Effect of a novel irrigation regimen and root canal filling material versus conventional endodontic protocols on...

The purpose of this study was to compare the effect of different irrigation regimens on the dentin wettability of root canal sealers. The occlusal surfaces of human molar teeth (N = 90) were removed, polished, and divided into three groups (n = 30) based on the irrigation regimen: control group (SAL), standard irrigation group (NES), and test group (ODC). Each group was randomly divided into three subgroups according to the root canal sealer: AH Plus (AHP), Total Fill BC Sealer HiFlow (TOT), and OdneFill (ODF). The contact angle was determined using the sessile drop technique. The pendant droplet method assessed the work of adhesion. Surface roughness was measured using atomic force microscopy. Data were analyzed using non-parametric tests (p < .05). ODC-ODF showed significantly lower contact angle (34.80°) than ODC-AHP (66.53°, p < .001) and ODC-TOT (85.72°, p < .001). In NES, no significant difference was found between ODF and AHP (p > .05) while both groups presented significantly lower results than TOT (p < .001, p < .001, respectively). In SAL, the difference between TOT (92.84°) and AHP (83.24°) was insignificant (p > .05), whereas ODF presented significantly lower results compared to both (p < .001, p < .001, respectively). Surface roughness was lowest in ODC (31.54 nm), followed by SAL (62.30 nm) and NES (72.02 nms) which was significantly (p = 0.006) higher than ODC, whereas the difference between SAL and NES was insignificant (p > .05). This study highlights the wettability of a new root canal sealer and the effect of a new irrigation activation system on the wettability of different root canal sealers. OdneFill showed superior wettability compared to other sealers while exhibiting a synergistic effect with OdneClean.