The Efficacy of Bioceramic Sealers in Root Canal Therapy: A Clinical and Microbial Analysis

Аннотация

This study investigates the efficacy of bioceramic sealers in root canal therapy, focusing on their clinical and microbial impact compared to traditional sealers. Bioceramic sealers have recently garnered attention due to their bioactivity, favorable sealing properties, and biocompatibility, offering potential improvements in endodontic outcomes. The primary objectives of this research were to evaluate the sealing efficiency, antimicrobial properties, and clinical outcomes associated with bioceramic sealers in root canal treatment. The study involved a comparative analysis of bioceramic and traditional sealers, examining microbial inhibition zones, sealing ability, and periapical healing in clinical cases. Sealing ability was assessed through dye penetration tests and scanning electron microscopy (SEM) analyses, while microbial efficacy was measured using common endodontic pathogens. Findings demonstrated that bioceramic sealers exhibited superior sealing capabilities, potentially due to their expansion upon setting and chemical bonding with dentin. Furthermore, bioceramic sealers displayed significant antimicrobial activity against Enterococcus faecalis and other resistant pathogens commonly found in failed root canal treatments. Clinical follow-up indicated improved periapical healing and patient outcomes with bioceramic sealers, suggesting a reduced risk of reinfection and endodontic failure. The study concludes that bioceramic sealers may offer enhanced long-term outcomes for patients undergoing root canal therapy due to their bioactive properties, superior sealing, and antimicrobial effectiveness. These results contribute to a growing body of evidence supporting bioceramic sealers as a viable alternative to traditional materials in endodontics, with potential implications for improving root canal treatment success rates.