Endoseal-MTA

Endoseal Bio-Ceramic Root Canal Sealer

The inside of the root canal system has high humidity due to residual moisture in the dentinal tubules.

MTA solidifies into a hard structure by absorbing the moisture from the surrounding tissue and has outstanding sealing capacity and biocompatibility.

Endoseal MTA hardens by absorbing the moisture from the surrounding tissue and producing calcium hydroxide during the process that penetrates into the dentinal tubules, and it creates hydroxyapatite extensively.

In addition, it induces regeneration of the surrounding damaged hard tissue.

Endoseal Bio-Ceramic Root Canal Sealer is a root canal-filling material formulated with a water-based solvent and is primarily composed of calcium silicate.

It is premixed and pre-loaded in a syringe that allows direct application of the sealer into the root canal.

The product has outstanding flowability and manoeuvrability, which makes it possible to completely fill the root canal system including accessory and lateral canals.

It exhibits high biocompatibility and does not induce inflammatory reactions.

It has been extensively validated in leading scientific journals, including SCI journals, and is a trusted choice among many experts.

Hermetic Sealing

A 2%-dimensional change of Endoseal Bio-Ceramic Root Canal Sealer occurs only during the setting process. Afterward, it rarely expands. In addition, Endoseal Bio-Ceramic Root Canal Sealer is naturally penetrated even into unreachable spaces, where a dentist could not fill, during complete hardening time [12 hours]

Biomineralization

Endoseal Bio-Ceramic Root Canal Sealer extensively promotes the formation of hydroxyapatite within the dentinal tubules surrounding the root canal.

Hard tissue formation

Endoseal Bio-Ceramic Root Canal Sealer demonstrates excellent performance in promoting the formation of surrounding periapical tissues in infected teeth.

Its superior capability in tissue regeneration has been confirmed through various genetic studies.

Antibacterial effect – High PH

Endoseal Bio-Ceramic Root Canal Sealer is a root canal filling material that exhibits an antibacterial effect against E-faecalis bacteria and S. Mutans.

It increases the potential for successful treatment in infected root canals.

Physical Properties

Endoseal Bio-Ceramic Root Canal Sealer stands out with its exceptional film thickness, optimal flowability, and well-balanced viscosity.

With its unique properties, it allows for easy and efficient root canal filling with just one cone, without the need for additional pressure during the filling process.

Properties	Endoseal	BC sealer	BioRoot RCS	AH plus
Flow(mm)	21	23	16	17-21
Film thickness (㎛)	15	22	52	15-16
Setting time                   1	12.3min	72hrs	4hrs	11.5hrs
Solubility (%)	0.7	2.9		0.06
Radiopacity (mm Al)	9.5	3~6	5	6.9~18.4
Dimensional change   0.21	0.21	0.087		0.06

State-of-the-art Bio-Ceramic Root Canal Sealer root canal sealer that offers:

• Fast setting time, 10-12 minutes
• Strong antibacterial effects
• Superior dimensional stability
• Easy retrieval with NiTi files
• Hermetic apical sealing
• High radiopacity
• Promotion of hard tissue formation
• No postoperative pain after overfilling

Composition:

• Calcium silicates
• Calcium aluminates
• Calcium aluminoferrite
• Calcium sulfates
• Radio-pacifier
• Thickening agent

On the other hand, Endoseal MTA’s patented formulation uses pozzolan reactions to quicken setting times without adding chemical catalysts that disrupt biocompatibility and bioactivity. Its novel pozzolan cement-based formulation also promotes intratubular biomineralization.

All-in-all, the potential of this material goes well beyond nonsurgical root canal treatment and makes it a “go to” or multiple use material

Pulpal regeneration

The primary objective of this biologically based treatment consideration is to physiologically induce both apical closure and root development. In addition, pulpal regeneration procedures can repair damaged tooth and root structures.

Endoseal MTA, with its favorable handling characteristics and shortened setting time, make it an excellent choice for regeneration procedures. Intracanal application of approximately 3 to 4 mm of Endoseal MTA adjacent to the newly formed apical clot or collagen plug is one of the final steps of this clinical procedure.

