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J Oral Sci. 2019;61(1):171-177. doi: 10.2334/josnusd.18-0145.

Biocompatibility of a bioceramic silicone-based sealer in subcutaneous tissue.

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Institute of Endodontics, Faculty of Medicine, University of Coimbra.
Institute of Biophysics, Faculty of Medicine, University of Coimbra.
Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra.
Institute of Oral Implantology and Prosthodontics, Faculty of Medicine, University of Coimbra.
Dentistry Department, Faculty of Medicine, University of Coimbra.


This study evaluated the biocompatibility of a new silicone-based sealer (GuttaFlow Bioseal) in rat subcutaneous tissue and compared the results with those for GuttaFlow2 and AH Plus. Each of 16 Wistar rats received four subcutaneous tissue implants, namely, GuttaFlow Bioseal, GuttaFlow2, AH Plus, and one empty polyethylene tube. Eight rats were euthanized at day 8 and the remaining eight at day 30. Histological sections were stained with haematoxylin and eosin and analysed with a light microscope. Scores were established for inflammatory reaction, macrophage infiltrate, thickness of the fibrous capsule, and vascular changes. Differences between groups were assessed by using the Friedman test with Bonferroni correction. Histological analysis showed that GuttaFlow Bioseal had the lowest inflammatory reaction of all tested sealers at day 8. At day 30, the silicone-based sealers had similar inflammation profiles, but inflammation scores were nonsignificantly higher for AH Plus than for the negative control. The inflammatory reaction decreased from day 8 to day 30 in all sealers. GuttaFlow Bioseal had the most macrophage infiltrate. Under the present experimental conditions, GuttaFlow Bioseal induced limited inflammatory reactions at days 8 and 30, and initial inflammatory reactions to GuttaFlow2 and AH Plus subsided within 30 days. All tested sealers exhibited satisfactory biocompatibility at day 30 after subcutaneous implantation.


bioactive materials; bioceramic; bioceramic-based sealers; biocompatibility; root canal sealer; subcutaneous tissue

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