• Restorative Dentistry and Endodontics
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• v.18 no.2
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• pp.497-500
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• 1993

Sealapex was compaired with a zinc oxide eugenol sealer over a 24 - wk interval to examine solubility in an in vitro situation. After obturation with gutta percha and the appropriate sealer, speciemens were immediately immersed in a saline solution to challenge the solubility of the sealers. The solutions were changed weekly to allow for a continued dissolution of the sealers. After immersed in methylene blue solution for 3 days, the speciemens were made transparent by a clearing process. Microscopic examination was used to determine the linear penetration of dye for each speciemen. Result revealed that sealapex had no greater dissolution than ZOE(P<0.05).

• Restorative Dentistry and Endodontics
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• v.18 no.1
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• pp.156-172
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• 1993

The purpose of this study was to evaluate for the cytotoxicity of root canal sealers - Tubliseal, N2, AH26, and Sealapex - on fibroblasts cultivated from human periodontal ligament. Succinate dehydrogenase activity test and $^{51}Cr$ release test were performed to evaluate the shortterm cytotoxicity. According to l,3 and 6 days vital cell count and $^{14}C$-leucine incorporation rate to fibroblasts were evaluated. The results of this study were as follows: 1. In the test of SDH activity by millipore filter method, Sealapex showed mild cytotoxicity but Tubliseal, N2 and AH26 showed severe cytotoxicity. 2. In $^{51}Cr$ release test, Tubliseal was the most cytotoxic sealer tested, and rank ordered the relative cytotoxicity of the other sealers tested as follows: AH26, N2, Sealapex. 3. In the test of viable cell count, cytotoxicity in Tubliseal was continued because vital cell number reduced with time. Because vital cell was not showed in N2 and AH26 at 1 day, it was recognized that N2 and AH26 exhibited severe cytotoxicity. In Sealapex, vital cell number increased remarkably with time, so it showed that cytotoxicity decreased with time. 4. In $^{14}C$-leucine incorporation rate test, protein sythesis was not produced in Tubliseal, N2 and AH26 after 3 days, it showed that cytotoxicity in Tubliseal, N2 and AH26 was severe. Although protein synthesis in Sealapex decreased with time, it continued after 6 days. Therefore Sealapex has been exhibited mild cytotoxicity.

• Restorative Dentistry and Endodontics
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• v.20 no.1
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• pp.164-172
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• 1995

The purpose of this electrochemical study was to determine and compare the sealing effect of three commonly used calcium hydroxide-based sealers (Sealapex, Apexit, and CRCS) with that of Roth 801 which is a ZOE-based sealer. 64 single rooted teeth were used in this experiment. After removing the crown, the teeth were devided into 4 groups of 15 in each and obturated with gutta-percha and experimental sealers. 4 teeth were as controls(2 positive and 2 negative). The results were as follows : 1. During the observation period, all sealers showed varying degree of microleakage. 2. The mean leakage currents according to the electrochemical study of each group showed $0.418{\pm}0.006mV$ for Roth 801, $2.03{\pm}0.035mV$ for Sealapex, $3.33{\pm}0.069mV$ for Apxit and $6.48{\pm}0.097mV$ for CRCS group. The positive control group showed 600mV. 3. There were statistically significant difference in mean leakage among experimental groups. ZOE-typed Roth 801 sealer was the lowest, and Sealapex, Apexit, CRCS group in that order showed increased leakage(P<0.05). 4. Roth 801, Sealapex and Apexit group showed increasing leakage with time, but CRCS group showed stable or decreasing leakage tendency.

• Restorative Dentistry and Endodontics
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• v.16 no.1
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• pp.190-199
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• 1991

The purpose of this study was to evaluate the antimicrobial effect of root canal cements such as AH-26, Sealapex, Canals and Apatite root sealers(Type I, II, III) and to determine the efficacy of their activities. S.mutans(AHT), S.sanguis(NCTC 9811) and B.gingivalis(381) were streaked on blood agar and the PVC tybes filled with root canal cements were applied on. Then the microorganisms were cultured for 48 hours, anaerobically. B.cereus(KCTC 1012) was streaked on nutrient agar, PVC tubes were applied on and were cultured for 48 hours, aerobically. The inhibition zones of root canal cements were measured with vernier caliper. The data statistically analyzed, and the results were as followed. 1. Apatite root sealers(Type I, II, III) showed no inhibition zones. 2. AH-26, Sealapex and Canals had inhibition zones with varying degrees. The inhibition zone of AH-26 was greatest and followed by Canals and Sealapex(P<0.01). 3. As time goes by after mixing the root canal cements, AH-26, Canals and Sealapex showed significantly reducing inhibition zones(P<0.01). 4. There were the least inhibition zones of all the root canal cements on S.mutans and followed in such order as; B.gingivalis, S.sanguis and B.cereus(P<0.01).

