head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2020, vol. 26, issue2
Subject Area: Dental Medicine
DOI: 10.5272/jimab.2020262.3081
Published online: 21 April 2020

Original article

J of IMAB. 2020 Apr-Jun;26(2):3081-3086
Kostadin ZhekovORCID logo Corresponding Autoremail, Vesela StefanovaORCID logo,
Department of Operative Dentistry and Endodontics, Faculty of Dental Medicine, Medical University - Plovdiv, Bulgaria.

Introduction: Periapical radiolucency is a sign of an inflammatory process in the bone, surrounding the apex of the root. The healing of periapical lesions is dependent on various factors, one of which is the type and characteristics of endodontic sealer. By increasing the pH and producing a tight seal, bioceramic sealers are expected to facilitate the healing process.
Purpose: The aim of this pilot study is to present the healing process of lesions of endodontic origin when BioRoot RCS (Septodont, France) was used as an endodontic sealer.
Materials and Methods: Five cases with lesions of endodontic origin were cleaned and shaped using Pro Taper Gold System, EDTA, NaOCl, and obturated with single cone hydraulic condensation technique using BioRoot RCS.
Results: Cases are followed for at least 18 months. X-Rays show apposition of bone and recovery of the periodontal space. Our results correspond to the literature data found in available scientific sources.
Conclusion: Bioceramics is the first group of endodontic sealers that exhibit both expansion during setting and also an adhesive bond to the dentinal wall. These properties suggest more predictable results.

Keywords: bioceramic sealer, BioRoot, chronic periodontitis,

pdf - Download FULL TEXT /PDF 917 KB/
Please cite this article as: Zhekov K, Stefanova V. Healing of Chronic Apical Periodontitis Using Novel Bioceramic Sealer BioRoot RCS. J of IMAB. 2020 Apr-Jun;26(2):3081-3086. DOI: 10.5272/jimab.2020262.3081

Corresponding AutorCorrespondence to: Dr. Kostadin Zhekov, Department of Operative Dentistry and Endodontics, Faculty of Dental Medicine, Medical University - Plovdiv, Bulgaria; E-mail: ko.zhekov@gmail.com

1. Gusiyska A. Periapical resorptive processes in chronic apical periodontitis: an overview and discussion of the literature. J of IMAB. 2014 Oct-Dec;20(5):601-5. [Crossref]
2. Ehrmann EH. Endodontology - Biologic Considerations in Endodontic Procedures: S. Seltzer. Australian Endodontic Newsletter. 1990 Apr;15(3):14– 15.
3. Camps J, Jeanneau C, El Ayachi I, Laurent P, About I. Bioactivity of a calcium silicate-based endodontic cement (BioRootTM RCS): interactions with human periodontal ligament cells in vitro. JOE. 2015 Sep;41(9):1469-73
4. Simon S, Flouriot AC. BioRootTM RCS, a new biomaterial for root canal filling. 2016 [Internet]
5. Мarinova-Takorova M, Radeva E, Kisyova I, Naseva E. Retreatment of teeth filled with single cone technique and MTA based sealer - comparison of the effectiveness of different retreatment techniques (in vitro study). J of IMAB. 2019 Jan-Mar;25(1):2379-83. [Crossref]
6.  Koch K, Brave D. Bioceramic Technology-the game changer in endodontics. Endodontic Practice 2009 Jan;2:17-21.
7. Dimitrova-Nakov S, Uzunoglu E, Ardila-Osorio H, Baudry A, Richard G, Kellermann O, et al. In vitro bioactivity of Bioroot™ RCS, via A4 mouse pulpal stem cells. Dent Mater. 2015 Nov;31(11):1290-7
8. Chybowski E A, Glickman G N, 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. JOE 2018 Jun;44(6):941-945.
9. Zaki D Y, Zaazou M H, Khallaf M E, Hamdy T M. In Vivo Comparative Evaluation of Periapical Healing in Response to a Calcium Silicate and Calcium Hydroxide Based Endodontic Sealers. Open Access Maced J Med Sci. 2018 Aug 20;6(8):1475–79.
10. Atmeh A R, Chong E Z, Richard G, Festy F, Watson T F. Dentin-cement Interfacial Interaction: calcium silicates and Polyalkenoates. J Dent Res. 2012 May;91(5):454-9.
11. Xuereb M, Vella P, Damidot D, Sammut C V, Camilleri J. In Situ Assessment of the Setting of Tricalcium Silicate–based Sealers Using a Dentin Pressure Model. JOE 2015 Jan;41(1):111-24.
12. Parirokh M, Torabinejad M. Mineral Trioxide Aggregate: A Comprehensive Literature Review—Part I: Chemical, Physical, and Antibacterial Properties JOE 2010 Jan;36(1):16-27.
13. Al-Haddad A, Che Ab Aziz ZA. Bioceramic-Based Root Canal Sealers: A Review. Int J Biomater. 2016; 2016:9753210. [PubMed] [Crossref]
14. Wang Z, Shen Y, Haapasalo M. Dental materials with antibiofilm properties. Dental Materials 2014;30:e1–e16.
15. Zhang H, Shen Y, Ruse D N, Haapasalo M. Antibacterial Activity of Endodontic Sealers by Modified Direct Contact Test Against Enterococcus faecalis. JOE 2009 Jul;35(7):1051-55.
16. Cohen RG. Single point gutta percha obturation using a tricalcium silicate endodontic sealer. [Internet]
17. Boyadzhieva E. [Application of bioceramic sealer in obturation of the root canal space with thermoplastified guttapercha.] [Dissertation]. Medical University – Plovdiv. 2018. [in Bulgarian]
18. Kakoura F, Pantelidou O. Retreatability of root canals filled with Gutta percha and a novel bioceramic sealer: A scanning electron microscopy study. J Conserv Dent. 2018 Nov-Dec;21(6):632–636.
19. Donnermeyer D, Bunne C, Schafer E, Dammaschke T. Retreatability of Three Calcium Silicate-Containing Sealers and One Epoxy Resin-Based Root Canal Sealer With Four Different Root Canal Instruments. Clin Oral Investig. 2018 Mar;22(2):811-817. [PubMed] [Crossref]

Received: 27 June 2019
Published online: 21 April 2020

back to Online Journal