Evidence map›Paper›PMID 42706430›Full record

ArticleClinical oral investigations2026

Physicochemical performance and biological response of ready-to-use bioceramic endodontic sealers.

Maria Eduarda Paz Dotto, Danilo Cassiano Ferraz, Caroline Kearney, Ariadne Letra, Renato Menezes Silva, Cleonice da Silveira Teixeira, Letícia Chaves de Souza

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Article in Clinical oral investigations, 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

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Maria Eduarda Paz DottoDepartment of Endodontics, School of Dental Medicine, University of Pittsburgh, Pittsburgh, USA.
Danilo Cassiano FerrazDepartment of Endodontics, School of Dental Medicine, University of Pittsburgh, Pittsburgh, USA.
Caroline KearneyDepartment of Endodontics, School of Dental Medicine, University of Pittsburgh, Pittsburgh, USA.
Ariadne LetraDepartment of Endodontics, School of Dental Medicine, University of Pittsburgh, Pittsburgh, USA.
Renato Menezes SilvaDepartment of Endodontics, School of Dental Medicine, University of Pittsburgh, Pittsburgh, USA.
Cleonice da Silveira TeixeiraDepartment of Endodontics, Health Sciences Center, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
Letícia Chaves de SouzaDepartment of Endodontics, School of Dental Medicine, University of Pittsburgh, Pittsburgh, USA. leticia.souza@pitt.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study evaluated the physicochemical and biological properties of three ready-to-use bioceramic sealers, BioRoot MATERIALS AND

methodsSetting time, solubility, pH, radiopacity, and flow were assessed following ISO standards. Biological response was evaluated by cell viability using the XTT assay, and gene expression of osteogenic and inflammatory markers was analyzed by quantitative PCR. Data were analyzed at a 5% significance level.

resultsEC showed the shortest initial setting time, followed by ZS, BRF, and AH (P < 0.05). EC also had the shortest final setting time, followed by ZS, AHP, and BRF, with significant differences among groups except between AHP and BRF (P > 0.05). EC exhibited the lowest flow (P < 0.01), whereas no differences were observed among the other sealers (P > 0.05). Radiopacity was lowest for BRF, followed by EC, ZS, and AHP, with no difference between EC and ZS (P > 0.05). AHP showed the lowest solubility, followed by EC, ZS, and BRF (P < 0.001). All sealers demonstrated an alkaline pH, which decreased over time. ZS showed the highest cell viability, followed by EC, BRF, and AHP (P < 0.05). BRF showed significant upregulation of IL10, ALPL, TNF, TGFB1, and TNFSF11 expression with 24 h of exposure (P < 0.05), whereas at 48 h, TNFSF11 was significantly upregulated with AHP exposure (P < 0.05).

conclusionsAHP demonstrated superior physicochemical properties but unfavorable biological properties. Although bioceramic sealers displayed favorable biological properties, their higher solubility may compromise long-term stability and clinical outcome. CLINICAL RELEVANCE: Ready-to-use bioceramic sealers may present favorable cytocompatibility, but their increased solubility highlights the need for cautious interpretation, particularly regarding long-term sealing stability.

Indexed as

CeramicsRoot Canal Filling MaterialsAnimalsCell SurvivalEpoxy ResinsHumansHydrogen-Ion ConcentrationMaterials TestingSolubilityepoxy resin-based root canal sealerEpoxy ResinsRoot Canal Filling MaterialsBioceramic silicate-based sealersGene expressionPhysical and biological properties

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.