Age-Related Changes in The Penetration of Calcium Silicate-Based Sealer into Dentinal Tubules: A Confocal Laser Scanning Microscopy Evaluation

Authors

  • Marisa Lertlerkiat Department of Conservative Dentistry and Prosthodontics, Faculty of Dentistry, Srinakharinwirot University, Bangkok, 10110, Thailand.
  • Peerapohn Chotvorrarak Department of Conservative Dentistry and Prosthodontics, Faculty of Dentistry, Srinakharinwirot University, Bangkok, 10110, Thailand.

Keywords:

Calcium silicate-based sealer, Tooth age, Dentinal tubule penetration, Confocal laser scanning microscopy

Abstract

 Objective: The purpose of this study was to compare dentinal penetration of calcium silicatebased sealers according to different ages of a tooth. Materials and Methods: A total of 32 extracted human single-rooted teeth were decoronated to standardize with a root length of 12 mm. A root canal was prepared using Protaper Next rotary nickel-titanium system and obturation was done by single cone technique. The teeth were randomly divided into four groups (n = 8); based on the Tooth age and types of sealer, used as follows: (1) Tooth age <25 years/AH plus (2) Tooth age <25 years/iRoot SP (3) Tooth age >40 years/AH plus and (4) Tooth age >40 years/iRoot SP. The sealers were labelled with fluorescent dye. Transverse sections at 2, 5 and 8 mm from the apex were analyzed through CLSM. The mean of the maximum sealer penetration depth and circumferential sealer penetration depth were evaluated by the ImageJ software. The data was analyzed with Two-way ANOVA and Tukey’s HSD test with a 95% confidence level. Results: The Tooth age <25 years/iRoot SP had a mean of the maximum sealer penetration depth which was significantly higher than the age of the tooth >40 years/iRoot SP at middle and apical third while Tooth age <25 years/AH plus was significantly higher than Tooth age >40 years/AH plus at all root levels (p < 0.05). Tooth age <25 years with iRoot SP or AH plus also had circumferential sealer penetration depth significantly higher than the Tooth age >40 years with iRoot SP or AH plus at all root levels (p < 0.05). Additionally, Tooth age <25 years/iRoot SP showed significantly higher circumferential sealer penetration depth than the Tooth age <25 years/AH plus at apical level (p < 0.05). Conclusion: Tooth age and types of sealer affected the mean of the maximum sealer penetration depth and circumferential sealer penetration depth, especially in apical part of root.

Downloads

Download data is not yet available.

Author Biographies

Marisa Lertlerkiat, Department of Conservative Dentistry and Prosthodontics, Faculty of Dentistry, Srinakharinwirot University, Bangkok, 10110, Thailand.

(First author)

Peerapohn Chotvorrarak, Department of Conservative Dentistry and Prosthodontics, Faculty of Dentistry, Srinakharinwirot University, Bangkok, 10110, Thailand.

(Corresponding author)

References

Schilder H. Filling root canals in three dimensions. 1967. J Endod. 2006;32(4):281-90.

White RR, Goldman M, Lin PS. The influence of the smeared layer upon dentinal tubule penetration by plastic filling materials. J Endod. 1984;10(12):558-62.

Mamootil K, Messer HH. Penetration of dentinal tubules by endodontic sealer cements in extracted teeth and in vivo. Int Endod J. 2007;40(11):873-81.

Garrido AD, Lia RC, França SC, da Silva JF, Astolfi-Filho S, Sousa-Neto MD. Laboratory evaluation of the physicochemical properties of a new root canal sealer based on Copaifera multijuga oil-resin. Int Endod J. 2010;43(4):283-91.

Ersahan S, Aydin C. Solubility and apical sealing characteristics of a new calcium silicate-based root canal sealer in comparison to calcium hydroxide-, methacrylate resin- and epoxy resin-based sealers. Acta Odontol Scand. 2013;71(3-4):857-62.

