Functions of Root Canal Sealers- A Review.

ABSTRACT

Endodontic therapy is a treatment for the diseased pulp of a tooth. It will result in the removal of infection and the preservation from further microbial invasion. The principle constituents of an endodontic filling are- a core material “gutta percha” and “endodontic sealers”. All the current obturating techniques make use of the sealer to augment the seal endodontic filling material. It fills the space between canals. Endodontic sealer fills the space between the material as well as root dentin. Different types of sealers are available (resin sealers, ZOE sealers, mineral trioxide aggregate sealer, bio-ceramic containing sealers, glass ionomer containing sealer, calcium hydroxide containing sealer). Root canal sealers have different functions- antibacterial, lubricant for core material, to increase radio-opacity of core or as a filling material. Different types of microorganisms as well as microbial products cause pulpal as well as peri-radicular diseases. Microorganisms persist in the canal due to poor irrigation. We wanted to evaluate the various functions of different endodontic sealers. The perfect apical seal obtained by use of sealers is one which is stable and non-irritating in nature. It should also give us a smoother seal. Biocompatibility of root canal sealer has importance as it is placed directly in contact with the living tissue. Response of dental tissue help in the final outcome of successful endodontic treatment. Bond strength between canal walls exhibit through micromechanical retention. It helps in preventing the dislodgement of filling material. It ultimately helps in maintenance of interface between filling material and sealers. Push out test is the process to assess bond strength among filling material and sealers. Endodontic sealer has sufficient amount of radiopacity so that it can be clearly visualised among material and adjacent anatomical structures.