Comparative Analysis of the Filling Capacity of Simulated Lateral Canals of Two Bioactive Root Canal Sealers Using Warm Gutta-Percha Technique

The aim of this study was to evaluate ex vivo the sealing achieved at simulated lateral canals (SLC) and the quality of filling according to their position in the root canal after using the same filling technique. SLC were created at three levels in 55 teeth and divided into two groups depending on the root canal sealer used (1: BioRoot(R) RCS, 2: GuttaFlow(R) bioseal). They filled them with the continuous wave technique and submitted to a diaphanization technique. The samples were analyzed using a magnifying lens (20x), pictures were taken, which proceeded to linear measurement with the ImageJ(R) program and used a filling score system with five grades (0 to 4, 0 and 1 not acceptable, 2 to 4 acceptable); BioRoot(R) RCS has got a greater proportion than GuttaFlow(R) bioseal for SLC filled acceptably at 10 mm from the apex (p < 0.05). The highest proportion of SLC filled acceptably was found in the middle third (6 mm) (p < 0.05), followed by the apical third (3 mm) and the coronal third (10 mm). The difference between apical and coronal third could be significant; BioRoot(R) RCS has been better than GuttaFlow(R) bioseal for filling SLC in the coronal third of the teeth. Studies on the characteristics of these cements are missing to explain these differences.

Automated summary

This study evaluated the sealing and filling quality achieved at simulated lateral canals using different root canal sealers after applying the same filling technique. The results showed that the type of sealer used had an impact on the filling adequacy at different positions within the root canal.