﻿<?xml version="1.0" encoding="utf-8" ?>
<XML>
  <ISCJOURNAL>
    <YEAR>2026</YEAR>
    <VOL>8</VOL>
    <NO>26</NO>
    <MOSALSAL>26</MOSALSAL>
    <PAGE_NO>6</PAGE_NO>
    <ARTICLES>
      <ARTICLE>
        <LANGUAGE_ID>1</LANGUAGE_ID>
        <TitleF/>
        <TitleE>Evaluating the impact of calcium hydroxide on the push-out bond strength
          of resin-based endodontic sealers: an in vitro study</TitleE>
        <URL>https://jourcc.com/index.php/jourcc/article/view/jcc352</URL>
        <DOI>10.66224/jcc.8.1.2</DOI>
        <DOR>20.1001.1.26765837.2020.2.5.6.0</DOR>
        <ABSTRACTS>
          <ABSTRACT>
            <LANGUAGE_ID>1</LANGUAGE_ID>
            <CONTENT>Conventional endodontic treatment aims to preserve teeth that would otherwise require extraction through cleaning, shaping, and obturation of the root canal system. Successful treatment depends on accurate diagnosis, effective debridement and disinfection, and complete canal filling to promote tissue repair. Resin-based sealers, particularly epoxy resin sealers, are widely used because of their favorable properties. This in vitro study compared the effect of calcium hydroxide (Ca(OH)2) on the push-out bond strength of AH Plus and Adseal sealers. A total of 128 single-rooted human teeth were allocated to control (without Ca(OH)2) and experimental (with Ca(OH)2) groups. After one week, Ca(OH)2 was removed and canals were obturated with AH Plus or Adseal. Following a further week of incubation, specimens were sectioned and subjected to push-out testing. AH Plus showed significantly lower bond strength after Ca(OH)2 medication compared with the control group (p&lt;0.001), whereas Adseal was not significantly affected (p=0.36). In the control group, AH Plus exhibited higher bond strength than Adseal (p=0.01); however, in the experimental group, Adseal demonstrated significantly higher bond strength than AH Plus (p&lt;0.001). Within the limitations of this study, Ca(OH)2 adversely affected AH Plus but not Adseal. Further clinical studies are needed to confirm these findings.</CONTENT>
          </ABSTRACT>
        </ABSTRACTS>
        <PAGES>
          <PAGE>
            <FPAGE>1</FPAGE>
            <TPAGE>6</TPAGE>
          </PAGE>
        </PAGES>
        <AUTHORS>
          <AUTHOR>
            <Name/>
            <MidName/>
            <Family/>
            <NameE>Mina</NameE>
            <MidNameE/>
            <FamilyE>Seyed Habashi</FamilyE>
            <Organizations>
              <Organization>Department of Dentistry, Bushehr University of Medical Sciences, Bushehr, Iran</Organization>
            </Organizations>
            <Countries>
              <Country>Iran</Country>
            </Countries>
            <EMAILS>
              <Email>mina.s.habashi.64@gmail.com</Email>
            </EMAILS>
          </AUTHOR>
          <AUTHOR>
            <Name/>
            <MidName/>
            <Family/>
            <NameE>Maryam</NameE>
            <MidNameE/>
            <FamilyE>Khakpoor</FamilyE>
            <Organizations>
              <Organization>Department of Dentistry, Bushehr University of Medical Sciences, Bushehr, Iran
              </Organization>
            </Organizations>
            <Countries>
              <Country>Iran</Country>
            </Countries>
            <EMAILS>
              <Email>khkpur.m@gmail.com</Email>
            </EMAILS>
          </AUTHOR>
          <AUTHOR>
            <Name/>
            <MidName/>
            <Family/>
            <NameE>Niusha</NameE>
            <MidNameE/>
            <FamilyE>Jafari</FamilyE>
            <Organizations>
              <Organization>Department of Medicine, Fasa University of Medical Sciences, Fasa, Iran</Organization>
            </Organizations>
            <Countries>
              <Country>Iran</Country>
            </Countries>
            <EMAILS>
              <Email>niushajafari97@gmail.com</Email>
            </EMAILS>
          </AUTHOR>
          <AUTHOR>
            <Name/>
            <MidName/>
            <Family/>
            <NameE>Nazanin</NameE>
            <MidNameE/>
            <FamilyE>Jafari</FamilyE>
            <Organizations>
              <Organization>Department of Dentistry, Bushehr University of Medical Sciences, Bushehr, Iran
              </Organization>
            </Organizations>
            <Countries>
              <Country>Iran</Country>
            </Countries>
