Testing of sealing ability of endodontic filling materials.

Incomplete obturation of the root canal system is the major cause of endodontic failure. Endodontic filling materials with ability to seal the root canal are, therefore, essential for successful endodontic therapy. However, assessment of sealing ability is not included in the requirements specified in the current international standard covering root canal sealers. A number of different in vitro methods have been used to evaluate the sealing quality of endodontic filling materials. The tests have usually been leakage tests, i.e. based on assessment of penetration of a tracer along the obturated root canal. Leakage tests have poor reproducibility and are, therefore, not suited for standardized test programs. By selecting the properties necessary for sealing ability and testing them separately, it might be possible to find a number of tests, which individually are suitable for a standardized test program, and which combined will give information on the sealing ability of the test material.