Archive \ Volume.14 2023 Issue 2

Sealing Ability and Micro Leakage of AH26 and AH Plus Root Canal Sealers: A Systematic Review

Naif Musaad Almutairi , Abdullah Abdulrahman Aldawsari , Hazzaa Shaher Alshamrani , Iyad Anwar Fakeeha , Feras Hamoud Alshehri , Abdulrahman Ali Alshiha , Meshari Faraj Almutairi

Abstract

One of the main reasons endodontic therapy fails is the microleakage of the treated teeth. An effective apical seal is vital to the endodontic treatment outcome. Because of the ancillary canals and variances in the root structure, accurately sealing the root canal is a challenging and delicate process. The improper and partial obturation account for 60% of endodontic failures. According to other research, a poor seal is caused by insufficient flow of gutta-percha and its inability to bond to the walls of the dentin. Different techniques and materials have been studied to enhance and compare the sealing capabilities of root canal materials when new sealers are introduced to the market.

In summary, these studies suggest that both AH Plus and AH26 root canal sealers have some degree of microleakage, but the extent of leakage can be influenced by factors such as obturation methods and other experimental conditions. AH26 showed slightly higher bacterial leakage compared to AH Plus in one study, but it also exhibited greater resistance to Enterococcus faecalis in another study. The choice of sealer and specific characteristics may affect their performance in terms of microleakage and cytotoxicity.


Downloads: 261
Views: 2370

How to cite:
Vancouver
Almutairi NM, Aldawsari AA, Alshamrani HS, Fakeeha IA, Alshehri FH, Alshiha AA, et al. Sealing Ability and Micro Leakage of AH26 and AH Plus Root Canal Sealers: A Systematic Review. Arch Pharm Pract. 2023;14(2):140-6. https://doi.org/10.51847/cHptScRjUQ
APA
Almutairi, N. M., Aldawsari, A. A., Alshamrani, H. S., Fakeeha, I. A., Alshehri, F. H., Alshiha, A. A., & Almutairi, M. F. (2023). Sealing Ability and Micro Leakage of AH26 and AH Plus Root Canal Sealers: A Systematic Review. Archives of Pharmacy Practice, 14(2), 140-146. https://doi.org/10.51847/cHptScRjUQ

