Evaluation Of Apical Sealing Ability of Ah Plus, Mta Fillapex And Bioceramic Sealer – An In Vitro Study.
DOI:
https://doi.org/10.63682/jns.v14i32S.7993Keywords:
AH Plus, apical leakage, MTA fillapex, bioceramic sealerAbstract
Aim – The present study aimed to compare apical sealing ability between AH Plus, MTA Fillapex and Bioceramic sealer.
Materials and method – Eighty extracted human maxillary anterior teeth with fully formed apex and straight root were collected for this study. The root canals were cleaned and shaped using a standard step-back preparation to size 60# master apical file at the established working length and divided into four groups: Group 1 – AH plus sealer with gutta-percha; Group 2 – MTA fillapex sealer with gutta-percha; Group 3 – Bioceramic sealer with gutta-percha; Group 4 – Positive control group (teeth were obturated without sealer). Dye leakage was carried out. Statistical analysis was done using the Statistical Package for the Social Sciences software and ANOVA test.
Results: The Bioceramic sealer group had a mean leakage of 1.39mm, MTA Fillapex had a mean leakage of 1.52 mm, whereas AH Plus had a mean of 2.68 mm. The standard deviations of AH Plus, MTA Fillapex and bioceramic sealer were 0.71, 0.77 and 0.39, respectively. ANOVA disclosed no significant difference (P < 0.05) between the groups.
Conclusion: None of the sealers used in the study could completely seal the apical foramen to have a fluid‑tight seal. AH Plus, MTA Fillapex and bioceramic sealer showed no statistically significant difference in microleakage; the better result was shown by bioceramic sealer
Downloads
Metrics
References
Kim Y, Kim BS, Kim YM, Lee D, Kim SY. The Penetration Ability of Calcium Silicate Root Canal Sealers into Dentinal Tubules Compared to Conventional Resin-Based Sealer: A Confocal Laser Scanning Microscopy Study. Materials (Basel). 2019 Feb 11; 11;12(3):531. doi: 10.3390/ma12030531. PMID: 30754612; PMCID: PMC6385034.
Mahendra, Dedy & Nindita, Yora & Wibowo, Gustantyo & Fortuna, Gloria. (2022). Comparison of apical sealing ability between bioceramic and zinc oxide eugenol-based sealers during root canal treatment, in vitro. Majalah Kedokteran Gigi Indonesia. 7. 95. 10.22146/majkedgiind.62212.
. Mohamed El Sayed MAA, Al Husseini H. Apical dye leakage of two single-cone root canal core materials (hydrophilic core material and gutta-percha) sealed by different types of endodontic sealers: An in vitro study. J Conserv Dent. 2018 Mar-Apr; 21(2): 147-152. doi: 10.4103/JCD.JCD_154_17. PMID: 29674815; PMCID: PMC5890403.
. Patil P, Rathore VP, Hotkar C, Savgave SS, Raghavendra K, Ingale P. A comparison of apical sealing ability between GuttaFlow and AH Plus: An in vitro study. J Int Soc Prev Community Dent. 2016 Jul-Aug; 6(4): 377-82. doi: 10.4103/2231-0762.186794. PMID: 27583228; PMCID: PMC4981942.
Vasconcelos BC, Bernardes RA, Duarte MA, Bramante CM, Moraes IG. Apical sealing of root canal fillings performed with five different endodontic sealers: analysis by fluid filtration. J Appl Oral Sci. 2011 Aug;19(4):324-8. doi: 10.1590/s1678-77572011005000005. Epub 2011 Jun 3. PMID: 21655776; PMCID: PMC4223782.
. Peters LB, Wesselink PR. Periapical healing of endodontically treated teeth in one and two visits obturated in the presence or absence of detectable microorganisms. Int Endodontic J. 2002; 2002;35:660-7
. Bayram HM, Saklar F, Bayram E, Orucoglu H, Bozkurt A. Determination of the Apical Sealing Abilities of Mineral Trioxide Aggregate, Portland Cement, and Bioaggregate After Irrigation with Different Solutions. J Int Oral Health. 2015 Jun; Jun;7(6):13-7. PMID: 26124593; PMCID: PMC4479766.
Xavier CB, Weismann R, de Oliveira MG, Demarco FF, Pozza DH. Root end filling materials: Apical microleakage and marginal adaptation. J Endod 539 42.
. Lamb EL, Loushine RJ, Weller RN, Kimbrough WF, Pashley DH. Effect of root resection on the apical sealing ability of mineral trioxide aggregate. Oral Surgery, Oral Medicine, Oral Pathology Oral Radiology Endodontic 2003; 95(6): 732 5.
Aryanto M. Comparison of microleakage in root canal obturation using zinc oxide eugenol and epoxy resin-based sealer. ICEASD 2019. Apr 1-2. Indonesia; 2019. doi: 10.4108/eai.1-4-2019.2287254
. Sonmez I, Oba A, Sonmez D, Almaz M. In vitro evaluation of apical microleakage of a new MTA-based sealer. European Arch Paediatric Dent. 2012; 13(5): 252-255. doi: 10.1007/BF03262880
. Kour, Sukhbir & Kumar, Ajay & Malik, Azhar. (2022). Apical microleakage comparison using various sealers and different obturation techniques – An in vitro study. IP Indian Journal of Conservative and Endodontics. 7. 125-129. 10.18231/j.ijce.2022.027.
. Jafari F, Jafari S. Composition and physicochemical properties of calcium silicate-based sealers: A review article. J Clin Exp Dent. 2017; 9(10): e1249–55. doi:10.4317/jced.54103.
. Scarparo RK, Haddad D, Acasigua GA, Fossati AC, Fachin EV, Grecca FS, et al. Mineral trioxide aggregate-based sealer: analysis of tissue reactions to a new endodontic material. J Endodontic 2010; 36(7): 1174–8.
. Portella FF, Collares FM, and LDS. Glycerol salicylate-based, containing a-tricalcium phosphate as a bioactive root canal sealer. J Biomed Mater Res B Appl Biomaterial. 2015; 103(8): 1663–72. doi:10.1002/jbm.b.33326.
Kossev D, Stefanov V. Ceramics-based sealers as a new alternative to currently used endodontic sealers. Res Ceramics-Based Seal. 2009;1:42–50.
. MaJ, Shen Y, Stojicic S, Haapasalo M. Biocompatibility of two novel root repair materials. J Endodontic. 2011;37(6):793–8
Ruddle CJ. Advanced Endodontics. Gauging the Terminus: A Novel Method; 2012. Available from: https://www.endoruddle.com/blogs/show/21/gauging-the-terminus-a-n.
Pawar SS, Pujar MA, Makandar SD. Evaluation of the apical sealing ability of bioceramic sealer, AH plus & epiphany: An in vitro study. J Conserv Dent. 2014 Nov; 17(6): 579-82. doi: 10.4103/0972-0707.144609. PMID: 25506149; PMCID: PMC4252935.
Ersahan S, Aydin C. Dislocation resistance of iRoot SP, a calcium silicate–based sealer, from radicular dentine. J Endod 2010; 36:2000-2
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.