Effectiveness in the removal of bioceramic sealers versus conventional sealers: systematic review and meta-analysis
DOI:
https://doi.org/10.34119/bjhrv6n4-082Keywords:
systematic review, bioceramic sealer, endodontic sealer, meta-analysisAbstract
This study aimed to carry out a systematic review to evaluate the effectiveness in removing bioceramic sealers compared to conventional sealers commonly used, evaluated through the percentage of remaining material. The electronic search was carried out in the following databases: MEDLINE (PubMed), Embase, Web of Science, Scopus, Cochrane Library, and in gray literature, at the Brazilian Digital Library of Theses and Dissertations (BDTD). Two independent researchers conducted the survey to identify the studies, without restrictions on year and language of publication, using the PICO strategy until the month of August 2020. A total of 80 titles were retrieved in the initial search, however, only 9 studies were included for the qualitative synthesis and 5 studies were included in the quantitative synthesis. The descriptive results indicated that the average time taken to remove the filling material was longer for bioceramics by approximately 67% of the studies that evaluated this condition, and with regard to the establishment of patency, no difference was detected between the sealers. It could be observed that bioceramic sealers presented a lower amount of remaining material than conventional sealers (p = 0.01) both in the overall analysis and in the analysis of subgroups. The removal of conventional sealer proved to be inferior to bioceramic sealers, with greater amounts of material remaining in the root canals after endodontic retreatment. The use of bioceramic sealers has gained space in the endodontic practice. However, it is not yet known whether these sealers affect the removal of root canal fillings during retreatments.
References
P. N. R. Nair, U. Sjögren, G. Krey, K.-E. Kahnberg, and G. Sundqvist, “Intraradicular bacteria and fungi in root-filled, asymptomatic human teeth with therapy-resistant periapical lesions: A long-term light and electron microscopic follow-up study,” Journal of Endodontics, vol. 16, no. 12, pp. 580–588, Dec. 1990, doi: 10.1016/S0099-2399(07)80201-9.
J. F. Siqueira Junior, I. das N. Rôças, M. F. Marceliano-Alves, A. R. Pérez, and D. Ricucci, “Unprepared root canal surface areas: causes, clinical implications, and therapeutic strategies,” Brazilian Oral Research, vol. 32, no. suppl 1, Oct. 2018, doi: 10.1590/1807-3107bor-2018.vol32.0065.
Y.-L. Ng, V. Mann, S. Rahbaran, J. Lewsey, and K. Gulabivala, “Outcome of primary root canal treatment: systematic review of the literature – Part 1. Effects of study characteristics on probability of success,” International Endodontic Journal, vol. 40, no. 12, pp. 921–939, Dec. 2007, doi: 10.1111/j.1365-2591.2007.01322.x.
Y.-L. Ng, V. Mann, and K. Gulabivala, “Outcome of secondary root canal treatment: a systematic review of the literature,” International Endodontic Journal, vol. 41, no. 12, pp. 1026–1046, Dec. 2008, doi: 10.1111/j.1365-2591.2008.01484.x.
L. Lardani, G. Derchi, V. Marchio, and E. Carli, “One-Year Clinical Performance of ActivaTM Bioactive-Restorative Composite in Primary Molars,” Children, vol. 9, no. 3, p. 433, Mar. 2022, doi: 10.3390/children9030433.
M. Chieruzzi et al., “Mechanical effect of static loading on endodontically treated teeth restored with fiber-reinforced posts,” Journal of Biomedical Materials Research Part B: Applied Biomaterials, vol. 102, no. 2, pp. 384–394, Feb. 2014, doi: 10.1002/jbm.b.33017.
C. J. Ruddle, “Nonsurgical endodontic retreatment,” J Calif Dent Assoc, vol. 32, no. 6, pp. 474–484, 2004.
G. A. Haragushiku, M. D. Sousa-Neto, Y. T. C. Silva-Sousa, E. Alfredo, S. C. Silva, and R. G. Silva, “Adhesion of Endodontic Sealers to Human Root Dentine Submitted to Different Surface Treatments,” Photomedicine and Laser Surgery, vol. 28, no. 3, pp. 405–410, Jun. 2010, doi: 10.1089/pho.2008.2474.