The fluidity of Endoseal MTA is perfect for regenerative endodontic procedures as it can flow into the blood clot or collagen barrier. It is difficult to properly compact MTA or bioceramic putty into such large immature canal spaces, which require a balance of enough compaction and too much compaction thereby pushing the bulk material into the apex. Excessive material into the canal will disrupt regenerative healing and basically initiate apexification instead.

Apexification

This represents a more traditional clinical approach of managing the immature apex of a pulpally necrotic tooth. Apexification treatment includes either the intracanal administration of a biologically appropriate material or the administration of calcium hydroxide, whose mechanism of action is to provide an antibacterial environment whereby a calcific apical barrier is created. The Endoseal MTA apexification requires only one appointment and its novel and proprietary material addition of pozzolanic materials, such as amorphous silicon oxide, promotes increased calcium silicate hydrate thereby contributing to material durability.

In other words, after properly placing an apical matrix in an apexification procedure, such as a collagen plug, one can back-fill the entire immature canal with Endoseal MTA without the tedious mixing and condensing of MTA or bioceramic putty.

Perforation repair

There are several clinical conditions that require nonsurgical repair including communication between the pulp space and external root structure by way of root resorption defects or iatrogenic perforation during instrumentation or post space preparation.

Endoseal MTA is an excellent material choice for small perforation repairs as it effectively seals and promotes healing of periodontal structures.

Vital Pulp Therapy

Apexogenesis

This treatment also addresses the immature apex of a permanent tooth but it involves leveraging the physiological capability of vital pulp tissue towards continued development of the root apex and root formation. The apexogenesis procedure involves partial removal of affected pulp and direct application of Endoseal MTA. After careful evaluation of treatment considerations and under certain conditions, this procedure may be indicated for mechanical or carious exposure of the pulp.

Endoseal MTA works well in apexogenesis as one can easily place a drop of the fluid material over the exposure without worrying about packing MTA or bioceramic putty into the pulpal tissue, causing inflammation and pulpitis. The rapid setting time then allows for immediate permanent restoration.

Primary Teeth Indirect Pulp Capping

This treatment is also intended for deep caries that approximate the pulp of a deciduous tooth. Performed on pulpally asymptomatic primary teeth, this procedure contemplates intentionally leaving caries immediately adjacent to the pulp (rather than exposing the pulp) and applying a layer of Endoseal MTA followed by a restorative material. Interestingly enough, the literature suggests that future pulpal reentry is not necessary (7,8) and that long term success is good if not higher than pulpotomy. (9,10)

Endoseal MTA is a great replacement to calcium hydroxide. There is no mixing needed. And it creates a better dentine bridge over the pulpal tissue with less inflammation.

The fast-setting time and ease-of-use are also great reasons to use Endoseal MTA in pediatric patients, whose patience in the chair can be limited.

Dental Trauma – Crown Fracture with Pulp ExposureIn the case of a traumatic dental injury of an immature vital tooth, a shallow pulpotomy followed by the direct application of Endoseal MTA on the pulp will maintain continued pulp vitality of the remaining radicular pulp in order to promote both apical closure and continued root development. This clinical application works similarly as caries or mechanical pulp exposures.

Surgical Endodontics

Surgical Retrograde/Root End Filling

The excellent handling characteristics with its shortened setting time make Endoseal MTA the material of choice for a root end fill following root end preparation. For optimal results, the clinician should consider the combined use of Endocem as the last layer over Endoseal MTA retrofill.

Surgical Root Repair

Endoseal MTA is also an excellent material when considering a surgical approach to repair resorptive small defects or perforations. As previously discussed, Endoseal MTA is highly biocompatible with both excellent handling characteristics and long-term material durability.

 Overall, in addition to the user-friendliness of its fluidity, the fast-setting time of Endoseal will also allow one to immediately restore at the same appointment without the need to place a wet cotton pellet and reappointing the patient to confirm setting.

In the new age of bioceramic sealers, Endoseal MTA is an excellent material with multiple applications in clinical endodontics.