Micro-CT evaluation of filling of flattened root canals using a new premixed ready-to-use calcium silicate sealer by single-cone technique

Microsc Res Tech. 2021 May;84(5):976-981. doi: 10.1002/jemt.23658. Epub 2020 Dec 5.

Abstract

The aim of this study was to evaluate the filling ability of a new premixed ready-to-use calcium silicate-based sealer, in comparison with an epoxy resin-based sealer by the single-cone technique in flattened root canals. Thirty-two flattened root canals of maxillary second premolars with buccal-lingual diameter 4 or more times larger than the mesio-distal diameter at 9 mm from the radiographic apex were selected. Root canals were prepared using Hyflex EDM 25/0.08 and additional preparation with ultrasonic tip Flatsonic and ProDesign Logic 25/0.03. After preparation, the root canals were filled with two root canal sealers (n = 16): Bio-C Sealer or AH Plus using the single-cone technique. Scanning was performed before and after root canal obturation using a Skycan 1176 micro-computed tomography (micro-CT) with an isotropic voxel size of 8.74 μm. The percentage of voids was analyzed in the cervical/middle thirds and in the apical third. Data were submitted to the Mann-Whitney test at a significance level of 5%. There was no statistical difference between Bio-C Sealer and AH Plus (p > .05). The percentage of voids in the cervical/middle thirds was 8.94% (1.33-39.95) for Bio-C Sealer and 9.30% (1.19-18.00) for AH Plus (p > .05). In the apical third, this percentage was 11.84% (4.85-27.00) for Bio-C Sealer and 9.21% (1.34-28.78) for AH Plus (p > .05). By using the single-cone technique, neither Bio-C Sealer nor AH Plus provided a voids-free root canal filling. Both sealers had similar filling ability in flattened root canals.

Keywords: dental materials; endodontics; physical properties; root canal filling; x-ray microtomography.

MeSH terms

  • Calcium Compounds
  • Dental Pulp Cavity / diagnostic imaging
  • Epoxy Resins
  • Gutta-Percha*
  • Humans
  • Materials Testing
  • Root Canal Filling Materials*
  • Root Canal Obturation
  • Root Canal Preparation
  • Silicates
  • X-Ray Microtomography

Substances

  • Calcium Compounds
  • Epoxy Resins
  • Root Canal Filling Materials
  • Silicates
  • Gutta-Percha
  • calcium silicate