Using a reliable sealer for endodontic procedures can determine whether that root canal is a success or failure. Keep these tips in mind when considering what endodontic sealer to use.
Sealing Ability & Adhesion
Assess the sealer’s ability to create a tight seal, including how it adheres to both dentin and gutta percha. If a canal is not sealed tightly, microleakage can occur, which can lead to bacterial infiltration and reinfection or other complications.
Efficiency
Consider the handling characteristics of the sealer, including flowability and ease of application. Also consider the setting time, striving for a balance of workability and efficiency.
Radiopacity
Select a sealer with adequate radiopacity so the material is easy to identify on x-rays. This will help with a post-treatment assessment to determine if the root canal was a success.
Biocompatibility
Look for sealers that are biocompatible to minimize the risk of adverse reactions.
Review clinical studies and professional recommendations to assess the efficacy and reliability of the sealer in various clinical scenarios. Consulting with colleagues and endodontists and staying up to date on advancements in endo materials can also help guide your decision-making process.