• Restorative Dentistry and Endodontics
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• v.14 no.1
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• pp.161-171
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• 1989

The purpose of this study was to evaluate and compare the sealing ability of ZOE, FR and Sealapex, as a root canal sealer. Ninety six extracted anterior or premolar human teeth with single root were instrumented by using conventional method. After instrumentation, the teeth were divided into three groups and thirty two teeth in each group were filled as follows: ZOE group: ZOE cement as a root canal sealer in combination with guttapercha cone FR group: FR root canal sealer in combination with guttapercha cone Sealapex group: Sealapex root canal sealer in combination with guttapercha cone $^{45}Ca$ in the form of calcium chloride, was employed as the tracer in this study and produce the auto-radiograph. The depth of isotope penetration into the root canal was evaluated by method by Yates and Hembree at the intervals of 1 day, 7 days, 14 days and 30 days. The following conclusions were derived from the results obtained; 1. After 1 day, ZOE group exhibited the greatest penetration degree of radioisotope (p < 0.05). 2. After 14 days, there was some difference of the radioisotope penetration between each group, but its difference was not significant statistically. 3. After 30 days Sealapex group exhibited the least penetration degree of radioisotope (p < 0.025). 4. In ZOE and Sealapex groups, there was no change of the degree of radioisotope penetration with time.

• Restorative Dentistry and Endodontics
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• v.23 no.2
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• pp.710-717
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• 1998

The pH changes in 3 cavities prepared at the facial inner dentin and lingual outer dentin of the cervical portion and apical portion of roots filled with calcium hydroxide containing sealers were investigated. 50 extracted permanent teeth with single canal were instrumented with step-back method. An irrigant of 5% NaOCl was used between files. Then 3 small cavities were prepared. The cavity of apical portion and inner dentin cavity of coronal portion was cut a distance of about 1.0mm from the canal wall and outer dentin cavity of coronal portion was cut to a depth of about 0.5mm from root surface. 10 teeth of control group was not filled. 20 teeth were not flushed with 17% EDTA before using root canal sealers and then divided into 2 groups obturated with Sealapex and Apexit. The remaining 20 teeth were flushed with 17% EDTA and 5% NaOCl to remove smear layer and divided into 2 groups obturated with Sealapex and Apexit. The pH change of the dentin in each cavity was measured at 0, 1, 3, 5, 7, 15, 30 days with pH microelectrode(WPI Co., USA). The results were as follows: 1. The groups obturated with Sealapex and Apexit(calcium hydroxide based-sealers) have no increase in the pH level at root dentin. And there is no significant difference in pH level between groups obturated with Sealapex and Apexit(P>0.05). 2. Differences in pH levels between the treated and untreated groups with EDTA were not significant(P>0.05). 3. There is no significant difference in pH level between apical and cervical dentin, inner and outer dentin throughout the duration of the experiment(P>0.05).

• Restorative Dentistry and Endodontics
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• v.45 no.4
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• pp.42.1-42.9
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• 2020

Objective: This study aimed to examine the physical properties (pH and flow) of 2 novel bioceramic sealers. Materials and Methods: The tested sealers were a calcium hydroxide sealer (Sealapex) and 2 bioceramic sealers (BioRoot RCS and TotalFill BC Sealer). Flow measurements were conducted according to ISO 6876/2012, with a press method of 0.05 mL of sealer. The pH of fresh samples was tested immediately after manipulation, while set samples were stored for 3 times the recommended setting time. The predetermined time intervals ranged from 3 minutes to 24 hours for fresh samples and from 10 minutes to 7 days and 4 weeks for the set samples. Analysis of variance was performed, with p = 0.05 considered indicating significance. Results: The mean flow values were 26.99 mm for BioRoot, 28.19 for Sealapex, and 30.8 mm for TotalFill BC Sealer, satisfying the ISO standard. In the set samples, BioRoot RCS had higher pH values at 24 hours to 1 week after immersion in distilled water. At 2 weeks, both bioceramic sealers had similar pH values, greater than that of Sealapex. In the fresh samples, the bioceramic sealers had significantly higher initial pH values than Sealapex (p < 0.05). At 24 hours post-immersion, all sealers showed an alkaline pH, with the highest pH observed for TotalFill. Conclusions: The TotalFill BC Sealer demonstrated the highest flow. The bioceramic sealers initially presented higher alkaline activity than the polymeric calcium hydroxide sealer. However, at 3 and 4 weeks post-immersion, all sealers had similar pH values.

