ASSESSMENT OF CALCIUM HYDROXIDE REMOVAL USING BIOAKT ENDO ROOT CANAL IRRIGATION UNDER A SCANNING ELECTRON MICROSCOPE (IN-VITRO STUDY) | ||||
| Alexandria Dental Journal | ||||
| Article 12, Volume 50, Issue 2, August 2025, Page 194-201 PDF (567.47 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/adjalexu.2024.313508.1532 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Haitham Ayman Mash'al  1; Raef Ahmad Sherif2; Salma Genena3
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| 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. | ||||
| Keywords | ||||
| BioAkt Endo; Calcium hydroxide; Scanning electron microscopy; XP-endo Finisher | ||||
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