Effectiveness of supplementary protocols for filling material removal after sealer ultrasonic activation - a laboratory investigation

Abstract Ultrasonic activation of the endodontic sealer makes it difficult to remove the material during endodontic reintervention. Therefore, supplementary removal protocols should be tested to optimize the removal of the remaining filling material. This study assessed the effectiveness of suppleme...

Full description

Saved in:
Bibliographic Details
Main Authors: Amanda Freitas da ROSA, Dayana Mara Silva CHAVES, Luiz Carlos de Lima DIAS-JUNIOR, Gabriela Pasqualin GHIDINI, Julia Menezes SAVARIS, Rayssa Sabino da SILVA, Roberta Pinto PEREIRA, Eduardo Antunes BORTOLUZZI, Cleonice da Silveira TEIXEIRA, Lucas da Fonseca Roberti GARCIA
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2025-04-01
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242025000100553&lng=en&tlng=en
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850152262384484352
author Amanda Freitas da ROSA
Dayana Mara Silva CHAVES
Luiz Carlos de Lima DIAS-JUNIOR
Gabriela Pasqualin GHIDINI
Julia Menezes SAVARIS
Rayssa Sabino da SILVA
Roberta Pinto PEREIRA
Eduardo Antunes BORTOLUZZI
Cleonice da Silveira TEIXEIRA
Lucas da Fonseca Roberti GARCIA
author_facet Amanda Freitas da ROSA
Dayana Mara Silva CHAVES
Luiz Carlos de Lima DIAS-JUNIOR
Gabriela Pasqualin GHIDINI
Julia Menezes SAVARIS
Rayssa Sabino da SILVA
Roberta Pinto PEREIRA
Eduardo Antunes BORTOLUZZI
Cleonice da Silveira TEIXEIRA
Lucas da Fonseca Roberti GARCIA
author_sort Amanda Freitas da ROSA
collection DOAJ
description Abstract Ultrasonic activation of the endodontic sealer makes it difficult to remove the material during endodontic reintervention. Therefore, supplementary removal protocols should be tested to optimize the removal of the remaining filling material. This study assessed the effectiveness of supplementary protocols for filling material removal after sealer ultrasonic activation (UA). Sixty teeth were prepared and distributed into two groups: UA and No UA of the sealer before obturation. Teeth were re-instrumented and two supplementary removal protocols were tested, resulting in six groups (n = 10): NoUA; NoUA+XP (XP-endo Finisher); NoUA+CS (Clearsonic-R1); UA; UA+XP; and UA+CS. Root canals were analyzed under stereomicroscopy and scanning electron microscopy for quantification of the remaining filling material. Considering the total root canal area, the NoUA+CS group had the lowest remaining filling material compared to NoUA+XP, UA+XP and UA+CS groups (p < 0.05). When the root thirds were compared, there was no statistical difference among groups (p > 0.05). The XP-endo Finisher instrument demonstrated the lowest effectiveness when used as a supplementary step. In contrast, the Clearsonic-R1 insert exhibited the highest performance.
format Article
id doaj-art-eb8e46950f3f4a4183b19d437600da49
institution OA Journals
issn 1807-3107
language English
publishDate 2025-04-01
publisher Sociedade Brasileira de Pesquisa Odontológica
record_format Article
series Brazilian Oral Research
spelling doaj-art-eb8e46950f3f4a4183b19d437600da492025-08-20T02:26:02ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072025-04-013910.1590/1807-3107bor-2025.vol39.034Effectiveness of supplementary protocols for filling material removal after sealer ultrasonic activation - a laboratory investigationAmanda Freitas da ROSAhttps://orcid.org/0000-0003-2005-0235Dayana Mara Silva CHAVEShttps://orcid.org/0000-0001-9705-3333Luiz Carlos de Lima DIAS-JUNIORhttps://orcid.org/0000-0003-4240-9712Gabriela Pasqualin GHIDINIhttps://orcid.org/0000-0003-1602-6312Julia Menezes SAVARIShttps://orcid.org/0000-0002-5753-5618Rayssa Sabino da SILVAhttps://orcid.org/0000-0001-5326-0875Roberta Pinto PEREIRAhttps://orcid.org/0000-0003-3479-9992Eduardo Antunes BORTOLUZZIhttps://orcid.org/0000-0003-4426-9143Cleonice da Silveira TEIXEIRAhttps://orcid.org/0000-0002-0139-8159Lucas da Fonseca Roberti GARCIAhttps://orcid.org/0000-0002-8724-0124Abstract Ultrasonic activation of the endodontic sealer makes it difficult to remove the material during endodontic reintervention. Therefore, supplementary removal protocols should be tested to optimize