoxicity of guttaflow bioseal, guttaflow 2, AH-Plus and MTA fillapex. Iran Endod J. 2017; 12(3): 354–359.

26. 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(3): 219–226.

27. Komabayashi T, Colmenar D, Cvach N, Bhat A, Primus C, Imai Y. Comprehensive review of current endodontic sealers. Dent Mater J [Internet]. 2020 Mar 24; Available from: https://www.jstage.jst.go.jp/ article/dmj/advpub/0/advpub_2019–288/_ article.

28. Kapralos V, Koutroulis A, Orstavik D, Sunde PT, Rukke HV. Antibacterial activity of endodontic sealers against planktonic bacteria and bacteria in biofilms. J Endod. 2018; 44(1): 149–154.

29. Wainstein M, Morgental RD, Waltrick SBG, Oliveira SD, Vier-Pelisser FV., Figueiredo JAP, Steier L, Tavares CO, Scarparo RK. In vitro antibacterial activity of a siliconebased endodontic sealer and two conventional sealers. Braz Oral Res. 2016; 30: 1–5.

30. Özcan E, Eldeniz AU, Ari H. Bacterial killing by several root filling materials and methods in an ex vivo infected root canal model. Int Endod J. 2011; 44(12): 1102–1109.

31. Raghavendra SS, Jadhav GR, Gathani KM, Kotadia P. Bioceramics in endodontics – a review. J Istanbul Univ Fac Dent. 2017; 51(3 Suppl 1): S128–S137.

32. Haapasalo M, Parhar M, Huang X, Wei X, Lin J, Shen Y. Clinical use of bioceramic materials. Endod Top. 2015; 32(1): 97–117.

33. Dawood AE, Parashos P, Wong RHK, Reynolds EC, Manton DJ. Calcium silicate-based cements: composition, properties, and clinical applications. J Investig Clin Dent. 2017; 8(2): 1–15.

34. 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.

35. Lee JK, Kwak SW, Ha JH, Lee WC, Kim HC. Physicochemical properties of epoxy resinbased and bioceramic-based root canal sealers. Bioinorg Chem Appl. 2017; 2017: 2582849. doi: 10.1155/2017/2582849.

36. Siboni F, Taddei P, Zamparini F, Prati C, Gandolfi MG. Properties of bioroot RCS, a tricalcium silicate endodontic sealer modified with povidone and polycarboxylate. Int Endod J. 2017; 50(Suppl 2): e120–e136.

37. Al-Haddad A, Che Ab Aziz ZA. Bioceramic-Based Root Canal Sealers: A Review. Int J Biomater. 2016; 2016:9753210. doi:10.1155/2016/9753210.

38. Xuereb M, Vella P, Damidot D, Sammut CV, Camilleri J. In situ assessment of the setting of tricalcium silicate-based sealers using a dentin pressure model. J Endod. 2015; 41(1): 111–124.

39. Colombo M, Poggio C, Dagna A, Meravini MV, Riva P, Trovati F, Pietrocola G. Biological and physico-chemical properties of new root canal sealers. J Clin Exp Dent. 2018; 10(2): e120–e126.

40. Guerreiro-Tanomaru JM, Húngaro Duarte MA, Gonçalves M, Tanomaru-Filho M. Radiopacity evaluation of root canal sealers containing calcium hydroxide and MTA. Braz Oral Res. 2009; 23(2): 119–123.

41. Camilleri J. Evaluation of the effect of intrinsic material properties and ambient conditions on the dimensional stability of white mineral trioxide aggregate and Portland cement. J Endod. 2011; 37(2): 239–245.

42. Camilleri J, Mallia B. Evaluation of the dimensional changes of mineral trioxide aggregate sealer. Int Endod J. 2011; 44(5): 416–424.

43. Gomes-Cornélio AL, Rodrigues EM, Salles LP, Mestieri LB, Faria G, Guerreiro-Tanomaru JM, Tanomaru-Filho M. Bioactivity of MTA Plus, Biodentine and an experimental calcium silicate-based cement on human osteoblast-like cells. Int Endod J. 2017; 50(1): 39–47.

44. Silva EJ, Perez R, Valentim RM, Belladonna FG, De-Deus GA, Lima IC, Neves AA. Dissolution, dislocation and dimensional changes of endodontic sealers after a solubility challenge: a micro-CT approach. Int Endod J. 2017; 50(4): 407–414.

45. Bin CV., Valera MC, Camargo SEA, Rabelo SB, Silva GO, Balducci I, Camargo CHR. Cytotoxicity and genotoxicity of root canal sealers based on mineral trioxide aggregate. J Endod. 2012; 38(4): 495–500.

46. Jagtap P, Shetty R, Agarwalla A, Wani P, Bhargava K, Martande S. Comparative evaluation of cytotoxicity of root canal sealers on cultured human periodontal fibroblasts: In vitro study. J Contemp Dent Pract. 2018; 19(7): 847–852.

47. Kohli MR, Yamaguchi M, Setzer FC, Karabucak B. Spectrophotometric analysis of coronal tooth discoloration induced by various bioceramic cements and other endodontic materials. J Endod. 2015; 41(11): 1862–1866.

48. Camilleri J. Color stability of white mineral trioxide aggregate in contact with hypochlorite solution. J Endod. 2014; 40(3): 436–440.

49. Ioannidis K, Mistakidis I, Beltes P, Karagiannis V. Spectrophotometric analysis of crown discoloration induced by MTA-and ZnOEbased sealers. J Appl Oral Sci. 2013; 21(2): 138–144.

50. Jain A, Ponnappa KC, Yadav P, Rao Y, Relhan N, Gupta P, Choubey A, Bhardwaj S. Comparison of the root end sealing ability of four different retrograde filling materials in teeth with root apices resected at different angles – an invitro study. J Clin Diagnostic Res. 2016; 10(1): ZC14–17.

51. Mohamed El Sayed MA, Al Husseini H. Apical dye leakage of two single-cone root canal core materials (hydrophilic core material and gutta-percha) sealed by different types of endodontic sealers: An in vitro study. J Conserv Dent. 2018; 21(2): 147–152.

52. Ballullaya SV, Vinay V, Thumu J, Devalla S, Priyadarshini BI, Balla S. Stereomicroscopic dye leakage measurement of six different root canal sealers. J Clin Diagnostic Res. 2017; 11(6): ZC65–68.

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

54. Pereira AC, Nishiyama CK, Castro Pinto L de. Single-cone obturation technique: a literature review. RSBO. 2012; 9(4): 442–447.

55. Shin JH, Lee DY, Lee SH. Comparison of antimicrobial activity of traditional and new developed root sealers against pathogens related root canal. J Dent Sci. 2018; 13(1): 54–59.

56. Alsubait S, Albader S, Alajlan N, Alkhunaini N, Niazy A, Almahdy A. Comparison of the antibacterial activity of calcium silicate- and epoxy resin-based endodontic sealers against Enterococcus faecalis biofilms: a confocal laser-scanning microscopy analysis. Odontology. 2019; 107(4): 513–520.

Štítky
Chirurgia maxilofaciálna Ortodoncia Stomatológia
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