Effect of instrumentation systems on endotoxin reduction from root canal systems: A systematic review of clinical studies and meta-analysis.

endotoxin kinetic chromogenic limulus amebocyte lysate assay lipopolysaccharide reciprocation rotary

Journal

Australian endodontic journal : the journal of the Australian Society of Endodontology Inc
ISSN: 1747-4477
Titre abrégé: Aust Endod J
Pays: Australia
ID NLM: 100888004

Informations de publication

Date de publication:
Dec 2019
Historique:
accepted: 03 10 2018
pubmed: 7 12 2018
medline: 19 12 2019
entrez: 7 12 2018
Statut: ppublish

Résumé

This systematic review assessed the effect of different root canal instrumentation systems on endotoxin reduction from the root canal system. The literature search was conducted in two electronic databases (PubMed and Scopus) using specific key words. The search strategy followed the PRISMA guidelines. Qualitative synthesis and quantitative synthesis of the data were performed and data interpretation was done based on the guidelines in the Cochrane Handbook. The risk of bias was assessed using Cochrane criteria. The initial search yielded 600 citations, of which three papers met the criteria for inclusion in this review. Studies showed a significant reduction in endotoxin following rotary and reciprocating instrumentation, with no significant differences between them. The meta-analysis showed no statistical significant difference between reciprocation and rotary files (P > 0.05). In conclusion, the instrumentation techniques compared in this review decrease endotoxin content from root canals, with no significant difference between them.

Identifiants

pubmed: 30520194
doi: 10.1111/aej.12333
doi:

Substances chimiques

Endotoxins 0

Types de publication

Journal Article Meta-Analysis Systematic Review

Langues

eng

Pagination

407-413

Informations de copyright

© 2018 Australian Society of Endodontology Inc.

