scholarly journals Cleaning Efficacy of the XP-Endo® Finisher Instrument Compared to Other Irrigation Activation Procedures: A Systematic Review

2019 ◽  
Vol 9 (23) ◽  
pp. 5001
Author(s):  
Lauritano ◽  
Moreo ◽  
Carinci ◽  
Della Vella ◽  
Di Spirito ◽  
...  
Keyword(s):  
Systematic Review ◽  
Root Canal ◽  
Complete Removal ◽  
Endodontic Treatment ◽  
Filling Material ◽  
Debris Removal ◽  
Activation Procedure ◽  
Ultrasonic Irrigation ◽  
Maximum Root ◽  
Cleaning Efficacy

Background. One of the most important aims of an endodontic treatment is to obtain the complete removal or reduction of root canal remaining filling material: Smear layer, bacteria, intra-canal medicaments. To meet this requirement, several irrigation activation techniques have been proposed. Our systematic review examined studies which analyzed the XP-endo Finisher (XPF) instrument efficacy in removing root canal debris during initial endodontic treatment or retreatment, comparing it with the efficacy of other irrigation activation protocols, such as passive ultrasonic irrigation (PUI), laser activation procedure (Er:YAG), and Self-Adjusting File system (SAF). Methods. A systematic review was conducted using PubMed, Chocrane Library, and Scopus databases, identifying 51 items. Thirty-four articles were excluded based on title, abstract, full text, and language. Seventeen randomized controlled trials were selected and consequently submitted to quality assessment and data collection. Results. Conventional needle irrigation (CNI) is the less effective irrigation technique, but it is still unclear whether XPF is able to guarantee greater debris removal than the PUI technique. Er:YAG laser has been proven to be more effective in apical third than XPF instrument. Conclusions. Further investigations are needed in order to establish which final irrigation activation procedure could reach the maximum root canal debris reduction.

Effectiveness of passive ultrasonic irrigation on periapical healing and root canal disinfection: a systematic review

BDJ ◽  
2019 ◽  
Vol 227 (3) ◽  
pp. 228-234
Author(s):  
Emmanuel J. N. L. Silva ◽  
Gabriela Rover ◽  
Felipe G. Belladonna ◽  
Daniel R. Herrera ◽  
Gustavo De-Deus ◽  
...  
Keyword(s):  
Systematic Review ◽  
Root Canal ◽  
Passive Ultrasonic Irrigation ◽  
Root Canal Disinfection ◽  
Periapical Healing ◽  
Ultrasonic Irrigation

Passive ultrasonic irrigation in root canal: systematic review and meta-analysis

2018 ◽  
Vol 77 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Rafaela Nogueira Moreira ◽  
Elizabete Bagordakis Pinto ◽  
Rodrigo Galo ◽  
Saulo Gabriel Moreira Falci ◽  
Ana Terezinha Mesquita
Keyword(s):  
Systematic Review ◽  
Root Canal ◽  
Meta Analysis ◽  
Passive Ultrasonic Irrigation ◽  
Ultrasonic Irrigation

scholarly journals Efficacy of an Organic Solvent and Ultrasound for Filling Material Removal

2013 ◽  
Vol 24 (6) ◽  
pp. 585-590 ◽  
Author(s):  
Gabriela Guardiola Muller ◽  
Anielle Pinheiro Schonhofen ◽  
Patricia Maria Poli Kopper Mora ◽  
Fabiana Soares Grecca ◽  
Marcus Vinicius Reis So ◽  
...  
Keyword(s):  
Root Canal ◽  
Filling Material ◽  
Control Groups ◽  
Passive Ultrasonic Irrigation ◽  
Universal System ◽  
Gutta Percha ◽  
Ah Plus ◽  
Ultrasonic Irrigation ◽  
Post Hoc ◽  
Endodontic Retreatment

The aim of this study was to investigate whether a final rinse with Endosolv R® solvent and ultrasound resulted in cleaner root canal walls during endodontic retreatment. A total of 56 extracted premolar teeth were manually instrumented using a step-back flare technique and filled with gutta-percha and AH Plus sealer. After 9 months, the canals were retreated by removing the gutta-percha and sealer with ProTaper Universal Retreatment and rotary preparation with ProTaper Universal System up to an F5 file. As a final step, the teeth were randomly divided in 4 groups (n=14) and were subjected to passive ultrasonic irrigation (PUI) with either Endosolv R or distilled water. In the control groups, the irrigants were left undisturbed. Roots were cleaved and examined under scanning electron microscopy (SEM), and the amount of filling remnants on the canal walls was assessed by two calibrated examiners in a blinded fashion. Data were analyzed by the Kruskal-Wallis test and the Student-Newman-Keuls post hoc test (α=0.05). All groups presented filling debris in the three root canal thirds after retreatment. There were no significant differences between the groups or among the root canal thirds within each group (p>0.05). PUI with Endosolv R was not effective in the removal of filling debris from root canal walls.

