A new case report explores how GenENDO nickel-titanium rotary files and BioRoot Flow bioceramic sealer can simplify root canal treatment, supporting efficient canal preparation, debris removal and predictable obturation.
Endodontics has been revolutionised over the years with the aid of a surgical operating microscope, cone beam computerised tomography (CBCT) and nickel-titanium rotary files. In the author’s opinion, calcium silicate hydraulic cements, better known as bioceramic sealers, are also now an essential addition to root canal treatment protocols.
Septodont’s new sealer is the latest improved version of its very successful BioRoot RCS and now comes in a pre-mixed syringe greatly easing its use.
Having been at the forefront of endodontic materials for many decades, Septodont have now joined the Ni-Ti rotary instrumentation market with their system GenENDO. These files claim to be minimally invasive, flexible, robust with optimised cutting efficiency, efficient debris removal and simple to use.
This case report will highlight the treatment protocol with GenENDO and also BioRoot Flow.
Case report
Clinical signs and symptoms
UL7 presented with signs of irreversible pulpitis. The tooth has been accessed and dressed with Ledermix by GDP. On examination UL7 had an occlusal temporary restoration, was tender to percussion and otherwise appeared within normal limits. A CBCT was advised and taken to assess the canal anatomy, peri-radicular status and proximity of the root apices to the maxillary sinus. CBCT showed three canals (P, DB and MB), a small radiolucency on the apices of palatal and disto-buccal roots and was >3mm from the sinus floor.
Diagnosis
Periapical diagnosis was localised symptomatic apical periodontitis. Pulpal and pulp space diagnosis was previously initiated root canal treatment. (AAE and ESE, 2025).
Procedure and treatment with bioceramic sealer
Three canals were located, biomechanically prepared to length, as follows, with patency using the Revo-S+ GenENDO NiTi file system.
A GenENDO size 10 K file at 2% taper was used to gain patency. Revo-S+ SC1 was then used for orifice access, initial canal exploration and minimal coronal enlargement. Next, GenENDO Glider 16/03 to create a glide path, Revo-S+ SC2 25/04 used to length to shape the canals and finally Revo-S+ SU 25/06 used in the palatal canal to finish. Note, in the MB and DB canals, SC1 (25/04) was used to finish the preparations as these canals were narrower than the P canal.
The irrigants (5.25% NaOCl and then 17% EDTA) were agitated with an ultrasonic polymer tip and the canals sealed with BioRoot Flow bioceramic sealer with a matching gutta percha cone gauged and seated via hydraulic condensation.
A final radiograph was taken showing well-sealed canals.
The chamber and access and coronal structure were sealed with Paracore dual core composite resin (Coltene).
Follow up
The patient has returned to his GDP for a cuspal coverage coronal restoration and his continuing care. A one-year follow-up has been advised.
Discussion
This case went smoothly with an easy-to-use file system. The matching gutta percha cones fit accurately and the treatment objectives were met with a simple and efficient file system.
Conclusion
The GenENDO file system frankly does what it says on the tin! A shortened protocol, reliable, flexible, robust files with excellent cutting ability and debris removal.
The BioRoot Flow bioceramic sealer appears to be the best on the market. I use this every day in my practice and with its high calcium silicate content, flowability, ease of use and good radiopacity, it’s a material I trust and cannot work without. Septodont’s clinical research of its sealer with prominent and internationally respected endodontist Professor Stephane Simon, is testament enough to its place in the dental market.
This article is sponsored by Septodont.
