Scanning electron microscopic evaluation of marginal adaptation of AH-Plus, GuttaFlow, and RealSeal at apical one-third of root canals - Part II: Core-sealer interface.

Background: Not only the gaps at dentin-sealer interface but also at core-sealer interface may jeopardize the outcome of root canal treatment.

Aim: The aim of this in vitro scanning electron microscopic (SEM) study was to determine which root canal sealer among AH-Plus, GuttaFlow, and RealSeal provides a superior marginal adaptation with the core obturating material in the apical third region of root canals.

Materials and Methods: Selected 30 human freshly extracted maxillary central incisors were biomechanically prepared, then divided equally into three groups and obturated with AH-Plus, GuttaFlow, and RealSeal using single cone obturation technique. After sectioning longitudinally, apical third of the roots were observed under SEM dentin-sealer-core interface was focused. Marginal adaptation and interfacial gaps at core-sealer interface of all the samples were evaluated and analyzed statistically in this part of the article.

Statistical Analysis Used: Analysis of variance and post hoc Tukey's test.

Results: Mean average gap was significantly higher ( P < 0.05) for AH-Plus (15.65 ± 10.48 μm), when compared to GuttaFlow (3.51 ± 1.81 μm) and RealSeal (6.01 ± 2.51 μm). Between RealSeal and GuttaFlow, the latter showed least marginal gap; however, this difference was not statistically significant ( P > 0.05).

Conclusions: GuttaFlow is better adapted in the apical third of root canals among 3 sealers.