scholarly journals Comparative Evaluation of Different Irrigation Techniques with Conventional Irrigation Technique for the Removal of Double Antibiotic Paste from Root Canal-An in vitro study

2020 ◽  
Vol 11 (4) ◽  
pp. 5578-5583
Author(s):  
Samrudhi Khatod ◽  
Anuja Ikhar ◽  
Pradnya Nikhade ◽  
Manoj Chandak ◽  
Kaustubh Khatod ◽  
...  
Keyword(s):  
Root Canal ◽  
Irrigation System ◽  
In Vitro Study ◽  
Complete Removal ◽  
Passive Ultrasonic Irrigation ◽  
Significant Difference ◽  
Ultrasonic Irrigation ◽  
Double Antibiotic Paste ◽  
Experimental Group

Complete removal of infection, rendering root canal free of an organism is the prime aim of endodontic treatment. It cannot be achieved alone by biomechanical preparation due to the complexity of root canal treatment. Therefore the use of intracanal medicament is a must. The antibiotic paste is frequently used intracanal medicament, usually in regenerative cases. Hence the aim of the is to compare different irrigation technique for removal of double antibiotic paste from root canal through a stereomicroscope. 36 single-rooted were standardized to root length of 12mm then instrumented by Protaper rotary file up to size F4. Irrigation was done using sodium hypochlorite in between instrument change. The root canal was dried using paper point and filled by DAP and then randomly allocated to 3 groups(n=12) according to irrigation system used: conventional syringe irrigation (CSI), Passive ultrasonic irrigation(PUI), EndoVac (EV). Roots were then longitudinally sectioned using the diamond disk and studied under a stereomicroscope using a scoring scale. Data were evaluated using one way ANOVA and Tukey test. Among all experimental group CSI was least efficient. PUI and EV showed greater efficiency but no significant difference between PUI and EV, but a significant difference between CSI and PUI, EV (p< 0.05). Use of irrigation activation system results in efficient removal of DAP compared to CSI.

scholarly journals Effect of the irrigation protocols on the elimination of dentin debris from simulated lateral canals

2018 ◽  
Vol 21 (4) ◽  
pp. 437
Author(s):  
Pedro Cesar Gomes Titato ◽  
Lyz Cristina Furquim Canali ◽  
Rodrigo Ricci Vivan ◽  
Marco Antonio Hungaro Duarte
Keyword(s):  
Root Canal ◽  
Ultrasonic Therapy ◽  
Root Canal Therapy ◽  
Passive Ultrasonic Irrigation ◽  
Final Volume ◽  
Continuous Rotation ◽  
Debris Removal ◽  
Computed Microtomography ◽  
Ultrasonic Irrigation ◽  
Conventional Irrigation

<p><strong>Objective: </strong>Computed microtomography was used to evaluate the capacity of debris removal from simulated lateral canals, in conventional irrigation, passive ultrasonic irrigation (PUI), continuous passive irrigation (CUI), Endoactivator and EasyClean, for both types of motion (continuous and reciprocating). <strong>Material and Methods</strong>: Sixty acrylic incisors with 3 simulated lateral canals per tooth (cervical, middle and apical third) were instrumented with Reciproc 40/06 and then filled with dentin debris. The teeth were scanned and divided into 6 groups (n = 10) according to the irrigation protocol: G1 - conventional, G2 - PUI, G3 - CUI, G4 - Endoactivator, G5 - EasyClean continuous rotation and G6 - EasyClean reciprocating. After the irrigation protocols, the samples were scanned again. The initial and final volume images were analyzed and the percentage of debris removal were found for each group in all levels. <strong>Results:</strong> There were significant differences between the initial and final volume of debris after the protocols, with the exception of conventional irrigation group in the apical and cervical thirds, EasyClean reciprocating in the middle and cervical thirds, and CUI in the middle third. In the analysis between the groups: in the apical third, Endoactivator and PUI removed more debris than CUI (p &lt; 0.05); in the middle and cervical thirds, PUI was more efficient than conventional irrigation, EasyClean reciprocating and CUI (p &lt; 0.05). <strong>Conclusion:</strong> No method completely removed the debris. PUI was the method that showed greater effectiveness in cleaning the lateral canals.</p><p><strong>Keywords</strong></p><p>Root canal therapy; Microct; Dentin; Ultrasonic therapy.</p>

scholarly journals Management of Mandibular Lateral Incisor with Two Roots: a Case Report

2016 ◽  
Vol 5 (1) ◽  
pp. 1093 ◽  
Author(s):  
Pardeep Mahajan ◽  
Ruma Grover ◽  
Shikha Baghi Bhandari ◽  
Prashant Monga ◽  
Vanita Keshav
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Lateral Incisor ◽  
Successful Outcome ◽  
Filling Material ◽  
Canal System ◽  
Root Canals ◽  
Root Canal System

