R O OSTE A C A

LERS
N A L
 What is
ROOT CANAL
SEALERS?
The objectives of endodontic therapy are
the complete removal of pathogenic
organisms and stimuli that cause
irreversible damage the tooth and three-
dimensional filling of the root canal system.
Gutta percha is the most commonly
employed primary obturating material.
However , gutta percha alone cannot result
in a hermetic seal of the root canal. For this
reason, low viscosity materials known as
root canal sealers are used in conjunction
with the primary obturating material to
ensure a hermetic seal of the root canal.
Dental root canal sealing materials along
with the solid core material play an
important role in achieving a fluid tight seal.
 ROOT CANAL SEALERS CLASSIFICATION:

Root canal sealers have been classified by eminent dentists such as Ingle
and Clark.
I ngles Classification of Root Canal Sealers:
Zinc oxide eugenol based sealers
Calcium hydroxide containing sealers
Resin based sealers
Glass Ionomer based sealers
Experimental Sealers
Clarks Classification of Root Canal Sealers:
Absorbable
Non-absorbable
What are the ideal requirements of a root canal
sealer?
Grossman put forth the ideal requirements of root canal
sealants as follows:
They should be tacky which enhances adhesion with the canal
wall when set
Provide a hermetic seal
Must be radiopaque for identification in the radiograph
Must have bacteriostatic properties
Should set slowly allowing a long working time
Should shrink when set
Should not stain the tooth structure
Must be insoluble in tissue fluids
Must be biocompatible
Should be soluble in a common solvent
Must not be mutagenic or carcinogenic
Should not provoke an immune response in periradicular tissue
What are the different types of Root Canal
Sealers?
Zinc oxide eugenol based sealers:

The following are the different types of ZOE based root canals sealers:

Rickert Sealer :-
o Silver added for radiopacity
o Might cause staining of teeth
o Removal of all cement from access cavity can reduce chances of
staining
Roths Sealer :-
o Developed by Grossman in 1958
o Non staining
o Meets most of Grosssmans requirements for sealers
TubliSeal :-
o 2 pastes system
o Non-staining
 Watchs Cement :-
o Smooth mix
o Non staining
Medicated versions of zinc oxide eugenol sealers are also present.
They are:
Sealers containing formaldehyde as an antibacterial agent Eg.
Endomethasone root canal sealer
Non eugenol sealers Eg. Nogenol root canal sealer
Calcium hydroxide containing sealers:
CRCS (Calciobiotic Root Canal Sealer) :
o CaOH + ZOE
o Osteogenic effect
o Takes up to 3 days to set fully
SealApex:
o 2 paste system
o 3 weeks to reach final set of material
 Apexit:
o A high quality root canal sealer
Vitapex II:
o Contains 40% iodoform
o Iodoform has bactericidal properties
MCS (Medicated Canal Sealer):
o An iodoform containing root canal sealer
EPOXY RESIN BASED ROOT CANAL SEALERS:
Diaket:
o First introduced in 1951
o Resin reinforced chelate
o Very tacky
AH-26:
o Epoxy resin based sealer
o Low solubility, slight shrinkage and biocompatible
o Also sold as Therma Seal
 AH-Plus:
o 2 paste systems
o Less chances of tooth staining
o Less toxicity
o Highly biocompatible
Glass Ionomer based sealers:
Ketac Endo:
o Modified GIC
o Introduced in 1991
o Favourable biological, chemical and physical properties
Experimental Sealers:
Bis GMA Unfilled resin:
o Tested as a sealer
o Biocompatible
o Impossible to remove from the canal
 Pit & Fissure sealants (low viscosity):
o Low viscosity resins have been tried as root canal filing materials
o Removal of the smear layer is important
Isopropyl Cyanoacrylate:
o Has been adequate in sealing the canals
o Not approved by the FDA

Dentin Bonding Agents:

o The efficacy of DBAs as root canal sealers were tested at the University
of Minnesota
o It was seen that they might play a major role in achieving an endodontic
seal
Polyamide Varnish
o Less effective than ZOE