Y. Wang, S. Liu, and Y. Dong, “In vitro study of dentinal tubule penetration and filling quality of bioceramic sealer,” PLOS ONE, vol. 13, no. 2, p. e0192248, Feb. 2018, doi: 10.1371/journal.pone.0192248.
C. N. Carvalho et al., “Micro Push-out Bond Strength and Bioactivity Analysis of a Bioceramic Root Canal Sealer.,” Iran Endod J, vol. 12, no. 3, pp. 343–348, 2017, doi: 10.22037/iej.v12i3.16091.
W. Zhang, Z. Li, and B. Peng, “Assessment of a new root canal sealer’s apical sealing ability,” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, vol. 107, no. 6, pp. e79–e82, Jun. 2009, doi: 10.1016/j.tripleo.2009.02.024.
H. Zhang, Y. Shen, N. D. Ruse, and M. Haapasalo, “Antibacterial Activity of Endodontic Sealers by Modified Direct Contact Test Against Enterococcus faecalis,” Journal of Endodontics, vol. 35, no. 7, pp. 1051–1055, Jul. 2009, doi: 10.1016/j.joen.2009.04.022.
Z. Wang, “Bioceramic materials in endodontics,” Endodontic Topics, vol. 32, no. 1, pp. 3–30, May 2015, doi: 10.1111/etp.12075.
A. AL-Haddad and Z. A. Che Ab Aziz, “Bioceramic-Based Root Canal Sealers: A Review,” International Journal of Biomaterials, vol. 2016, pp. 1–10, 2016, doi: 10.1155/2016/9753210.
L. Shamseer et al., “Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation,” BMJ, vol. 349, no. jan02 1, pp. g7647–g7647, Jan. 2015, doi: 10.1136/bmj.g7647.
H. Ersev, B. Yılmaz, M. E. Dinçol, and R. Dağlaroğlu, “The efficacy of ProTaper Universal rotary retreatment instrumentation to remove single gutta-percha cones cemented with several endodontic sealers,” International Endodontic Journal, vol. 45, no. 8, pp. 756–762, Aug. 2012, doi: 10.1111/j.1365-2591.2012.02032.x.
A. de Siqueira Zuolo, M. L. Zuolo, C. E. da Silveira Bueno, R. Chu, and R. S. Cunha, “Evaluation of the Efficacy of TRUShape and Reciproc File Systems in the Removal of Root Filling Material: An Ex Vivo Micro–Computed Tomographic Study,” Journal of Endodontics, vol. 42, no. 2, pp. 315–319, Feb. 2016, doi: 10.1016/j.joen.2015.11.005.
E. Oltra, T. C. Cox, M. R. LaCourse, J. D. Johnson, and A. Paranjpe, “Retreatability of two endodontic sealers, EndoSequence BC Sealer and AH Plus: a micro-computed tomographic comparison,” Restorative Dentistry & Endodontics, vol. 42, no. 1, p. 19, 2017, doi: 10.5395/rde.2017.42.1.19.
M. Suk, I. Bago, M. Katić, D. Šnjarić, M. Š. Munitić, and I. Anić, “The efficacy of photon-initiated photoacoustic streaming in the removal of calcium silicate-based filling remnants from the root canal after rotary retreatment,” Lasers in Medical Science, vol. 32, no. 9, pp. 2055–2062, Dec. 2017, doi: 10.1007/s10103-017-2325-4.
B. M. Crozeta, F. C. Lopes, R. Menezes Silva, Y. T. C. Silva-Sousa, L. F. Moretti, and M. D. Sousa-Neto, “Retreatability of BC Sealer and AH Plus root canal sealers using new supplementary instrumentation protocol during non-surgical endodontic retreatment,” Clinical Oral Investigations, vol. 25, no. 3, pp. 891–899, Mar. 2021, doi: 10.1007/s00784-020-03376-4.
