Methodological proposal for evaluation of adhesion of root canal sealers to gutta-percha

Int Endod J. 2021 Sep;54(9):1653-1658. doi: 10.1111/iej.13549. Epub 2021 Jun 10.

Abstract

Aim: To compare the bond strength of an epoxy resin-based sealer and two calcium silicate-based sealers (CSS) to gutta-percha discs using a new method.

Methodology: Round discs of gutta-percha (n = 60), measuring 10 mm in diameter and 2 mm in thickness, were placed on a glass plate and a drop of each sealer (AH Plus, EndoSequence BC Sealer and EndoSeal MTA) was placed on their surface. Another identical disc was placed onto the first one and a standardized weight (0.0981 N) applied over them using a specially developed apparatus. Ten samples prepared for each sealer were submitted to a microshear bond strength test accomplished by a specially designed set-up coupled to a universal testing machine. The Kruskal-Wallis test followed by a post hoc procedure was used to compare groups considering the preliminary analysis of the raw data had indicated the nonadherence to a Gaussian distribution (Shapiro-Wilk, p < .05). Alpha error was set at 5%.

Results: Overall, no premature failure occurred. All sealers had some degree of adhesiveness to gutta-percha discs but with a significant difference amongst them (Kruskal-Wallis, p = .019). The epoxy resin-based sealer (AH Plus) had significantly higher median shear bond strength values (1.43 MPa; 1.40-1.83) compared to EndoSeal MTA (0.53 MPa; 0.46-0.73) (p = .021) and EndoSequence BC Sealer (0.45 MPa; 0.34-0.46) (p = .023), whilst the lowest median value was observed with EndoSequence BC Sealer (0.45 MPa; 0.34-0.46) (p < .05).

Conclusions: CSS sealers had weaker bonding to gutta-percha when compared to the epoxy resin-based AH Plus sealer. The proposed methodology is an innovative and reproducible method for testing the bond strength of root canal sealers to gutta-percha.

Keywords: bond strength; endodontic sealer; gutta-percha; microshear test; obturation.

MeSH terms

  • Dental Bonding*
  • Dental Pulp Cavity
  • Epoxy Resins
  • Gutta-Percha
  • Materials Testing
  • Root Canal Filling Materials*
  • Root Canal Obturation
  • Silicates

Substances

  • Epoxy Resins
  • Root Canal Filling Materials
  • Silicates
  • Gutta-Percha