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This is a Quantitative Study study.

October 2, 2025Cumhuriyet Dental JournalOpen Access

Removal of AH Plus Bioceramic Sealer from Artificial Internal Resorption Cavities Using Different Irrigation Activation Systems

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Observational analysis of sealer removal efficacy in artificial internal root resorption cavities, indicating XP-Endo systems are superior.

XPF, XPF-R, and PUI showed greater efficacy in sealer removal compared to CNI, with P < 0.001.
None of the irrigation methods completely removed the sealer from the cavities, highlighting limitations.
Statistical differences were not found between XPF, XPF-R, and PUI, but XPF-R had more 'Score 0' outcomes.
These findings support the use of XPF-R as an effective system in IRR cavities filled with bioceramic sealers.

Özdemir et al. (2025) studied this question.

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Observational analysis of sealer removal efficacy in artificial internal root resorption cavities, indicating XP-Endo systems are superior.