{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:22:35Z","timestamp":1787775755338,"version":"build-2784847793"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The study aimed to determine the pushout bond strength (PBS) of bioceramic root canal sealer after removal of silver nanoparticle (AgNP) based calcium hydroxide paste using different irrigation activation techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      To remove the intracanal medicament, 60 single-rooted mandibular premolars were separated into four groups based on the irrigation activation used: ultrasonic irrigation (UI), laser-activated irrigation, manual dynamic activation (MDA), and conventional syringe irrigation. Obturation was done with bioceramic root canal sealer and single-c cone. After 1 week, PBS testing was done. Statistical analysis was done by ANOVA followed by\n                      <jats:italic toggle=\"yes\">post hoc<\/jats:italic>\n                      Tukey test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The highest bond strength among the tested groups was shown by UI. Post hoc tests revealed significantly higher PBS values for UI (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001), closely followed by MDA (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>When compared with other irrigation activation methods, higher PBS values for bioceramic sealer were obtained when UI was used for removal of AgNP based calcium hydroxide intracanal medicament.<\/jats:p>\n                  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