Efficacy of different irrigant activation devices in removing dentin debris from an artificial isthmus connecting curved canals.


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:
Sep 2023
Historique:
revised: 27 01 2023
received: 13 01 2022
accepted: 06 03 2023
medline: 18 9 2023
pubmed: 25 3 2023
entrez: 24 3 2023
Statut: ppublish

Résumé

The aim of this study was to evaluate the debridement efficacy of sonic irrigation (EDDY; VDW, Munich, Germany and EndoActivator; Dentsply-Sirona, Ballaigues, Switzerland) and ultrasonically activated irrigation (Irrısafe; Satelec Acteon, Merignac, France) in a simulated canal isthmus connecting curved canals. Transparent resin blocks were produced containing two curved canals connected with an isthmus. The isthmus was then filled with dentin debris. Three irrigant activation cycles were performed and the amount of remaining debris was compared analysing pictures taken after each activation cycle. Data were statistically analysed using one-way ANOVA and post hoc Tukey tests at a significance level of p < 0.05. EDDY showed greater efficiency in removing dentin debris from the simulated isthmus than the other techniques tested. An increase in the activation time enhanced the efficiency of both EDDY and ultrasonically activated irrigation in debris removal.

Identifiants

pubmed: 36960975
doi: 10.1111/aej.12748
doi:

Substances chimiques

Root Canal Irrigants 0

Types de publication

Journal Article

Langues

eng

Pagination

353-358

Informations de copyright

© 2023 Australian Society of Endodontology Inc.

