Retreatability of guttaflow bioseal in bulk or with main cone from root canals using ultrasonic, laser, and xp-endo finisher activated techniques
Purpose: The aim of this study was to investigate the efficacy of ultrasonic, laser, and XPEndo Finisher activation techniques for the removal of GuttaFlow Bioseal from root canals.
Materials and Methods: In this study, 64 extracted mandibular premolar teeth were instrumented using ProTaper Next files up to size X3 and randomly divided into two groups (n = 32) based on the obturation method: Group 1 — GuttaFlow Bioseal with gutta-percha, and Group 2 — GuttaFlow Bioseal without gutta-percha. After root filling removal, the specimens were randomly allocated into one of four activation subgroups (n = 8): Subgroup A — Conventional Needle Irrigation; Subgroup B — Passive Ultrasonic Activation; Subgroup C — XP-Endo Finisher; and Subgroup D — Er, Cr: YSGG Laser. The teeth were then sectioned longitudinally, and photographic images were captured under a stereomicroscope. Residual filling materials in the coronal, middle, and apical thirds were measured using ImageJ software. Data were statistically analyzed with three-way ANOVA and Tukey’s HSD test (p < 0.05).
Results: The lowest amount of residual filling material was observed in the Er, Cr: YSGG laser group, followed by the XP-Endo Finisher, passive ultrasonic activation, and conventional needle irrigation groups, respectively (p < 0.001). There was no statistically significant difference in retreatability between GuttaFlow Bioseal used with or without gutta-percha (p = 0.754).
Conclusion: This study demonstrates that different activation techniques significantly improve the removal of GuttaFlow Bioseal from root canals; however, none achieved complete removal. Among the tested methods, the Er, Cr: YSGG laser was the most effective, followed by the XPEndo Finisher and passive ultrasonic activation. These results suggest that the Er, Cr: YSGG laser is a highly effective option for endodontic retreatment.