Fracture Resistance of Endodontically Treated Teeth Obturated with Bioceramic Sealers and Epoxy Resin-Based Sealers. A Systematic Review

2019 • Volume 13 • Issue 1

Luis Felipe Morales Cáceres; Samuel Ignacio Reyes Montenegro; Silvio Jesús Álvarez Vanegas & Scarlette Hernández-Vigueras



The objective of this study was to determine through the review of scientific literature, the type of sealer that provides the greatest resistance to fracture in endodontically treated teeth. Bioceramic sealer or epoxy resin based sealers were considered for this analysis. A systematic review was performed according to PRISMA, in the databases Medline, SciELO, Trip Database, LILACS, Web of Science, Cochrane. The search was carried out over the last 10 years, and only in vitro studies were included; 202 articles were found and subsequently, duplicate articles were eliminated, non-inferential studies by title and abstracts were excluded, leaving eight articles that were revised to full text. In this stage, two studies were excluded. In total, six studies were included in this review. Of these, none found significant difference between sealer cements based on bioceramics and based on epoxy resin, in terms of resistance to fracture of endodontically treated teeth. However, in 4 studies the highest found values of fracture resistance were given by sealers based on epoxy resin. Taking into account the limitations inherent to in vitro studies, this review concludes that in terms of fracture resistance, there are no significant differences between the use of sealer based on bioceramics and the based on epoxy resin in the root canal obturation.

KEY WORDS: bioceramics sealers, fracture resistance, endodontically treated teeth, root canal obturation.


How to cite this article

MORALES, C. L. F.; REYES, M. S. I.; ÁLVAREZ, V. S. J. & HERNÁNDEZ-VIGUERAS, S. Fracture resistance of endodontically treated teeth obturated with bioceramic sealers and epoxy resin-based sealers: A systematic review. Int. J. Odontostomat., 13(1):31-39, 2019.


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