Evidence map›Paper›PMID 42004795›Full record

ArticleJournal of conservative dentistry and endodontics2026

Histopathological evaluation of bone tissue response to endodontic sealers and gutta-percha using an intraosseous implantation model in Wistar rats.

K P Ramya, Ajay Chhabra, B Saravana Prathap, Tummidi Santosh, Vineet Kumar Kamal, Himani Mehra, Sona J Parvathy, Vandana Chhabra

Abstract read
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Article in Journal of conservative dentistry and endodontics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

K P RamyaDepartment of Conservative Dentistry and Endodontics, KDC Xpress Teeth, Bengaluru, Karnataka, India.
Ajay ChhabraDepartment of Dentistry, AIIMS, Kalyani, West Bengal, India.
B Saravana PrathapDepartment of Conservative Dentistry and Endodontics, AIIMS, Kalyani, West Bengal, India.
Tummidi SantoshDepartment of Pathology, AIIMS, Kalyani, West Bengal, India.
Vineet Kumar KamalDepartment of Biostatistics, AIIMS, Kalyani, West Bengal, India.
Himani MehraDepartment of Conservative Dentistry and Endodontics, AIIMS, Kalyani, West Bengal, India.
Sona J ParvathyDepartment of Conservative Dentistry and Endodontics, AIIMS, Kalyani, West Bengal, India.
Vandana ChhabraDepartment of Oral and Maxillofacial Surgery, Dr. Harvansh Singh Judge Institute of Dental Sciences and Hospital, Chandigarh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To comparatively evaluate the biological response of bone tissue to different endodontic sealers and gutta-percha (GP) using an intraosseous implantation model in Wistar rats. Materials and Methods: Bone tissue responses to six endodontic materials, resin-based sealer (Seal Pex), calcium hydroxide-based sealer (Sealapex), silicone-based sealer (GuttaFlow 2), calcium silicate-based sealer (Ceraseal), MTA-based sealer (MTA Fillapex), and GP, were evaluated in 21 Wistar rats. An empty cavity served as the control. Standardized bone cavities were prepared in the femur and filled with the test materials. Histological evaluation was performed at 7, 30, and 90 days ( Results: All materials induced an acute inflammatory response at 7 days. Resin-based sealer and MTA Fillapex showed significantly higher inflammatory cell infiltration, giant cell presence, and abscess formation. At 30 and 90 days, calcium hydroxide-based, calcium silicate-based, and silicone-based sealers, along with GP, demonstrated reduced inflammation, improved collagen organization, and advanced hard tissue barrier formation. In contrast, resin-based sealer and MTA Fillapex exhibited persistent inflammation and delayed bone healing. Conclusion: Bone tissue response to endodontic obturation materials was material- and time-dependent. Although all tested materials are routinely used in clinical practice, calcium hydroxide-based, calcium silicate-based, and silicone-based sealers, along with GP, exhibited a more favorable biological response over time. The comparatively prolonged inflammation observed with resin-based sealer and MTA Fillapex underscores the need for careful material selection and controlled obturation, particularly in cases with periapical involvement.

Indexed as

Biocompatibilitybone tissue responseendodontic sealersgutta-perchahistopathological evaluationintraosseous implantation

Identifiers

PMID42004795
PMCPMC13086378

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