Wurzelkanal-Sealer – modern versus bewährt

Moderne Wurzelkanal-Sealer auf der Basis von Kalzium-Silikaten haben in den vergangenen Jahren Einzug in die Praxis erhalten. Dabei verdrängen sie bewährte Sealer und verändern auch den Blick auf Wurzelkanalfülltechniken. Dieser Beitrag vergleicht moderne Kalzium-Silikat-basierte und bewährte Sealer in Bezug auf klinisch relevante In-vitro-Daten, In-vivo-Daten und veränderte Anforderungen an die Aufbereitung und Füllung des Wurzelkanals.

Schlüsselwörter

BioRoot RCS; Kalzium-Silikat-basierte Sealer; Total Fill BC Sealer

• Literatur

• 1 Löst C. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int End J 2020; 39: 921-930
• 2 Wurzelkanalfüllpasten und -füllstifte. Wissenschaftliche Stellungnahme der DGZMK. DZZ 2000; 55: 9
• 3 Ørstavik D, Nordahl I, Tibballs JE. Dimensional change following setting of root canal sealer materials. Dent Mater 2001; 17: 512-519
• 4 Poggio C, Arciola CR, Dagna A. et al. Solubility of root canal sealers: a comparative study. Int J Artif Organs 2010; 33: 676-681
• 5 de Groot AC. Myroxylon pereirae resin (balsam of Peru) – A critical review of the literature and assessment of the significance of positive patch test reactions and the usefulness of restrictive diets. Contact Dermatitis 2019; 80: 335-353
• 6 Kim YK, Grandini S, Ames JM. et al. Critical Review on Methacrylate Resin-based Root Canal Sealers. J Endod 2010; 36: 383-399
• 7 Hergt A, Wiegand A, Hülsmann M. et al. AH Plus root canal sealer – an updated literature review. Endo (Lond Engl) 2015; 9: 245-265
• 8 Donnermeyer D, Bürklein S, Dammaschke T. et al. Endodontic sealers based on calcium silicates: a systematic review. Odontology 2019; 107: 421-436
• 9 Bogen G, Kuttler S. Mineral Trioxide Aggregate Obturation: A Review and Case Series. J Endod 2009; 35: 777-790
• 10 Koch K, Brave D, Nasseh AA. A review of bioceramic technology in endodontics. Roots 2013; 1: 10-13
• 11 Camps J, Jeanneau C, el Ayachi I. et al. Bioactivity of a Calcium Silicate-based Endodontic Cement (BioRoot RCS): Interactions with Human Periodontal Ligament Cells In Vitro. J Endod 2015; 41: 1469-1473
• 12 Donnermeyer D, Vahdat-Pajouh N, Schäfer E. et al. 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
• 13 Atmeh AR, Chong EZ, Richard G. et al. Dentin-cement interfacial interaction: calcium silicates and polyalkenoates. J Dent Res 2012; 91: 454-459
• 14 Shokouhinejad N, Hoseini A, Gorjestani H. et al. The effect of different irrigation protocols for smear layer removal on bond strength of a new bioceramic sealer. Iran Endod J 2013; 8: 10-13
• 15 Ozkocak I, Sonat B. Evaluation of Effects on the Adhesion of Various Root Canal Sealers after Er:YAG Laser and Irrigants Are Used on the Dentin Surface. J Endod 2015; 41: 1331-1336
• 16 Nagas E, Uyanik MO, Eymirli A. et al. Dentin moisture conditions affect the adhesion of root canal sealers. J Endod 2012; 38: 240-244
• 17 Uzunoglu-Özyürek E, Erdoğan Ö, Aktemur Türker S. Effect of Calcium Hydroxide Dressing on the Dentinal Tubule Penetration of 2 Different Root Canal Sealers: A Confocal Laser Scan-ning Microscopic Study. J Endod 2018; 44: 1018-1023
• 18 Camilleri J. Sealers and warm gutta-percha obturation techniques. J Endod 2015; 41: 72-78
• 19 Silva Almeida LH, Moraes RR, Morgental RD. et al. Are Premixed Calcium Silicate–based Endodontic Sealers Comparable to Conventional Materials? A Systematic Review of In Vitro Studies. J Endod 2017; 43: 527-535
• 20 Dem K, Wu Y, Kaminga AC. et al. The push out bond strength of polydime-thylsiloxane endodontic sealers to dentin. BMC Oral Health 2019; 19: 181
• 21 Mohammadi Z, Dummer PMH. Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int Endod J 2011; 44: 697-730
• 22 Prüllage RK, Urban K, Schäfer E. et al. Material Properties of a Tricalcium Silicate–containing, a Mineral Trioxide Aggregate–containing, and an Epoxy Resin–based Root Canal Sealer. J Endod 2016; 42: 1784-1788
• 23 Donnermeyer D, Urban K, Bürklein S. et al. Physico-chemical investigation of endodontic sealers exposed to simulated intracanal heat application: epoxy resins and zinc oxide–eugenols. Int Endod J 2020; 53: 690-697
• 24 Atmeh AR, Hadis M, Camilleri J. Real-time chemical analysis of root filling materials with heating: guidelines for safe temperature levels. Int Endod J 2020; 53: 698-708
• 25 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
• 26 Chybowski EA, Glickman GN, Patel Y. et al. Clinical Outcome of Non-Surgical Root Canal Treatment Using a Single-cone Technique with Endosequence Bioceramic Sealer: A Retrospective Analysis. J Endod 2018; 44: 941-945
• 27 Zavattini A, Knight A, Foschi F. et al. Outcome of Root Canal Treatments Using a New Calcium Silicate Root Canal Sealer: A Non-Randomized Clinical Trial. J Clin Med 2020; 9: 782
• 28 Graunaite I, Skucaite N, Lodiene G. et al. Effect of Resin-based and Bioceramic Root Canal Sealers on Postoperative Pain: A Splitmouth Randomized Controlled Trial. J Endod 2018; 44: 689-693
• 29 Atav Ates A, Dumani A, Yoldas O. et al. Post-obturation pain following the use of carrier-based system with AH Plus or iRoot SP sealers: a randomized controlled clinical trial. Clin Oral Invest 2019; 23: 3053-3061
• 30 Morse DR, Esposito J v. Pike C. et al. A radiographic evaluation of the periapical status of teeth treated by the gutta-percha-eucapercha endodontic method: A one-year follow-up study of 458 root canals. Part III. Oral Surg Oral Med Oral Pathol 1983; 56: 190-197
• 31 Lin LM, Rosenberg PA, Lin J. Do procedural errors cause endodontic treatment failure?. J Am Dent Assoc 2005; 136: 187-193
• 32 Sari Ş, Duruturk L. Radiographic evaluation of periapical healing of permanent teeth with periapical lesions after extrusion of AH Plus sealer. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104: e54-e59
• 33 Siqueira J, Rocas I, Veiga L. et al. Ursachen persistierender postopera-tiver Beschwerden in der Endodontie. Endodontie 2010; 19: 29-36
• 34 Zhang W, Peng B. Tissue reactions after subcutaneous and intraosseous implantation of iRoot SP, MTA and AH Plus. Dent Mater J 2015; 34: 774-780
• 35 Al-Haddad A, Che Ab Aziz ZA. Bioceramic-based root canal sealers: a review. Int J Biomater 2016; 2016: 9753210