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Bioceramics in Endodontics: Limitations and Future Innovations-A Review.

Peramune Arachchilage Amila Saman Prasad Kumara¹, Paul Roy Cooper¹, Peter Cathro¹

¹Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin 9016, New Zealand.

Dentistry Journal

|April 25, 2025

Summary

Bioceramic materials in endodontics show improved biocompatibility and sealing but still face challenges in mechanical properties and handling. Future innovations promise enhanced formulations for better dental treatments.

Keywords:

bioactive glass bioceramics calcium phosphate calcium silicate drawbacks endodontics

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Area of Science:

Dental Materials Science
Biomaterials Engineering
Endodontic Therapy

Background:

Bioceramic materials have evolved significantly for endodontic applications like root-end fillings and pulp capping.
Despite advancements, limitations persist, including suboptimal mechanical properties, handling difficulties, and aesthetic concerns.

Purpose of the Study:

To review the limitations of current endodontic bioceramics, focusing on calcium silicate, calcium phosphate, and bioactive glass materials.
To identify key innovations and future developments in endodontic material science.

Main Methods:

Comprehensive literature review of bioceramic materials used in endodontics.
Analysis of existing research focusing on material properties, applications, and limitations.
Identification of research gaps and emerging trends in the field.

Main Results:

Bioceramics offer superior biocompatibility and sealing compared to traditional materials but have drawbacks in mechanical strength and handling.
Recent advancements, including nanomaterials, are improving bioceramic formulations.
Key limitations include cost, antibacterial activity, and underreporting of failures.

Conclusions:

Bioceramic materials in endodontics have advanced considerably, offering improved properties and some cost-effective options.
Addressing current limitations and exploring innovations are crucial for future endodontic material development.
Further research is needed on material failures and emerging bioceramic technologies.