Comparative Evaluation of the Adaptation of Two Calcium Silicate-Based Endodontic Sealers with a Conventional Resin-Based Sealer to Dentinal Walls: An In vitro Scanning Electron Microscopic Study

Abstract

Aim of the study: The aim of this study was to compare the adaptation of two calcium silicate-based root canal sealers with a resin-based sealer to root canal walls at the middle and apical levels using scanning electron microscope.Material and methods: Twenty-six single-canalled lower premolars were instrumented and randomly divided into three groups according to the sealer used with gutta-percha (n=8); AH plus, Bioroot RCS, and Endoseal MTA. Two random specimens served as the blank control group to assess the smear layer removal from the dentinal walls. Teeth were sectioned at middle and apical levels and gap width was evaluated using scanning electron microscope. Data were statistically analyzed with significance level set at p ≤ 0.05. Results: At the apical and mid-root levels, the highest mean values were found in Endoseal MTA group followed by Bioroot RCS group while the lowest mean value was found in AH Plus group with statistically significant difference between all groups. Statistically significant differences were found between Endoseal MTA and each of Bioroot RCS and AH Plus groups. No statistically significant difference was found between Bioroot RCS and AH Plus groups. Conclusions: AH Plus and Bioroot RCS showed statistically better results than Endoseal MTA regarding adaptation to the root canal walls.