Mash'al, H., Sherif, R., Genena, S. (2025). ASSESSMENT OF CALCIUM HYDROXIDE REMOVAL USING BIOAKT ENDO ROOT CANAL IRRIGATION UNDER A SCANNING ELECTRON MICROSCOPE (IN-VITRO STUDY). Alexandria Dental Journal, 50(2), 194-201. doi: 10.21608/adjalexu.2024.313508.1532
Haitham Ayman Mash'al; Raef Ahmad Sherif; Salma Genena. "ASSESSMENT OF CALCIUM HYDROXIDE REMOVAL USING BIOAKT ENDO ROOT CANAL IRRIGATION UNDER A SCANNING ELECTRON MICROSCOPE (IN-VITRO STUDY)". Alexandria Dental Journal, 50, 2, 2025, 194-201. doi: 10.21608/adjalexu.2024.313508.1532
Mash'al, H., Sherif, R., Genena, S. (2025). 'ASSESSMENT OF CALCIUM HYDROXIDE REMOVAL USING BIOAKT ENDO ROOT CANAL IRRIGATION UNDER A SCANNING ELECTRON MICROSCOPE (IN-VITRO STUDY)', Alexandria Dental Journal, 50(2), pp. 194-201. doi: 10.21608/adjalexu.2024.313508.1532
Mash'al, H., Sherif, R., Genena, S. ASSESSMENT OF CALCIUM HYDROXIDE REMOVAL USING BIOAKT ENDO ROOT CANAL IRRIGATION UNDER A SCANNING ELECTRON MICROSCOPE (IN-VITRO STUDY). Alexandria Dental Journal, 2025; 50(2): 194-201. doi: 10.21608/adjalexu.2024.313508.1532
ASSESSMENT OF CALCIUM HYDROXIDE REMOVAL USING BIOAKT ENDO ROOT CANAL IRRIGATION UNDER A SCANNING ELECTRON MICROSCOPE (IN-VITRO STUDY)
1Conservative department, faculty of dentistry, alexandria university, alexandria, Egypt
2Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Egypt.
3Associate Professor, Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Egypt
Abstract
Background: Calcium hydroxide is widely used in endodontics when single-visit treatment isn't possible, but its removal can be challenging. Effective removal requires thorough manual instrumentation and ample irrigation. Aim: This study aimed at assessing the efficacy of BioAkt Endo in removal of Ca(OH)2 under a scanning electron microscope. Materials and Methods: Forty-four single-rooted lower premolars were divided into four groups to evaluate the effectiveness of different irrigation techniques for removing Ca(OH)2 after one week. Group I used 0.5% BioAkt Endo, Group II used 0.5% BioAkt Endo with XP-endo Finisher activation, Group III used 2.5% NaOCl + 17% EDTA with XP-endo Finisher activation, and Group IV used 2.5% NaOCl + 17% EDTA without XP-endo Finisher. The remaining Ca(OH)2 was assessed using SEM and a scoring system to evaluate residue in the canal. Results: based on Ca(OH)2 removal along the whole length of the root canal; group III (2.5% NaOCl + 17% EDTA with XP-endo Finisher) was most effective in removing Ca(OH)2, with a median score of 2.00, followed by group II (BioAkt Endo + XP-endo Finisher) with a median score of 3.00. Groups I and IV had the lowest efficacy, both with a median score of 4.00. Significant differences were found between group III and groups I and IV, and between group I and II, with group III and II showing superior results. Conclusion: BioAkt Endo is not competent for proper removal of Ca(OH)2. However, BioAkt Endo, when used in conjunction with XP-endo Finisher, yields promising results in removing Ca(OH)2.
View on SCiNiTO
Top