A critical analysis of research methods and experimental models to study irrigants and irrigation systems.
biofilm
debris
extrusion
irrigant
penetration
pulp tissue
smear layer
Journal
International endodontic journal
ISSN: 1365-2591
Titre abrégé: Int Endod J
Pays: England
ID NLM: 8004996
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
revised:
07
02
2022
received:
31
08
2021
accepted:
08
02
2022
pubmed:
17
2
2022
medline:
11
5
2022
entrez:
16
2
2022
Statut:
ppublish
Résumé
Irrigation plays an essential role in root canal treatment. The purpose of this narrative review was to critically appraise the experimental methods and models used to study irrigants and irrigation systems and to provide directions for future research. Studies on the antimicrobial effect of irrigants should use mature multispecies biofilms grown on dentine or inside root canals and should combine at least two complementary evaluation methods. Dissolution of pulp tissue remnants should be examined in the presence of dentine and, preferably, inside human root canals. Micro-computed tomography is currently the method of choice for the assessment of accumulated dentine debris and their removal. A combination of experiments in transparent root canals and numerical modeling is needed to address irrigant penetration. Finally, models to evaluate irrigant extrusion through the apical foramen should simulate the periapical tissues and provide quantitative data on the amount of extruded irrigant. Mimicking the in vivo conditions as close as possible and standardization of the specimens and experimental protocols are universal requirements irrespective of the surrogate endpoint studied. Obsolete and unrealistic models must be abandoned in favour of more appropriate and valid ones that have more direct application and translation to clinical Endodontics.
Identifiants
pubmed: 35171506
doi: 10.1111/iej.13710
pmc: PMC9314845
doi:
Substances chimiques
Root Canal Irrigants
0
Sodium Hypochlorite
DY38VHM5OD
Types de publication
Journal Article
Review
Langues
eng
Pagination
295-329Informations de copyright
© 2022 The Authors. International Endodontic Journal published by John Wiley & Sons Ltd on behalf of British Endodontic Society.
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