Achieving Patency in Straight Canals Obturated with AH Plus Bioceramic Sealer: An Ex Vivo Study

This study compared the efficacy of different solutions in achieving patency in teeth filled with AH Plus Bioceramic sealer. Eighty-five premolars with a straight canal were prepared. After sealer placement, a master gutta-percha cone was introduced 2 mm short of the working length. The teeth were s...

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Main Authors: Inês Ferreira, Beatriz Fernandes, Ana Cristina Braga, Maria Ascensão Lopes, Irene Pina-Vaz
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/15/11/5855
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author Inês Ferreira
Beatriz Fernandes
Ana Cristina Braga
Maria Ascensão Lopes
Irene Pina-Vaz
author_facet Inês Ferreira
Beatriz Fernandes
Ana Cristina Braga
Maria Ascensão Lopes
Irene Pina-Vaz
author_sort Inês Ferreira
collection DOAJ
description This study compared the efficacy of different solutions in achieving patency in teeth filled with AH Plus Bioceramic sealer. Eighty-five premolars with a straight canal were prepared. After sealer placement, a master gutta-percha cone was introduced 2 mm short of the working length. The teeth were stored at 37 °C and 100% humidity for five weeks before retreatment. Filling materials were removed up to the gutta-percha cone’s length. The canals were then randomly assigned to groups: G1 (control, no solution), G2 (5.25% NaOCl), G3 (17% EDTA), G4 (10% citric acid), and G5 (10% formic acid). The apical patency was attempted with a 10 K file within a period of 10 min, by a blinded operator. Additionally, sealer samples were immersed in the solutions, followed by scanning electron microscopy analysis. The Kruskal–Wallis test was used for statistical analysis. Patency was achieved in all canals except one in the control and one in the NaOCl groups. No significant differences were found in the time required to achieve patency. Acid solutions had a greater impact on the sealer’s structural integrity, and a decalcifying effect of EDTA and citric acid was registered. Apical patency in straight canals obturated with AH Plus Bioceramic sealer was consistently achieved regardless of the solution used.
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spelling doaj-art-ffdba950acb049e2b9d6686f08ecf49d2025-08-20T02:23:06ZengMDPI AGApplied Sciences2076-34172025-05-011511585510.3390/app15115855Achieving Patency in Straight Canals Obturated with AH Plus Bioceramic Sealer: An Ex Vivo StudyInês Ferreira0Beatriz Fernandes1Ana Cristina Braga2Maria Ascensão Lopes3Irene Pina-Vaz4Faculty of Dental Medicine, University of Porto, Rua Dr. Manuel Pereira da Silva, 4200-393 Porto, PortugalFaculty of Dental Medicine, University of Porto, Rua Dr. Manuel Pereira da Silva, 4200-393 Porto, PortugalDepartment of Production and Systems, ALGORITMI Center, University of Minho, Rua da Universidade, 4710-057 Braga, PortugalLAQV-REQUIMTE, FEUP, Department of Mechanical Engineering, University of Porto, Rua Dr. Roberto Frias, s/n, 4200-465 Porto, PortugalFaculty of Dental Medicine, University of Porto, Rua Dr. Manuel Pereira da Silva, 4200-393 Porto, PortugalThis study compared the efficacy of different solutions in achieving patency in teeth filled with AH Plus Bioceramic sealer. Eighty-five premolars with a straight canal were prepared. After sealer placement, a master gutta-percha cone was introduced 2 mm short of the working length. The teeth were stored at 37 °C and 100% humidity for five weeks before retreatment. Filling materials were removed up to the gutta-percha cone’s length. The canals were then randomly assigned to groups: G1 (control, no solution), G2 (5.25% NaOCl), G3 (17% EDTA), G4 (10% citric acid), and G5 (10% formic acid). The apical patency was attempted with a 10 K file within a period of 10 min, by a blinded operator. Additionally, sealer samples were immersed in the solutions, followed by scanning electron microscopy analysis. The Kruskal–Wallis test was used for statistical analysis. Patency was achieved in all canals except one in the control and one in the NaOCl groups. No significant differences were found in the time required to achieve patency. Acid solutions had a greater impact on the sealer’s structural integrity, and a decalcifying effect of EDTA and citric acid was registered. Apical patency in straight canals obturated with AH Plus Bioceramic sealer was consistently achieved regardless of the solution used.https://www.mdpi.com/2076-3417/15/11/5855calcium silicate-based sealersendodonticsapical patencyretreatmentroot canal sealerssolvents
spellingShingle Inês Ferreira
Beatriz Fernandes
Ana Cristina Braga
Maria Ascensão Lopes
Irene Pina-Vaz
Achieving Patency in Straight Canals Obturated with AH Plus Bioceramic Sealer: An Ex Vivo Study
Applied Sciences
calcium silicate-based sealers
endodontics
apical patency
retreatment
root canal sealers
solvents
title Achieving Patency in Straight Canals Obturated with AH Plus Bioceramic Sealer: An Ex Vivo Study
title_full Achieving Patency in Straight Canals Obturated with AH Plus Bioceramic Sealer: An Ex Vivo Study
title_fullStr Achieving Patency in Straight Canals Obturated with AH Plus Bioceramic Sealer: An Ex Vivo Study
title_full_unstemmed Achieving Patency in Straight Canals Obturated with AH Plus Bioceramic Sealer: An Ex Vivo Study
title_short Achieving Patency in Straight Canals Obturated with AH Plus Bioceramic Sealer: An Ex Vivo Study
title_sort achieving patency in straight canals obturated with ah plus bioceramic sealer an ex vivo study
topic calcium silicate-based sealers
endodontics
apical patency
retreatment
root canal sealers
solvents
url https://www.mdpi.com/2076-3417/15/11/5855
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