Journal of Dental Sciences
Volume 5, Issue 2 , Pages 47-52, June 2010

Resilon: a methacrylate resin-based obturation system

Department of Conservative Dentistry and Endodontics, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, China

Received 14 January 2010; accepted 26 April 2010.

Article Outline

A resin-based root canal filling material, Resilon/Epiphany was introduced to overcome the limitations of gutta-percha and other sealers. It is claimed that Resilon/Epiphany can enhance the sealing ability by forming a monoblock. Studies related to this material are summarized and discussed in this review article. Different in vivo and in vitro studies demonstrated that Resilon/Epiphany can be an alternative to gutta-percha and other sealers. However, other studies showed that there is still some room for improvement of the properties of the material in order to achieve quality three-dimensional obturation.

Key Words:  Resilon/Epiphany , root canal filling material , root canal obturation

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References 

  1. Ingle JI , Newton CW , West JD , Gutmann JL , Glickman GN , Korzon BH . Obturation of the radicular space . In:  Ingle JI ,  Bakland LK editor. Endodontics . 5th ed.. Hamilton, Ontario, Canada: BC Decker; 2002;p. 599
  2. Lin LM , Lin J , Rosenberg PA . One-appointment endodontic therapy: biological considerations . J Am Dent Assoc . 2007;138:1456–1462
  3. Schwartz RS . Adhesive dentistry and endodontics, part 2: bonding in the root canal system-the promise and the problems: a review . J Endod . 2008;32:1125–1134
  4. Shipper G , Ørstavik D , Teixeira FB , Troop M . An evaluation of microbial leakage in roots filled with a thermoplastic synthetic polymer-based root canal filling material (Resilon) . J Endod . 2004;30:342–347
  5. Shipper G , Teixeira FB , Arnold RR , Trope M . Periapical inflammation after coronal microbial inoculation of dog roots filled with gutta-percha or resilon . J Endod . 2005;31:91–96
  6. Teixeira FB , Teixeira EC , Thompson J , Leinfelder KF , Trope M . Dentinal bonding reaches the root canal system . J Esthet Restor Dent . 2004;16:348–354
  7. Teixeira FB , Teixeira EC , Thompson JY , Trope M . Fracture resistance of roots endodontically treated with a new resin filling material . J Am Dent Assoc . 2004;135:646–652
  8. Benkel BH , Rising DW , Goldman LB , Rosen H , Goldman M , Kronman JH . Use of a hydrophilic plastic as a root canal filling material . J Endod . 1976;2:196–202
  9. Zmener O , Pameijer CH , Serrano SA , Vidueira M , Macchi RL . Significance of moist root canal dentin with the use of methacrylate-based endodontic sealers: an in vitro coronal dye leakage study . J Endod . 2008;34:76–79
  10. Cotton TP , Schindler WG , Schwartz SA , Watson WR , Hargreaves KM . A retrospective study comparing clinical outcomes after obturation with Resilon/Epiphany or Gutta-Percha/Kerr sealer . J Endod . 2008;34:789–797
  11. De-Deus G , Namen F , Galan J . Reduced long-term sealing ability of adhesive root fillings after water-storage stress . J Endod . 2008;34:322–325
  12. Pinna L , Brackett MG , Lockwood PE , et al.   In vitro cytotoxic-ity evaluation of a self-adhesive, methacrylate resin-based root canal sealer . J Endod . 2008;34:1085–1088
  13. Ordinola-Zapata R , Bramante CM , Bernardineli N , et al.   A preliminary study of the percentage of sealer penetration in roots obturated with the Thermafil and RealSeal-1 obturation techniques in mesial root canals of mandibular molars . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2009;108:961–968
  14. Johnson WT , Gutmann JL . Obturation of the cleaned and shaped root canal system . In:  Cohen S ,  Hargreaves KM editor. Pathways of the Pulp . 9th ed.. St Louis, MO: Mosby Elsevier; 2006;p. 358–399
