BIOCERAMIC-BASED ROOT CANAL SEALERS
Authors:
L. Somolová; Z. Zapletalová; M. Rosa; B. Novotná; I. Voborná; Y. Morozova
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, 4, s. 116-124
Category:
Review Article
Summary
Introduction: In modern endodontics, there is a constant development of new procedures and requirements for high-quality and reliable materials to fill the root canal system are rising. A few years ago, a new types of calcium silicate-based root canal sealers were launched on the market, which could meet most of the parameters of a perfect sealing material. Newer generations of these sealers contain calcium phosphate and are also referred to in the literature worldwide as bioceramic sealers.
Aim of the article: The aim of this article is to present the characteristics of this group of sealers and to outline their chemical, physical and biological properties. Bioceramicbased root canal sealers have many characteristics in common with the original material MTA (mineral trioxide aggregate). They are similar to its chemical composition and setting reaction. They are hydrophilic and able to set in humid environments. In contact with the dentin, hydroxyapatite crystals are deposited on the surface, thus enhancing the sealing ability of the root canal. Considering their physical characteristics, they are volumetrically stable and there is even a slight expansion during material setting. Humidity of the environment and high water sorption promote the biomineralization processes, and contribute to a better seal of the root canal. The flowability of the material allows to fill the entire space of the root canal, even including its irregularities. Biocompatibility, wound healing ability and minimal cytotoxicity make this type of sealer suitable for permanent contact with periodontal tissues, where prolonged release of calcium ions promotes regeneration. High pH value during material setting result in an antimicrobial effect. They have sufficient X-ray contrast for clinical use, but depending on the radiopaque additive used, they show a tendency to discoloration of hard dental tissues. A relatively disadvantageous features are increased solubility, porosity and water absorption. However, due to the dynamic and bioactive nature of these sealers, these adverse properties may not be significant for the success of treatment in clinical practice. The mechanical properties of most bioceramic sealers are generally negatively affected by heat. Due to this fact, cold obturation methods are recommended for bioceramic-based sealers.
Conclusion: The outcomes of clinical and experimental studies generally highlight the beneficial properties and reliability of this group of sealers. They suggest promising results not only in specialized endodontic practices.
Keywords:
properties – bioceramic sealer – calcium silicate-based sealer – root-canal sealer
Zdroje
1. Septodont. Case Studies Collection No. 13 March 2016. BioRoot™ RCS The new biomaterial for root canal filling. [cit. 24. 5. 2020]. Dostupné z: https://www.septodontcorp.com/files/pdf/Case-Studies-Collection-13.pdf#page=4
2. Haapasalo M, Parhar M, Huang X, Wei X, Lin J, Shen Y. Clinical use of bioceramic materials. Endod Topics. 2015; 32: 97–117.
3. Debelian G, Trope M. The use of premixed bioceramic materials in endodontics. Giornale Italiano di Endodonzia. 2016; 30(2): 70–80.
4. Viapiana R, Flumignan DL, Guerreiro-Tanomaru JM, Camilleri J, Tanomaru-Filho M. Physicochemical and mechanical properties of zirconium oxide and niobium oxide modified Portland cement-based experimental endodontic sealers. Int Endod J. 2014; 47(5): 437–448.
5. 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.
6. Peřinka L, Bartůšková Š, Záhlavová E.Základy klinické endodoncie. Praha: Quintessenz; 2003, 224–225, 245–247, 225–226, 225–230.
7. Hargreaves KM, Cohen SS. Cohen’s pathways of the pulp. 10. vydání. St. Louis: Mosby Elsevier. 2011, 359, 359–362.
8. Jitaru S, Hodisan I, Timis L, Lucian A, Bud M. The use of bioceramics in endodontics – literature review. Clujul Med. 2016; 89: 470–473.
9. Septodont. BioRoot™ RCS Launch Book [cit. 26. 11. 2019]. Dostupné z: https://www.septodontcorp.com/technology-and-products/endodontics-and-restorative/bioroot-rcs/
10. 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.
11. Vericom Co. Vericom Well-Root ST. [cit. 5. 6. 2020]. Dostupné z: https://dentalmarket-eg.com/product/vericom-well-root-st/
12. Žižka R, Šedý J, Škrdlant J, Kučera P. Kalciumsilikátové cementy – 2. část: Klinické využití. LKS. 2018; 28(3): 60–67.
