Evidence map›Paper›PMID 42900329›Full record

ArticleOdontology2026

Influence of final irrigation with EDTA and chitosan on apical microleakage of different apical repair materials in simulated immature teeth: a confocal laser scanning microscopy study.

Zeynep Ünal, Funda Fundaoğlu Küçükekenci

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Article in Odontology, 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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1 · What the graph read from it

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Zeynep ÜnalDepartment of Endodontics, Faculty of Dentistry, Ordu University, Ordu, Turkey. zeyneppunal-@hotmail.com.ORCID https://orcid.org/0009-0005-7442-7829
Funda Fundaoğlu KüçükekenciDepartment of Endodontics, Faculty of Dentistry, Ordu University, Ordu, Turkey.

Funding

Scientific Research Projects Coordination Unit of Ordu University BP-2512
6 · The paper itself

Abstract

This study assessed the effects of different final irrigation solutions and apical repair materials on apical microleakage in simulated immature teeth using confocal laser scanning microscopy (CLSM). Ninety-six extracted human permanent maxillary incisors were used to create a model of immature teeth with open apices. The teeth were randomly allocated into three groups according to the final irrigation solution: distilled water, 17% EDTA, and 0.2% chitosan. Each group was divided into four subgroups according to apical repair material: Biodentine, MTA Repair HP, TotalFill BC RRM Fast Set Putty (TotalFill FSP), and Endocem MTA Premixed Regular (EMPR). After material placement, the specimens were immersed in 0.2% rhodamine B dye, then sectioned longitudinally and analyzed using CLSM. Microleakage was quantified with ImageJ. Data were analyzed using aligned rank transform (ART) ANOVA followed by ART-based pairwise contrasts using the art.con() function with Tukey-adjusted p-values (p < .05). Final irrigation solutions, apical repair materials, and their interaction significantly affected apical microleakage (p < .05). Chitosan showed the lowest microleakage, followed by EDTA and distilled water (p < .05). Microleakage differed significantly among apical repair materials (p < .05), with increased values in the TotalFill FSP, Biodentine, MTA Repair HP, and EMPR groups. The chitosan-TotalFill FSP combination demonstrated the lowest microleakage values (1.24 ± 0.02 mm; p < .05), whereas the distilled water-EMPR combination showed the highest microleakage values (3.35 ± 0.03 mm; p < .05). Within the limitations of this in vitro study, final irrigation with chitosan and the use of TotalFill FSP improved the apical sealing in immature teeth with open apices.

Indexed as

Apical microleakageApical repair materialsChitosanConfocal laser scanning microscopyEthylenediaminetetraacetic acid

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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.