Abstract
BACKGROUND: Bioceramic sealers are increasingly used due to their favorable properties, but their strong bonding to dentin complicates retreatment procedure. In addition, canal irregularities such as isthmuses make the complete removal of filling materials more challenging. AIM: This study aimed to evaluate the retreatability of five bioceramic sealers (BioRoot RCS, Bio-C Sealer, CeraSeal, Endoseal MTA, and AH Plus Bioceramic Sealer) using passive ultrasonic irrigation. MATERIALS AND METHODS: Sixty human mandibular premolars with straight canals were prepared to size 40/0.04 taper. After longitudinal splitting, standardized grooves were created. The root canals were subsequently obturated using the single cone technique and stored at 37 °C with 100% humidity for 21 days. Passive ultrasonic irrigation was used to assess sealer removal. Statistical analysis was performed with Kruskal-Wallis and Mann-Whitney U tests. RESULTS: The amount of residual sealer in the apical region was statistically higher compared with the coronal region. In the coronal region, the highest amount of residual material was observed in the Bio-C Sealer group, and this difference was statistically significant compared to the other groups. There was no significant difference among the other groups. In the apical region, there were no statistically significant difference between Bio-C Sealer and Endoseal MTA; however Bio-C Sealer showed a statistically significantly higher amount of residual material compared to BioRoot RCS, Ceraseal, and Ah Plus Bioceramic Sealer. CONCLUSION: Among the evaluated bioceramic sealers, Bio-C Sealer exhibited the highest amount of residual material, particularly in the apical region, indicating its lower retreatability. Passive ultrasonic irrigation improved the removal of BioRoot RCS, CeraSeal, and AH Plus Bioceramic Sealer, but was less effective for Bio-C Sealer and EndoSeal MTA. These findings highlight the variability in retreatability among different bioceramic sealers and emphasize the importance of material selection in cases with potential need for retreatment.