Mendes AT, Silva PBD, Só BB, Hashizume LN, Vivan RR, Rosa RAD, et al. Evaluation of Physicochemical Properties of New Calcium Silicate-Based Sealer. Braz Dent J. 2018;29(6):536-40.

Candeiro GT, Correia FC, Duarte MA, Ribeiro-Siqueira DC, Gavini G. Evaluation of radiopacity, pH, release of calcium ions, and flow of a bioceramic root canal sealer. J Endod. 2012;38(6):842-5.

Wang Y, Liu S, Dong Y. In vitro study of dentinal tubule penetration and filling quality of bioceramic sealer. PLoS One. 2018;13(2):e0192248. doi: 10.1371/journal.pone.0192248.

Grossman LI. Physical properties of root canal cements. J Endod. 1976;2(6):166-75.

Porter AE, Nalla RK, Minor A, Jinschek JR, Kisielowski C, Radmilovic V, et al. A transmission electron microscopy study of mineralization in age-induced transparent dentin. Biomaterials. 2005;26(36):7650-60.

Carrigan PJ, Morse DR, Furst ML, Sinai IH. A scanning electron microscopic evaluation of human dentinal tubules according to age and location. J Endod. 1984;10(8):359-63.

Vasiliadis L, Darling AI, Levers BG. The amount and distribution of sclerotic human root dentine. Arch Oral Biol. 1983;28(7):645-9.

Stavrianos C, Stavrianou I, Kafas P, Vasiliadis L, Diedrich MJ. Assessment of morphological changes on the pulpal wall of root dentine during growth. Research Journal of Medical Sciences. 2008;2(6):269-74.

Thaler A, Ebert J, Petschelt A, Pelka M. Influence of tooth age and root section on root dentine dye penetration. Int Endod J. 2008;41(12):1115-22.

Schneider SW. A comparison of canal preparations in straight and curved root canals. Oral Surg Oral Med Oral Pathol. 1971;32(2):271-5.

Jou YT, Karabucak B, Levin J, Liu D. Endodontic working width: current concepts and techniques. Dent Clin North Am. 2004;48(1):323-35.

Eymirli A, Sungur DD, Uyanik O, Purali N, Nagas E, Cehreli ZC. Dentinal Tubule Penetration and Retreatability of a Calcium Silicate-based Sealer Tested in Bulk or with Different Main Core Material. J Endod. 2019;45(8):1036-40.

Tedesco M, Chain MC, Bortoluzzi EA, da Fonseca Roberti Garcia L, Alves AMH, Teixeira CS. Comparison of two observational methods, scanning electron and confocal laser scanning microscopies, in the adhesive interface analysis of endodontic sealers to root dentine. Clin Oral Investig. 2018;22(6):2353-61.

Tedesco M, Felippe MC, Felippe WT, Alves AM, Bortoluzzi EA, Teixeira CS. Adhesive interface and bond strength of endodontic sealers to root canal dentine after immersion in phosphatebuffered saline. Microsc Res Tech. 2014;77(12):1015-22.

Bitter K, Paris S, Martus P, Schartner R, Kielbassa AM. A Confocal Laser Scanning Microscope investigation of different dental adhesives bonded to root canal dentine. Int Endod J. 2004;37(12):840-8.

Al-Haddad A, Abu Kasim NH, Che Ab Aziz ZA. Interfacial adaptation and thickness of bioceramic-based root canal sealers. Dent Mater J. 2015;34(4):516-21.

Thota MM, Sudha K, Malini DL, Madhavi SB. Effect of Different Irrigating Solutions on Depth of Penetration of Sealer into Dentinal Tubules: A Confocal Microscopic Study. Contemp Clin Dent. 2017;8(3):391-4.

Furtado TC, de Bem IA, Machado LS, Pereira JR, Só MVR, da Rosa RA. Intratubular penetration of endodontic sealers depends on the fluorophore used for CLSM assessment. Microsc Res Tech. 2021;84(2):305-12.