13. Kapitán M. Je perforace kořene důvodem k extrakci zubu? Sborník přednášek pro 21. ročník mezinárodního kongresu Pražské dentální dny; 2019, říjen 4–5; Praha; Česká stomatologická komora; 2019, 12.
14. Žižka R, Buchta T, Voborná I, Harvan L, Šedý J. Root maturation in teeth treated by unsuccessful revitalization: 2 case reports. J Endod. 2016; 42(5): 724–729.
15. Žižka R, Šedý J, Škrdlant J, Němcová N, Buchta T. Maturogeneze. Část 3. Klinický protokol. Prakt. zubní lék. 2016; 64(3): 39–45.
16. Koch K, Brave DG, Nasseh AA. A review of bioceramic technology in endodontics. Roots. 2013; 1: 6–13.
17. Žižka R, Škrdlant J, Míšová E. Maturogeneze. LKS. 2015; 25(11): 220–228.
18. Donnermeyer D, Bürklein S, Dammaschke T, Schäfer E. Endodontic sealers based on calcium silicates: a systematic review. Odontology. 2019; 107: 421–436.
19. Septodont. BioRoot™ RCS. Endo sealer or biological filler? [cit. 24. 5. 2020]. Dostupné z: https://www.septodont.com.ru/sites/ru/files/2019-07/Septodont_BioRoot_Endo%20sealer%20or%20biological%20filler_JC.pdf
20. Septodont. BioRoot™ RCS Is a paradigm shift for root canal obturation possible? [cit. 24. 5. 2020]. Dostupné z: https://www.septodontcorp.com/wp-content/uploads/2018/03/bioroot_-_article_camilleri_0118_low.pdf
21. 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
22. Mendes AT, Silva PBD, Só BB, Hashizume LN, Vivan RR, Rosa RA, Duarte MAH, Só MVR. Evaluation of physicochemical properties of new calcium silicate-based sealer. Braz Dent J. 2018; 29(6): 536–540. doi:10.1590/0103-6440201802088
23. Lee JK, Kwak SW, Ha JH, Lee W, Kim HC. Physicochemical properties of epoxy resin-based and bioceramic-based root canal sealers. Bioinorg Chem Appl. 2017; 2017: 2582849. doi:10.1155/2017/2582849
24. Tyagi S, Mishra P, Tyagi P. Evolution of root canal sealers: An insight story. Eur J Dent. 2013; 2(3): 199–218.
25. Seo DG, Lee D, Kim YM, Song D, Kim SY. Biocompatibility and mineralization activity of three calcium silicate-based root canal sealers compared to conventional resin-based sealer in human dental pulp stem cells. Materials (Basel). 2019; 12(15): 2482. doi:10.3390/ma12152482
26. Komabayashi T, Colmenar D, Cvach N, Bhat A, Primus C, Imai Y. Comprehensive review of current endodontic sealers. Dent Mater J. 2020; 10: 2019–2288. doi:10.4012/dmj.2019-288
27. Technomedics. TotalFill Premixed Bioceramic Endodontic Materials. [cit. 7. 6. 2020]. Dostupné z: https://www.technomedics.no/wp-content/uploads/2015/12/Totalfill_bro14.pdf
28. Brasseler. Material safety data sheet. [cit. 7. 6. 2020]. Dostupné z: http://39a6b12ilb7y46yglh3knb1p-wpengine.netdna-ssl.com/wp-content/files/B_3114E_BC%20Sealer%20MSDS.pdf
29. Innovative Bioceramix. Material safety data sheet. [cit. 7. 6. 2020]. Dostupné z: ftp://ftp.endoco.com/MSDS/VerioiRoot.pdf
30. Jafari F, Jafari S. Composition and physicochemical properties of calcium silicate based sealers: A review article. J Clin Exp Dent. 2017; 9(10): e1249–e1255.
31. DiaDent Europe. Dia-Root Bio Sealer [cit. 7. 6. 2020]. Dostupné z: http://www.diadenteurope.com/media/1314/2020-dia-root-biosealer-info.pdf
32. Rawtiya M, Verma K, Singh S, Munuga S, Khan S. MTA-based root canal sealers. J Orofac Res. 2013; 3: 16–21.
33. Angelus. Safety Data Sheet. [cit. 7. 6. 2020]. Dostupné z: https://www.dhpionline.com/msds/330-827.pdf
34. Angelus. Material Safety Data Sheet. [cit. 7. 6. 2020]. Dostupné z: https://www.angelusdental.com/img/arquivos/mta_fillapex_msds_download.pdf
35. Tanomaru-Filho M, Bosso R, Viapiana R, Guerreiro-Tanomaru JM. Radiopacity and flow of different endodontic sealers. Acta Odontol Latinoam.
