Endodontic filling materials under extreme conditions: Analysis of their resistance in extreme climates

Authors

DOI:

https://doi.org/10.33448/rsd-v14i7.49061

Keywords:

Endodontic filling materials, Extreme conditions, Resistance, Extreme climates.

Abstract

Endodontics is a specialized dental field focused on diagnosing and treating diseases affecting the dental pulp. A fundamental aspect of successful endodontic therapy is root canal obturation, which aims to seal the canals and prevent reinfection. The choice of obturation materials is critical, requiring biocompatibility, durability, and effective sealing ability, especially in humid environments where moisture can compromise material performance and lead to treatment failure. Common materials include gutta-percha and various sealing materials, such as resin-based and bioceramic sealers, which offer improved adhesion, sealing, and mechanical resistance. Recent advancements have introduced innovative materials and obturation techniques, such as thermoplasticized gutta-percha systems (e.g., Thermafil) and synthetic alternatives like Resilon, which create a monoblock effect for enhanced sealing. Hydraulic cement sealers have gained popularity due to their antimicrobial properties and interaction with moisture during setting. Research highlights the importance of selecting appropriate materials and methods to optimize sealing quality, reduce microleakage, and enhance the mechanical integrity of obturations. Complex root canal anatomies, including oval-shaped canals and anomalies like dens invaginatus, pose challenges that require advanced imaging techniques such as cone beam computed tomography (CBCT) for accurate diagnosis and treatment planning. Future directions in endodontic obturation focus on bioactive and antimicrobial materials, nanotechnology, and 3D printing to improve material performance, longevity, and biological integration. These innovations aim to facilitate regenerative, minimally invasive treatments that promote tissue healing and long-term tooth preservation.

References

Alberdi, J., Martin, G., Risso, L., & Kaplan, A. (2023). Effect of heat generated by endodontic obturation techniques on bond strength of bioceramic sealers to dentine. Journal of Endodontics, 49(11), 1565–1569.

Al-Haddad, A., & Che Ab Aziz, Z. A. (2016). Bioceramic-based root canal sealers: A review. International Journal of Biomaterials, 2016, 9753210. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4856024/

Arora, S., Gill, G. S., Saquib, S. A., Saluja, P., Baba, S. M., Khateeb, S. U., et al. (2022). Non-surgical management of dens invaginatus type IIIB in maxillary lateral incisor with three root canals and 6-year follow-up: A case report and review of literature. World Journal of Clinical Cases, 10(33), 12240.

Baumann, M. (s.f.). Obturación del sistema de conductos radiculares. Nuevas técnicas y materiales. Recuperado el 15 de diciembre de 2024, de https://www.elsevier.es/es-revista-quintessence-9-pdf-13151593

Cardinali, F., & Camilleri, J. (2023). A critical review of the material properties guiding the clinician's choice of root canal sealers. Clinical Oral Investigations, 27(8), 4147–4155. https://doi.org/10.1007/s00784-023-05140-w

Casarin, S. T. et al. (2020). Tipos de revisão de literatura: considerações das editoras do Journal of Nursing and Health. Journal of Nursing and Health. 10 (5). https://periodicos.ufpel.edu.br/index.php/enfermagem/article/view/19924.

Collado-Castellanos, N., Aspas-García, A., Albero-Monteagudo, A., Manzano-Saiz, A., & Micó-Muñoz, P. (2023). Quantitative analysis of the obturation of oval-shaped canals using thermoplastic techniques. Journal of Clinical and Experimental Dentistry, 15(4), e311–e317.

De la Fuente-Cabrera, L. P., Estrada-Valenzuela, C. M., Güereca-Díaz, M. G., & Muñoz-Herrera, D. A. (2022). Evaluación del sellado en técnica de obturación con gutapercha termoplastificada y técnica de condensación lateral en frío: Estudio in vitro. Revista Oral, 23(72), 2069–2073.

Estrela, C., Cintra, L. T. A., Duarte, M. A. H., Rossi-Fedele, G., Gavini, G., & Sousa-Neto, M. D. (2023). Mechanism of action of bioactive endodontic materials. Brazilian Dental Journal, 34(1), 1–11. https://doi.org/10.1590/0103-6440202305278

Gandolfi, M. G., Taddei, P., Siboni, F., & Prati, C. (2021). Chemical–physical properties of calcium silicate cements for endodontics and restorative dentistry. Dental Materials, 37(3), e59–e80. https://doi.org/10.1016/j.dental.2021.01.014

Ghorbanzadeh, A., Rezvani, G., Bolhari, B., Sharifi, F., & Fazlyab, M. (2020). Comparative evaluation of the sealing ability of bioceramic-based and epoxy resin-based sealers using the fluid filtration method. Journal of Dentistry (Tehran), 17(1), 1–8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7045460/

Jasrasaria, N., Tikku, A. P., & Bharti, R. (2023). Analysis of porosity, sealer dissolution and apical extrusion of endodontic sealers: A micro computed tomography study. Journal of Oral Biology and Craniofacial Research, 13(4), 495–499.

Johnson, W. T., & Gutierrez, J. H. (2021). Fracture resistance of endodontically treated teeth: A comparison of obturation techniques. EBSCO.

Khalil, W. A., & Eid, N. F. (2021). Biomechanical evaluation of obturation techniques under cyclic loading: A finite element study. Journal of Dentistry, 115, 103847. https://doi.org/10.1016/j.jdent.2021.103847

Khanvilkar, U., Dundappa, J., Chaubey, N., Jha, A., Paliwal, A., & Kumar, R. (2023). Comparison of apical sealing capacity of ActiV GP/glass ionomer sealer versus Resilon/RealSeal and gutta percha/AH plus sealers. Cureus, 15(12), e49931.