Download Citation
References
  1. Kelmendi T, Koçani F, Kurti A, Kamberi B, Kamberi A. Comparison of Sealing Abilities Among Zinc Oxide Eugenol Root-Canal Filling Cement, Antibacterial Bioceramic Paste, and Epoxy Resin, using Enterococcus faecalis as a Microbial Tracer. Med Sci Monit Basic Res. 2022;28:e936319-1.
  2. Komabayashi T, Colmenar D, Cvach N, Bhat A, Primus C, Imai Y. Comprehensive review of current endodontic sealers. Dent Mater J. 2020;39(5):703-20.
  3. Pinheiro CR, Guinesi AS, de Camargo EJ, Pizzolitto AC, BonettiFilho I. Bacterial leakage evaluation of root canals filled with different endodontic sealers. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2009;108(6):e56-60.
  4. Mohammadi Z, Shalavi S. Clinical applications of glass ionomers in endodontics: a review. Int Dent J. 2012;62(5):244-50.
  5. Phukan AH, Mathur S, Sandhu M, Sachdev V. The effect of different root canal sealers on the fracture resistance of endodontically treated teeth-in vitro study. Dent Res J. 2017;14(6):382.
  6. Vemisetty H, Ravichandra PV, Ramkiran D, Sayini R. Comparative evaluation of push-out bond strength of three endodontic sealers with and without amoxicillin-an invitro study. J Clin Diagn Res. 2014;8(1):228.
  7. Singh H, Markan S, Kaur M, Gupta G, Singh H, Kaur MS. Endodontic sealers: Current concepts and comparative analysis. Dent Open J. 2015;2(1):32-7.
  8. Tiwari S, Murthy CS, Usha HL, Shivekshith AK, Kumar NN, Vijayalakshmi L. A comparative evaluation of antimicrobial efficacy and flow characteristics of two epoxy resin-based sealers-AH plus and Perma Evolution: An in vitro study. J Conserv Dent. 2018;21(6):676.
  9. Ashwini KS, Devadiga D, Hegde MN. Evaluation of Microleakage of Four Root Canal Sealers--A Fluorescent Microscope Study. J Evol Med Dent Sci. 2020;9(50):3800-6.
  10. Miletić I, Prpić‐Mehičić G, Maršan T, Tambić‐Andrašević A, Pleško S, Karlović Z, et al. Bacterial and fungal microleakage of AH26 and AH Plus root canal sealers. Int Endod J. 2002;35(5):428-32.
  11. De Moor RJ, De Bruyne MA. The long-term sealing ability of AH 26 and AH plus used with three gutta-percha obturation techniques. Quintessence Int. 2004;35(4):326-31.
  12. Huang TH, Lii CK, Chou MY, Kao CT. Lactate dehydrogenase leakage of hepatocytes with AH26 and AH Plus sealer treatments. J Endod. 2000;26(9):509-11.
  13. Masoud S, Hamid R. The apical sealing ability of AH26, AH Plus and ZOE root canal sealers. Dent Res J. 2005;1(1).
  14. Akhavan H, Zahdabadi F, Mehrvarzfar P, Birjandi AA. Comparative study on the microleakage of three root canal sealers. Iran Endod J. 2011;6(1):1.
  15. Hasheminia M, Salehi Z, Salehi I. In vitro assessment of sealing ability of three resin-based sealers (AH26, AH Plus Jet and TG Adseal) using microbial leakage test. J Isfahan Fac Dent. 2011:340-7.
  16. Ashraf H, Mortezapour N, Jabari S, Zadsirjan S, Tabatabai FS. Evaluation of chemical and physical properties of an experimental endodontic sealer in comparison with AH-26 and AH-Plus. Iran Endod J. 2020;15(3):183.
  17. Rishi R, Singh G. Research Article to compare the resistance against bacterial micro leakage offered by Zinc Oxide Eugenol sealer, Apexit, AH plus, AH 26 against Enterococcus Faecalis along obturated root canals with failed coronal seals. Sch J Dent Sci. 2015;2(6):378-82.
  18. Schäfer E, Olthoff G. Effect of three different sealers on the sealing ability of both thermafil obturators and cold laterally compacted Gutta-Percha. J Endod. 2002;28(9):638-42.
  19. Ashraf H, Shafagh P, Abbas FM, Heidari S, Shahoon H, Zandian A, et al. Biocompatibility of an experimental endodontic sealer (Resil) in comparison with AH26 and AH-Plus in rats: An animal study. J Dent Res Dent Clin Dent Prospects. 2022;16(2):112.
  20. Mak ST, Leong XF, Tew IM, Kumolosasi E, Wong L. In Vitro Evaluation of the Antibacterial Activity of EndoSeal MTA, iRoot SP, and AH Plus against Planktonic Bacteria. Materials. 2022;15(6):2012.
  21. Donyavi Z, Shokri A, Pakseresht Z, Tapak L, Falahi A, Abbaspourrokni H. Comparative evaluation of retreatability of endodontically treated teeth using AH 26, fluoride varnish and mineral trioxide aggregate-based endodontic sealers. Open Dent J. 2019;13(1).
  22. Torbati M, Maleki AB, Torbati M, Shahi S, Dizaj SM, Sharifi S. The Cell Biocompatibility of a new Polycaprolactone-based Endodontics Sealer Compared with AH Plus Sealer. Open Dent J. 2023;17(1).
  23. Prithviraj KJ, Manjunatha RK, Horatti P, Rao N, Gokul S. In Vitro comparison of the microbial leakage of obturation systems: Epiphany with resilon, guttaflow, and ah plus with gutta percha. Indian J Dent Res. 2020;31(1):37.
  24. Parolia A, Nikolopoulou D, Lim BS, Kanagasingam S. Comparison of antibacterial effectiveness between Sealapex and AH-plus sealer against Enterococcus faecalis: a systematic review of in vitro studies. G Ital Endod. 2020;34(2).
  25. Kumar M, Taneja S, Pathak A, Kumar M. Comparative evaluation of sealing ability of root canal sealers with antibiotics. IDAUPSDJ. 2021;2(1):165-72.
  26. Martins JB, Scheeren B, van der Waal SV. The Effect of Unintentional AH-Plus Sealer Extrusion on Resolution of Apical Periodontitis After Root Canal Treatment and Retreatment—A Retrospective Case-control Study. J Endod. 2023;49(10):1262-8.
  27. Valle ML. Diferencias de pigmentacióncoronaria de CementosSelladores AH PLUS, MTA Fillapex y Sealapex. Estudio in vitro. Espec Endod. 2017;17.
  28. Dastorani M, Javadaliee M, Halabian R, Solati M, Alemrajabi M. In vitro comparison of the cytotoxicity of different endodontic sealers; AH Plus, AdSeal, Endoseal MTA, and GuttaFlowBioseal. Res Sq. 2021;11.
  29. Afkhami F, Nasri S, Valizadeh S. Bacterial leakage assessment in root canals sealed with AH Plus sealer modified with silver nanoparticles. BMC Oral Health. 2021;21(1):1-7.
  30. Singh V, Agrawal N, Das ML, Dangol A, Jain N, Dahal M. Comparative evaluation of sealing ability of Zinc Oxide Eugenol and AH Plus sealers in laterally condensed gutta percha: A dye leakage study. J Nepal Assoc Pediatr Dent. 2022;3(2):10-4.
  31. Falcão CA, de Oliveira Rocha WW, Victor P, Castro G, Ferraz MÂ, Feitosa GT. Evaluation of ah plus cement penetration added by mta in side canal obturations evaluación de la penetración de cemento ah plus agregada por la mta en las obturaciones del canal lateral avaliação do grau de penetração do cimento ah plus acrescido. Focus Oral Res. 2019;2(3):149-57.

 

 

 


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.