Evaluation of the push out of bond strength of different bioceramic root canal sealers with different obturation techniques


Submitted: 30 January 2022
Accepted: 8 March 2022
Published: 12 April 2022
Abstract views:
518


PDF:
102
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Aim: This study aims to evaluate the effect of different obturation techniques [single cone (SC) and warm vertical compaction (WVC)] on the push-out bond strength (PBS) of gutta-percha (GP) with three calcium silicate-based sealers (CSBSs).

Methodology: Sixty single‑rooted mandibular premolars were selected and decoronated to obtain a standardized root length of 16 mm. The canals were instrumented using VDW.Rotate system and were assigned into six equal Groups based upon the CSBS and obturation technique used following; Group 1 and Group 2; BC Sealer HiFlow (HiFlow; Brasseler USA) with SC and WVC, Group 3 and Group 4; CeraSeal (Meta Biomed Co., Cheongju, Korea) with SC and WVC, Group 5 and Group 6; BioRoot RCS (Septodont, Saint‑Maur‑des‑Fosses Cedex, France) with SC and WVC. Roots were sectioned transversally at the thickness of 1±0.1 mm in thickness at 5 and 10 mm from the apex. The specimens were subjected to PBS test using a universal test machine at a loading speed of 0.5 mm/ min examined for their failure modes. Statistical analysis was performed using Kruskal-Wallis and multiple comparison tests.

Results: BioRoot-WVC Group was a significantly lower PBS value than other Groups at 5 and 10 mm from the apex (p<0.05). At 5 and 10 mm from the apex, no significant difference in PBS was found among the BC Sealer HiFlow and CeraSeal sealers obturated using two different techniques (P>0.05). The most common failure mode found in all Groups was a mixed failure.

Conclusions: WVC significantly reduced the PBS of the BioRoot RCS sealer compared to SC technique, but this was not significant with the BC Sealer HiFlow and CeraSeal.


Whitworth J. Methods of filling root canals: principles and practices. Endod Top. 2005;12:2-24.

Stoll R, Betke KSV. The influence of different factors on the survival of root canal fillings: a 10-year retrospective study. J Endod. 2005;31(11):783–90.

Donnermeyer D, Dornseifer P, Schäfer E. The push‑out bond strength of calcium silicate‑based endodontic sealers. Head Face Med. 2018;14:13.

Donnermeyer D, Vahdat‑Pajouh N, Schäfer E. Influence of the final irrigation solution on the push‑out bond strength of calcium silicate‑based, epoxy resin‑based and silicone‑based endodontic sealers. Odontology. 2019;107:231-236.

Dewi A, Upara C, Sastraruji T et al. Effect of a heat‐based root canal obturation technique on push‐out bond strength of the classical bioceramic and new HiFlow sealer. Aust Endod J. 2021;

Siboni F, Taddei P, Zamparini F et al. Properties of bioRoot RCS, a tricalcium silicate endodontic sealer modified with povidone and polycarboxylate. Int Endod J. 2017;50(2):120-136.

META BIOMED. CeraSeal Brochure [Internet]. 2022. Available from: https://www.meta-europe.com/en/produkt/ceraseal/

Lim M, Jung C, Shin DH et al. Calcium silicate-based root canal sealers: a literature review. Restor Dent Endod. 2020;45(3):e35.

Schilder H. Filling root canals in three dimensions. J Endod. 2006;32:281-290.

Aminsobhani M, Ghorbanzadeh A, Sharifian M et al. Comparison of obturation quality in modified continuous wave compaction, continuous wave compaction, lateral compaction and warm vertical compaction techniques. J Dent. 2015;12:99-108.

Chen B, Haapasalo M, Mobuchon C et al. Cytotoxicity and the effect of temperature on physical properties and chemical composition of a New Calcium Silicate-based root canal sealer. J Endod. 2020;46:531-538.

DeLong C, He J WK. The effect of obturation technique on the push-out bond strength of calcium silicate sealers. J Endod. 2015;41(3):385-388.

Gade VJ, Belsare LD, Patil S et al. Evaluation of push-out bond strength of endosequence BC sealer with lateral condensation and thermoplasticized technique: an in vitro study. J Conserv Dent. 2015;18:124-127.

Pane ES, Palamara JE, Messer HH. Critical evaluation of the push‑out test for root canal filling materials. J Endod. 2013;39:669-673.

Sudsangiam S van NR. Do dentin bond strength tests serve a useful purpose? J Adhes Dent. 1999;1:57-67.