Loiacono, R., Gómez, A., González Clavín, M. C., Pinasco, L. B., Vázquez, D. J., Gualtieri, A. F., & Rodríguez, P. A. (2024). Micro-CT evaluation of the presence of voids in endodontic obturation. Acta Odontologica Latinoamericana: AOL, 37(1), 3–12. https://doi.org/10.54589/aol.37/1/3

López-Castillo, M., & Fernández-Peña, A. (2019). Tissue response to calcium silicate-based sealers in periapical lesions. PubMed.

Mamat, R., & Nik Abdul Ghani, N. R. (2023). The complexity of the root canal anatomy and its influence on root canal debridement in the apical region: A review. Cureus, 15(11), e49024.

Mora, A., García-Bernal, D., Rodríguez-Lozano, F. J., Sanz, J. L., Forner, L., Ghilotti, J., Lozano, A., & López-García, S. (2024). Biocompatibility, bioactivity and immunomodulatory properties of three calcium silicate-based sealers: An in vitro study on hPDLSCs. Clinical Oral Investigations, 28(8), 416. https://doi.org/10.1007/s00784-024-05812-1

Neelakantan, P., Romero, M., Vera, J., et al. (2021). Biofilms in endodontics—current status and future directions. International Endodontic Journal, 54(Suppl 3), S3–S13. https://doi.org/10.1111/iej.13497

Parirokh, M., & Torabinejad, M. (2021). Mineral trioxide aggregate: A comprehensive literature review—Part III: Clinical applications, drawbacks, and mechanism of action. Journal of Endodontics, 47(3), 365–380. https://doi.org/10.1016/j.joen.2020.12.001

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Ed.UAB/NTE/UFSM. Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of business research, 104, 333-339.

Pineda-Vélez, E., Marín-Muñoz, A., Escobar-Márquez, A., & Tamayo-Agudelo, W. F. (2021). Factores relacionados con el resultado de los tratamientos endodónticos realizados en una institución universitaria con odontólogos en formación. CES Odontología, 34(1), 14–24. https://doi.org/10.21615/cesodon.34.1.2

Poggio, C., Ceci, M., Beltrami, R., Colombo, M., Dagna, A., & Chiesa, M. (2020). Influence of pH on the surface properties of endodontic sealers: A systematic review. International Endodontic Journal, 53(4), 525–535. https://doi.org/10.1111/iej.13282

Rother, E. T. (2007). Revisão sistemática x revisão narrativa. Acta Paul. Enferm. 20 (2). https://doi.org/10.1590/S0103-21002007000200001.

Sabeti, M. A., Karimpourtalebi, N., Shahravan, A., & Dianat, O. (2024). Clinical and radiographic failure of non-surgical endodontic treatment and retreatment using single-cone technique with calcium silicate-based sealers: A systematic review and meta-analysis. Journal of Endodontics. https://doi.org/10.1016/j.joen.2024.02.001

Santos, J., Silva, M., & Oliveira, D. (2020). Bioceramic sealers and their properties: A comparative analysis. ScienceDirect.

Terauchi, Y., Torabinejad, M., Wong, K., & Bogen, G. (2023). The effect of mineral trioxide aggregate obturation levels on the outcome of endodontic retreatment: An observational study. Journal of Endodontics, 49(6), 664–674.

Torres, A., Mejía, G., & Sánchez, G. (2022). Nanoparticle-enhanced endodontic sealers: A review of their antimicrobial properties. LILACS.

Versiani, M. A., & Peters, O. A. (2020). Biomechanical preparation in root canal treatment: The evolution of concepts and methodologies. International Endodontic Journal, 53(9), 1209–1223. https://doi.org/10.1111/iej.13320

Wang, Z., Shen, Y., & Haapasalo, M. (2019). Calcium silicate-based root canal sealers: Their interactions with dentinal tubules and hydroxyapatite formation. PubMed.

Winkler, A., Adler, P., Ludwig, J., Hofmann, N., Soliman, S., Krastl, G., & Krug, R. (2023). Endodontic outcome of root canal treatment using different obturation techniques: A clinical study. Dentistry Journal, 11(8), 200. https://doi.org/10.3390/dj11080200

Zamparini, F., Lenzi, J., Duncan, H. F., Spinelli, A., Gandolfi, M. G., & Prati, C. (2024). The efficacy of premixed bioceramic sealers versus standard sealers on root canal treatment outcome, extrusion rate and post-obturation pain: A systematic review and meta-analysis. International Endodontic Journal, 57(8), 1021–1042. https://doi.org/10.1111/iej.14069

Zan, R., & Demir, A. S. (2021). Contemporary endodontic obturation techniques: A comprehensive literature review. Cumhuriyet Dental Journal, 24(3), 310–317. https://doi.org/10.7126/cumudj.948193

Zhang, P., Yuan, K., Jin, Q., Zhao, F., & Huang, Z. (2021). Presence of voids after three obturation techniques in band-shaped isthmuses: A micro-computed tomography study. BMC Oral Health, 21(1), 227. https://doi.org/10.1186/s12903-021-01584-2

Downloads

Published

2025-07-04

Issue

Section

Review Article

How to Cite

Endodontic filling materials under extreme conditions: Analysis of their resistance in extreme climates. Research, Society and Development, [S. l.], v. 14, n. 7, p. e1014749061, 2025. DOI: 10.33448/rsd-v14i7.49061. Disponível em: https://rsdjournal.org/rsd/article/view/49061. Acesso em: 5 dec. 2025.