Patel DV, Sherriff M, Ford TR, Watson TF, Mannocci F. The penetration of RealSeal primer and Tubliseal into root canal dentinal tubules: a confocal microscopic study. Int Endod J. 2007;40(1):67-71.

El Hachem R, Khalil I, Le Brun G, Pellen F, Le Jeune B, Daou M, et al. Dentinal tubule penetration of AH Plus, BC Sealer and a novel tricalcium silicate sealer: a confocal laser scanning microscopy study. Clin Oral Investig. 2019;23(4):1871-6.

Jeong JW, DeGraft-Johnson A, Dorn SO, Di Fiore PM. Dentinal Tubule Penetration of a Calcium Silicate-based Root Canal Sealer with Different Obturation Methods. J Endod. 2017;43(4):633-7.

Russell AA, Chandler NP, Hauman C, Siddiqui AY, Tompkins GR. The butterfly effect: an investigation of sectioned roots. J Endod. 2013;39(2):208-10.

Russell A, Friedlander L, Chandler N. Sealer penetration and adaptation in root canals with the butterfly effect. Aust Endod J. 2018;44(3):225-34.

McMichael GE, Primus CM, Opperman LA. Dentinal Tubule Penetration of Tricalcium Silicate Sealers. J Endod. 2016;42(4):632-6.

Paqué F, Luder HU, Sener B, Zehnder M. Tubular sclerosis rather than the smear layer impedes dye penetration into the dentine of endodontically instrumented root canals. Int Endod J. 2006;39(1):18-25.

Azaz B, Michaeli Y, Nitzan D. Aging of tissues of the roots of nonfunctional human teeth (impacted canines). Oral Surgery Oral Medicine Oral Pathology. 1977;43(4):572-8.

Singhal A, Ramesh V, Balamurali P. A comparative analysis of root dentin transparency with known age. J Forensic Dent Sci. 2010;2(1):18-21.

Akcay M, Arslan H, Durmus N, Mese M, Capar ID. Dentinal tubule penetration of AH Plus, iRoot SP, MTA fillapex, and guttaflow bioseal root canal sealers after different final irrigation procedures: A confocal microscopic study. Lasers Surg Med. 2016;48(1):70-6.

Muedra P, Forner L, Lozano A, Sanz JL, Rodríguez-Lozano FJ, Guerrero-Gironés J, et al. Could the Calcium Silicate-Based Sealer Presentation Form Influence Dentinal Sealing?. An In Vitro Confocal Laser Study on Tubular Penetration. Materials (Basel).2021;14(3):659. doi: 10.3390/ma14030659.

Chang SW, Lee YK, Zhu Q, Shon WJ, Lee WC, Kum KY, et al. Comparison of the rheological properties of four root canal sealers. Int J Oral Sci. 2015;7(1):56-61.

Zhou H, Peng B, Zheng Y. An overview of the mechanical properties of nickel–titanium endodontic instruments. Endodontic Topics.2013;29(1):42-54.

Osiri S, Banomyong D, Sattabanasuk V, Yanpiset K. Root Reinforcement after Obturation with Calcium Silicate-based Sealer and Modified Gutta-percha Cone. J Endod. 2018;44(12):1843-8.

Reynolds JZ, Augsburger RA, Svoboda KKH, Jalali P. Comparing dentinal tubule penetration of conventional and ‘HiFlow’ bioceramic sealers with resin-based sealer: An in vitro study. Aust Endod J. 2020;46(3):387-93.

Downloads

Published

2025-11-11

How to Cite

1.
Lertlerkiat M, Chotvorrarak P. Age-Related Changes in The Penetration of Calcium Silicate-Based Sealer into Dentinal Tubules: A Confocal Laser Scanning Microscopy Evaluation. SWU Dent J. [Internet]. 2025 Nov. 11 [cited 2025 Dec. 5];18(2):86-97. Available from: https://ejournals.swu.ac.th/index.php/swudentj/article/view/17226

Issue

Section

บทวิทยาการ (Original articles)

Categories