Biofilm removal from a simulated isthmus and lateral canal during syringe irrigation at various flow rates: a combined experimental and Computational Fluid Dynamics approach.


Journal

International endodontic journal
ISSN: 1365-2591
Titre abrégé: Int Endod J
Pays: England
ID NLM: 8004996

Informations de publication

Date de publication:
Mar 2021
Historique:
received: 20 12 2019
revised: 21 09 2020
accepted: 22 09 2020
pubmed: 30 9 2020
medline: 16 2 2021
entrez: 29 9 2020
Statut: ppublish

Résumé

(i) To quantify biofilm removal from a simulated isthmus and a lateral canal in an artificial root canal system during syringe irrigation with NaOCl at different concentrations and delivered at various flow rates (ii) to examine whether biofilm removal is further improved by a final high-flow-rate rinse with an inert irrigant following irrigation with NaOCl. (iii) to simulate the irrigant flow in these areas using a computer model (iv) to examine whether the irrigant velocity calculated by the computer model is correlated to biofilm removal. Ninety-six artificial root canals with either a simulated isthmus or lateral canal were used. A dual-species in vitro biofilm was formed in these areas using a Constant Depth Film Fermenter. NaOCl at various concentrations (2, 5 and 10%) or adhesion buffer (control) was delivered for 30 s by a syringe and an open-ended needle at 0.033, 0.083, or 0.166 mL s The flow rate during phase 1 and additional irrigation during phase 2 had a significant effect on the percentage of the remaining biofilm in the isthmus (P = 0.004 and P < 0.001). Additional irrigation during phase 2 also affected the remaining biofilm in the lateral canal significantly (P ≤ 0.007) but only when preceded by irrigation at medium or high flow rate during phase 1. The effect of NaOCl concentration was not significant (P > 0.05). Irrigant velocity in the isthmus and lateral canal increased with increasing flow rate and it was substantially correlated to biofilm removal from those areas. The irrigant flow rate affected biofilm removal in vitro more than NaOCl concentration. Irrigant velocity predicted by the computer model corresponded with the pattern of biofilm removal from the simulated isthmus and lateral canal.

Identifiants

pubmed: 32990985
doi: 10.1111/iej.13420
pmc: PMC7894139
doi:

Substances chimiques

Root Canal Irrigants 0
Sodium Hypochlorite DY38VHM5OD

Types de publication

Journal Article

Langues

eng

Pagination

427-438

Subventions

Organisme : Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Organisme : Conselho Nacional de Desenvolvimento Científico e Tecnológico
Organisme : Abel Tasman Talent Program
Organisme : European Society of Endodontology
Organisme : the Abel Tasman Talent Program (ATTP) of the Graduate School of Medical Sciences of the University of Groningen
Organisme : CNPq

Informations de copyright

© 2020 The Authors. International Endodontic Journal published by John Wiley & Sons Ltd on behalf of British Endodontic Society.

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Auteurs

T C Pereira (TC)

Department of Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.
Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

C Boutsioukis (C)

Department of Endodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

R J B Dijkstra (RJB)

Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

X Petridis (X)

Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

M Versluis (M)

Physics of Fluids group, Technical Medical (TechMed) Center and MESA+ Institute for Nanotechnology, University of Twente, Enschede, The Netherlands.

F B de Andrade (FB)

Department of Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.

W J van de Meer (WJ)

Department of Orthodontics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

P K Sharma (PK)

Department of Biomedical Engineering, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

L W M van der Sluis (LWM)

Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

M V R So (MVR)

Conservative Dentistry Department, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre-Rio Grande do Sul, Brazil.

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