Evidence map›Paper›PMID 40217457›Full record

ArticleBMC oral health2025

Comparing the root canal filling removal efficiency of XP-endo retreatment system with hand Files, R-endo, reciproc and protaper universal retreatment systems in curved root canals: a micro-CT study.

Eren Orhan, Kaan Orhan, Mert Ocak, Betul Gunes

Abstract readComparative Study
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Eren OrhanDepartment of Endodontics, Eskisehir Osmangazi University, Faculty of Dentistry, Odunpazarı, Eskişehir, 26480, Turkey.
Kaan OrhanDepartment of Dentomaxillofacial Radiology, Ankara University, Faculty of Dentistry, Yenimahalle, Ankara, 06560, Turkey.
Mert OcakDepartment of Anatomy, Ankara University, Faculty of Dentistry, Ankara, Yenimahalle, Turkey.
Betul GunesDepartment of Endodontics, Eskisehir Osmangazi University, Faculty of Dentistry, Odunpazarı, Eskişehir, 26480, Turkey. dtbetulgunes@hotmail.com.

Funding

Eskisehir Osmangazi University 202045A208
6 · The paper itself

Abstract

backgroundResidual root canal filling material might inhibit the efficacy of irrigation materials, medicaments and sealers during the endodontic non-surgical retreatment. The aim of this study was to compare the efficacy of the XP Endo Retreatment file with other retreatment systems on removing the root canal filling materials by using Micro-CT during the endodontic retreatment.

methodsSixty human mandibular molars with mesial root curvature between 20° and 40° were included in the study. Mesiobuccal canals of specimens were prepared with the ProTaper Next file and filled with gutta percha and AH Plus sealer. Samples were scanned with Micro-CT and they were randomly divided into 5 experimental groups. Root canal treatments were removed with the following systems. Group PTUR: Root canal filling was removed using ProTaper Universal Retreatment System. Group Rec25: Reciproc R25 file was used to remove the root canal filling. Group RE: Retreatment of specimens were performed using R-Endo Retreatment System. Group XPER: Root canal filling was removed using XP Endo Retreatment System. Group HF: Hand files and Gates Glidden burs was used to remove the root canal filling. The time (second) from the use of the first file to reach the WL (T1) and the time (second) to remove all obturation material (T2) were recorded. Micro-CT images were obtained from the samples after removing the root canal filling and the volume of the residual root canal filling was calculated. The data was statistically analyzed (P < 0.05).

resultsThe residual root canal filling volume and the percentage of residual root canal filling material (%) in the RE and Rec25 groups were statistically higher than the PTUR, XPER, and HF groups. T1 and T2 values were the highest in the HF and time values were the lowest in the XPER.

conclusionsAccording to the results of this study, all tested methods could not completely remove filling material from the root canal. PTUR, XPER, and HF removed the root canal filling more efficiently than Rec25, and RE. It was concluded that the XP-Endo group was the fastest retreatment system among the tested groups.

Indexed as

Dental InstrumentsDental Pulp CavityRoot Canal Filling MaterialsRoot Canal PreparationGutta-PerchaHumansMolarRetreatmentRoot Canal ObturationX-Ray MicrotomographyGutta-PerchaRoot Canal Filling MaterialsMicro-CTNi–Ti filesReciprocating filesRetreatmentRotary files

Identifiers

PMID40217457
PMCPMC11992762

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.