BioRoot™ Flow: A Guarantee of Successful Obturations, Satisfied Patients, and a Thriving Practice
Septodont’s BioRoot™ RCS marked a major paradigm shift in root canal sealing. Before the advent of hydraulic sealers, the debate between warm and cold obturation techniques was considered settled. Methods like warm vertical compaction required more time, skill, and resources than cold techniques, but their superior clinical performance offered a much more reliable guarantee of long-term success.
The main reason for this was the propensity of the sealer — more of which was required in cold methods — to shrink or degrade in the canal. However, because hydraulic types of cement-like BioRoot™ RCS were not vulnerable to shrinkage and had lower solubility rates, they improved the success of cold techniques dramatically. (1)
For general dental practitioners who preferred cold techniques due to their relative ease, speed and cost-efficiency, this was a very welcome development. They could assure their patients of long-term success without the need to learn more complicated techniques or invest in additional equipment.
However, BioRoot™ RCS could not be used in warm obturation techniques. That left endo specialists, who largely favored warm techniques, unable to offer their patients the many additional benefits of bioactive materials without reverting to cold obturation methods.
Now, with the latest evolution of Septodont’s patented Advanced BioSilicate Technology™ (ABS™), compromise is a thing of the past for every practitioner and patient requiring endodontic treatment.
Introducing BioRoot™ Flow
BioRoot™ Flow is a next-generation tricalcium silicate sealer that guarantees reliable success and satisfaction with any obturation technique.
Cold methods are taken to the next level, offering excellent results with even the simplest single cone technique. (1) Meanwhile, the stable formulation maintains flow and film thickness even during heating, making it ideal for practitioners who practice warm obturation methods too. (2)
When you have the tools you need to guarantee a simple, efficient, and long-lasting obturation every time, your patients leave happy – and stay happy. The happier the patient, the more likely they are to recommend you to others. And because you’ll no longer be squeezing infections, failures, and re-treatments into your schedule, you’ll have the time and energy to reap the benefits of that stellar business reputation.
Here’s how BioRoot™ Flow can help you elevate your practice…
Reliably successful obturations = reliably satisfied patients
When performing a root canal obturation, the end goal is to create a tight apical and lateral seal that entombs residual bacteria and protects against microbial infiltration from outside the canal. To be considered successful, this seal must be maintained.
Despite best efforts, it’s not uncommon for a root canal obturation to fail. Shrinkage or degradation of the material can compromise the seal, allow new bacteria to be introduced from the oral cavity, and create voids in which bacteria can propagate if conditions are favorable. When the patient returns with pain or infection, it is usually assumed that the dentist failed, rather than the material. Not only does that erode the dentist-patient relationship and the dentist’s professional reputation, but the dentist loses valuable clinical time and resources performing the re-treatment.
BioRoot™ Flow mitigates this risk with a monomer-free formulation that does not shrink as resin-based sealers do. (3) It’s also highly resistant to degradation thanks to a very low solubility rate of 1.5%(2). With a high pH between 8.5 and 11.5 and continuous release of calcium ions, BioRoot™ Flow creates and maintains an alkaline environment unfavorable for the survival of any residual bacteria. (2)
Together, these qualities facilitate an outstanding hermetic seal of the root canal that is proven to last. Clinical findings include:
No sealing defects or micro-leakages after seven days when used in a single-cone gutta-percha cold obturation. (4)
High resistance to dye infiltration seven days after single-cone obturation, comparable to BioRoot™ RCS and greater than competitive solution tested. (5)
Well-condensed obturations with no voids observed between the sealer and canal walls after 13 weeks. (2)
Porosity, and therefore structural strength, comparable or superior to BioRoot™ RCS, with root canals filled at 80-85% compared to 75-80%. (3)
Alkalizing activity comparable to that of BioRoot™ RCS after three days, and greater than that of a resin-based competitor product. (2)
Bioactive technology for tissue compatibility and healing
BioRoot™ Flow is a biological filler as well as a sealer. Many Portland cement-based sealers contain only 68% active tricalcium silicate and residual toxic trace elements from the manufacturing process, which can leach when implanted and cause adverse tissue reactions. This can compromise periapical healing and lead to inflammation, pain, and the need for re-treatment.
BioRoot™ Flow, on the other hand, is made using a proprietary, tightly controlled manufacturing process to guarantee high active tricalcium silicate concentrations and unmatched purity. Not only is the material well-tolerated by patient tissues, but it also has a bioactive effect that actively stimulates periapical healing and inhibits inflammatory tissue reaction. (6)
Upon contact with biological fluids in the root canals, BioRoot™ Flow releases calcium ions and forms hydroxyapatite crystals. It creates a mineral-rich layer between the sealer and the root canal wall, firmly anchoring the material to the tissue and increasing the mineral density of the dentin. Electronic microscopy and X-ray analysis have confirmed this effect even when using the single-cone technique.
Beyond the obvious benefits, patients are becoming much more informed, empowered, and involved in their oral health, and can be rightfully discerning about the materials used. They would no doubt appreciate a material that naturally stimulates their body’s own natural healing processes and doesn’t contain toxic trace elements, giving the dentist who offered it a competitive advantage.
Less chair time without impacting quality
Depending on the complexity, a root canal treatment can take 45-90 minutes to complete. Not only can this be uncomfortable for the patient to endure, but it demands intense, sustained focus from the practitioner and takes up a significant chunk of their practice schedule.
With BioRoot™ Flow, lengthy root canal treatments can be done quickly and efficiently with any technique. The material comes pre-mixed and ready to use, cutting out the prep time and letting you get straight to work. You can use it to seal multiple roots in one tooth or complete several obturations in one appointment, reducing the need for multiple appointments.
Altogether, both patient and practitioner benefit from keeping treatment time to a minimum without compromising on the quality of the obturation.
Obturations made easier
BioRoot™ Flow’s syringe is ergonomically engineered for easy handling, with a plunger that offers very low resistance for easy product extrusion. It allows you to deliver the material precisely and directly into the canals, with a flexible 21-gauge tip to help you navigate diverse anatomies, limiting the risk of overfilling, perforation, or apical extrusion.
BioRoot™ Flow’s high 23.2 mm flowability rate means that it flows easily into peri-radicular canals without the need for compaction, as demonstrated on radiographs. (2) In areas that can be hard to reach with a heated plugger, or in cases when you can’t obtain a clear image of the root anatomy, you can still be confident of a tight seal throughout. (2)
Cold techniques or warm, BioRoot™ Flow makes every obturation easy, efficient and effective. Whether you’re a general dentist or endodontic specialist, give your patients the best possible outcomes and watch your practice thrive with the next generation of endodontic sealers. For more information about BioRoot™ Flow, click here!
(1) Zavattini et al. Outcome of Root Canal Treatments Using a New Calcium Silicate Root Canal Sealer: A Non-Randomized Clinical Trial, J Clin Med., 2020 Mar 13;9(3)
(2) Internal data on file
(3) Internal data. Pr Colon Report
(4) BioRoot Flow SEM interfaces. Source Dr. Camilleri
(5) Endodontic Implantation test. June 2020
(6) PA 1704 Inflammation and regeneration potentials; About 2021