Comparison of Apical Microleakage in Bioceramic and Resin-Based Endodontic Sealers with Conventional and Bioceramic Surface-Impregnated Gutta-Percha Points

The aim of this study is to evaluate the apical sealing ability of novel bioceramic-based (BCB) and widely used resin-based (RB) root canal sealers in combination with traditional or bioceramic-coated gutta-percha points. A total of 92 human single-root extracted teeth were endodontically treated an...

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Main Authors: Lucia Somolová, Yuliya Morozova, Iva Voborná, Matej Rosa, Barbora Novotná, Pavel Holík, Kateřina Langová
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Ceramics
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Online Access:https://www.mdpi.com/2571-6131/8/2/65
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author Lucia Somolová
Yuliya Morozova
Iva Voborná
Matej Rosa
Barbora Novotná
Pavel Holík
Kateřina Langová
author_facet Lucia Somolová
Yuliya Morozova
Iva Voborná
Matej Rosa
Barbora Novotná
Pavel Holík
Kateřina Langová
author_sort Lucia Somolová
collection DOAJ
description The aim of this study is to evaluate the apical sealing ability of novel bioceramic-based (BCB) and widely used resin-based (RB) root canal sealers in combination with traditional or bioceramic-coated gutta-percha points. A total of 92 human single-root extracted teeth were endodontically treated and divided into three groups (A, B, and C) of 30 samples based on the endodontic sealer/type of gutta-percha points/obturation method used. One tooth sample was used for the negative and positive controls (each). Group A: BCB sealer BioRoot RCS (Septodont, Saint-Maur-des-Fossés, France)/bioceramic-impregnated gutta-percha TotalFill BC points (FKG Dentaire, La Chaux-de-Fonds, Switzerland)/cold hydraulic single-cone. Group B: BioRoot RCS (Septodont, France)/traditional Protaper Gold Gutta-Percha Points (Dentsply Sirona, Charlotte, NC, USA)/cold hydraulic single-cone. Group C: RB sealer AdSeal (Meta Biomed, Cheongju, Republic of Korea)/traditional Protaper Gold Gutta-Percha Points (Dentsply Sirona, USA)/warm vertical condensation. A dye penetration method was applied, and the length of apicocoronal penetration was measured using a surgical microscope. The data were statistically analyzed to evaluate differences at the 0.05 significance level. A significant difference was found between groups A and C, <i>p</i> = 0.0003, and groups B and C, <i>p</i> = 0.003. The data analysis proved that the BCB sealer using the cold hydraulic single-cone method ensured a substantially better seal than the RB sealer using the warm vertical condensation method. The choice of the type of gutta-percha points (bioceramic-coated or regular) appeared to be unimportant. No statistical significance was found between groups A and B, which indicates that using bioceramic-coated gutta-percha points does not bring any considerable benefit in view of a no-gap root canal obturation.
