Cold hydraulic condensation (sealer-based) root canal obturation: what are the differences in clinical techniques from the traditional obturation?

Authors

  • Danuchit Banomyong Private clinic

Keywords:

Calcium silicate sealer, Cold hydraulic condensation, Clinical techniques, Sealer-based obturation

Abstract

Recently, a calcium silicate-based root canal (CSRC) sealer has been introduced. CSRC sealer is designed for a special obturation technique by using it as a main obturation material in root canals, namely cold hydraulic condensation (CHC) or sealer-based root canal obturation. The obturation techniques of CHC using CSRC sealer are different from that of traditional obturation. In particular, more conservative root canal preparation, single matched main cone, final rinse with normal saline solution or distilled water, moist canals before obturation, creating gutta-percha plug at the orifice, cleaning the sealer using sponge or micro-brush followed by irrigation, and delaying post-space preparation are described.

References

Radwanski M, Pietrzycka K, Eyüboğlu TF, Özcan M, Lukomska-Szymanska M. Clinical outcome of non-surgical root canal treatment using different sealers and techniques of obturation in 237 patients: A retrospective study. Clin Oral Investig. 2024;28:479.

Lim M, Jung C, Shin DH, Cho YB, Song M. Calcium silicate-based root canal sealers: a literature review. Restor Dent Endod. 2020;45:e35.

Pelepenko LE, Marciano MA, Francati TM, Bombarda G, Bessa Marconato Antunes T, Sorrentino F, et al. Can strontium replace calcium in bioactive materials for dental applications? J Biomed Mater Res A. 2022;110:1892-911.

Sfeir G, Zogheib C, Patel S, Giraud T, Nagendrababu V, Bukiet F. Calcium Silicate-Based Root Canal Sealers: A Narrative Review and Clinical Perspectives. Materials (Basel). 2021;14.

Tomson PL, Adams N, Kavanagh D, Virdee SS. Non-surgical endodontics: contemporary biomechanical preparation of the root canal system. Br Dent J. 2025;238:478-86.

Tait C, Camilleri J, Blundell K. Non-surgical endodontics - obturation. Br Dent J. 2025;238:487-96.

Barakat RM, Almohareb RA, Aleid N, Almowais H, Alharbi A, Al-Sharafa M, et al. Impact of cone system compatibility on single cone bioceramic obturation in canals prepared with variable taper NiTi rotary files. Sci Rep. 2025;15:32272.

Pelozo LL, Souza-Gabriel AE, Alves Dos Santos GN, Camargo RV, Lopes-Olhê FC, Sousa-Neto MD, et al. Canal Drying Protocols to Use with Calcium Silicate-based Sealer: Effect on Bond Strength and Adhesive Interface. J Endod. 2023;49:1154-60.

Divya PM, Jena A, Mohanty S, Shashirekha G, Mallick RR, Sarangi P. Influence of irrigating solutions on the hydration of calcium silicate-based dental biomaterials: An in vitro study. J Conserv Dent Endod. 2025;28:758-63.

Singharat K, Wongwatanasanti N, Suksaphar W, Tungsawat P. The Effect of Irrigation Solutions on the Setting Time, Solubility, and pH of Three Types of Premixed Bioceramic-Based Root Canal Sealers. Int J Dent. 2025;2025:1995662.

Dash AK, Farista S, Dash A, Bendre A, Farista S. Comparison of Three Different Sealer Placement Techniques: An In vitro Confocal Laser Microscopic Study. Contemp Clin Dent. 2017;8:310-4.

Silva E, Ferreira CM, Pinto KP, Barbosa AFA, Colaço MV, Sassone LM. Influence of variations in the environmental pH on the solubility and water sorption of a calcium silicate-based root canal sealer. Int Endod J. 2021;54:1394-402.

Wisawawatin D, Yanpiset K, Banomyong D, Jantarat J. Gap volume and sealer penetration of C-shaped root canals obturated with cold hydraulic technique and calcium silicate sealer. Aust Endod J. 2023;49 Suppl 1:99-106.

Tonga G, Uçar F, Döken T, Özlü A. Effect of surface cleaning methods on bond strength between canal sealer-contaminated dentin and composite resin. BMC Oral Health. 2025;25:1046.

Devroey S, Calberson F, Meire M. The efficacy of different cleaning protocols for the sealer-contaminated access cavity. Clin Oral Investig. 2020;24:4101-7.

Ashkar I, Sanz JL, Forner L, Ghilotti J, Melo M. A Literature Review of the Effect of Heat on the Physical-Chemical Properties of Calcium Silicate-Based Sealers. J Endod. 2024;50:1044-58.e5.

Patthanawijit L, Yanpiset K, Saikaew P, Jantarat J. Fiber post cemented using different adhesive strategies to root canal dentin obturated with calcium silicate-based sealer. BMC Oral Health. 2024;24:1290.

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Published

2025-12-19

How to Cite

Banomyong, D. (2025). Cold hydraulic condensation (sealer-based) root canal obturation: what are the differences in clinical techniques from the traditional obturation?. Thai Endodontic Journal, 4(2), 134–143. retrieved from https://he03.tci-thaijo.org/index.php/thaiendod/article/view/4825

Issue

Vol. 4 No. 2 (2025): Jul-Dec 2025

Section

Clinical technique

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