No worse than any other sealer, in fact, less inflammation as the material is more biocompatible. Obviously the goal remains not to extrude the sealer as it has no specific clinical function outside the root but since the material turns into hydroxyapatite when it sets it's good to know that it acts as a bone cement. It will not wash out quickly so it remains radiographically visible; but as long as it's not extruded in any biological vital structures it's ok. Of course, the same rules apply to this sealer than to others.

@@AANasseh thank you a lot dr. Ali for all of your valuable informations.

Thanks. Ideally BC coated GP so that the BC Can both adhere to dentin on the canal wall as well as the GP surface, which is otherwise hydrophobic without the coating.

@@AANasseh thanks for answer.Your fan from Georgia 🇬🇪

Success is not really related to the overfill but how clean the canals are. The sealer is a bone cement and in itself should not cause a problem; however, over times people tend to overfill in cases that are highly infected due to apical resorption and loss of constriction. So the higher failure rate is not because of the filling material but the presence of persistent biofilm. Cheers!

No. It doesn’t have the same properties as bioceramics. And there’s a recent article in press at Journal of Endodontics that validates this.

In its truest form, Lateral condensation requires that your spreader reaches within 3-5mm of hate apex. Depending on curvature and canal anatomy this is either possible or impossible.

@@AANasseh Thanks for your reply