Successful outcome of endodontic treatment depends on the identification of all root canals which in turn guarantee complete extirpation of pulp tissue, proper chemo-mechanical cleaning and shaping and three dimensional obturation of the root canal system with an inert filling material. However endodontic treatment can fail for many reasons, such as diagnostic errors, persistence of the infection in the root canal system, errors in debridement and shaping of the root canal systems, instrument fractures, poor restorations and extra roots or canals if not detected are the reasons for failure. Undetected extra roots or root canals have been considered as a major reason for failure of root canal treatment. Many of the challenges faced during root canal treatment may be directly attributed to an inadequate understanding of the canal morphology of teeth. A broad knowledge of both the external and internal anatomy of teeth is of great importance for adequate endodontic treatment. We present a case report of 2 roots in mandibular lateral incisor.

scholarly journals Application of ultrasound in endodontics

2017 ◽  
pp. 21-27
Author(s):  
L.Yu. Orekhova ◽  
T.V. Porkhun ◽  
V.Y. Vashneva ◽  
E.A. Rubezhova
Keyword(s):  
Root Canal ◽  
Endodontic Treatment ◽  
Passive Ultrasonic Irrigation ◽  
Ultrasound Application ◽  
Irrigation Solution ◽  
Ultrasonic Irrigation ◽  
Preparatory Stage ◽  
Previously Treated ◽  
Clinical Cases

The aim of this study is to evaluate the efficiency of ultrasound in endodontic practice in various clinical cases. Objects and methods. Extracted teeth, divided into 2 experimental groups, were used to assess the degree of the tooth cavity cleaning. In the first group, the tooth cavity was treated mechanically and medically without ultrasound use. In the second group, the tooth cavity was treated mechanically and medically with ultrasound use. Ultrasound treatment was found to improve significantly the level of tooth cavity cleaning at the preparatory stage for endodontic treatment. Extracted teeth, divided into 3 experimental groups were used in our study to demonstrate the efficiency of passive ultrasonic irrigation. Results and discussion. The results of scanning electron microscopy of extracted teeth slices which show the level of purification of the root canal previously treated mechanically and medically are attached to the article. Our research leads to the conclusion that the activation of the irrigation solution with sound or ultrasound leads to significant increase in quality of root canal cleaning. The article presents 3 clinical cases of ultrasound application in procedure of extraction a silver post, a fiberglass post and a fragment of the canal filling instrument from the root canal. The research has found that use of ultrasound in modern endodontic practice facilitates the extraction of intracanal posts and instrument fragments, with duration of intervention being reduced and the possibility of saving the tooth in complicated clinical cases being increased. Conclusion. The results of the research lead to the conclusion that ultrasound should be used almost at every stage of endodontic treatment.

Effectiveness of the ProTaper Next and Reciproc Systems in Removing Root Canal Filling Material with Sonic or Ultrasonic Irrigation: A Micro–computed Tomographic Study

2017 ◽  
Vol 43 (3) ◽  
pp. 467-471 ◽  
Author(s):  
Milena Perraro Martins ◽  
Marco Antonio Hungaro Duarte ◽  
Bruno Cavalini Cavenago ◽  
Augusto Shoji Kato ◽  
Carlos Eduardo da Silveira Bueno
Keyword(s):  
Root Canal ◽  
Filling Material ◽  
Root Canal Filling ◽  
Computed Tomographic ◽  
Ultrasonic Irrigation

Effect of Irrigants and Irrigating Devices on Disinfection of Root Canal System: A Systematic Review

2021 ◽  
pp. 232020682110158
Author(s):  
Shruthi H. Attavar ◽  
Mithra N. Hegde
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Root Canal ◽  
Case Reports ◽  
Endodontic Treatment ◽  
Risk Category ◽  
Canal System ◽  
Effective Delivery ◽  
Root Canal System ◽  
Present Systematic Review

Aim: The effective delivery of irrigants into the inaccessible areas of the root canal system is the prerequisite for a proper disinfection of the root canal system. Numerous activation devices that can provide effective delivery of the irrigant and aid in the success of the root canal treatment are available. The activation of irrigants has claimed to be effective in in vitro and clinical trials. Hence, the present systematic review aims to analyze the effect of irrigants and irrigating devices in disinfecting the root canal system. Materials and Methods: A literature search was undertaken in PubMed, Cochrane, Web of Science, and Scopus databases. The inclusion criteria included clinical trials, both in vivo and ex vivo. The exclusion criteria included animal studies, textbooks, review articles, and case reports. The patients who required endodontic treatment along with the activation of irrigants were chosen as participants for the review. Result: The search strategy screened around 132 articles, out of which only 10 were selected for the present systematic review. The risk of bias was calculated based on the following scores: 3, high; 2, moderate; and 1, low. In the present systematic review, four articles were categorized into low-risk bias, three articles were classified as moderate risk, and three articles belonged to the high-risk category. Conclusion: The present systematic review concluded that the use of a mechanical activation device along with the irrigant will help in better removal of the smear layer and debris from the root canal system, improving the cleanliness and helping achieve more successful endodontic treatment.

Sign in / Sign up

Export Citation Format

Share Document