Methacrylate-based root canal sealer containing chlorexidine and α-tricalcium phosphate

The aim of this study was to develop and to characterize a methacrylate-based root canal sealer containing chlorhexidine (CHX) and α-tricalcium phosphate (α-TCP). Experimental dual cure methacrylate-based sealer was produced containing 0, 2.5, or 5 wt% of CHX and 0, 25, or 50 wt% of α-TCP. Experimental sealers were evaluated based on flow, film thickness, radiopacity, degree of conversion (DC), degradation in water, pH and antibacterial activity. Flow ranged from 15.09 ± 0.11 to 17.47 ± 0.42 mm. All groups presented mean film thickness lower than 50 µm and had radiopacity equivalent to 3 mmAl. DC was higher than 60% for all compositions. The weight loss (WL) ranged 0.12-3.47%. The groups containing 5% of CHX presented the highest WL and the lower pH values after 28 days of water immersion. All chlorexidine-compositions exhibited antibacterial efficacy against Enterococcus faecalis on direct contact and agar diffusion tests. CHX and α-TCP addition at an experimental methacrylate-based root canal sealer influenced the physicochemical properties and provided antibacterial properties. The incorporation of CHX and α-TCP could be an alternative to antibacterial sealers with potential to improve periapical healing in endodontic treatments. © 2017 Wiley Periodicals, Inc. J Biomater Res Part B: 106B: 1439-1443, 2018.