ArticleClinical oral investigations2021
A comparative study of dentinal tubule penetration and the retreatability of EndoSequence BC Sealer HiFlow, iRoot SP, and AH Plus with different obturation techniques.
Article in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparison of sealer penetration of sonic activation versus conventional needle irrigation: a systematic review and meta-analysis of randomized controlled trials.BMC oral health · 2022Pooled it
- Article
- Effect of heat generated root canal filling techniques on bond strength of NeoSealer Flo BC, AH Plus BC and BioRoot RCS to root dentin.Scientific reports · 2026Article
- Evaluation of operator experience and nickel-titanium retreatment file systems in curved root canals.European oral research · 2026Article
- Adverse tissue reaction to a next-generation bioceramic sealer: a structured literature review and case report.Frontiers in dental medicine · 2026Review
- Root Canal Obturation Quality in 3D-Printed C-Shaped Canals with Different Filling Techniques.Acta stomatologica Croatica · 2025Article
- Calcium silicate-based sealers remnants in isthmuses of mesial roots of mandibular molars: an in vitro evaluation.Restorative dentistry & endodontics · 2025Article
- Marginal adaptation of heat and non-heat compatible bioceramic sealers in warm obturation: an in vitro SEM study.Scientific reports · 2025Article
- Comparative evaluation of retreatability of three different bioceramic sealers using xylene in root canal retreatment - AnJournal of conservative dentistry and endodontics · 2025Article
- An Observational Study on Pain Occurrence After Root Canal Treatment: Role of Operator Experience When Using a Bioceramic Sealer.Journal of clinical medicine · 2025Article
- Cleaning protocols to enhance bond strength of fiberglass posts on root canals filled with bioceramic sealer: an in vitro comparative study.Restorative dentistry & endodontics · 2025Article
- [Comparison of apical sealing ability of three bioceramic root canal sealersHua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2025Article
- Effectiveness of Nickel-Titanium Files for Retreatment of Molars Filled with Single-Cone Hydraulic Technique Using Bioceramic Sealers: An In Vitro Study.Materials (Basel, Switzerland) · 2025Article
- Evaluation of the effects of traditional irrigation solutions and etidronic acid on the bond strength of endodontic sealers.BMC oral health · 2025Article
- Article
- Comparative Assessment of Push-Out Bond Strength and Dentinal Tubule Penetration of Different Calcium-Silicate-Based Endodontic Sealers.Dentistry journal · 2024Article
- Article
- Article
- Penetration of Calcium Silicate and Epoxy Resin Sealers Into the Lateral Canals.International dental journal · 2024Article
- Article
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Authors and funding
7 authors.
Funding
Abstract
objectivesThis study aimed to evaluate dentinal tubule penetration and the retreatability of EndoSequence BC Sealer HiFlow (HiFlow), iRoot SP, and AH Plus when using the single-cone (SC) or continuous wave condensation (CWC) technique. MATERIALS AND
methodsSixty-five single-rooted teeth were instrumented and randomly divided into 5 groups: group 1, AH Plus/CWC; group 2, iRoot SP/CWC; group 3, iRoot SP/SC; group 4, HiFlow/CWC; and group 5, HiFlow/SC. The ability to re-establish patency during endodontic retreatment was recorded, as was the time taken to reach the working length. Dentinal tubule penetration and remaining debris after retreatment were evaluated by confocal microscopy and scanning electron microscopy. Data were analyzed by Kruskal-Wallis test and Dunn's multiple comparisons test (α = 0.05).
resultsThe HiFlow/CWC and iRoot SP/CWC groups required more time to reach the working length than groups that underwent the SC technique regardless of the sealer used (P < .05). The HiFlow/CWC group showed a significantly higher percentage of sealer penetration area than that of the iRoot SP/SC at 4 mm from the apex (P < .05) and penetrated deeper into dentinal tubules than iRoot SP/SC at both 8-mm and 12-mm levels (P < .05). Moreover, the HiFlow/CWC and HiFlow/SC groups demonstrated less remaining sealer along the canal wall than AH Plus/CWC group at 4-mm level (P < .05).
conclusionsHiFlow/CWC technique showed better performance in dentinal tubule penetration than that of iRoot SP/SC. Both HiFlow and iRoot SP combined with CWC technique groups required more retreatment time than the other groups. Furthermore, using HiFlow with either the CWC or SC technique left less remaining sealer at 4-mm level than using AH Plus with the CWC technique during retreatment. CLINICAL RELEVANCE: With favorable performance in dentinal tubule penetration and retreatability in endodontic retreatment, the combined use of EndoSequence BC Sealer HiFlow with the recommended continuous wave condensation technique may be a worthwhile choice in root canal treatment.
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