Cleaning Efficiency of XP Finisher, XP Finisher R and Passive Ultrasonic Irrigation Following Retreatment of Teeth Obturated with TotalFill HiFlow Bioceramic Sealer

Objective: The aim of the study was to compare the cleaning efficiency of XP Finisher (FKG Dentaire, La Chaux-de-Fonds, Switzerland), XP Finisher R (FKG Dentaire), and passive ultrasonic irrigation after root canal retreatment. Methods: A total of 75 single-rooted human teeth were decoronated, instrumented using HyFlex EDM rotary files (Coltene/Whaledent Inc., Altstatten, Switzerland), and filled with gutta-percha and the TotalFill HiFlow bioceramic sealer (FKG Dentaire) using the warm vertical compaction technique. Retreatment was performed with D-Race rotary files (FKG Dentaire). Samples were randomly divided into five groups according to the activation protocol used. Samples were sectioned longitudinally and prepared for the scanning electron microscope. The percentages of cleaned canal walls in each third of the canal were determined using the ImageJ software. The one-way ANOVA test was used to make comparisons among all of the tested groups, with a pairwise comparison made with the Bonferroni correction. The significance level was set at P <= 0.05. Results: Results showed that none of the activation techniques used resulted in complete canal cleanliness. However, XP Finisher R and XP Finisher had better cleaning ability compared with passive ultrasonic irrigation in all thirds of each root canal (P<0.001). Conclusion: The cleaning efficiency of XP Finisher R and XP Finisher was superior to that of passive ultrasonic irrigation after the retreatment of the hydraulic calcium silicate sealer.