Synthesis, physical properties, and root canal sealing of experimental MTA- and salicylate-based root canal sealers.

Gabriel Flores Abuna, Mário Alexandre Coelho Sinhoreti, Flávio Henrique Baggio Aguiar, Emmanuel João Nogueira Leal Silva, Kusai Baroudi, Rafael Pino Vitti, Cesar Henrique Zanchi, Evandro Piva, Tarun Walia, Raghavandra M Shetty, Flávia Goulart da Rosa Cardoso, Flávia de Moura Pereira, Carolina Oliveira de Lima

Journal: PloS one 2025;20(7):e0329476

PMID: 40743137

Abstract

OBJECTIVES

To develop and evaluate the physical properties and sealing ability within the root canal of three experimental sealers based on MTA and a salicylate resin.

MATERIALS AND METHODS

The experimental sealers were composed of two pastes. The base paste was prepared using 1,3-butyleneglycol disalicylate and bismuth oxide. Three different catalytic pastes were formulated, creating three groups: [MTA] n,n,dihydroxyethyl-p-toluidine (DPT), titanium dioxide (TiO2), and mineral trioxide aggregate (MTA); [MTA-HA] DPT + TiO2 + MTA + hydroxyapatite (HA); and [MTA-DCPD] DPT + TiO2 + MTA + dibasic calcium phosphate dihydrate (DCPD). MTA Fillapex (Angelus) was used as the commercial reference (control). The sealers were manipulated at a 1:1 ratio (base paste:catalyst). Tests for working time and setting time, flow, and film thickness were conducted following ISO 6876:2012 standards. Single-rooted human teeth root canals were utilized for evaluating root canal filling using micro-computed tomography, push-out bond strength testing, and sealer penetration into dentinal tubules using confocal microscopy. Failure patterns in the push-out test were classified as adhesive, cohesive, or mixed. Sealer micromorphology was analyzed via scanning electron microscopy. Data were analyzed statistically (α = 0.05).

RESULTS

MTA Fillapex showed the longest working and setting times, highest flow, the lowest film thickness, and better penetration into dentinal tubules. There was no difference in void among evaluated sealers. Overall, MTA-DCPD sealer showed the lowest bond strength values for cervical and apical thirds. Micromorphological analysis revealed similar crystallographic properties among all sealers.

CONCLUSIONS

The sealers tested showed reduced working and setting times, with flow and film thickness according to ISO 6876:2012. Their void volume and bond strength were similar to MTA Fillapex, except for MTA-DCPD. Clinical Relevance: The experimental root canal sealers demonstrated suitable physical properties and good adaptation within the root canal.

Copyright: © 2025 Vitti et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Address: School of Dentistry, University of Taubaté, Taubaté, São Paulo, Brazil.; Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil.; Department of Implantology, School of Dentistry, University Santo Amaro, São Paulo, São Paulo, Brazil.; Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman, United Arab Emirates.; Centre of Medical and Bio-allied Health Sciences Research, Ajman, United Arab Emirates.; Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman, United Arab Emirates.; Centre of Medical and Bio-allied Health Sciences Research, Ajman, United Arab Emirates.; Department of Pediatric and Preventive Dentistry, Adjunct Faculty, Sharad Pawar College and Hospital, Datta Meghe Institute of Higher Education and Research (Declared as Deemed-to-be University), Wadha, Maharashtra, India.; School of Dentistry, University of Taubaté, Taubaté, São Paulo, Brazil.; Department of Operative Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.; Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil.; Division of Biomedical Materials, School of Dental Medicine, East Carolina University, Greenville, North Carolina, United States of America.; Department of Endodontics, School of Dentistry, Grande Rio University, Duque de Caxias, Rio de Janeiro, Brazil.; Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil.
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