Références

Neves MA, Provenzano JC, Rôças IN, Siqueira JF Jr. Clinical antibacterial effectiveness of root canal preparation with reciprocating single-instrument or continuously rotating multi-instrument systems. J Endod 2016; 42: 25-9.
Khademi A, Yazdizadeh M, Feizianfard M. Determination of the minimum instrumentation size for penetration of irrigants to the apical third of root canal systems. J Endod 2006; 32: 417-20.
Plotino G, Ahmed HM, Grande NM, Cohen S, Bukiet F. Current assessment of reciprocation in endodontic preparation: a comprehensive review-part II: properties and effectiveness. J Endod 2015; 41: 1939-50.
Çapar ID, Arslan H. A review of instrumentation kinematics of engine-driven nickel-titanium instruments. Int Endod J 2016; 49: 119-35.
Ahn SY, Kim HC, Kim E. Kinematic effects of Nickel-titanium instruments with reciprocating or continuous rotation motion: a systematic review of in vitro studies. J Endod 2016; 42: 1009-17.
Akbulut MB, Akman M, Terlemez A, Magat G, Sener S, Shetty H. Efficacy of twisted file adaptive, Reciproc and ProTaper universal retreatment instruments for root-canal-filling removal: a cone-beam computed tomography study. Dent Mater J 2016; 35: 126-31.
Silva EJNL, Ferreira VM, Silva CC, Herrera DR, De-Deus G, Gomes BP. Influence of apical enlargement and complementary canal preparation with the self-adjusting file on endotoxin reduction in retreatment cases. Int Endod J 2017; 50: 646-51.
Neelakantan P, Romero M, Vera J et al. Biofilms in endodontics-current status and future directions. Int J Mol Sci 2017; 18: E1748.
Gomes BP, Martinho FC, Vianna ME. Comparison of 2.5% sodium hypochlorite and 2% chlorhexidine gel on oral bacterial lipopolysaccharide reduction from primarily infected root canals. J Endod 2009; 35: 1350-3.
Cardoso FG, Ferreira NS, Martinho FC et al. Correlation between volume of apical periodontitis determined by cone-beam computed tomography analysis and endotoxin levels found in primary root canal infection. J Endod 2015; 41: 1015-9.
Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: a systematic review of the literature - part 1. Effects of study characteristics on probability of success. Int Endod J 2007; 40: 921-39.
Ng YL, Mann V, Gulabivala K. Outcome of secondary root canal treatment: a systematic review of the literature. Int Endod J 2008; 41: 1026-46.
Gonçalves LS, Rodrigues RC, Andrade Junior CV, Soares RG, Vettore MV. The effect of sodium hypochlorite and chlorhexidine as irrigant solutions for root canal disinfection: a systematic review of clinical trials. J Endod 2016; 42: 527-32.
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol 2009; 62: 1006-12.
Higgins PT. Green SCochrane Handbook for Systematic Reviews of Interventions 2011. Available from URL: http://cochrane-handbook.org.
Review Manager (RevMan) [Computer program]. Version 5.3. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2014.
Higgins JPT, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta analyses. BMJ 2003; 327: 557-60.
Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from URL: www.cochrane-handbook.org.
Martinho FC, Freitas LF, Nascimento GG et al. Endodontic retreatment: clinical comparison of reciprocating systems versus rotary system in disinfecting root canals. Clin Oral Investig 2015; 19: 1411-7.
Martinho FC, Gomes AP, Fernandes AM et al. Clinical comparison of the effectiveness of single-file reciprocating systems and rotary systems for removal of endotoxins and cultivable bacteria from primarily infected root canals. J Endod 2014; 40: 625-9.
Cavalli D, Toia CC, Flores Orozco EI et al. Effectiveness in the removal of endotoxins and microbiological profile in primary endodontic infections using 3 different instrumentation systems: a randomized clinical study. J Endod 2017; 43: 1237-45.
Hozo SP, Djulbegovic B, Hozo I. Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodol 2005;5:13.
Machado ME, Nabeshima CK, Leonardo MF, Reis FA, Britto ML, Cai S. Influence of reciprocating single-file and rotary instrumentation on bacterial reduction on infected root canals. Int Endod J 2013; 46: 1083-7.
Neelakantan P, Sharma S. Pain after single-visit root canal treatment with two single-file systems based on different kinematics-a prospective randomized multicenter clinical study. Clin Oral Investig 2015; 19: 2211-7.
da Silva Limoeiro AG, Dos Santos AH, De Martin AS et al. Micro-computed tomographic evaluation of 2 nickel-titanium instrument systems in shaping root canals. J Endod 2016; 42: 496-9.
Martinho FC, Gomes BP. Quantification of endotoxins and cultivable bacteria in root canal infection before and after chemomechanical preparation with 2.5% sodium hypochlorite. J Endod 2008; 34: 268-72.
Figdor D, Brundin M. Contamination controls for analysis of root canal samples by molecular methods: an overlooked and unsolved problem. J Endod 2016; 42: 1003-8.

Auteurs

Prasanna Neelakantan (P)

Discipline of Endodontology, Faculty of Dentistry, The University of Hong Kong, Hong Kong, Hong Kong.

Hany Mohamed Aly Ahmed (HMA)

Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia.

Jeffrey Wen Wei Chang (JWW)

Discipline of Endodontology, Faculty of Dentistry, The University of Hong Kong, Hong Kong, Hong Kong.

Mohamed Shady Nabhan (MS)

Department of Prosthetic Dentistry, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.

Xi Wei (X)

Department of Operative Dentistry and Endodontics, Guanghua School of Stomatology, Affiliated Stomatological Hospital, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou, China.

Gary Shun Pan Cheung (GSP)

Discipline of Endodontology, Faculty of Dentistry, The University of Hong Kong, Hong Kong, Hong Kong.

Brenda P F A Gomes (BPFA)

Department of Restorative Dentistry, Endodontics Division, Piracicaba Dental School, State University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil.

Articles similaires

Humans Pain, Postoperative Randomized Controlled Trials as Topic Root Canal Therapy Pain Management
1.00
Humans Tooth Bleaching Hydrogen Peroxide Maxilla Incisor
1.00
Enterococcus faecalis Calcium Hydroxide Acetylcysteine Escherichia coli Humans
Humans Adult Female Wound Healing Male

Classifications MeSH