Evidence map›Paper›PMID 42144610›Full record

ArticleBMC oral health2026

Comparative analysis of heat impacts on bond strength and failure modes of calcium silicate- and epoxy resin-based sealers.

Nada M Kandil, Mohamed M Elashiry, Bryson Wong, Abeer A Elgendy

Abstract readComparative Study
In one paragraph

Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Nada M KandilDepartment of Endodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.
Mohamed M ElashiryDepartment of Endodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.
Bryson WongDepartment of Endodontics, Dental College of Georgia, Augusta University, Georgia, USA.
Abeer A ElgendyDepartment of Endodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt. abeerelgendy@dent.asu.edu.eg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesA hermetic seal is essential for successful root canal therapy. Sealers fill the interface between gutta-percha and dentin, improving adaptation and sealing ability. This study aimed to evaluate the effect of heat on the push-out bond strength and failure modes of calcium silicate- and epoxy resin-based sealers. MATERIALS AND

methodsThirty-two extracted human premolars with single straight canals were prepared and randomly assigned to two sealer groups (AH Plus, NeoSEALER Flo). Each group was further subdivided based on obturation technique: cold lateral condensation (CLC) or warm vertical compaction (WVC). Root slices from the coronal, middle, and apical thirds were subjected to a push-out test. Failure modes were classified as adhesive, cohesive, or mixed under stereomicroscopy. Data were analyzed using three-way ANOVA and multinomial mixed models with significance set at p < 0.05.

resultsNeoSEALER Flo showed significantly higher bond strength than AH Plus across all root levels and techniques (p < 0.001). Heat application during WVC reduced the bond strength of AH Plus but had no effect on NeoSEALER Flo. In both sealers, the apical third exhibited the highest bond strength, followed by the middle and coronal thirds. Failure analysis revealed predominantly cohesive failures for NeoSEALER Flo, while AH Plus showed more adhesive and mixed failures under heat application.

conclusionNeoSEALER Flo provided superior bond strength and stability regardless of obturation technique. Heat negatively influenced AH Plus but not NeoSEALER Flo, supporting the clinical advantages of calcium silicate-based sealers. CLINICAL RELEVANCE: The findings of this in vitro study suggest that calcium silicate-based sealers may provide improved bond strength and stability compared to epoxy resin-based sealers under different obturation techniques. However, further clinical studies are required to confirm these results under in vivo conditions.

Indexed as

Calcium CompoundsDental BondingEpoxy ResinsHot TemperatureRoot Canal Filling MaterialsSilicatesHumansMaterials TestingRoot Canal ObturationCalcium Compoundscalcium silicateepoxy resin-based root canal sealerEpoxy ResinsRoot Canal Filling MaterialsSilicatesAH PlusCalcium silicate sealerCold lateral condensationNeoSEALER FloPush-out bond strengthWarm vertical compaction

Identifiers

PMID42144610
PMCPMC13200419

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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.