• Restorative Dentistry and Endodontics
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• v.16 no.1
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• pp.25-40
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• 1991

Four root canal sealers, Apatite Root Sealer I and II composed mainly of hydroxyapatite/tricalciumphosphate, Sealapex containing calcium hydroxide, and Roth Sealer composed of zinc oxide - eugenol were compared on the culture of L929 fibroblasts. MIT (Methyl Thiazole Tetrazolium Bromide) colorimetric technique was used to measure the mitochondrial dehydrogenase activity. Results were as follows: 1. Hydroxyapatite/tricalcium phosphate mixed sealers were significantly less toxic compared with calcium hydroxide and zinc oxide - eugenol type sealers. High pH of the calcium hydroxide sealer and release of eugenol component from the zinc oxide - eugenol type sealer were presumed to be the cause of the toxicity of these two sealers. In no cases, there were more cytoblastic effects in hydroxyapatite/tricalcium phosphate mixed sealers compared to the control groups. 2. In all experimental groups, toxicity was decreased as dilutions were increased. However in zinc oxide-eugenol type sealer the cell activity was weakened for all dilution groups. 3. Regarding the effect of setting time, Apatite I and Sealapex were less toxic as the setting progressed. Apatite II kept constant regardless of the different time ellapsed after setting but Roth sealer revealed significantly higher toxicity for all experimental groups. 4. Comparing two different culture periods of 24 hours and 72 hours, Apatite I showed higher cell activities in longer period(72 hours) while Apatite II did not. Sealapex and Roth sealer, however, showed significantly lower cell activities in longer period.

• Restorative Dentistry and Endodontics
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• v.25 no.2
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• pp.235-242
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• 2000

The purpose of this in vitro study was to evaluate the sealing ability of three sealers(Sealapex, Pulp canal sealer, AH26) used with continuous wave method using an anaerobic bacterial leakage model. 53 extracted human teeth with straight and single canals were prepared with crown-down pressureless technique using .04, .06 taper Profile(Maillefer, Swiss). Master apical file was maintained as #35 K-file. All canals of the experimental teeth were obturated with continuous wave method using System B(Analytic technology, U.S.A.) The teeth were randomly divided into three experimental groups of 15 and two control groups of 4. Experimental group 1 was obturated with Sealapex and group 2 with Pulp canal sealer, and group 3 with AH26. A dual chamber anaerobic bacterial leakage model was assembled. Brain heart infusion with yeast extract, hemin, menadion, and the chromogenic indicator bromocresol purple was used as the culture broth for Fusobacterium nucleatum(VPI 10197), The specimens were incubated in anaerobic chamber at $37^{\circ}C$ and were observed every 2 to 3 clays, The coronal leakage was evaluated through the color change of culture broth in lower chamber for 60 days. The results were as follows: 1. The incidence of bacterial leakage in group 1 (Sealapex group was 80%, 53% in group 2 (Pulp canal sealer), 27% in group 3 (AH26). 2. There were statistically significant differences in leakage scores between group 1 and group 2, and between group 1 and group 3, respectively. (P<0.05) 3. There was no significantly difference in leakage score between group 2 and group 3. (P>0 05)

• Restorative Dentistry and Endodontics
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• v.32 no.5
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• pp.419-425
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• 2007

The aim of this study was to evaluate the radiopacity and cytotoxicity of three resin-based (AH 26, EZ fill and AD Seal), a zinc oxide-eugenol-based (ZOB Seal), and a calcium hydroxide-based (Sealapex) root canal sealers. Specimens, 10 mm in diameter and 1 mm in thickness, were radiographed simultaneously with an aluminum step wedge using occlusal films, according to ISO 6876/2001 standards. Radiographs were digitized, and the radiopacity of sealers was compared to the different thicknesses of the aluminum step wedge, using the Scion image software. Using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, the cytotoxicity of each material was determined in immortalized human periodontal ligament (IPDL) cells. The results demonstrated that EZ fill was the most radiopaque sealer, while Sealapex was the least radiopaque (p < 0.05). AH 26, AD Seal and ZOB Seal presented intermediate radiopacity values. All the materials evaluated, except for Sealapex, presented the minimum radiopacity required by ISO standards. The cell viabilities of resin-based root canal sealers were statistically higher than that of other type of root canal sealers through the all experimental time. Further, EZ fill showed statistically lower cell viability in 24 and 48 hours compared to AD Seal and in 72 hours compared to all other resin-based root canal sealers. However, there was no correlation between the radiopacity and cytotoxicity of three resin-based root canals sealers (p > 0.05). These results indicate that resin-based root canal sealer is more biocompatible and has advantage in terms of radiopacity.