Comparative analysis of heat impacts on bond strength and failure modes of calcium silicate- and epoxy resin-based sealers

Abstract Objectives A hermetic seal is essential for successful root canal therapy. Sealers fill the interface between gutta-percha and dentin, improving adaptation and sealing ability. This study aimed to evaluate the effect of heat on the push-out bond strength and failure modes of calcium silicate- and epoxy resin-based sealers. Materials and methods Thirty-two extracted human premolars with single straight canals were prepared and randomly assigned to two sealer groups (AH Plus, NeoSEALER Flo). Each group was further subdivided based on obturation technique: cold lateral condensation (CLC) or warm vertical compaction (WVC). Root slices from the coronal, middle, and apical thirds were subjected to a push-out test. Failure modes were classified as adhesive, cohesive, or mixed under stereomicroscopy. Data were analyzed using three-way ANOVA and multinomial mixed models with significance set at p < 0.05. Results NeoSEALER Flo showed significantly higher bond strength than AH Plus across all root levels and techniques ( p < 0.001). Heat application during WVC reduced the bond strength of AH Plus but had no effect on NeoSEALER Flo. In both sealers, the apical third exhibited the highest bond strength, followed by the middle and coronal thirds. Failure analysis revealed predominantly cohesive failures for NeoSEALER Flo, while AH Plus showed more adhesive and mixed failures under heat application. Conclusion NeoSEALER Flo provided superior bond strength and stability regardless of obturation technique. Heat negatively influenced AH Plus but not NeoSEALER Flo, supporting the clinical advantages of calcium silicate–based sealers. Clinical relevance The findings of this in vitro study suggest that calcium silicate-based sealers may provide improved bond strength and stability compared to epoxy resin-based sealers under different obturation techniques. However, further clinical studies are required to confirm these results under in vivo conditions.

Authors

Institutions

Publication Details

Journal
BMC Oral Health
Published
2026-05-18
DOI
https://doi.org/10.1186/s12903-026-08520-2
Primary Topic
Endodontics and Root Canal Treatments
Type
article
Field-Weighted Citation Impact
0.00

Funders

Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Comparative analysis of heat impacts on bond strength and failure modes of calcium silicate- and epoxy resin-based sealers

Bryson Wong, Nada M. Kandil, Abeer A. Elgendy, Mohamed M. Elashiry
BMC Oral Health
Endodontics and Root Canal Treatments
article

Comparative analysis of heat impacts on bond strength and failure modes of calcium silicate- and epoxy resin-based sealers

Bryson Wong, Nada M. Kandil, Abeer A. Elgendy, Mohamed M. Elashiry
article en

Abstract

Abstract Objectives A hermetic seal is essential for successful root canal therapy. Sealers fill the interface between gutta-percha and dentin, improving adaptation and sealing ability. This study aimed to evaluate the effect of heat on the push-out bond strength and failure modes of calcium silicate- and epoxy resin-based sealers. Materials and methods Thirty-two extracted human premolars with single straight canals were prepared and randomly assigned to two sealer groups (AH Plus, NeoSEALER Flo). Each group was further subdivided based on obturation technique: cold lateral condensation (CLC) or warm vertical compaction (WVC). Root slices from the coronal, middle, and apical thirds were subjected to a push-out test. Failure modes were classified as adhesive, cohesive, or mixed under stereomicroscopy. Data were analyzed using three-way ANOVA and multinomial mixed models with significance set at p < 0.05. Results NeoSEALER Flo showed significantly higher bond strength than AH Plus across all root levels and techniques ( p < 0.001). Heat application during WVC reduced the bond strength of AH Plus but had no effect on NeoSEALER Flo. In both sealers, the apical third exhibited the highest bond strength, followed by the middle and coronal thirds. Failure analysis revealed predominantly cohesive failures for NeoSEALER Flo, while AH Plus showed more adhesive and mixed failures under heat application. Conclusion NeoSEALER Flo provided superior bond strength and stability regardless of obturation technique. Heat negatively influenced AH Plus but not NeoSEALER Flo, supporting the clinical advantages of calcium silicate–based sealers. Clinical relevance The findings of this in vitro study suggest that calcium silicate-based sealers may provide improved bond strength and stability compared to epoxy resin-based sealers under different obturation techniques. However, further clinical studies are required to confirm these results under in vivo conditions.

BMC Oral Health
Ain Shams University (EG), Augusta University (US)
Ain Shams University
Openalex Percentile: Top 5%
Endodontics and Root Canal Treatments
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.