the removal of the remaining filling material. This study assessed the effectiveness of supplementary protocols for filling material removal after sealer ultrasonic activation (UA). Sixty teeth were prepared and distributed into two groups: UA and No UA of the sealer before obturation. Teeth were re-instrumented and two supplementary removal protocols were tested, resulting in six groups (n = 10): NoUA; NoUA+XP (XP-endo Finisher); NoUA+CS (Clearsonic-R1); UA; UA+XP; and UA+CS. Root canals were analyzed under stereomicroscopy and scanning electron microscopy for quantification of the remaining filling material. Considering the total root canal area, the NoUA+CS group had the lowest remaining filling material compared to NoUA+XP, UA+XP and UA+CS groups (p < 0.05). When the root thirds were compared, there was no statistical difference among groups (p > 0.05). The XP-endo Finisher instrument demonstrated the lowest effectiveness when used as a supplementary step. In contrast, the Clearsonic-R1 insert exhibited the highest performance.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242025000100553&lng=en&tlng=enEndodonticsRoot Canal TherapyRoot Canal ObturationRoot Canal Filling Materials
spellingShingle Amanda Freitas da ROSA
Dayana Mara Silva CHAVES
Luiz Carlos de Lima DIAS-JUNIOR
Gabriela Pasqualin GHIDINI
Julia Menezes SAVARIS
Rayssa Sabino da SILVA
Roberta Pinto PEREIRA
Eduardo Antunes BORTOLUZZI
Cleonice da Silveira TEIXEIRA
Lucas da Fonseca Roberti GARCIA
Effectiveness of supplementary protocols for filling material removal after sealer ultrasonic activation - a laboratory investigation
Brazilian Oral Research
Endodontics
Root Canal Therapy
Root Canal Obturation
Root Canal Filling Materials
title Effectiveness of supplementary protocols for filling material removal after sealer ultrasonic activation - a laboratory investigation
title_full Effectiveness of supplementary protocols for filling material removal after sealer ultrasonic activation - a laboratory investigation
title_fullStr Effectiveness of supplementary protocols for filling material removal after sealer ultrasonic activation - a laboratory investigation
title_full_unstemmed Effectiveness of supplementary protocols for filling material removal after sealer ultrasonic activation - a laboratory investigation
title_short Effectiveness of supplementary protocols for filling material removal after sealer ultrasonic activation - a laboratory investigation
title_sort effectiveness of supplementary protocols for filling material removal after sealer ultrasonic activation a laboratory investigation
topic Endodontics
Root Canal Therapy
Root Canal Obturation
Root Canal Filling Materials
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242025000100553&lng=en&tlng=en
work_keys_str_mv AT amandafreitasdarosa effectivenessofsupplementaryprotocolsforfillingmaterialremovalaftersealerultrasonicactivationalaboratoryinvestigation
AT dayanamarasilvachaves effectivenessofsupplementaryprotocolsforfillingmaterialremovalaftersealerultrasonicactivationalaboratoryinvestigation
AT luizcarlosdelimadiasjunior effectivenessofsupplementaryprotocolsforfillingmaterialremovalaftersealerultrasonicactivationalaboratoryinvestigation
AT gabrielapasqualinghidini effectivenessofsupplementaryprotocolsforfillingmaterialremovalaftersealerultrasonicactivationalaboratoryinvestigation
AT juliamenezessavaris effectivenessofsupplementaryprotocolsforfillingmaterialremovalaftersealerultrasonicactivationalaboratoryinvestigation
AT rayssasabinodasilva effectivenessofsupplementaryprotocolsforfillingmaterialremovalaftersealerultrasonicactivationalaboratoryinvestigation
AT robertapintopereira effectivenessofsupplementaryprotocolsforfillingmaterialremovalaftersealerultrasonicactivationalaboratoryinvestigation
AT eduardoantunesbortoluzzi effectivenessofsupplementaryprotocolsforfillingmaterialremovalaftersealerultrasonicactivationalaboratoryinvestigation
AT cleonicedasilveirateixeira effectivenessofsupplementaryprotocolsforfillingmaterialremovalaftersealerultrasonicactivationalaboratoryinvestigation
AT lucasdafonsecarobertigarcia effectivenessofsupplementaryprotocolsforfillingmaterialremovalaftersealerultrasonicactivationalaboratoryinvestigation