Restorative Dentistry & Endodontics

Research Articles

Bone repair in defects filled with AH Plus sealer and different concentrations of MTA: a study in rat tibiae: Jessica Emanuella Rocha Paz, Priscila Oliveira Costa, Albert Alexandre Costa Souza, Ingrid Macedo de Oliveira, Lucas Fernandes Falcão, Carlos Alberto Monteiro Falcão, Maria Ângela Area Leão Ferraz, Lucielma Salmito Soares Pinto; Restor Dent Endod 2021;46(4):e48. Published online September 2, 2021; DOI: https://doi.org/10.5395/rde.2021.46.e48

Objectives

This study aimed to evaluate the effects on bone repair of different concentrations of mineral trioxide aggregate (MTA) added to AH Plus.

Materials and Methods

Bone tissue reactions were evaluated in 30 rats (Rattus norvegicus) after 7 and 30 days. In the AH + MTA10, AH + MTA20, and AH + MTA30 groups, defects in the tibiae were filled with AH Plus with MTA in proportions of 10%, 20% and 30%, respectively; in the MTA-FILL group, MTA Fillapex was used; and in the control group, no sealer was used. The samples were histologically analyzed to assess bone union and maturation. The Kruskal-Wallis and Mann-Whitney tests were performed for multiple pairwise comparisons (p ≤ 0.05).

Results

At the 7-day time point, AH + MTA10 was superior to MTA-FILL with respect to bone union, and AH + MTA20 was superior to MTA-FILL with respect to bone maturity (p < 0.05). At the 30-day time point, both the AH + MTA10 and AH + MTA20 experimental sealers were superior not only to MTA-FILL, but also to AH + MTA30 with respect to both parameters (p < 0.05). The results of the AH + MTA10 and AH + MTA20 groups were superior to those of the control group for both parameters and experimental time points (p < 0.05).

Conclusions

The results suggest the potential benefit of using a combination of these materials in situations requiring bone repair.

Citations

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Analysis of the cytotoxicity and bioactivity of CeraSeal, BioRoot™ and AH Plus® sealers in pre-osteoblast lineage cells
Luciano Aparecido de Almeida-Junior, Giuliana de Campos Chaves Lamarque, Henry Herrera, Maya Fernanda Manfrin Arnez, Francine Lorencetti-Silva, Raquel Assed Bezerra Silva, Léa Assed Bezerra Silva, Francisco Wanderley Garcia Paula-Silva
BMC Oral Health.2024;[Epub] CrossRef
A Review of the research methods and progress of biocompatibility evaluation of root canal sealers
Xiliang Yang, Tianxia Zheng, Nuoya Yang, Zihan Yin, Wuliang Wang, Yuhong Bai
Australian Endodontic Journal.2023; 49(S1): 508. CrossRef
Effect of Vitapex Combined with AH-Plus Paste on Inflammation in Middle-Aged and Elderly Patients with Periodontal-Endodontic Disease
Rong Hu, Fulan Zhang, Xiangyu Guo, Youren Jing, Xiaowan Lin, Liping Tian, Min Tang
Computational and Mathematical Methods in Medicine.2022; 2022: 1. CrossRef

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Dentin moisture conditions strongly influence its interactions with bioactive root canal sealers: Esin Ozlek, Hüseyin Gündüz, Elif Akkol, Prasanna Neelakantan; Restor Dent Endod 2020;45(2):e24. Published online March 24, 2020; DOI: https://doi.org/10.5395/rde.2020.45.e24

Abstract PDF PubReader ePub

Objectives

It is known that bioactive materials interact with the dentin to undergo biomineralization. The exact role of moisture in this interaction is unknown. Here, we investigate the effects of dentin moisture conditions on the dislocation resistance of two bioactive root canal sealers (MTA Fillapex [Angelus Solucoes Odontologicas] and GuttaFlow BioSeal [Colténe/Whaledent AG]) at 3 weeks and 3 months after obturation.

Materials and Methods

Mandibular premolars (n = 120) were prepared and randomly divided into 3 groups based on the dentin condition: group 1, dry dentin; group 2, moist dentin; group 3, wet dentin. Each group was divided into 2 subgroups for root canal filling: MTA Fillapex and GuttaFlow BioSeal. Dislocation resistance was evaluated by measuring the push-out bond strength at 3 weeks and 3 months. Failure modes were examined under a stereomicroscope. Data were statistically analyzed by Kruskal-Wallis test with a significance level of 5%.