2013; 26(2): 121–125.
36. Lee JH, Baek SH, Bae KS. Evaluation of the cytotoxicity of calcium phosphate root canal sealers. J Korean Acad Conservat Dentistry. 2003; 28(4): 295–302.
37. Hakki SS, Bozkurt BS, Ozcopur B, Gandolfi MG, Prati C, Belli, S. The response of cementoblasts to calcium phosphate resin-based and calcium silicate-based commercial sealers. Int Endod J. 2012; 46(3): 242–252.
38. Itena. MTA. Bioseal safety data sheet. [cit. 7. 6. 2020]. Dostupné z: https://www.itena-clinical.com/en/index.php?controller=attachment&id_attachment=388
39. Lee JK, Kim S, Lee S, Kim HC, Kim E. In vitro comparison of biocompatibility of calcium silicate-based root canal sealers. materials (Basel). 2019; 12(15): 2411. doi: 10.3390/ma12152411
40. FDA. 510(k) Summary (K170950) [cit. 7. 6. 2020]. Dostupné z: https://www.accessdata.fda.gov/cdrh_docs/pdf17/K170950.pdf
41. Angelus. Bio-C Sealer. [cit. 7. 6. 2020]. Dostupné z:http://www.angelusdental.com/img/arquivos/3823_10503823_0321052018_bio_c_sealer_bula_fechado.pdf
42. 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(2): 120–136.
43. 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.
44. Wang Z. Bioceramic materials in endodontics. Endod Topics. 2015; 32: 3–30.
45. Koch KA, Brave GD, Nasseh AA. Bioceramic technology: closing the endo-restorative circle, part 2. Dentistry today. 2010; 29(3): 98–100.
46. Trope M, Bunes A, Debelian G. Root filling materials and techniques: bioceramics a new hope? Endod Topics. 2015; 32: 86–96.
47. Loushine BA, Bryan TE, Looney SW, Gillen BM, Loushine RJ, Weller RN, Pashley DH, Tay FR. Setting properties and cytotoxicity evaluation of a premixed bioceramic root canal sealer. J Endod. 2011; 37(5): 673–677.
48. 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.
49. Ha JH, Kim HC, Kim YK, Kwon TY. An evaluation of wetting and adhesion of three bioceramic root canal sealers to intraradicular human dentin. Materials (Basel). 2018; 11(8): 1286. doi: 10.3390/ma11081286
50. Septodont. BioRoot™ RCS bioactive root canal sealer. [cit. 24. 5. 2020]. Dostupné z: http://www.oraverse.com/bio/img/BioRoot-ScientificFile.pdf
51. Camilleri J. Characterization of hydration products of mineral trioxide aggregate. Int Endod J. 2008; 41(5): 408–417.
52. Žižka R, Šedý J, Voborná I. Příprava kalciumsilikátových cementů. LKS. 2020; 30(1): 8–11.
53. 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.
54. Reyes-Carmona JF, Felippe MS, Felippe WT. The biomineralization ability of mineral trioxide aggregate and Portland cement on dentin enhances the push-out strength. J Endod, 2010; 36(2): 286–291.
55. Yang DK, Kim S, Park JW, Kim E, Shin SJ.Different setting conditions affect surface characteristics and microhardness of calcium silicate-based sealers. Scanning. 2018; 2018: 7136345. doi:10.1155/2018/7136345
56. DeLong C, He J, Woodmansey KF. The effect of obturation technique on the push-out bond strength of calcium silicate sealers. J Endod. 2015; 41(3): 385‐388.
57. 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.
58. Marciano MA, Duarte MA, Camilleri J.Dental discoloration caused by bismuth oxide in MTA in the presence of sodium hypochlorite. Clin Oral Investig, 2015, 19(9): 2201–2209.
59. Žižka R, Šedý J, Gregor L, Voborná I. Discoloration after regenerative endodontic procedures: A critical review. Iran Endod J. 2018; 13(3): 278–284.
