ArticleMaterials (Basel, Switzerland)2024
The Impact of Citric Acid Solution on Hydraulic Calcium Silicate-Based Sealers and Root Dentin: A Preliminary Assessment.
Article in Materials (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- Innovative Dentin Remineralization and Tubule Occlusion Using Titanium Dioxide-Doped Phosphate Glass and Diode Laser: An In Vitro Study.European journal of dentistry · 2026Article
- Evaluation of the physicochemical properties and adhesive interface quality of BioRoot Flow and BioRoot RCS endodontic sealers: An in vitro study.Clinical oral investigations · 2026Article
- Microhardness and structural changes in calcium silicate-based sealers after short-term exposure to EDTA and organic acids: an in vitro study.BMC oral health · 2026Article
- Nonsurgical retrieval of bioceramic materials using ultrasonics: a case report.Journal of medical case reports · 2026Article
- Retreatment of Two Bioceramic Sealers Included Two Different Percentages of Calcium Silicate Using Two Endodontic File Systems: An In Vitro Study.European journal of dentistry · 2026Article
- Removal efficacy of two different root canal sealers in retrograde cavities: a micro-CT study.BMC oral health · 2025Article
- Advanced Materials for Oral Application (Volume 2).Materials (Basel, Switzerland) · 2025Article
- Retreatability of root canals filled with gutta percha and a novel bioceramic sealer- a scanning electron microscopy study.Journal of oral biology and craniofacial researchArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hydraulic calcium silicate-based (HCS) sealers have recently gained tremendous popularity due to their unique properties. However, their removal during endodontic retreatment is challenging. The solvent, which could chemically deteriorate the material, would be highly desirable for endodontic retreatment procedures. This preliminary study assessed the interplay and dissolving capability of 10% and 20% citric acid, compared to 17% EDTA, on commonly used HCS sealers (AH Plus Bioceramic Sealer, Bio-C Sealer, BioRoot RCS, TotalFill BC Sealer), and evaluated the potential impact of these solutions on root dentin structure. The interaction between tested sealers and irrigating solutions was photographed, and solubility-related mass changes were determined. The surface morphology of treated filling materials and dentin was evaluated using a scanning electron microscope (SEM). One-way analysis of variance (ANOVA) along with Tukey's test were used to detect the statistically significant differences among groups at the confidence level of 0.95. Intense gas release was observed during the interaction of HCS materials and citric acid, with no evidently visible "bubbling" after the immersion in EDTA. The mass loss of HCS sealers equally confirmed the significantly higher dissolving characteristics of 10% and 20% citric acid solutions compared to EDTA. The surface structural changes, associated with pore and crack formation, were mainly seen for HCS sealers exposed to citric acid. Meanwhile, no severe erosion was detected for dentin after root canal preparation with 10% and 20% citric acid solutions. These findings demonstrate that citric acid has the potential to dissolve HCS sealers with minimal or no negative impact on root dentin, suggesting citric acid as a solvent for HCS sealers in endodontic retreatment procedures.
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