K. Kim, D. V. Kim, S.-Y. Kim, and S. Yang, “A micro-computed tomographic study of remaining filling materials of two bioceramic sealers and epoxy resin sealer after retreatment,” Restorative Dentistry & Endodontics, vol. 44, no. 2, 2019, doi: 10.5395/rde.2019.44.e18.
B. Cornelissen, L. Buttiens, P. Bottenberg, and M. Vandendael, “Comparison of Reciproc and Reciproc blue NiTi instruments in re-treating root canals filled with a calcium-silicate–based or epoxy resin–based sealer: an in vitro study,” Endodontic Practice Today, vol. 14, no. 2, pp. 125–133, 2020.
D. Donnermeyer, C. Bunne, E. Schäfer, and T. Dammaschke, “Retreatability of three calcium silicate-containing sealers and one epoxy resin-based root canal sealer with four different root canal instruments,” Clinical Oral Investigations, vol. 22, no. 2, pp. 811–817, Mar. 2018, doi: 10.1007/s00784-017-2156-5.
F. Kakoura and O. Pantelidou, “Retreatability of root canals filled with Gutta percha and a novel bioceramic sealer: A scanning electron microscopy study,” Journal of Conservative Dentistry, vol. 21, no. 6, p. 632, 2018, doi: 10.4103/JCD.JCD_228_18.
J. P. T. Higgins, “Measuring inconsistency in meta-analyses,” BMJ, vol. 327, no. 7414, pp. 557–560, Sep. 2003, doi: 10.1136/bmj.327.7414.557.
M. FISHER, D. BERZINS, and J. BAHCALL, “An In Vitro Comparison of Bond Strength of Various Obturation Materials to Root Canal Dentin Using a Push-Out Test Design,” Journal of Endodontics, vol. 33, no. 7, pp. 856–858, Jul. 2007, doi: 10.1016/j.joen.2007.02.011.
N. SARKAR, R. CAICEDO, P. RITWIK, R. MOISEYEVA, and I. KAWASHIMA, “Physicochemical Basis of the Biologic Properties of Mineral Trioxide Aggregate,” Journal of Endodontics, vol. 31, no. 2, pp. 97–100, Feb. 2005, doi: 10.1097/01.DON.0000133155.04468.41.
E. J. N. L. Silva et al., “Dislodgment Resistance of Bioceramic and Epoxy Sealers: A Systematic Review and Meta-analysis,” Journal of Evidence Based Dental Practice, vol. 19, no. 3, pp. 221–235, Sep. 2019, doi: 10.1016/j.jebdp.2019.04.004.
C. Poggio, A. Dagna, M. Ceci, M. Meravini, M. Colombo, and G. Pietrocola, “Solubility and pH of bioceramic root canal sealers: A comparative study,” Journal of Clinical and Experimental Dentistry, pp. e1189–e1194, 2017, doi: 10.4317/jced.54040.
B. Celikten et al., “Evaluation of root canal sealer filling quality using a single-cone technique in oval shaped canals: An In vitro Micro-CT study,” Scanning, vol. 38, no. 2, pp. 133–140, Mar. 2016, doi: 10.1002/sca.21249.
T. Tasdemir, C. Yesilyurt, K. T. Ceyhanli, D. Celik, and K. Er, “Evaluation of Apical Filling after Root Canal Filling by 2 Different Techniques,” J Can Dent Assoc (Tor), vol. 75, no. 3, pp. 201–201d, Apr. 2009.
B. C. Cavenago, M. A. H. Duarte, R. Ordinola-Zapata, M. A. Marciano, A. E. del Carpio-Perochena, and C. M. Bramante, “Interfacial adaptation of an epoxy-resin sealer and a self-etch sealer to root canal dentin using the System B or the single cone technique,” Brazilian Dental Journal, vol. 23, no. 3, pp. 205–211, 2012, doi: 10.1590/S0103-64402012000300004.