Results

Moist dentin resulted in higher bond strength values for both materials at both time points. This was significantly higher than wet and dry dentin for both the sealers at the 3 months (p < 0.05), while at 3 weeks it was significant only for GuttaFlow Bioseal. The different moisture conditions demonstrated similar trends in their effects on the dislocation resistance of the 2 root canal sealers.

Conclusions

The dentin moisture conditions had a significant impact on its interaction with the bioactive materials tested. Maintaining moist dentin, but not dry or wet dentin, may be advantageous before the filling root canals with bioactive sealers.

Citations

Citations to this article as recorded by

The effect of moisture conditions and canal morphologies on the filling quality of iRoot SP with single-cone technique in root canals: an ex-vivo study
Jing Yang, Xiran Xu, Jian Zhang, Kehua Que
Frontiers in Dental Medicine.2025;[Epub] CrossRef
Bond Strength and Adhesive Interface Quality of New Pre‐Mixed Bioceramic Root Canal Sealer
Gustavo Creazzo, Bruna Monteiro de Barros Ciribelli Alves, Helena Cristina de Assis, Karen Gisselle Garay Villamayor, Manoel Damião de Sousa‐Neto, Jardel Francisco Mazzi‐Chaves, Fabiane Carneiro Lopes‐Olhê
Microscopy Research and Technique.2025;[Epub] CrossRef
Evaluation of apical seal and tubular penetration of a novel bioactive glass sealer, bioceramic sealer and resin–based sealer: an In-Vitro study
M. Bilal, S. Pasha, S. Kumar, S. Arif, S. Taj, A. Saleem
Endodontics Today.2025; 23(1): 39. CrossRef
Preparation and characterization of novel nano-tricalcium silicate-58s bioactive glass-based root canal sealer
Nawal Atiya Al-Sabawi, Sawsan Hameed Al-Jubori
Saudi Endodontic Journal.2024; 14(1): 90. CrossRef
The flow behavior and sealing ability of calcium silicate root canal cement containing dimethyl sulfoxide: An in vitro study
Bokyung Shin, Ji-Hwan Seo, Wonjung Kim, Yu Jin Ahn, Ho-Young Kim, Won-Jun Shon
Journal of the Mechanical Behavior of Biomedical Materials.2024; 150: 106156. CrossRef
Nanoleakage of apical sealing using a calcium silicate-based sealer according to canal drying methods
Yoon-Joo Lee, Kyung-Mo Cho, Se-Hee Park, Yoon Lee, Jin-Woo Kim
Restorative Dentistry & Endodontics.2024;[Epub] CrossRef
Effect of operators’ proficiency level and patients’ related factors on possible complications, using a high frequency polyamide sonic intracanal irrigation device: A prospective clinical cohort study
Tobias Hahn, David W. Christofzik, Karim Fawzy El-Sayed, Sandra Freitag-Wolf, Jonas Conrad, Christian Graetz, Birte Größner-Schreiber, Christof Dörfer, Artak Heboyan
PLOS ONE.2023; 18(5): e0285492. CrossRef
Physical-chemical properties and acellular bioactivity of newly prepared nano-tricalcium silicate-58s bioactive glass-based endodontic sealer
Nawal A. Al-Sabawi, Sawsan Hameed Al-Jubori
Journal of Oral Biosciences.2023; 65(4): 305. CrossRef
Biocompatibility analysis in subcutaneous tissue and physico-chemical analysis of pre-mixed calcium silicate–based sealers
Ana Cristina Padilha Janini, Lauter Eston Pelepenko, Juliana Minto Boldieri, Victor Augusto Benedicto dos Santos, Nilvan Alves da Silva, Ivo Milton Raimundo, Brenda P. F. A. Gomes, Marina Angélica Marciano
Clinical Oral Investigations.2023; 27(5): 2221. CrossRef
Canal Drying Protocols to Use with Calcium Silicate–based Sealer: Effect on Bond Strength and Adhesive Interface
