Evidence map›Paper›PMID 42618907›Full record

ArticleBMC oral health2026

Removal of overextended root canal filling beyond the apex in lower premolar teeth using two different retreatment rotary files versus manual files: a comparative in vitro study.

Khadijah Ahmed Sadek, Sybel Mokhtar Mahmoud Moussa, Ahmed Mostafa Mobarak

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. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Khadijah Ahmed SadekConservative Dentistry Department, Faculty of Dentistry, Alexandria University, Champolion St., Alexandria, 21527, Egypt. khadiga.sadek.dent@alexu.edu.eg.ORCID 0009-0008-4310-8392
Sybel Mokhtar Mahmoud MoussaConservative Dentistry Department, Faculty of Dentistry, Alexandria University, Champolion St., Alexandria, 21527, Egypt.ORCID 0000-0002-6133-5424
Ahmed Mostafa MobarakConservative Dentistry Department, Faculty of Dentistry, Alexandria University, Champolion St., Alexandria, 21527, Egypt.ORCID 0000-0002-3806-2528

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of the study was to compare the time required for complete removal of overextended root canal filling in lower premolar teeth using two different rotary file systems; ProTaper Universal Retreatment (PTUR) system, XP-endo Retreatment (XPER) system versus manual Hedstrom (H-Files).

methodsThirty-six extracted permanent mandibular premolars with single canal were set to a standard length of 19 mm and prepared beyond the apical foramen by 3 mm up to F2 file of the ProTaper Gold system. Overextended obturation was performed by a size (25/08) gutta-percha and AH-Plus sealer using cold lateral condensation technique. Teeth were left for 7 days to ensure complete setting of sealer, then divided into 3 groups (n = 12) according to the gutta-percha removal method (Group Ι: H-Files, Group ΙΙ: PTUR, Group ΙΙΙ: XPER (XP-endo Shaper (XPES) + XP-endo Finisher R (XPEF-R)). Time taken was recorded and statistically analyzed.

resultsThe XPER technique showed a statistically significant reduction in the time taken to remove the overextended gutta-percha compared to H-files and PTUR groups (P < .05), with the XPER group showing the shortest time, followed by PTUR, and then H-files.

conclusionsXPER technique was significantly faster in removing the experimentally overextended gutta-percha than H-files and PTUR files, demonstrating superior procedural time efficiency.

Indexed as

BicuspidRoot Canal Filling MaterialsRoot Canal ObturationRoot Canal PreparationEpoxy ResinsGutta-PerchaHumansIn Vitro TechniquesRetreatmentTime FactorsTooth Apexepoxy resin-based root canal sealerEpoxy ResinsGutta-PerchaRoot Canal Filling MaterialsMandibular premolarsOverextendedRetreatmentRoot canal fillingXP-endo Finisher R

Identifiers

PMID42618907
PMCPMC13491752

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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.