- Webinar Title: Contemporary Root Canal Obturation: Evolving Concepts, Materials, and Techniques
- Presenter: Dr. Jianing He
- Date Recorded: April 29th, 2023
- Duration: 2 hours
- CDE Credits: 2 CDE credits will be issued by Pure Dental Learning
Root canal obturation is a critical step in non-surgical root canal treatment. In recent years, more emphasis is being placed on preserving more natural tooth structure during endodontic treatment in order to improve the long-term survival of the natural dentition. With the introduction of calcium silicate-based root canal sealers, root canal obturation techniques have evolved to adapt to this more conservative philosophy. This lecture will present an overview of the changing philosophy in root canal obturation, discuss the properties of new obturation materials, review the most current and clinically relevant evidence on various obturation materials and techniques, and describe the clinical procedure of the contemporary sealer-based obturation using calcium silicate-based sealers. The lecture will provide evidence-based clinical guidance for endodontists to meet today’s challenges in root canal obturation and achieve a more predictable treatment outcome.
- Understand the objectives and principles of root canal obturation.
- Become familiar with the properties of calcium silicate-based root canal sealers.
- Understand the rationale and the clinical techniques of sealer-based root canal obturation.
Resources and References
If provided, available when logged in.
Dr. Jianing He has no relevant commercial relationships.
Dr. Jianing He
1005 Long Prairie Road, Suite 100
Flower Mound, TX 75022
Dr. Jianing (Jenny) He received her dental degree from West China University of Medical Sciences in 1996, and a certificate in Endodontics and a PhD in Oral Biology from the University of Connecticut Health Center in 2003.
Dr. He has been actively involved in endodontic education, research, and clinical practice. She is a Diplomate of the American Board of Endodontics, and a fellow of American College of Dentists. She has published over 50 manuscripts in peer-reviewed journals and served on the Research and Scientific Affairs committee for the AAE. Dr. He is currently an Associate Editor of the Journal of Endodontics.
Dr. He is a Clinical Associate Professor at Texas A&M University College of Dentistry, and maintains a full-time private practice limited to Endodontics in Dallas, TX.
Resources and References
Fabricius L, Dahlén G, Sundqvist G, Happonen RP, Möller AJ. Influence of residual bacteria on periapical tissue healing after chemomechanical treatment and root filling of experimentally infected monkey teeth. Eur J Oral Sci. 2006 Aug;114(4):278-85.
Peng L, Ye L, Tan H, Zhou X. Outcome of root canal obturation by warm gutta-percha versus cold lateral condensation: a meta-analysis. J Endod. 2007 Feb;33(2):106-9.
de Chevigny C, Dao TT, Basrani BR, Marquis V, Farzaneh M, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto study--phase 4: initial treatment. J Endod. 2008 Mar;34(3):258-63.
Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature -- Part 2. Influence of clinical factors. Int Endod J. 2008 Jan;41(1):6-31
Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: periapical health. Int Endod J. 2011 Jul;44(7):583-609.
Barborka BJ, Woodmansey KF, Glickman GN, Schneiderman E, He J. Long-term Clinical Outcome of Teeth Obturated with Resilon. J Endod. 2017 Apr;43(4):556-560.
Chybowski EA, Glickman GN, Patel Y, Fleury A, Solomon E, He J. Clinical Outcome of Non-Surgical Root Canal Treatment Using a Single-cone Technique with Endosequence Bioceramic Sealer: A Retrospective Analysis. J Endod. 2018 Jun;44(6):941-945.
Strange KA, Tawil PZ, Phillips C, Walia HD, Fouad AF. Long-term Outcomes of Endodontic Treatment Performed with Resilon/Epiphany. J Endod. 2019 May;45(5):507-512
Ricucci D, Grande NM, Plotino G, Tay FR. Histologic Response of Human Pulp and Periapical Tissues to Tricalcium Silicate-based Materials: A Series of Successfully Treated Cases. J Endod. 2020 Feb;46(2):307-317.
Zavattini A, Knight A, Foschi F, Mannocci F. Outcome of Root Canal Treatments Using a New Calcium Silicate Root Canal Sealer: A Non-Randomized Clinical Trial. J Clin Med. 2020 Mar 13;9(3):782.
García-Guerrero C, Delgado-Rodríguez CE, Molano-González N, Pineda-Velandia GA, Marín-Zuluaga DJ, Leal-Fernandez MC, Gutmann JL. Predicting the outcome of initial non-surgical endodontic procedures by periapical status and quality of root canal filling: a cohort study. Odontology. 2020 Oct;108(4):697-703.
Tan HSG, Lim KC, Lui JN, Lai WMC, Yu VSH. Postobturation Pain Associated with Tricalcium Silicate and Resin-based Sealer Techniques: A Randomized Clinical Trial. J Endod. 2021 Feb;47(2):169-177.