  15. Sundqvist G , Figdor D . Endodontic treatment of apical periodontitis . In:  Orstavik D ,  Pitt Ford TR editor. Essential Endodontology . 1st ed.. Oxford, UK: Blackwell Science Ltd; 1998;p. 242–277
  16. Kidd EA . Microleakage: a review . J Dent . 1976;4:199–206
  17. Staninec M , Mochizuki A , Tanizaki K , Jukuda K , Tsuchitani Y . Interfacial space, marginal leakage and enamel cracks around composite resins . Oper Dent . 1986;11:14–24
  18. Aptekar A , Ginnan K . Comparative analysis of microleakage and seal for 2 obturation materials: Resilon/Epiphany and gutta-percha . J Can Dent Assoc . 2006;72:245
  19. Tunga U , Bodrumlu E . Assessment of the sealing ability of a new root canal obturation material . J Endod . 2006;32:876–878
  20. Stratton RK , Apicella MJ , Mines P . A fluid filtration comparison of gutta-percha versus Resilon, a new soft resin endodontic obturation system . J Endod . 2006;32:642–645
  21. Onay EO , Ungor M , Orucoglu H . An in vitro evaluation of the apical sealing ability of a new resin-based root canal obturation system . J Endod . 2006;32:976–978
  22. Biggs SG , Knowles KI , Ibarrola JL , Pashley DH . An in vitro assessment of the sealing ability of resilon/epiphany using fluid filtration . J Endod . 2006;32:759–761
  23. Paqué F , Sirtes G . Apical sealing ability of Resilon/Epiphany versus gutta-percha/AH Plus: immediate and 16-months leakage . Int Endod J . 2007;40:722–729
  24. Bishop D , Griggs J , He J . Effect of dynamic loading on the integrity of the interface between root canal and obturation materials . J Endod . 2008;34:470–473
  25. Baumgartner G , Zehnder M , Paqué F . Enterococcus faecalis type strain leakage through root canals filled with Gutta-Percha/AH Plus or Resilon/Epiphany . J Endod . 2007;33:45–47
  26. Pitout E , Oberholzer TG , Blignaut E , Molepo J . Coronal leakage of teeth root-filled with gutta-percha or resilon root canal filling material . J Endod . 2006;32:879–881
  27. Wang CS , Debelian GJ , Teixeira FB . Effect of intracanal medicament on the sealing ability of root canals filled with Resilon . J Endod . 2006;32:532–536
  28. Pasqualini D , Scotti N , Mollo L , et al.   Microbial leakage of gutta-percha and resilon root canal filling material: a comparative study using a new homogeneous assay for sequence detection . J Biomater Appl . 2008;22:337–352
  29. Shawkat ES , Shortall AC , Addison O , Palin WM . Oxygen inhibition and incremental layer bond strengths of resin composites . Dent Mater . 2009;25:1338–1346
  30. Yiu CK , García-Godoy F , Tay FR , et al.   A nanoleakage perspective on bonding to oxidized dentin . J Dent Res . 2002;81:628–632
  31. Carrilho MR , Carvalho RM , de Goes MF , et al.   Chlorhexidine preserves dentin bond in vitro . J Dent Res . 2007;86:90–94
  32. Hebling J , Pashley DH , Tjäderhane L , Tay FR . Chlorhexidine arrests subclinical degradation of dentin hybrid layers in vivo . J Dent Res . 2005;84:741–746
  33. Wu WC , Shrestha D , Wei X , Ling JQ , Zhang WH , Chen J . Degree of conversion of a methacrylate-based endodontic sealer: a micro-Raman spectroscopic study . J Endod . 2010;36:329–333
  34. Karagenç B , Gençoglu N , Ersoy M , Cansever G , Külekçi G . A comparison of four different microleakage tests for assessment of leakage of root canal fillings . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2006;102:110–113
  35. Sano H , Takatsu T , Clucchi B , et al.   Nanoleakage: leakage within the hybrid layer . Oper Dent . 1995;20:18–25
  36. Tay FR , Loushine RJ , Weller RN , et al.   Ultrastructural evaluation of the apical seal in roots filled with a polycaprolactone-based root canal filling material . J Endod . 2005;3l:514–519
