Calcium Hydroxide Removal Using Four Different Irrigation Systems: A Quantitative Evaluation by Scanning Electron Microscopy

This study compares conventional endodontic needle irrigation, passive ultrasonic irrigation, apical negative pressure irrigation, and mechanical activation to remove calcium hydroxide from single straight root canals. Eighty-four mandibular premolars were prepared in a crown-down manner up to size #40. Two teeth represented a negative control, and another two served as a positive control. Calcium hydroxide paste was placed inside root canals. The remaining eighty samples were analyzed based on the activation techniques, and the cleanliness of the canals was quantified using Fiji’s software on 500× magnified SEM backscattered electron micrographs. Considering the whole canal, all instruments showed better performance than conventional endodontic needle irrigation in removing calcium hydroxide (p < 0.05). Irrisafe and XP-endo Finisher could remove a significantly higher amount of calcium hydroxide than Endovac (p < 0.05). Irrisafe and XP-endo Finisher have been able to remove more calcium hydroxide than EndoVac.

Evaluation of the effectiveness of reciprocal and conventional shaping systems and EDDY and CanalBrush activation systems in calcium hydroxide removal

Aim: To compare the effectiveness of two preparation systems and two irrigation techniques in calcium hydroxide removal from straight root canals. Methodology: Forty-four mandibular premolar teeth were included in this study. The teeth were filled with a calcium hydroxide-based paste and randomly divided into two different preparation groups (Reciproc 50 (R50; VDW, Munich, Germany and ProTaper Universal F5 (PTU; Dentsply Maillefer, Ballaigues, Switzerland). Subsequently, the groups were divided into two subgroups and irrigated using EDDY (VDW, Munich, Germany) and CanalBrush (CB; Roeko, Langenau, Germany) irrigation activation systems. The percentage of calcium hydroxide removed from the canal walls was analyzed using a dental operating microscope (DOM) at 25× magnification. An independent samples t-test, a Mann–Whitney U, Wilcoxon’s tests were used for statistical analysis. Results: There was no significant difference in calcium hydroxide removal throughout the root canal using the R50 and PTU F5 preparation systems (P = 0.847). Both activation systems significantly increased the amount of calcium hydroxide removed from the root canal. Conclusions: EDDY and CB significantly improved calcium hydroxide removal. There was no significant difference between the R50 and PTU F5 systems in calcium hydroxide removal. How to cite this article: Keskin NB, İnce Yusufoğlu S. Evaluation of the effectiveness of reciprocal and conventional shaping systems and EDDY and CanalBrush activation systems in calcium hydroxide removal. Int Dent Res 2021;11(1):16-22. https://doi.org/10.5577/intdentres.2021.vol11.no1.4 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.