E. F. Iglecias, L. G. Freire, G. T. de Miranda Candeiro, M. dos Santos, J. H. Antoniazzi, and G. Gavini, “Presence of Voids after Continuous Wave of Condensation and Single-cone Obturation in Mandibular Molars: A Micro-computed Tomography Analysis,” Journal of Endodontics, vol. 43, no. 4, pp. 638–642, Apr. 2017, doi: 10.1016/j.joen.2016.11.027.
J. WHITWORTH, “Methods of filling root canals: principles and practices,” Endodontic Topics, vol. 12, no. 1, pp. 2–24, Nov. 2005, doi: 10.1111/j.1601-1546.2005.00198.x.
M. Naseri, A. Kangarlou, A. Khavid, and M. Goodini, “Evaluation of the quality of four root canal obturation techniques using micro-computed tomography.,” Iran Endod J, vol. 8, no. 3, pp. 89–93, 2013.
E. S. S. Ho, J. W. W. Chang, and G. S. P. Cheung, “Quality of root canal fillings using three gutta-percha obturation techniques,” Restorative Dentistry & Endodontics, vol. 41, no. 1, p. 22, 2016, doi: 10.5395/rde.2016.41.1.22.
S. S. Virdee and M. B. M. Thomas, “A practitioner’s guide to gutta-percha removal during endodontic retreatment,” British Dental Journal, vol. 222, no. 4, pp. 251–257, Feb. 2017.
P. Agrawal, P. K. Ramanna, S. Arora, S. Sivarajan, A. Jayan, and K. M. Sangeetha, “Evaluation of Efficacy of Different Instrumentation for Removal of Gutta-percha and Sealers in Endodontic Retreatment: An In Vitro Study.,” J Contemp Dent Pract, vol. 20, no. 11, pp. 1269–1273, Nov. 2019.
K. Romeiro et al., “Reciproc and Reciproc Blue in the removal of bioceramic and resin-based sealers in retreatment procedures,” Clinical Oral Investigations, vol. 24, no. 1, pp. 405–416, Jan. 2020, doi: 10.1007/s00784-019-02956-3.
G. Rossi-Fedele and H. M. A. Ahmed, “Assessment of Root Canal Filling Removal Effectiveness Using Micro–computed Tomography: A Systematic Review,” Journal of Endodontics, vol. 43, no. 4, pp. 520–526, Apr. 2017, doi: 10.1016/j.joen.2016.12.008.
B. M. Crozeta, L. Chaves de Souza, Y. T. Correa Silva-Sousa, M. D. Sousa-Neto, D. E. Jaramillo, and R. M. Silva, “Evaluation of Passive Ultrasonic Irrigation and GentleWave System as Adjuvants in Endodontic Retreatment,” Journal of Endodontics, vol. 46, no. 9, pp. 1279–1285, Sep. 2020, doi: 10.1016/j.joen.2020.06.001.
X. HUANG, J. LING, X. WEI, and L. GU, “Quantitative Evaluation of Debris Extruded Apically by Using ProTaper Universal Tulsa Rotary System in Endodontic Retreatment,” Journal of Endodontics, vol. 33, no. 9, pp. 1102–1105, Sep. 2007, doi: 10.1016/j.joen.2007.05.019.
A. Y. Saad, S. M. Al-Hadlaq, and N. H. Al-Katheeri, “Efficacy of Two Rotary NiTi Instruments in the Removal of Gutta-Percha During Root Canal Retreatment,” Journal of Endodontics, vol. 33, no. 1, pp. 38–41, Jan. 2007, doi: 10.1016/j.joen.2006.08.012.
A. S. Zuolo, J. E. Mello, R. S. Cunha, M. L. Zuolo, and C. E. S. Bueno, “Efficacy of reciprocating and rotary techniques for removing filling material during root canal retreatment,” International Endodontic Journal, vol. 46, no. 10, pp. 947–953, Oct. 2013, doi: 10.1111/iej.12085.
