Evidence map›Paper›PMID 41291585›Full record

ArticleBMC oral health2025

Dentinal tubule penetration of AH Plus, MTA Fillapex, and BioRoot flow: a confocal laser scanning microscopy study.

Samet Tosun, Emrah Karataşlıoğlu, Emre Çulha, Oğuz Burhan Çetinkaya, İsmail Uzun

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 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

5 authors.

Samet TosunDepartment of Endodontics, Faculty of Dentistry, Pamukkale University, Denizli, 20160, Turkey. stosun@pau.edu.tr.ORCID http://orcid.org/0000-0003-3277-197X
Emrah KarataşlıoğluDepartment of Endodontics, Faculty of Dentistry, İzmir Katip Çelebi University, İzmir, 35260, Turkey.ORCID http://orcid.org/0000-0002-4721-591X
Emre ÇulhaDepartment of Endodontics, Faculty of Dentistry, Gaziantep University, Gaziantep, Turkey.ORCID http://orcid.org/0000-0002-3143-2258
Oğuz Burhan ÇetinkayaDepartment of Endodontics, Faculty of Dentistry, Gaziantep University, Gaziantep, Turkey.ORCID http://orcid.org/0009-0008-2307-2118
İsmail UzunDepartment of Endodontics, Faculty of Dentistry, Ondokuz Mayıs University, Samsun, Turkey.ORCID http://orcid.org/0000-0003-3353-3260

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis in vitro study aimed to compare the dentinal tubule penetration of a conventional epoxy resin-based sealer (AH Plus) and two bioceramic-based sealers (MTA Fillapex and BioRoot Flow). METHODOLOGY: Thirty extracted human single-rooted premolars were randomly divided into three groups (n = 10): AH Plus, MTA Fillapex, and BioRoot Flow. Root canals were instrumented using the ProTaper Universal rotary file system. Sealers were labeled with 0.1% Rhodamine Bprior to obturated with the single-cone technique. Roots sectioned at coronal, middle, and apical levels into 1 mm thick slices. The sealer penetration area (mm²) and maximum penetration depth (mm) were analyzed using confocal laser scanning microscopy (CLSM). Data were statistically evaluated using one-way ANOVA and LSD post hoc tests (p < 0.05).

resultAH Plus demonstrated statistically significantly lower penetration in both penetration area and maximum penetration depth compared to both MTA Fillapex and BioRoot Flow (p < 0.05). Among the bioceramic-based sealers, MTA Fillapex exhibited the highest penetration values in the coronal and middle regions. Furthermore, a pronounced decrease in both penetration area and depth was observed from the coronal to the apical regions in all groups (p < 0.05).

conclusionMTA Fillapex and BioRoot Flow exhibit a superior performance in the coronal and middle regions compared to AH Plus. While the differences in the apical region were less distinct, a consistent decrease in penetration values from coronal to apical was observed across all materials. These findings indicate that material composition and root canal region play critical roles in dentinal tubule penetration.

Indexed as

Aluminum CompoundsCalcium CompoundsDentinEpoxy ResinsOxidesRoot Canal Filling MaterialsSilicatesBicuspidDental Pulp CavityDrug CombinationsHumansMaterials TestingMicroscopy, ConfocalRhodaminesRoot Canal ObturationRoot Canal PreparationAluminum CompoundsCalcium CompoundsDrug Combinationsepoxy resin-based root canal sealerEpoxy Resinsmineral trioxide aggregateOxidesRhodaminesRoot Canal Filling MaterialsSilicatesBioRoot flowCLSMDentinEndodonticsPenetrationSealer

Identifiers

PMID41291585
PMCPMC12751370

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.