Abdelwahed A, Roshdy N, Elbanna A. Evaluation of Push-out Bond Strength of CeraSeal Bioceramic sealer with Different Obturation Techniques. Egypt Dent J. 2021;67(3):2655-2662.

Aly Y, El Shershaby S. Evaluation of Push out Bond Strength of Different Endodontic Sealers with Different Obturation Techniques. Curr Sci Int. 2020;9(3):455-461.

Poggio C, Dagna A, Ceci M et al. Solubility and pH of bioceramic root canal sealers: A comparative study. J Clin Exp Dent. 2017;9:1189‑94.

de Candeiro GTM, Correia FC, Duarte MAH et al. Evaluation of radiopacity, pH, release of calcium ions, and flow of a bioceramic root canal sealer. J Endod. 2012;38(6):842-845.

Goracci C, Tavares AU, Fabianelli A et al. The adhesion between fiber posts and root canal walls: comparison between microtensile and push-out bond strength measurements. Eur J Oral Sci. 2004;112(4):353-61.

Viapiana R, Guerreiro-Tanomaru JM, Tanomaru-Filho M et al. Investigation of the effect of sealer use on the heat generated at the external root surface during root canal obturation using warm vertical compaction technique with System B heat source. J Endod. 2014;40:555-561.

Viapiana R, Baluci CA, Tanomaru-Filho M et al. Investigation of chemical changes in sealers during application of the warm vertical compaction technique. Int Endod J. 2015;48:16-27.

Camilleri J. Sealers and warm gutta-percha obturation techniques. J Endod. 2015;41:72-78.

Qu W, Bai W, Liang YH et al. Influence of warm vertical compaction technique on physical properties of root canal sealers. J Endod. 2016;42:1829–33.

Dabaj P, Kalender A, Eldeniz UA. Push-out bond strength and SEM evaluation in roots filled with two different techniques using new and conventional sealers. Mater. 2018;11:E1620.

Atmeh AR, Al Shwaimi E. The effect of heating time and temperature on epoxy resin and calcium silicate-based endodontic sealers. J Endod. 2017;43:2112-2118.

Kharouf N, Arntz Y, Eid A et al. Physicochemical and Antibacterial Properties of Novel, Premixed Calcium Silicate-Based Sealer Compared to Powder–Liquid Bioceramic Sealer. J Clin Med. 2020;9(10):3096.

López-García S. Myong-Hyun B. Lozano A et al. Cytocompatibility, bioactivity potential, and ion release of three premixed calcium silicate-based sealers. Clin Oral Investig. 2020;24:1749-1759.

Mann A, Zeng Y, Kirkpatrick T et al. Evaluation of the physicochemical and biological properties of EndoSequence BC Sealer HiFlow. J Endod. 2022;48:123-131.

Marciano MA, Ordinola-Zapata R, Cunha TV et al. Analysis of four gutta-percha techniques used to fill mesial root canals of mandibu-lar molars. Int Endod J. 2011;44:321-329.

Weis MV, Parashos P, Messer HH. Effect of obturation technique on sealer cement thickness and dentinal tubule penetration. Int Endod J. 2004;37:653-663.

Somma F, Cretella G, Carotenuto M et al. Quality of thermoplasticized and single point root fillings assessed by micro-computed tomography. Int Endod J. 2011;44:362-369.

Retana-Lobo C, Tanomaru-Filho M, Guerreiro-Tanomaru JM et al. Push-Out Bond Strength, Characterization, and Ion Release of Premixed and Powder-Liquid Bioceramic Sealers with or without Gutta-Percha. Scanning. 2021;p12.

Al-Hiyasat AS, Alfirjani SA. The effect of obturation techniques on the push-out bond strength of a premixed bioceramic root canal sealer. J Dent. 2019;89:103169.

Eltair M, Pitchika V, Hickel R et al. Evaluation of the interface between gutta-percha and two types of sealers using scanning electron microscopy (SEM). Clin Oral Investig. 2018;22:1631-1639.

Shokouhinejad N, Gorjestani H, Nasseh AA et al. Push-out bond strength of gutta-percha with a new bioceramic sealer in the presence or absence of smear layer. Aust Endod J. 2013;39:102-106.

Falakaloglu, S., & Gündoğar, M. (2022). Evaluation of the push out of bond strength of different bioceramic root canal sealers with different obturation techniques. Giornale Italiano Di Endodonzia, 36(1). https://doi.org/10.32067/GIE.2021.35.02.54

Downloads

Download data is not yet available.

Citations