Références

Siqueira JF, Machado AG, Silveira RM, Lopes HP, de Uzeda M. Evaluation of the effectiveness of sodium hypochlorite used with three irrigation methods in the elimination of enterococcus faecalis from the root canal, in vitro. Int Endod J. 1997;30:279-82.
Weller RN, Niemczyk SP, Kim S. Incidence and position of the canal isthmus. Part 1. Mesiobuccal root of the maxillary first molar. J Endod. 1995;21:380-3.
Haapasalo HK, Sirén EK, Waltimo TMT, Ørstavik D, Haapasalo MP. Inactivation of local root canal medicaments by dentine: an in vitro study. Int Endod J. 2000;33:126-31.
Paqué F, Boessler C, Zehnder M. Accumulated hard tissue debris levels in mesial roots of mandibular molars after sequential irrigation steps. Int Endod J. 2011;44:148-53.
Nair PNR, Henry S, Cano V, Vera J. Microbial status of apical root canal system of human mandibular first molars with primary apical periodontitis after “one-visit” endodontic treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99:231-52.
Kim S, Jung H, Kim S, Shin SJ, Kim E. The influence of an isthmus on the outcomes of surgically treated molars: a retrospective study. J Endod. 2016;42:1029-34.
Chan R, Versiani MA, Friedman S, Malkhassian G, Sousa-Neto MD, Leoni GB, et al. Efficacy of three supplementary irrigation protocols in the removal of hard-tissue debris from the mesial root canal system of mandibular molars. J Endod. 2019;45:923-9.
Teixeira FB, Sano CL, Gomes BPFA, Zaia AA, Ferraz CCR, Souza-Filho FJ. A preliminary in vitro study of the incidence and position of the root canal isthmus in maxillary and mandibular first molars. Int Endod J. 2003;36:276-80.
Von Arx T. Frequency and type of canal isthmuses in first molars detected by endoscopic inspection during periradicular surgery. Int Endod J. 2005;38:160-8.
de Gregorio C, Estevez R, Cisneros R, Paranjpe A, Cohenca N. Efficacy of different irrigation and activation systems on the penetration of sodium hypochlorite into simulated lateral canals and up to working length: an in vitro study. J Endod. 2010;36:1216-21.
Vivan RR, Duque JA, Alcalde MP, Só MVR, Bramante CM, Duarte MAH. Evaluation of different passive ultrasonic irrigation protocols on the removal of dentinal debris from artificial grooves. Braz Dent J. 2016;27:568-72.
Boutsioukis C, Lambrianidis T, Verhaagen B, Versluis M, Kastrinakis E, Wesselink PR, et al. The effect of needle-insertion depth on the irrigant flow in the root canal: evaluation using an unsteady computational fluid dynamics model. J Endod. 2010;36:1664-8.
Versiani MA, De-Deus G, Vera J, Souza E, Steier L, Pécora JD, et al. 3D mapping of the irrigated areas of the root canal space using micro-computed tomography. Clin Oral Invest. 2015;19:859-66.
Van der Sluis LWM, Versluis M, Wu MK, Wesselink PR. Passive ultrasonic irrigation of the root canal: a review of the literature. Int Endod J. 2007;40:415-26.
Macedo RG, Robinson JP, Verhaagen B, Walmsley AD, Versluis M, Cooper PR, et al. A novel methodology providing insights into removal of biofilm-mimicking hydrogel from lateral morphological features of the root canal during irrigation procedures. Int Endod J. 2014;47:1040-51.
Yang Q, Liu MW, Zhu LX, Peng B. Micro-CT study on the removal of accumulated hard-tissue debris from the root canal system of mandibular molars when using a novel laser-activated irrigation approach. Int Endod J. 2020;53:529-38.
Leoni GB, Versiani MA, Silva-Sousa YT, Bruniera JFB, Pécora JD, Sousa-Neto MD. Ex vivo evaluation of four final irrigation protocols on the removal of hard-tissue debris from the mesial root canal system of mandibular first molars. Int Endod J. 2017;50:398-406.
Virdee SS, Seymour DW, Farnell D, Bhamra G, Bhakta S. Efficacy of irrigant activation techniques in removing intracanal smear layer and debris from mature permanent teeth: a systematic review and meta-analysis. Int Endod J. 2018;51:605-21.
Plotino G, Grande NM, Mercade M, Cortese T, Staffoli S, Gambarini G, et al. Efficacy of sonic and ultrasonic irrigation devices in the removal of debris from canal irregularities in artificial root canals. J Appl Oral Sci. 2019;27:1-6.
Urban K, Donnermeyer D, Schäfer E, Bürklein S. Canal cleanliness using different irrigation activation systems: a SEM evaluation. Clin Oral Invest. 2017;21:2681-7.
Swimberghe RCD, De Clercq A, De Moor RJG, Meire MA. Efficacy of sonically, ultrasonically and laser-activated irrigation in removing a biofilm-mimicking hydrogel from an isthmus model. Int Endod J. 2019;52:515-23.
Dhivyalakshmi S, Velmurugan N, Lakshmanan G, Karthik L. Effectiveness of combination Irrigant technique for debris removal in simulated canal irregularities: an in vitro study. Int J Dent Res. 2019;4:79-84.
Plotino G, Colangeli M, Özyürek T, DeDeus G, Panzetta C, Castagnola R, et al. Evaluation of smear layer and debris removal by stepwise intraoperative activation (SIA) of sodium hypochlorite. Clin Oral Invest. 2021;25:237-245.
Tanomaru-FIlho M, Torres FFE, Chávez-Andrade GM, Miano LM, Guerreiro-Tanomaru JM. Intermittent or continuous ultrasonically activated irrigation: micro-computed tomographic evaluation of root canal system cleaning. Clin Oral Invest. 2016;20:1541-6.
Linden D, Boone M, De Bruyne M, De Moor R, Versiani MA, Meire M. Adjunctive steps for the removal of hard-tissue debris from the anatomical complexities of the mesial root canal system of mandibular molars: a micro-CT study. J Endod. 2020;46:1508-14.
Boutsioukis C, Verhaagen B, van der Sluis LWM, Versluis M. Irrigant flow in the root canal during ultrasonic activation: a numerical fluid-structure interaction model and its validation. Int Endod J. 2022;55:938-49.
Robberecht L, Delattre J, Meire M. Isthmus morphology influences debridement efficacy of activated irrigation: a laboratory study involving biofilm mimicking hydrogel removal and high-speed imaging. Int Endod J. 2023;56:118-127. https://doi.org/10.1111/iej.13836
Rödig T, Bozkurt M, Konietschke F, Hülsmann M. Comparison of the Vibringe system with syringe and passive ultrasonic irrigation in removing debris from simulated root canal irregularities. J Endod. 2010;36:1410-3.
Titato PCG, Canali LCF, Duque JA, Vivan RR, Duarte MAH. Effect of the irrigation protocols on the elimination of dentin debris from simulated lateral canals. Braz Dent Sci. 2018;21:437-44.
Duque JA, Duarte MAH, Canali LCF, Zancan RF, Vivan RR, Bernardes RA, et al. Comparative effectiveness of new mechanical irrigant agitating devices for debris removal from the canal and isthmus of mesial roots of mandibular molars. J Endod. 2017;43:326-31.
Cesario F, Hungaro Duarte MA, Duque JA, Alcalde MP, de Andrade FB, Reis So MV, et al. Comparisons by microcomputed tomography of the efficiency of different irrigation techniques for removing dentinal debris from artificial grooves. J Conserv Dent. 2018;21:383-7.

Auteurs

Gianluca Plotino (G)

Private Practice, Grande Plotino & Torsello - Studio di Odontoiatria, Rome, Italy.

Taha Özyürek (T)

Department of Endodontics, Faculty of Dentistry, Istanbul Medeniyet University, İstanbul, Turkey.

Mustafa Gündoğar (M)

Department of Endodontics, Faculty of Dentistry, Istanbul Medipol University, İstanbul, Turkey.

Gülşah Uslu (G)

Department of Endodontics, Faculty of Dentistry, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.

Eugenio Pedullà (E)

Department of General Surgery and Medical - Surgical Specialties, University of Catania, Catania, Italy.

Roberto Careddu (R)

Division of Restorative Dentistry and Periodontology, Dublin Dental University Hospital, Dublin, Ireland.

Vittorio Franco (V)

Private Practice, Studio di Odontoiatria Digitale, Rome, Italy.

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Classifications MeSH