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spelling doaj-art-588f896eb11b47aabc5e8a5330272a0a2025-08-20T02:24:24ZengMDPI AGCeramics2571-61312025-05-01826510.3390/ceramics8020065Comparison of Apical Microleakage in Bioceramic and Resin-Based Endodontic Sealers with Conventional and Bioceramic Surface-Impregnated Gutta-Percha PointsLucia Somolová0Yuliya Morozova1Iva Voborná2Matej Rosa3Barbora Novotná4Pavel Holík5Kateřina Langová6Institute of Dentistry and Oral Sciences, Faculty of Medicine and Dentistry, Palacký University, Palackého 12, 77200 Olomouc, Czech RepublicInstitute of Dentistry and Oral Sciences, Faculty of Medicine and Dentistry, Palacký University, Palackého 12, 77200 Olomouc, Czech RepublicInstitute of Dentistry and Oral Sciences, Faculty of Medicine and Dentistry, Palacký University, Palackého 12, 77200 Olomouc, Czech RepublicInstitute of Dentistry and Oral Sciences, Faculty of Medicine and Dentistry, Palacký University, Palackého 12, 77200 Olomouc, Czech RepublicInstitute of Dentistry and Oral Sciences, Faculty of Medicine and Dentistry, Palacký University, Palackého 12, 77200 Olomouc, Czech RepublicInstitute of Dentistry and Oral Sciences, Faculty of Medicine and Dentistry, Palacký University, Palackého 12, 77200 Olomouc, Czech RepublicDepartment of Medical Biophysics, Faculty of Medicine and Dentistry, Palacký University, Hněvotínská 3, 77515 Olomouc, Czech RepublicThe aim of this study is to evaluate the apical sealing ability of novel bioceramic-based (BCB) and widely used resin-based (RB) root canal sealers in combination with traditional or bioceramic-coated gutta-percha points. A total of 92 human single-root extracted teeth were endodontically treated and divided into three groups (A, B, and C) of 30 samples based on the endodontic sealer/type of gutta-percha points/obturation method used. One tooth sample was used for the negative and positive controls (each). Group A: BCB sealer BioRoot RCS (Septodont, Saint-Maur-des-Fossés, France)/bioceramic-impregnated gutta-percha TotalFill BC points (FKG Dentaire, La Chaux-de-Fonds, Switzerland)/cold hydraulic single-cone. Group B: BioRoot RCS (Septodont, France)/traditional Protaper Gold Gutta-Percha Points (Dentsply Sirona, Charlotte, NC, USA)/cold hydraulic single-cone. Group C: RB sealer AdSeal (Meta Biomed, Cheongju, Republic of Korea)/traditional Protaper Gold Gutta-Percha Points (Dentsply Sirona, USA)/warm vertical condensation. A dye penetration method was applied, and the length of apicocoronal penetration was measured using a surgical microscope. The data were statistically analyzed to evaluate differences at the 0.05 significance level. A significant difference was found between groups A and C, <i>p</i> = 0.0003, and groups B and C, <i>p</i> = 0.003. The data analysis proved that the BCB sealer using the cold hydraulic single-cone method ensured a substantially better seal than the RB sealer using the warm vertical condensation method. The choice of the type of gutta-percha points (bioceramic-coated or regular) appeared to be unimportant. No statistical significance was found between groups A and B, which indicates that using bioceramic-coated gutta-percha points does not bring any considerable benefit in view of a no-gap root canal obturation.https://www.mdpi.com/2571-6131/8/2/65bioceramic sealerroot canal obturationapical microleakagesealing ability
spellingShingle Lucia Somolová
Yuliya Morozova
Iva Voborná
Matej Rosa
Barbora Novotná
Pavel Holík
Kateřina Langová
Comparison of Apical Microleakage in Bioceramic and Resin-Based Endodontic Sealers with Conventional and Bioceramic Surface-Impregnated Gutta-Percha Points
Ceramics
bioceramic sealer
root canal obturation
apical microleakage
sealing ability
title Comparison of Apical Microleakage in Bioceramic and Resin-Based Endodontic Sealers with Conventional and Bioceramic Surface-Impregnated Gutta-Percha Points
title_full Comparison of Apical Microleakage in Bioceramic and Resin-Based Endodontic Sealers with Conventional and Bioceramic Surface-Impregnated Gutta-Percha Points
title_fullStr Comparison of Apical Microleakage in Bioceramic and Resin-Based Endodontic Sealers with Conventional and Bioceramic Surface-Impregnated Gutta-Percha Points
title_full_unstemmed Comparison of Apical Microleakage in Bioceramic and Resin-Based Endodontic Sealers with Conventional and Bioceramic Surface-Impregnated Gutta-Percha Points
title_short Comparison of Apical Microleakage in Bioceramic and Resin-Based Endodontic Sealers with Conventional and Bioceramic Surface-Impregnated Gutta-Percha Points
title_sort comparison of apical microleakage in bioceramic and resin based endodontic sealers with conventional and bioceramic surface impregnated gutta percha points
topic bioceramic sealer
root canal obturation
apical microleakage
sealing ability
url https://www.mdpi.com/2571-6131/8/2/65
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