Citation: Shieh, K.; Yang, J.; Zhu,
E.H.; Peters, O.A.; Hosseinpour, S.
Dentinal Tubule Penetrability and
Bond Strength of Two Novel Calcium
Silicate-Based Root Canal Sealers.
Materials 2023, 16, 3309. https://
doi.org/10.3390/ma16093309
Academic Editor: Francesco
Inchingolo
Received: 26 February 2023
Revised: 15 April 2023
Accepted: 20 April 2023
Published: 23 April 2023
Copyright: © 2023 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://
creativecommons.org/licenses/by/
4.0/).
materials
Article
Dentinal Tubule Penetrability and Bond Strength of Two Novel
Calcium Silicate-Based Root Canal Sealers
Karissa Shieh
†
, Jack Yang
†
, Elsa Heng Zhu
†
, Ove Andreas Peters * and Sepanta Hosseinpour *
School of Dentistry, The University of Queensland, Brisbane 4006, Australia
* Correspondence: o.peters@uq.edu.au (O.A.P.); s.hosseinpourdougolsar@uq.edu.au (S.H.)
† These authors contributed equally.
Abstract: Background: Once the chemo-mechanical preparation of root canals is finished, achieving
a complete seal of the root canal system becomes crucial in determining the long-term success of
endodontic treatment. The important goals of root canal obturation are to minimize leakage and
achieve an adequate seal. Thus, a material that possesses satisfactory mechanical characteristics, is
biocompatible, and has the ability to penetrate the dentine tubules adequately is needed. Aim: This
study aimed to compare the penetrability and bond strength between two calcium silicate-based
sealers and an epoxy resin-based sealer, as well as examine the relationship between penetrability
and bond strength for the different sealers. Method and materials: Thirty-nine recently extracted
single-rooted human premolar teeth were instrumented and divided evenly into three groups (n = 13),
according to the sealer used for obturation: AH Plus Jet, EndoSequence, and AH Plus Bioceramic
Sealer. Three teeth (30 slices) were randomly selected out of each for analysis using confocal laser
scanning microscopy to assess penetrability. The remaining ten teeth (90 slices) in each group were
subject to push-out tests using a universal testing machine. All teeth were sectioned into nine
transverse slices of 0.9 mm thickness for their respective tests (apical, middle, coronal). Results: AH
Plus Jet exhibited significantly lower penetrability and significantly higher bond strength compared
to EndoSequence BC sealer (p = 0.002) and AH Plus Bioceramic Sealer (p = 0.006). There was no
significant difference between EndoSequence BC sealer and AH Plus Bioceramic Sealer in terms of
either penetrability or bond strength. No correlation was found between penetrability and bond
strength. Conclusions: Within the limitation of this study and regardless of the location in the canal,
the bioceramic based root canal sealers appeared to perform better than the epoxy resin-based sealer
in terms of dentinal penetration rate. Further studies are required to compare other biomechanical
properties of bioceramic sealers including setting characteristics and bacterial leakage.
Keywords: penetration; bond strength; confocal; push-out test; calcium silicate-based sealer
1. Introduction
Successful endodontic therapy is contingent on the proper disinfection and complete
obturation of the root canal system [1]. Root canal sealers play a key role in creating a her-
metic barrier between the canal wall and root filling material and in preventing pathogenic
microorganisms and their by-products from infiltrating the canal space [2]. Reinfection of a
root canal treated tooth is a leading cause of treatment failure and potentiates the need for
laborious retreatment [3]. It is, therefore, important to evaluate the effectiveness of available
and emerging sealers to both aid clinicians in making informed decisions about material
selection and to contribute to the future research and development of endodontic sealers.
Nowadays, there are many sealers available of differing chemical compositions. AH
Plus Jet
®
Root Canal Sealer (AH Plus) is an epoxy-resin-based sealer currently in wide use,
owing to its excellent physical and handling properties [2]. As a result, it is often used as a
benchmark to compare other formulations against. It is, however, not without its drawbacks,
Materials 2023, 16, 3309. https://doi.org/10.3390/ma16093309 https://www.mdpi.com/journal/materials