Endodontic sealers are crucial for achieving an effective root canal obturation, preventing reinfection and promoting long-term treatment success. This review categorizes sealers by chemical composition, including traditional types such as zinc oxide-eugenol, glass ionomer, silicone, methacrylate and epoxy resins, calcium hydroxide, and the latest bioceramic formulations. Each type is evaluated for its physicochemical properties, biocompatibility, sealing ability, antimicrobial activity, and clinical limitations. A significant focus is placed on recent research into modifications of these materials with antimicrobial agents, aimed at improving antibacterial properties, bioactivity, and sealing performance. Among these, chitosan emerges as the most promising additive due to its broad antimicrobial spectrum, low cytotoxicity, and enhancement of sealing capacity. While bioceramic sealers represent a notable advancement due to their bioactivity and favorable interaction with moist environments, concerns regarding potential neurotoxicity and retreatability remain. The article presents recent advancements in the enhancement of endodontic sealers through the incorporation of organic and inorganic additives. It further delineates key research priorities, particularly the integration of bioactive materials, nanotechnology, and naturally derived compounds, with an emphasis on their potential applications in pediatric endodontics. Overall, while contemporary sealers offer a wide range of benefits, continued innovation is needed to optimize their biological safety, mechanical performance, and clinical usability.

This systematic review aimed to evaluate whether cross-sectional geometry is associated with cyclic fatigue resistance of nickel–titanium (NiTi) endodontic instruments and to identify the geometric and materials-related features most frequently associated with improved fatigue performance. The protocol was prospectively registered on the Open Science Framework (OSF). PubMed, Scopus, Embase, Web of Science, and WorldCat were searched in April 2026 in accordance with PRISMA 2020. Eligible studies were comparative in vitro investigations that explicitly evaluated cross-sectional geometry or a related geometric parameter as a prespecified study factor and reported quantitative cyclic fatigue outcomes. Of 107 screened records, 66 full-text reports were assessed and 23 studies were included in the qualitative synthesis. Twenty-two studies had a medium risk of bias and one had a low risk of bias according to the Quality Assessment Tool for In Vitro Studies (QUIN). Cyclic fatigue resistance was most often reported as time to fracture or number of cycles to failure. Instruments with reduced metal mass, smaller core volume, lower cross-sectional area, and greater flexibility tended to demonstrate higher fatigue resistance in curved canals. S-shaped and double-S-shaped cross-sections were most consistently associated with favorable outcomes; however, this association is more plausibly related to reduced bending stiffness and canal-wall contact forces than to increased intrinsic material fatigue strength. Flat-side designs did not show a consistent advantage. The evidence was limited by heterogeneous testing protocols and residual confounding by alloy, heat treatment, taper, manufacturing, surface condition, and kinematics. No meta-analysis or quantitative dimensional correlation was feasible because testing conditions and detailed geometric parameters were inconsistently reported.

Objective: This systematic review aimed to evaluate material-based modifications of resorbable root canal filling materials for primary teeth, assessing how compositional changes—including bioactive additives, antimicrobial agents, and alternative base matrices—influence antimicrobial performance. Methods: A systematic search of PubMed, Scopus, Web of Science (WoS), and Embase was performed in October 2025. Search terms included (primary teeth OR deciduous teeth) AND (root canal filling materials OR root canal filling OR canal obturation) AND (antibacterial agents OR antibacterial OR antimicrobial). Study selection adhered to PRISMA 2020 standards and was systematically organized through the PICO framework. From 199 identified records, 18 studies met the eligibility criteria. Results: Most studies evaluated modified zinc oxide-based materials. Additives such as propolis, Morinda citrifolia extract, Aloe vera, and olive oil enhanced antimicrobial activity or improved clinical and radiographic outcomes compared with conventional zinc oxide–eugenol. Triclosan-containing formulations consistently demonstrated strong antibacterial effects. In contrast, chlorhexidine yielded variable results, with some calcium hydroxide–based pastes showing superior performance in its absence. Antibiotic-enriched materials exhibited high antimicrobial efficacy; however, several studies raised concerns regarding the potential development of bacterial resistance. Conclusions: Most of the introduced modifications of resorbable root canal filling materials for primary teeth enhance antimicrobial activity and their physicochemical properties in vitro. Clinical evidence is limited and heterogeneous, and therefore, its superiority over conventional materials cannot be definitively determined. Further long-term, randomized clinical trials on large patient groups, evaluating the same modifications, are needed to confirm the effects observed in laboratory studies.

Objective: The aim of this systematic review was to evaluate the in vitro effects of LED-based photobiomodulation on fibroblasts and osteoblasts, with particular focus on cellular processes involved in soft- and hard-tissue regeneration. Methods: A comprehensive electronic search was conducted on 3 April 2026 in PubMed, Scopus, Web of Science, Embase, and WorldCat according to PRISMA guidelines. The analyzed outcomes included cell viability, proliferation, migration, collagen synthesis, oxidative stress, mitochondrial activity, and selected regeneration-related processes. A total of 745 records were initially identified, and 32 studies met the inclusion criteria and were included in the qualitative synthesis. Results: The biological effects of LED-PBM depended strongly on irradiation parameters, including wavelength, fluence, irradiance, exposure time, treatment schedule, and the initial condition of the cells. Most included studies focused on fibroblast models. Red and near-infrared light showed the most consistent beneficial effects, particularly by supporting fibroblast viability, proliferation, migration, mitochondrial activity, ATP production, collagen-related responses, and oxidative stress modulation. In osteoblast-related models, LED irradiation showed potential to influence cell number, metabolic activity, maturation markers, and mineralization-related outcomes; however, the number of studies was limited. Blue light demonstrated dose-dependent effects, with higher fluences reducing fibroblast metabolic activity, proliferation, or viability. Green light improved fibroblast proliferation and migration in one model but was associated with increased cell death in osteoblast-like cells. Conclusion: LED-PBM may positively modulate cellular processes involved in soft- and hard-tissue regeneration in vitro. However, the observed effects are strongly parameter-dependent, and further standardized studies are required to define optimal irradiation protocols and validate their potential clinical relevance.