Root Canal Sealers: DSI’ ApexSil RC vs DSI ReMTA One

Root Canal Sealers: DSI’ ApexSil RC vs DSI ReMTA One 

Root canal sealers are vital for achieving effective sealing, preventing microbial infiltration, and ensuring long-term treatment success. When selecting them, dental professionals often consider factors such as biocompatibility, ease of use, sealing ability, and antibacterial properties. Two notable options are DSI ApexSil RC and DSI ReMTA One, each offering distinct advantages tailored to specific clinical needs.

Composition and Formulation

• ApexSil RC: This sealer is based on a non-resorbable zinc oxide-eugenol formula. It is a two-part system comprising a base and catalyst (powder and liquid) mixed in equal portions before application.
• ReMTA One: A premixed, ready-to-use injectable bioceramic cement paste, ReMTA One is based on a calcium silicate composition. Its premixed formulation allows for direct application without the need for mixing, enhancing convenience during procedures.

Biocompatibility and Antibacterial Properties

• ApexSil  RC: This sealer exhibits excellent tissue compatibility and possesses anti-inflammatory properties. Its antibacterial capabilities help prevent potential infections, contributing to successful endodontic outcomes.
• ReMTA One: Known for its biocompatibility, ReMTA One promotes better tissue recovery and limits inflammatory responses. Its high pH creates an alkaline environment, adding antibacterial features beneficial for healing.

Setting Time and Stability

• ApexSil RC: It offers a working time of approximately 25 minutes and a setting time between 45 to 60 minutes. The sealer provides outstanding dimensional stability and low solubility, ensuring a sturdy and safe seal.
• ReMTA One: This sealer does not shrink during setting and demonstrates excellent physical properties. Its stable material in the premixed syringe ensures consistent performance during procedures.

Radiopacity and Aesthetic Considerations

• ApexSil RC: It exhibits exceptional radiopacity, facilitating easy identification on radiographs. Additionally, it is non-staining for teeth, preserving the natural appearance of the tooth structure.
• ReMTA One: This sealer offers excellent radiopacity and is formulated to prevent discoloration of the tooth structure, maintaining aesthetic integrity.

Applications and Limitations

DSI ApexSil RC

Applications:

• Suitable for general root canal treatments where a strong, stable seal is needed.
• Works well in cases requiring antibacterial action to manage infection risks.
• Ideal for clinics accustomed to traditional two-part systems.

Limitations:

• Requires manual mixing, which can be time-consuming.
• May introduce variability if not mixed properly.
• Less convenient compared to premixed formulations.

DSI ReMTA One

Applications:

• Perfect for complex cases, including perforation repairs, apical surgeries, and pulp capping.
• Recommended for procedures requiring biocompatible materials that promote tissue healing.
• Preferred for quick, efficient application without the need for mixing.

Limitations:

• Higher cost compared to traditional sealers.
• Premixed syringe format may not be suitable for all practitioners’ preferences.

When to Use

DSI ApexSil RC

• Choose ApexSil RC for routine root canal procedures that demand a cost-effective, reliable sealer with proven antibacterial properties.
• Best suited for clinics with adequate time for material preparation.
• Ideal for practitioners seeking a thermoplastic sealer that is easy to remove if retreatment is necessary.

DSI ReMTA One

• Opt for ReMTA One in cases requiring high biocompatibility, such as regenerative endodontics or apical barrier formation.
• Ideal for practitioners who prioritize convenience and precision with minimal preparation time.
• Recommended for scenarios where thorough canal filling, including accessory canals, is essential for treatment success.

Conclusion

Both DSI ApexSil RC and DSI ReMTA One excel in theirrespective areas, offering unique benefits to suit various clinical needs.While ApexSil RC provides a robust and economical solution, ReMTA One standsout for its superior biocompatibility and user-friendly application. Byunderstanding the specific requirements of each case, clinicians can select themost appropriate sealer to ensure optimal patient outcomes and long-termsuccess.