Evaluating the Efficacy of Bioceramic versus Resin-Based Sealers in Endodontic Treatments: A Comparative Analysis

Root canal therapy relies heavily on the effectiveness of the sealer used to ensure successful treatment outcomes. Bioceramic and resin-based sealers are commonly employed, each offering distinct advantages and drawbacks. This study aimed to compare the effectiveness of bioceramic versus resin-based sealers in root canal therapy, focusing on microbial leakage, seal integrity, postoperative pain, and healing rates.

A randomized controlled trial was conducted involving 120 patients who required root canal therapy. They were randomly assigned to receive either bioceramic or resin-based sealers. The primary outcomes were microbial leakage and seal integrity, evaluated through clinical and radiographic examinations. Secondary outcomes included postoperative pain and healing rates, monitored over a six-month follow-up period.

Bioceramic sealers significantly reduced microbial leakage and enhanced seal integrity compared to resin-based sealers (P < 0.05). Additionally, patients in the bioceramic group reported significantly less postoperative pain. However, there were no significant differences in healing rates between the two groups.

Bioceramic sealers demonstrate superior clinical outcomes in terms of microbial leakage prevention and seal integrity, suggesting that they may be more beneficial than resin-based sealers in root canal therapy. These findings support the use of bioceramic materials for improving patient outcomes in endodontic treatments.