Evidence map›Paper›PMID 41356444›Full record

ArticlePeerJ2025

Evaluation of the retreatability of bioceramic root canal sealers with various formulations in simulated grooves.

Meltem Sümbüllü, Afzal Ali, Abdulaziz Bakhsh, Hakan Arslan

Abstract read
In one paragraph

Article in PeerJ, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Meltem SümbüllüFaculty of Dentistry, Atatürk University, Erzurum, Türkiye.
Afzal AliPacific Dental College and Hospital, Udaipur, India.
Abdulaziz BakhshFaculty of Dental Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Hakan Arslanİstanbul Medeniyet University, İstanbul, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bioceramic sealers are increasingly used due to their favorable properties, but their strong bonding to dentin complicates retreatment procedure. In addition, canal irregularities such as isthmuses make the complete removal of filling materials more challenging. Aim: This study aimed to evaluate the retreatability of five bioceramic sealers (BioRoot RCS, Bio-C Sealer, CeraSeal, Endoseal MTA, and AH Plus Bioceramic Sealer) using passive ultrasonic irrigation. Materials and Methods: Sixty human mandibular premolars with straight canals were prepared to size 40/0.04 taper. After longitudinal splitting, standardized grooves were created. The root canals were subsequently obturated using the single cone technique and stored at 37 °C with 100% humidity for 21 days. Passive ultrasonic irrigation was used to assess sealer removal. Statistical analysis was performed with Kruskal-Wallis and Mann-Whitney U tests. Results: The amount of residual sealer in the apical region was statistically higher compared with the coronal region. In the coronal region, the highest amount of residual material was observed in the Bio-C Sealer group, and this difference was statistically significant compared to the other groups. There was no significant difference among the other groups. In the apical region, there were no statistically significant difference between Bio-C Sealer and Endoseal MTA; however Bio-C Sealer showed a statistically significantly higher amount of residual material compared to BioRoot RCS, Ceraseal, and Ah Plus Bioceramic Sealer. Conclusion: Among the evaluated bioceramic sealers, Bio-C Sealer exhibited the highest amount of residual material, particularly in the apical region, indicating its lower retreatability. Passive ultrasonic irrigation improved the removal of BioRoot RCS, CeraSeal, and AH Plus Bioceramic Sealer, but was less effective for Bio-C Sealer and EndoSeal MTA. These findings highlight the variability in retreatability among different bioceramic sealers and emphasize the importance of material selection in cases with potential need for retreatment.

Indexed as

CeramicsRoot Canal Filling MaterialsAluminum CompoundsCalcium CompoundsDrug CombinationsHumansMaterials TestingOxidesRoot Canal ObturationSilicatesAluminum CompoundsCalcium CompoundsDrug Combinationsmineral trioxide aggregateOxidesRoot Canal Filling MaterialsSilicatesCalcium silicate based sealerPassive ultrasonic irrigationRetreatability

Identifiers

PMID41356444
PMCPMC12679925

What OpenQuestion holds

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LicenceCC BY
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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.