  37. Babb BR , Loushine RJ , Bryan TE , et al.   Bonding of self-adhesive (self-etching) root canal sealers to radicular dentin . J Endod . 2009;35:578–582
  38. De Munck J , Van Landuyt K , Peumans M , et al.   A critical review of the durability of adhesion to tooth tissue: methods and results . J Dent Res . 2005;84:118–132
  39. Jia W, Alpert B, inventors; Pentron Clinical Technologies, LLC (Wallingford, C T, US), assignee. Root canal filling material. US patent application 20030113686. June 19, 2003.
  40. Nagas E , Cehreli Z , Durmaz V , Vallittu PK , Lassila LV . Regional push-out bond strength and coronal microleakage of resilon after different light-curing methods . J Endod . 2007;33:1464–1468
  41. Powers JM , O'Keefe KL , Pinzon LM . Factors affecting in vitro bond strength of bonding agents to human dentin . Odontology . 2003;91:1–6
  42. De-Deus G , Namen F , Galan J , Zehnder M . Soft chelating irrigation protocol optimizes bonding quality of Resilon/Epiphany root fillings . J Endod . 2008;34:703–705
  43. De-Deus G , Di Giorgi K , Fidel S , Fidel RA , Paciornik S . Push-out bond strength of Resilon/Epiphany and Resilon/Epiphany self-etch to root dentin . J Endod . 2009;35:1048–1050
  44. Sly MM , Moore BK , Platt JA , Brown CE . Push-out bond strength of a new endodontic obturation system (Resilon/Epiphany) . J Endod . 2007;33:160–162
  45. Gesi A , Raffaelli O , Goracci C , Pashley DH , Tay FR , Ferrari M . Interfacial strength of Resilon and gutta-percha to intra-radicular dentin . J Endod . 2005;31:809–813
  46. Fisher MA , Berzins DW , Bahcall JK . An in vitro comparison of bond strength of various obturation materials to root canal dentin using a push-out test design . J Endod . 2007;33:856–858
  47. Ungor M , Onay EO , Orucoglu H . Push-out bond strengths: the Epiphany-Resilon endodontic obturation system compared with different pairings of Epiphany, Resilon, AH Plus and gutta-percha . Int Endod J . 2006;39:643–647
  48. Ureyen Kaya B , Kececi AD , Orhan H , Belli S . Micro-push out bond strengths of gutta-percha versus thermoplastic synthetic polymer-based systems-an ex vivo study . Int Endod J . 2008;41:211–218
  49. Skidmore LJ , Berzins DW , Bahcall JK . An in vitro comparison of intraradicular dentin bond strength of resilon and gutta-percha . J Endod . 2006;32:963–966
  50. Onay EO , Ungor M , Ari H , Belli S , Ogus E . Push-out bond strength and SEM evaluation of new polymeric root anal fillings . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2009;107:879–885
  51. Wilkinson KL , Beeson TJ , Kirkpatrick TC . Fracture resistance of simulated immature teeth filled with Resilon, gutta-percha, or composite . J Endod . 2007;33:480–483
  52. Hammad M , Qualtrough A , Silikas N . Effect of new obturating materials on vertical root fracture resistance of endodontically treated teeth . J Endod . 2007;33:732–736
  53. Williams C , Loushine RJ , Weller RN , Pashley DH , Tay FR . A comparison of cohesive strength and stiffness of Resilon and gutta-Percha . J Endod . 2006;32:553–555
  54. Lewis BB , Chestner SB . Formaldehyde in dentistry: a review of the mutagenic and carcinogenic potential . J Am Dent Assoc . 1981;103:429–434
  55. Grossman LI . In: Endodontic practice . 10th ed.. Philadelphia: Lea & Febiger; 1982;p. 297
  56. Torabinejad M , Kettering JD , Bakland LK . Evaluation of systemic immunological reactions to AH-26 root canal sealer . J Endod . 1979;5:196–200
  57. Donadio M , Jiang J , Safavi KE , Zhu Q . Cytotoxicity evaluation of Active GP and Resilon cones in vitro . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2008;106:e76–e79
  58. Key JE , Rahemtulla FG , Eleazer PD . Cytotoxicity of a new root canal filling material on human gingival fibroblasts . J Endod . 2006;32:756–758
