Evidence map›Paper›PMID 40604772›Full record

ArticleBMC oral health2025

Effect of surface cleaning methods on bond strength between canal sealer-contaminated dentin and composite resin.

Gülşah Tonga, Fatih Uçar, Tunahan Döken, Ahmet Özlü

Abstract read
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 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.

Gülşah TongaFaculty of Dentistry, Department of Restorative Dentistry, Tokat Gaziosmanpasa University, Tokat, Turkey. gulsah.tonga@gop.edu.tr.ORCID http://orcid.org/0000-0002-4680-6283
Fatih UçarFaculty of Dentistry, Department of Endodontics, Afyonkarahisar University of Health Sciences, Afyonkarahisar, Turkey.ORCID http://orcid.org/0000-0001-7344-4268
Tunahan DökenFaculty of Dentistry, Department of Endodontics, Tokat Gaziosmanpasa University, Tokat, Turkey.ORCID http://orcid.org/0000-0002-0008-0130
Ahmet ÖzlüFaculty of Dentistry, Department of Restorative Dentistry, Tokat Gaziosmanpasa University, Tokat, Turkey.ORCID http://orcid.org/0000-0001-7735-5502

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSealer residues on dentin can affect bonding to restorative materials. This study aimed to evaluate the effect of different surface cleaning protocols on the cleaning efficiency and microtensile bond strength of composite resin to dentin contaminated with root canal sealer.

methodsA total of 58 teeth were used in the study (36 for µTBS and 22 for SEM-EDX). Dentin surfaces were exposed and contaminated with an epoxy resin-based sealer (AH Plus) or a bioceramic-based sealer (T-endo Bioserra). Four cleaning methods were examined: dry cotton pellet, cotton pellet with 75% ethanol, surfactant-based cleaner (Katana™ Cleaner), and 37.5% orthophosphoric acid. Control samples had no sealer or cleaning method. Dentin surfaces were bonded with universal adhesive (Scotchbond Universal) and restored with resin composite (Filtek™ Z250). Specimens were divided into subgroups to compare bond strength before and after aging. Bond strength testing was performed using the microtensile bond strength (µTBS) testing. Two teeth from each group were used for SEM and EDX to evaluate cleaning efficiency, and zinc/zirconium percentages were measured to indicate the remaining filler.

resultsBioserra contaminated groups exhibited smaller µTBS values than AH Plus contaminated groups. These values were significant in dry cotton pellet/immediate, ethanol/aged, and KatanaTM/ immediate groups (p˂0.05). Artificial aging decreased µTBS in all groups. This effect was significant in Bioserra/ethanol, AH Plus/Katana™, and Bioserra/phosphoric acid groups (p˂0.05). The lowest µTBS was observed in the dry cotton /Bioserra/aged group and the highest in the phosphoric acid/Bioserra/immediate group.

conclusionsDry and ethanol-impregnated cotton pellet methods are ineffective in removing sealers or increasing bond strength. Katana™ Cleaner and phosphoric acid cleaning effectively cleans and improves bond strength for epoxy and bioceramic sealers.

Indexed as

Composite ResinsDental BondingDentinRoot Canal Filling MaterialsDental Stress AnalysisEpoxy ResinsHumansMaterials TestingMicroscopy, Electron, ScanningPhosphoric AcidsSurface PropertiesTensile StrengthComposite Resinsepoxy resin-based root canal sealerEpoxy Resinsphosphoric acidPhosphoric AcidsRoot Canal Filling MaterialsCleaning protocolsContaminationMicrotensile bond strengthRoot Canal sealer

Identifiers

PMID40604772
PMCPMC12224686

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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.