Lais Lima Pelozo, Aline Evangelista Souza-Gabriel, Guilherme Nilson Alves dos Santos, Rafael Verardino Camargo, Fabiane Carneiro Lopes-Olhê, Manoel Damião Sousa-Neto, Jardel Francisco Mazzi-Chaves
Journal of Endodontics.2023; 49(9): 1154. CrossRef
Comparison of push‐out bond strength of endodontic sealers after root canal drying with different techniques
Ahmadreza Sarrafan, Ali Soleymani, Tasnim Bagheri Chenari, Seyedali Seyedmajidi
Clinical and Experimental Dental Research.2023; 9(2): 314. CrossRef
Designing Calcium Silicate Cements with On-Demand Properties for Precision Endodontics
A. Cahyanto, P. Rath, T.X. Teo, S.S. Tong, R. Malhotra, B.N. Cavalcanti, L.Z. Lim, K.S. Min, D. Ho, W.F. Lu, V. Rosa
Journal of Dental Research.2023; 102(13): 1425. CrossRef
Outcome of root canal treatment using warm vertical compaction with bioceramic and resin‐based sealers: A randomised clinical trial
Jinghao Hu, Yunjie Zhu, Shuli Deng, Zeji Wang, Fuming He
Australian Endodontic Journal.2023; 49(S1): 170. CrossRef
Evaluation of the Sealing Ability and Bond Strength of Two Endodontic Root Canal Sealers: An In Vitro Study
Manuel Marques Ferreira, José Pedro Martinho, Inês Duarte, Diogo Mendonça, Ana Catarina Craveiro, Maria Filomena Botelho, Eunice Carrilho, Carlos Miguel Marto, Ana Coelho, Anabela Paula, Siri Paulo, Nuno Chichorro, Ana Margarida Abrantes
Dentistry Journal.2022; 10(11): 201. CrossRef
How do imaging protocols affect the assessment of root-end fillings?
Fernanda Ferrari Esteves Torres, Reinhilde Jacobs, Mostafa EzEldeen, Karla de Faria-Vasconcelos, Juliane Maria Guerreiro-Tanomaru, Bernardo Camargo dos Santos, Mário Tanomaru-Filho
Restorative Dentistry & Endodontics.2022;[Epub] CrossRef
Effect of using calcium-silicate and silicone based root canal sealers in bulk or with main core material on bond strength
Gizem Kadı, Esin Özlek, Yousef Saed
Journal of Dental Research, Dental Clinics, Dental Prospects.2022; 16(4): 229. CrossRef
Physico-chemical properties of calcium silicate-based sealers in powder/liquid and ready-to-use forms
Ana C P Janini, Lauter E Pelepenko, Brenda P F A Gomes, Marina A Marciano
Brazilian Dental Journal.2022; 33(5): 18. CrossRef
Influence of dentin moisture conditions on the wetting action of different endodontic sealers using Rame-Hart goniometer: An in vitro study
Sivaji Kauravi, ShruthiH Attavar, GyanendraPratap Singh
Journal of International Oral Health.2022; 14(6): 624. CrossRef
Heating stability, physical and chemical analysis of calcium silicate‐based endodontic sealers
T. B. M. Antunes, A. C. P. Janini, L. E. Pelepenko, G. F. Abuna, E. M. Paiva, M. A. C. Sinhoreti, I. M. Raimundo, B. P. F. A. Gomes, A. de‐Jesus‐Soares, M. A. Marciano
International Endodontic Journal.2021; 54(7): 1175. CrossRef
Characterization, Antimicrobial Effects, and Cytocompatibility of a Root Canal Sealer Produced by Pozzolan Reaction between Calcium Hydroxide and Silica
Mi-Ah Kim, Vinicius Rosa, Prasanna Neelakantan, Yun-Chan Hwang, Kyung-San Min
Materials.2021; 14(11): 2863. CrossRef
Main and Accessory Canal Filling Quality of a Premixed Calcium Silicate Endodontic Sealer According to Different Obturation Techniques
Su-Yeon Ko, Hae Won Choi, E-Deun Jeong, Vinicius Rosa, Yun-Chan Hwang, Mi-Kyung Yu, Kyung-San Min
Materials.2020; 13(19): 4389. CrossRef

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