Review Article

Bioceramic-Based Root Canal Sealers: A Review

Table 2

Sealing ability of bioceramic-based root canal sealers.

Tested sealersCompared sealersObturation techniqueMicroleakage siteMicroleakage testDurationFindingReferences

Capseal I and Capseal IISankin apatite, AH Plus, Sealapex, and zinc oxide-based sealer (Pulp Canal Sealer-Kerr)Lateral condensation techniqueApicalAnaerobic bacterial leakageEvery day for a period of 90 daysCapseal I and Capseal II especially Capseal II showed good sealing ability, comparable to that of AH PlusYang et al. [45]

Endo CPM and Experimental MTA-based sealerAH Plus, Sealer 26, Epiphany SE, Sealapex, Activ GP, and EndofillCold lateral condensationCoronalBacterial leakageEvery 24 h for a period of 120 daysActiv GP, Endo CPM sealer, and MTAS were less resistant to leakageOliveira et al. [46]

Experimental calcium phosphate injectable sealerSealapexLateral condensation for Sealapex group and single silver cone for experimental sealerApicalPoly-R dye penetration test5 daysSealing ability was satisfactory in both groups with no significant differenceCherng et al. [19]

Experimental MTA and fluorodoped MTA (FMTA) sealersAH PlusWarm vertical compactionApicalFluid filtration method 24 hours, 48 hours, 1 week, 2 weeks, 1 month, 3 months, and 6 months FMTA and AH Plus had a significantly better sealing ability than MTAGandolfi and Prati [47]

iRoot SPAH PlusContinuous wave condensation technique with both sealers and single cone technique with iRoot SPApicalFluid filtration method24 hours, 1 week, 4 weeks, and 8 weeksiRoot SP was equivalent to AH Plus sealer in apical sealing abilityZhang et al. [20]

MTASPulp Canal SealerWarm vertical compaction techniqueCoronalFluid filtration method1 day and 28 daysMTAS had sealing ability comparable to Pulp Canal SealerCamilleri et al. [48]

ProRoot Endo Sealer (DENTSPLY Tulsa Dental Specialties)Pulp Canal Sealer and AH PlusWarm vertical compaction techniqueCoronalFluid filtration method7 days and 35 days Sealing ability of ProRoot Endo Sealer and AH Plus is better than that of Pulp Canal SealerWeller et al. [49]

Sankin apatite root sealer types I, II, and IIIRoth’s sealer, Sealapex, and Kerr root canal sealerLateral-vertical condensation techniqueApicalDye penetration using silver nitrateNot statedSealing ability of Sankin apatite II was second better after SealapexBarkhordar et al. [50]

Sankin apatite types I, II, and IIIGrossman’s sealerLateral condensation techniqueApicalMethylene blue dye48 hoursAll sealers showed minimal leakage with no significant differenceBilginer et al. [35]