            <EMAILS>
              <Email>ninadentalpro@gmail.com
              </Email>
            </EMAILS>
          </AUTHOR>
        </AUTHORS>
        <KEYWORDS>
          <KEYWORD>
            <KeyText>Resin-based endodontic sealers</KeyText>
          </KEYWORD>
          <KEYWORD>
            <KeyText>Calcium hydroxide</KeyText>
          </KEYWORD>
          <KEYWORD>
            <KeyText>Push-out bond strength</KeyText>
          </KEYWORD>
          <KEYWORD>
            <KeyText>Epoxy resin compounds</KeyText>
          </KEYWORD>
          <KEYWORD>
            <KeyText>Dental composite material</KeyText>
          </KEYWORD>
          </KEYWORDS>
        <PDFFileName>JCC-26-8-1-2-1+v0</PDFFileName>
        <REFRENCES>
          <REFRENCE>
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Bonetti Filho, M.C. Kuga, Ultrasonic activation enhances bond strength and epoxy resin-based sealer penetration after removal of calcium hydroxide intracanal dressing, International Journal of Adhesion and Adhesives 142 (2025) 104133. ## [15] E. Kontakiotis, M.K. Wu, P. Wesselink, Effect of calcium hydroxide dressing on seal of permanent root filling, Dental Traumatology 13(6) (1997) 281-284. ## [16] B. Piazza, Evaluation of the antimicrobial activity, quality of removal and influence on the bond strength of calcium hydroxide pastes associated with different substances, Universidade de São Paulo, 2019. ## [17] R.S. Schwartz, Adhesive dentistry and endodontics. Part 2: bonding in the root canal system—the promise and the problems: a review, Journal of endodontics 32(12) (2006) 1125-1134. ## [18] J. Margelos, G. Eliades, C. Verdelis, G. Palaghias, Interaction of calcium hydroxide with zinc oxide-eugenol type sealers: A potential clinical problem, Journal of Endodontics 23(1) (1997) 43-48. ## [19] D. RlCUCCI, K. Langeland, Incomplete calcium hydroxide removal from the root canal: a case report, International endodontic journal 30(6) (1997) 418-421. ## [20] A.S. Kumar, V. Shivanna, M.T. Naian, G. Shivamurthy, Comparative evaluation of the apical sealing ability and adaptation to dentine of three resin-based sealers: An: in vitro: study, Journal of Conservative Dentistry and Endodontics 14(1) (2011) 16-20. ## [21] G.A. Marín-Bauza, Y.T.C. Silva-Sousa, S.A.d. Cunha, F.J.A. RachedJunior, I. Bonetti-Filho, M.D. Sousa-Neto, C.E.S. Miranda, Physicochemical properties of endodontic sealers of different bases, Journal of Applied Oral Science 20 (2012) 455-461. ## [22] S. Ersahan, C. Aydin, Dislocation Resistance of iRoot SP, a Calcium Silicate–based Sealer, from Radicular Dentine, Journal of Endodontics 36(12) (2010) 2000-2002. ## [23] A. Kumar, S. Tamanna, H. Iftekhar, Intracanal medicaments–Their use in modern endodontics: A narrative review, Journal of Oral Research and Review 11(2) (2019) 94-99. ## [24] F.A. Guiotti, M.C. Kuga, M.A.H. Duarte, A. Sant'Anna, G. Faria, Effect of calcium hydroxide dressing on push-out bond strength of endodontic sealers to root canal dentin, Brazilian oral research 28(1) (2014) 1-7. ## [25] C.N. Carvalho, J. Bauer, P.H.P. Ferrari, S.F.C. Souza, S.P. Soares, A.D. Loguercio, A.C. Bombana, Influence of calcium hydroxide intracanal medication on bond strength of two endodontic resin‐based sealers assessed by micropush‐out test, Dental Traumatology 29(1) (2013) 73-76. ## [26] H. Liu, Y. Shen, Z. Wang, M. Haapasalo, The ability of different irrigation methods to remove mixtures of calcium hydroxide and barium sulphate from isthmuses in 3D printed transparent root canal models, Odontology 110(1) (2022) 27-34. ## [27] L. Generali, F. Cavani, F. Franceschetti, P. Sassatelli, L. Giardino, C. Pirani, F. Iacono, C. Bertoldi, D. Angerame, V. Checchi, Calcium hydroxide removal using four different irrigation systems: A quantitative evaluation by scanning electron microscopy, Applied Sciences 12(1) (2021) 271. ## [28] N. Hosoya, H. Kurayama, F. Iino, T. Arai, Effects of calcium hydroxide on physical and sealing properties of canal sealers, International endodontic journal 37(3) (2004) 178-184. ## [29] C. Williams, R.J. Loushine, R.N. Weller, D.H. Pashley, F.R. Tay, A comparison of cohesive strength and stiffness of Resilon and gutta-percha, Journal of endodontics 32(6) (2006) 553-555.</REF>
          </REFRENCE>
        </REFRENCES>
      </ARTICLE>
    </ARTICLES>
  </ISCJOURNAL>
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