SEALERS

Dr. Shalini Maria

 DEFINITION

Root canal sealers are used

in conjunction with
biologically acceptable semisolid or solid
obturating materials
to establish an adequate seal of the root canal
system
  GROSSMAN’S CRITERIA FOR AN
IDEAL ROOT CANAL SEALER

• Provide an excellent seal when set

• Produce adequate adhesion between itself, the canal walls and
the filling material
• Be radiopaque
• Be non staining
• Be dimensionally stable
• Be easily mixed and introduced into the canals
• Be easily removed if necessary
• Be insoluble in tissue fluids
• Be bactericidal or discourage bacterial growth
• Be non irritating to periradicular tissues
• Be slow setting to ensure sufficient working
 CLASSIFICATION OF ROOT CANAL
SEALERS
• Grossman’s formula
I. Zinc oxide eugenol
• Roth’s 801
based sealers
• Tubliseal

II. Calcium hydroxide • Sealapex

based sealers • Apexit

III. Glass ionomer based

sealers
•AH plus
IV. Resin-based sealers •AH26
•Epiphany
•Diaket
 GROSSMAN’S FORMULA OF A NON
STAINING SEALER
Powder
Parts
Liquid

Zinc oxide, reagent - 42

Staybelite resin - 27
Bismuth subcarbonate - 15
Barium sulfate - 15
Eugenol
Sodium borate, anhydrous -1
 HOW TO MIX A SEALER?
• The sealer is mixed on a sterile glass slab with a sterile spatula.
• Depending on the number of canals to be filled, one uses two or three
drops of root canal cement liquid.
• Slowly, small increments of cement powder are added to the liquid while
one spatulates it to a smooth, creamy mix.
• The spatulation time depends on the number of drops of liquid used, a
minute per drop.
The completed mix can be tested for proper consistency by:

Raising the flat blade of the spatula up from the mixed mass.
The cement should “string out” for at least an inch before
breaking.

The suspended mix should cling to the inverted spatula blade

for 10–15 seconds before dropping from the spatula.
 SEALAPEX
described as noneugenol,
calcium hydroxide polymeric resin root canal sealer
available in a base catalyst system

Base

Calcium Butyl Sulfonamide Zinc

Zinc oxide
hydroxide benzene and stearate
 Catalyst

Isobutyl Barium Titanium

Resin Aerosol
salicylate sulfate dioxide
 RESIN-BASED SEALERS
AH26 – Releases formaldehyde

AH Plus – Does not release formaldehyde

GLASS IONOMER BASED

SEALERS
Ex: Ketac Endo - not popular because of the difficulty in removing the
sealer from root canal walls
 CONCLUSION

Zinc oxide eugenol type of cements are probably

irritating because of the eugenol, while epoxy resin
sealers are more biocompatible.
Fortunately, the irritation caused by overfilling is
generally mild for most filling materials.
Nevertheless, all filling materials should be confined
within the root canal.