  59. Xu P , Liang J , Dong G , Zheng L , Ye L . Cytotoxicity of RealSeal on human osteoblast-like MG63 cells . J Endod . 2010;36:40–44
  60. Sousa CJA , Montes CRM , Pascon EA , Loyola AM , Versiani MA . Comparison of the intraosseous biocompatibility of AH Plus, EndoRez, and Epiphany root canal sealers . J Endod . 2006;32:656–662
  61. de Campos-Pinto MM , de Oliveira DA , Versiani MA , Silva-Sousa YT , de Sousa-Neto MD , da Cruz Perez DE . Assessment of the biocompatibility of Epiphany root canal sealer in rat subcutaneous tissues . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2008;105:e77–e81
  62. Onay EO , Ungor M , Ozdemir BH . In vivo evaluation of the biocompatibility of a new resin-based obturation system . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2007;104(3):e60–e66
  63. Garcia Lda F , Marques AA , Roselino Lde M , Pires-de-Souza Fde C , Consani S . Biocompatibility evaluation of Epiphany/Resilon root canal filling system in subcutaneous tissue of rats . J Endod . 2010;36:110–114
  64. Bodrumlu E , Muglali M , Sumer M , Guvenc T . The response of subcutaneous connective tissue to a new endodontic filling material . J Biomed Mater Res B Appl Biomater . 2008;84:463–467
  65. Jeffrey WM , Saunders WP , Thomas GE . An investigation into the movement of sealer during placement of gutta-percha points . Int Endod J . 1986;19:21–28
  66. Nielsen BA , Beeler WJ , Vy C , Baumgartner JC . Setting times of Resilon and other sealers in aerobic and anaerobic environments . J Endod . 2006;32:130–132
  67. Santerre JP , Shajii L , Leung BW . Relation of dental composite formulations to their degradation and the release of hydro-lysed polymeric-resin derived products . Crit Rev Oral Biol Med . 2001;12:136–151
  68. Tay FR , Pashley DH , Yiu CK , et al.   Susceptibility of a polycaprolactone-based root canal filling material to degradation, II: gravimetric evaluation of enzymatic hydrolysis . J Endod . 2005;31:737–741
  69. Hiraishi N , Yau JY , Loushine RJ , et al.   Susceptibility of a polycaprolactone-based root canal-filling material to degradation, III: turbidimetric evaluation of enzymatic hydrolysis . J Endod . 2007;33:952–956
  70. Tay FR , Pashley DH , Williams MC , et al.   Susceptibility of a polycaprolactone-based root canal filling material to degradation, I: alkaline hydrolysis . J Endod . 2005;31:593–598
  71. Tay FR , Pashley DH , Loushine RJ , et al.   Susceptibility of a polycaprolactone-based root canal filling material to degradation: evidence of biodegradation from a simulated field test . Am J Dent . 2007;20:365–369
  72. Stabholz A , Friedman S , Tamse A . Endodontic failures and retreatment . In:  Cohen S ,  Burns R editor. Pathways of the Pulp . 6th ed.. St Louis, MO: Mosby Elsevier; 1994;p. 690–729
  73. Hassanloo A , Watson P , Finer Y , Friedman S . Retreatment efficacy of the Epiphany soft resin obturation system . Int Endod J . 2007;40:633–643
  74. Iizuka N , Takenaka S , Shigetani Y , Okiji T . Removal of resin-based root canal filling materials with K3 rotary instruments: relative efficacy for different combinations of filling materials . Dent Mater J . 2008;27:75–80
  75. Somma F , Cammarota G , Plotino G , Grande NM , Pameijer CH . The effectiveness of manual and mechanical instrumentation for the retreatment of three different root canal filling materials . J Endod . 2008;34:466–469
  76. Lin ZM , Jhugroo A , Ling JQ . An evaluation of the sealing ability of a polycaprolactone-based root canal filling material (Resilon) after retreatment . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2007;104:846–851

PII: S1991-7902(10)60008-6

doi:10.1016/S1991-7902(10)60008-6

Journal of Dental Sciences
Volume 5, Issue 2 , Pages 47-52, June 2010

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