Comparative Evaluation of the Efficacy of Different Solvents on the Removal of Endodontic Bioceramic Sealers: An In vitro Study

Background: Bioceramic-based root canal sealers are recently utilized in endodontic treatments as materials for root canal obturation. Ensuring the complete removal of these materials during root canal retreatment is essential for proper disinfection. This investigation was carried out to evaluate t...

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Main Author: Ruaa A. Alamoudi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of International Clinical Dental Research Organization
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Online Access:https://journals.lww.com/10.4103/jicdro.jicdro_60_24
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author Ruaa A. Alamoudi
author_facet Ruaa A. Alamoudi
author_sort Ruaa A. Alamoudi
collection DOAJ
description Background: Bioceramic-based root canal sealers are recently utilized in endodontic treatments as materials for root canal obturation. Ensuring the complete removal of these materials during root canal retreatment is essential for proper disinfection. This investigation was carried out to evaluate the effectiveness of D-limonene, 10% formic acid, and 20% hydrochloric acid as solvents in retreating teeth previously filled with gutta-percha and AH Plus or bioceramic sealers. Materials and Methods: A total of 108 single-rooted human premolars underwent initial root canal treatment using ProTaper rotary file system. Nonsurgical retreatment was then performed using ProTaper retreatment files. The interaction between the tested sealers and solvents was examined under a stereomicroscope. ImageJ software was also used to precisely evaluate the areas covered by residual root canal obturating material. Mann–Whitney and Kruskal–Wallis tests were used to identify significant differences between the groups at a significance level of 0.05. Results: The results revealed that none of the solvents were successful in completely removing the sealers. However, greater retreatability was observed in case of AH Plus sealer characterized by the presence of less remnants as compared to bioceramic sealers. Conclusions: These findings indicate that D-limonene can effectively dissolve resin-based sealers, but not bioceramic sealers. Irrespective of the solvents used, complete elimination of BC and BCH sealers could not be accomplished. This suggests that bioceramic-based sealers significantly caused the retention of more residual material than resin-based sealer after their removal with different solvents.
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publishDate 2024-12-01
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spelling doaj-art-2dea30cfefcd4476a0c8385c670999382025-01-12T10:36:58ZengWolters Kluwer Medknow PublicationsJournal of International Clinical Dental Research Organization2231-07542231-53572024-12-0116212613410.4103/jicdro.jicdro_60_24Comparative Evaluation of the Efficacy of Different Solvents on the Removal of Endodontic Bioceramic Sealers: An In vitro StudyRuaa A. AlamoudiBackground: Bioceramic-based root canal sealers are recently utilized in endodontic treatments as materials for root canal obturation. Ensuring the complete removal of these materials during root canal retreatment is essential for proper disinfection. This investigation was carried out to evaluate the effectiveness of D-limonene, 10% formic acid, and 20% hydrochloric acid as solvents in retreating teeth previously filled with gutta-percha and AH Plus or bioceramic sealers. Materials and Methods: A total of 108 single-rooted human premolars underwent initial root canal treatment using ProTaper rotary file system. Nonsurgical retreatment was then performed using ProTaper retreatment files. The interaction between the tested sealers and solvents was examined under a stereomicroscope. ImageJ software was also used to precisely evaluate the areas covered by residual root canal obturating material. Mann–Whitney and Kruskal–Wallis tests were used to identify significant differences between the groups at a significance level of 0.05. Results: The results revealed that none of the solvents were successful in completely removing the sealers. However, greater retreatability was observed in case of AH Plus sealer characterized by the presence of less remnants as compared to bioceramic sealers. Conclusions: These findings indicate that D-limonene can effectively dissolve resin-based sealers, but not bioceramic sealers. Irrespective of the solvents used, complete elimination of BC and BCH sealers could not be accomplished. This suggests that bioceramic-based sealers significantly caused the retention of more residual material than resin-based sealer after their removal with different solvents.https://journals.lww.com/10.4103/jicdro.jicdro_60_24ah plus sealerbioceramic sealerd-limoneneendodontic retreatmentformic acidgutta-perchahydrochloric acid
spellingShingle Ruaa A. Alamoudi
Comparative Evaluation of the Efficacy of Different Solvents on the Removal of Endodontic Bioceramic Sealers: An In vitro Study
Journal of International Clinical Dental Research Organization
ah plus sealer
bioceramic sealer
d-limonene
endodontic retreatment
formic acid
gutta-percha
hydrochloric acid
title Comparative Evaluation of the Efficacy of Different Solvents on the Removal of Endodontic Bioceramic Sealers: An In vitro Study
title_full Comparative Evaluation of the Efficacy of Different Solvents on the Removal of Endodontic Bioceramic Sealers: An In vitro Study
title_fullStr Comparative Evaluation of the Efficacy of Different Solvents on the Removal of Endodontic Bioceramic Sealers: An In vitro Study
title_full_unstemmed Comparative Evaluation of the Efficacy of Different Solvents on the Removal of Endodontic Bioceramic Sealers: An In vitro Study
title_short Comparative Evaluation of the Efficacy of Different Solvents on the Removal of Endodontic Bioceramic Sealers: An In vitro Study
title_sort comparative evaluation of the efficacy of different solvents on the removal of endodontic bioceramic sealers an in vitro study
topic ah plus sealer
bioceramic sealer
d-limonene
endodontic retreatment
formic acid
gutta-percha
hydrochloric acid
url https://journals.lww.com/10.4103/jicdro.jicdro_60_24
work_keys_str_mv AT ruaaaalamoudi comparativeevaluationoftheefficacyofdifferentsolventsontheremovalofendodonticbioceramicsealersaninvitrostudy