M. de A. Rios et al., “Efficacy of 2 Reciprocating Systems Compared with a Rotary Retreatment System for Gutta-percha Removal,” Journal of Endodontics, vol. 40, no. 4, pp. 543–546, Apr. 2014, doi: 10.1016/j.joen.2013.11.013.
P. F. de Souza, L. C. O. Goncalves, A. A. F. Marques, E. C. S. Junior, L. da F. R. Garcia, and F. M. A. de Carvalho, “Root canal retreatment using reciprocating and continuous rotary nickel-titanium instruments,” European Journal of Dentistry, vol. 09, no. 02, pp. 234–239, Apr. 2015, doi: 10.4103/1305-7456.156834.
M. Kocak, S. Kocak, S. Turker, and B. Saglam, “Cleaning efficacy of reciprocal and rotary systems in the removal of root canal filling material,” Journal of Conservative Dentistry, vol. 19, no. 2, p. 184, 2016, doi: 10.4103/0972-0707.178706.
J. Martos, M. T. Gastal, L. Sommer, R. G. Lund, F. A. B. del Pino, and P. W. R. Osinaga, “Dissolving efficacy of organic solvents on root canal sealers,” Clinical Oral Investigations, vol. 10, no. 1, pp. 50–54, Mar. 2006, doi: 10.1007/s00784-005-0023-2.
A. F. Campello et al., “Determination of the Initial Apical Canal Diameter by the First File to Bind or Cone-beam Computed Tomographic Measurements Using Micro-computed Tomography as the Gold Standard: An Ex Vivo Study in Human Cadavers,” Journal of Endodontics, vol. 45, no. 5, pp. 619–622, May 2019, doi: 10.1016/j.joen.2019.01.020.
M. Garrib and J. Camilleri, “Retreatment efficacy of hydraulic calcium silicate sealers used in single cone obturation,” Journal of Dentistry, vol. 98, p. 103370, Jul. 2020, doi: 10.1016/j.jdent.2020.103370.
A. Agrafioti, A. D. Koursoumis, and E. G. Kontakiotis, “Re-establishing apical patency after obturation with Gutta-percha and two novel calcium silicate-based sealers,” European Journal of Dentistry, vol. 09, no. 04, pp. 457–461, Oct. 2015, doi: 10.4103/1305-7456.172625.
T. Rödig, T. Hausdörfer, F. Konietschke, C. Dullin, W. Hahn, and M. Hülsmann, “Efficacy of D-RaCe and ProTaper Universal Retreatment NiTi instruments and hand files in removing gutta-percha from curved root canals - a micro-computed tomography study,” International Endodontic Journal, vol. 45, no. 6, pp. 580–589, Jun. 2012, doi: 10.1111/j.1365-2591.2012.02014.x.
T. Rödig, J. Kupis, F. Konietschke, C. Dullin, S. Drebenstedt, and M. Hülsmann, “Comparison of hand and rotary instrumentation for removing gutta-percha from previously treated curved root canals: a microcomputed tomography study,” International Endodontic Journal, vol. 47, no. 2, pp. 173–182, Feb. 2014, doi: 10.1111/iej.12128.
R. N. Roizenblit, F. O. Soares, R. T. Lopes, B. C. Santos, and H. Gusman, “Root canal filling quality of mandibular molars with EndoSequence BC and AH Plus sealers: A micro‐ CT study,” Australian Endodontic Journal, vol. 46, no. 1, pp. 82–87, Apr. 2020, doi: 10.1111/aej.12373.
T. Taşdemir, K. Er, T. Yildirim, and D. Çelik, “Efficacy of three rotary NiTi instruments in removing gutta-percha from root canals,” International Endodontic Journal, vol. 41, no. 3, pp. 191–196, Mar. 2008, doi: 10.1111/j.1365-2591.2007.01335.x.
