Importance of radiological examination in the evaluation of canal fillings performed with bioceramic sealers

Bioceramic-based fillers have been evaluated in several in vitro studies but in vivo studies are still limited. The present study examined 36 postoperative radiographic analyses that were divided into four groups, of which three used bioceramic-based fillers, namely Total Fill, BioRoot RCS and Biodentine, while the fourth group was used as control and implemented the resin-based AH Plus Jet sealer. The present results did not indicate significant differences in radiopacity between sealers at a certain level of obturation. Biodentine-based fillers have a radiodensity close to that of dentin, which makes it difficult for the physician to radiologically assess the correctness of the canal filling.