Evaluating the Sealing Performance of Endodontic Sealers: Insights Into Achieving Complete Sealing.

Autor:	Chhabra A; Conservative Dentistry and Endodontics, All India Institute of Medical Sciences, Kalyani, Kalyani, IND., P RK; Conservative Dentistry and Endodontics, All India Institute of Medical Sciences, Kalyani, Kalyani, IND., Prathap S; Conservative Dentistry and Endodontics, All India Institute of Medical Sciences, Kalyani, Kalyani, IND., Yadav P; Dentistry, All India Institute of Medical Sciences, Kalyani, Kalyani, IND., Mehra H; Conservative Dentistry and Endodontics, All India Institute of Medical Sciences, Kalyani, Kalyani, IND., Parvathy SJ; Conservative Dentistry and Endodontics, All India Institute of Medical Sciences, Kalyani, Kalyani, IND.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Oct 20; Vol. 16 (10), pp. e71967. Date of Electronic Publication: 2024 Oct 20 (Print Publication: 2024).
DOI:	10.7759/cureus.71967
Abstrakt:	Background The importance of achieving optimal sealing in endodontic procedures cannot be overstated, as it directly influences the success and durability of root canal treatments. The objective of this research was to measure and identify the sealing ability of endodontic sealers by evaluating their adhesion to root canal dentin and the extent to which they achieve a complete seal. Methods A total of 60 extracted lower premolar teeth were randomly divided into three groups of 20 samples each. After root canal preparation with Neo Endo Flex files, each group was treated with a different sealer: calcium silicate-based (Bio-C Sealer), epoxy resin-based (Seal Pex), and silicone-based (Roeko Gutta Flow 2). The sealers were applied using the single cone obturation technique with gutta-percha points. The samples were stored at 37°C and 100% humidity for one week. Finally, the teeth were sectioned longitudinally and analyzed using scanning electron microscopy (SEM) to assess marginal adaptation. Results The largest gaps were found in group III (Roeko Gutta Flow 2) (86.2 µm coronal, 91.1 µm apical) and the smallest in group I (Bio-C Sealer) (52.5 µm coronal, 53.7 µm apical). Significant differences were confirmed using one-way ANOVA and Tukey's post hoc tests, with group I having the best adaptation and group III the poorest. Under SEM, the coronal halves in every group outperformed the apical halves in terms of adaptability. Conclusion The study found that coronal halves adapted better than apical halves, and Bio-C Sealer performed better than Seal Pex and Roeko Gutta Flow 2. These findings indicate that Bio-C Sealer may improve sealing and decrease microleakage risk in endodontic procedures. This study needs further research and evaluation of the long-term effects of Bio-C Sealer in clinical practice. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Institutional Ethics Committee of AIIMS Kalyani issued approval IEC/AIIMS/Kalyani/Meeting/2024/Ex-002. To Dr Ajay Chhabra Professor and Head, Department of Dentistry, AIIMS Kalyani Ref: Project title: 'Achieving Complete Sealing: Unraveling the Sealing Ability of Endodontic Sealers' Sub: Approval of the above referenced research project Dear Dr Ajay Chhabra, This is with reference to the study proposal entitled 'Achieving Complete Sealing: Unraveling the Sealing Ability of Endodontic Sealers' which was submitted to the Institutional Ethics Committee Secretariat of AIIMS Kalyani on 01 April 2024 for granting approval under "Exempt from Review" process. The research study proposal falls under the category of less than minimal risk/ minimal risk (in-vitro study) and no identifiable linked information is being collected or recorded for the study/ research, and therefore it is exempted from review. Please note that any changes to the proposal should have prior approval by the ethics committee before being implemented. You are requested to submit the completion report at most within 2 months of the completion of study. Yours sincerely, Dr Ritesh Singh Member Secretary. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Chhabra et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu