Clinical and radiographic outcome of a bioceramic sealer compared to a resin-based sealer: a retrospective study

Effective sealing of root canal systems is paramount in achieving favorable and enduring prognosis of root canal treatments (RCTs). Root canal sealers play a pivotal role in sealing the canal system. To date, there is a scarcity of clinical research investigating the implications and long-term performance of bioceramic (BC) sealers. This study aims to compare the treatment outcome of resin-based (RB) and BC root canal sealers. Retrospective data comparing clinical outcomes of 248 endodontically treated teeth was performed utilizing dental records and radiographic assessments. Clinical outcome of the RCTs using both types of sealers were measured by percentages of success rates. Chi square statistical test was used to analyze data at 0.01 and level of significance via SPSS software. Success rate of RCTs was not influenced by patient's age, gender, tooth type and number of visits. There were no significant differences in the success rate amongst treatment types, obturation techniques, quality of restoration and the sealer type. BC and RB sealers revealed comparable clinical and radiographic outcomes with high success rates. The choice between BC and RB sealers should be guided by case-specific factors, including tooth's anatomical considerations, patient's dental health status, obturation techniques and clinician's skills.