60. Camilleri J, Mallia B. Evaluation of the dimensional changes of mineral trioxide aggregate sealer. Int Endod J. 2011; 44(5): 416–424.
61. Prüllage RK, Urban K, Schäfer E, Dammaschke T. Material properties of a tricalcium silicate–containing, a mineral trioxide aggregate–containing, and an epoxy resin–based root canal sealer. J Endod. 2016; 42(12): 1784–1788.
62. Wang Y, Liu S, Dong Y. In vitro study of dentinal tubule penetration and filling quality of bioceramic sealer. PLoS One. 2018; 13(2): e0192248. doi: 10.1371/journal.pone.0192248
63. Eldeniz AU, Shehata M, Högg C, Reichl FX. DNA double-strand breaks caused by new and contemporary endodontic sealers. Int Endod J. 2016; 49: 1141–1151.
64. Loison-Robert LS, Tassin M, Bonte E,Berbar T, Isaac J, Berdal A, Simon S, Fournier BPJ. In vitro effects of two silicate-based materials, Biodentine and BioRoot RCS, on dental pulp stem cells in models of reactionary and reparative dentinogenesis. PLoS OnE, 2018; 13(1): e0190014. doi: 10.1371/journal.pone.0190014
65. Giacomino CM, Wealleans JA, Kuhn N, Diogenes A. Comparative biocompatibility and osteogenic potential of two bioceramic sealers. J Endod. 2019; 45(1): 51–56.
66. Fonseca DA, Paula AB, Marto CM, Coelho A, Paulo S, Martinho JP, Carrilho E, Ferreira MM. Biocompatibility of root canal sealers:
a systematic review of in vitro and in vivo studies. Materials (Basel). 2019; 9; 12(24): 4113. doi: 10.3390/ma12244113
67. Jung S, Libricht V, Sielker S, Hanisch MR, Schäfer E, Dammaschke T. Evaluation of the biocompatibility of root canal sealers on human periodontal ligament cells ex vivo. Odontology. 2019; 107(1): 54–63.
68. Zhou HM, Shen Y, Wang ZJ, Li L, Zheng YF, Häkkinen L, Haapasalo M. In vitro cytotoxicity evaluation of a novel root repair material. J Endod, 2013; 39(4): 478–483.
69. Lee BN, Hong JU, Kim SM, Jang JH, Chang HS, Hwang YC, Hwang IN, Oh WM. Anti-inflammatory and osteogenic effects of calcium silicate-based root canal sealers. J Endod. 2019; 45(1): 73–78.
70. Camps J, Jeanneau C, El Ayachi I, Laurent P, About I. Bioactivity of a calcium silicate-based endodontic cement (BioRoot RCS): Interactions with human periodontal ligament cells in vitro. J Endod. 2015, 41(9): 1469–1473.
71. Matsumoto S, Hayashi M, Suzuki Y, Suzuki N, Maeno M, Ogiso B. Calcium ions released from mineral trioxide aggregate convert the differentiation pathway of C2C12 cells into osteoblast lineage. J Endod. 2013; 39(1): 68–75.
72. Rosa M, Morozova Y, Moštěk R, Jusku A, Kováčová V, Somolová L,Voborná I, Kovalský T. Vybrané vlastnosti súčasných endodontických sealerov: Časť 2. Čes stomatol Prakt zubní lék. 2021; 121(1): 3–10. doi: 10.51479/cspzl.2021.002
73. Ballullaya SV, Vinay V, Thumu J, Devalla S, Bollu IP, Balla S. Stereomicroscopic dye leakage measurement of six different root canal sealers. J Clin Diagn Res. 2017; 11(6): ZC65–ZC68. doi: 10.7860/JCDR/2017/25780.10077
74. Ehsani M, Dehghani A, Abesi F, Khafri S, Dehkordi SG. Evaluation of apical micro-leakage of different endodontic sealers in the presence and absence of moisture. J Dent Res Dent Clin Dent Prospect. 2014; 8(3):125–129.
75. 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):30. 6.5395/rde.2018.43.e30.
Štítky
Maxillofacial surgery Orthodontics Dental medicineČlánok vyšiel v časopise
Czech Dental Journal
2021 Číslo 4
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- BIOCERAMIC-BASED ROOT CANAL SEALERS
- THE RELATIONSHIP BETWEEN OBSTRUCTIVE SLEEP APNEA AND CRANIOFACIAL ANOMALIES IN ADULT PATIENTS
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