Aslan T, Dönmez Özkan H. The effect of two calcium silicate-based and one epoxy resin-based root canal sealer on postoperative pain: a randomized controlled trial. Int Endod J. 2021 Feb;54(2):190-197.
Kim JH, Cho SY, Choi Y, Kim DH, Shin SJ, Jung IY. Clinical Efficacy of Sealer-based Obturation Using Calcium Silicate Sealers: A Randomized Clinical Trial. J Endod. 2022 Feb;48(2):144-151.
In Vitro Studies:
Candeiro GT, Correia FC, Duarte MA, et al. Evaluation of radiopacity, pH, release of calcium ions, and flow of a bioceramic root canal sealer. J Endod 2012;38:842–5.
Zhou HM, Shen Y, Zheng W, Li L, Zheng YF, Haapasalo M. Physical properties of 5 root canal sealers. J Endod. 2013 Oct;39(10):1281-6.
Wang Z, Shen Y, Haapasalo M. Dentin extends the antibacterial effect of endodontic sealers against Enterococcus faecalis biofilms. J Endod. 2014 Apr;40(4):505-8.
DeLong C, He J, Woodmansey KF. The effect of obturation technique on the push-out bond strength of calcium silicate sealers. J Endod. 2015 Mar;41(3):385-8.
Xuereb M, Vella P, Damidot D, Sammut CV, Camilleri J. In situ assessment of the setting of tricalcium silicate-based sealers using a dentin pressure model. J Endod. 2015 Jan;41(1):111-24.
Prüllage RK, Urban K, Schäfer E, Dammaschke T. Material Properties of a Tricalcium Silicate-containing, a Mineral Trioxide Aggregate-containing, and an Epoxy Resin-based Root Canal Sealer. J Endod. 2016 Dec;42(12):1784-1788.
Bukhari S, Karabucak B. The Antimicrobial Effect of Bioceramic Sealer on an 8-week Matured Enterococcus faecalis Biofilm Attached to Root Canal Dentinal Surface. J Endod. 2019 Aug;45(8):1047-1052.
Silva EJNL, Ehrhardt IC, Sampaio GC, Cardoso ML, Oliveira DDS, Uzeda MJ, Calasans-Maia MD, Cavalcante DM, Zuolo ML, De-Deus G. Determining the setting of root canal sealers using an in vivo animal experimental model. Clin Oral Investig. 2020 Aug 13.
Chen B, Haapasalo M, Mobuchon C, Li X, Ma J, Shen Y. Cytotoxicity and the Effect of Temperature on Physical Properties and Chemical Composition of a New Calcium Silicate-based Root Canal Sealer. J Endod. 2020 Apr;46(4):531-538.
Donnermeyer D, Ibing M, Bürklein S, Weber I, Reitze MP, Schäfer E. Physico-Chemical Investigation of Endodontic Sealers Exposed to Simulated Intracanal Heat Application: Hydraulic Calcium Silicate-Based Sealers. Materials (Basel). 2021 Feb 4;14(4):728.
Rodríguez-Lozano FJ, López-García S, García-Bernal D, Tomás-Catalá CJ, Santos JM, Llena C, Lozano A, Murcia L, Forner L. Chemical composition and bioactivity potential of the new Endosequence BC Sealer formulation HiFlow. Int Endod J. 2020 Sep;53(9):1216-1228.
Holmes S, Gibson R, Butler J, Pacheco R, Askar M, Paurazas S. Volumetric Evaluation of 5 Root Canal Obturation Methods in TrueTooth 3-dimensional-Printed Tooth Replicas Using Nano-computed Tomography. J Endod. 2021 Mar;47(3):485-491.
Penha da Silva PJ, Marceliano-Alves MF, Provenzano JC, Dellazari RLA, Gonçalves LS, Alves FRF. Quality of Root Canal Filling Using a Bioceramic Sealer in Oval Canals: A Three-Dimensional Analysis. Eur J Dent. 2021 Feb 3.
Liu H, Lai WWM, Hieawy A, Gao Y, von Bergmann H, Haapasalo M, Tay FR, Shen Y. Micro-computed Tomographic Evaluation of the Quality of Root Canal Fillings in Mandibular Molars after Obturation for 54 Months. J Endod. 2021 Nov;47(11):1783-1789.
Sanz JL, López-García S, Rodríguez-Lozano FJ, Melo M, Lozano A, Llena C, Forner L. Cytocompatibility and bioactive potential of AH Plus Bioceramic Sealer: An in vitro study. Int Endod J. 2022 Oct;55(10):1066-1080.
Original Release Date: April 29, 2023
Review Date: TBD
*Expiration Date: April 29, 2026
*Self-instructional activities are reviewed at least once every three years, or more frequently if indicated by new scientific developments, to ensure that content is current and accurate.
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