2017
DOI: 10.1590/1678-7757-2016-0414
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Abstract: Objective The aim of this study was to investigate the ability of laser-activated irrigation (LAI), XP-endo Finisher, CanalBrush, Vibringe, passive ultrasonic irrigation (PUI), and conventional syringe irrigation systems on the removal of calcium hydroxide (CH) from simulated root canal irregularities.Material and Methods The root canals of one hundred and five extracted single-rooted teeth were instrumented using Reciproc rotary files up to size R40. The teeth were split longitudinally. Two of the three stand… Show more

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Cited by 36 publications
(62 citation statements)
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References 31 publications
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“…14,31 The manufacturer suggests this system should be used at 800 rpm with irrigating solutions after root canal preparation to size #25, allowing the instrument to reach difficult areas and even curved canals. XP-Endo Finisher has also the ability to remove intracanal medication 32,33,34 and biofilm 16 as well as to avoid apical extrusion of sodium hypochlorite, 35 including its effectiveness in curved root canals. 36 However, to date, only a few studies have evaluated the reduction of bacterial load by these instruments.…”
Section: Discussionmentioning
confidence: 99%
“…14,31 The manufacturer suggests this system should be used at 800 rpm with irrigating solutions after root canal preparation to size #25, allowing the instrument to reach difficult areas and even curved canals. XP-Endo Finisher has also the ability to remove intracanal medication 32,33,34 and biofilm 16 as well as to avoid apical extrusion of sodium hypochlorite, 35 including its effectiveness in curved root canals. 36 However, to date, only a few studies have evaluated the reduction of bacterial load by these instruments.…”
Section: Discussionmentioning
confidence: 99%
“…On the contrary, seven articles stated that the passive ultrasonic irrigation technique and XP-Endo Finisher showed no significant differences among them in removing root filling material from canal root, and that both protocols have a greater efficacy than conventional needle irrigation procedure (CNI) [10,12,[20][21][22][23][24]. Gokturk et al demonstrated in his studies [4,25] that PUI and laser-activated irrigation (LAI) were more efficient than XPF and CanalBrush (CB). All of the included researches recorded a lower cleaning performance of the standard needle procedure than the other irrigation methods ( Table 3).…”
Section: Results Of Individual Studiesmentioning
confidence: 99%
“…However, the same study recorded a greater efficacy of XP-Endo Finisher in killing apical third bacteria at 50 µm depth than the EndoActivator instrument and Er:YAG laser. Five of the included studies [4,12,22,24,25] used the scoring system by Lee et al and van der Sluis et al [27,28] in order to determine the amount of remaining debris in canal root systems ( Figure 2). Out of 168 teeth that were irrigated with the aid of XPF (84 teeth) and PUI (84 teeth), 52.3% and 51.1% received a score of 2 (44/84 and 43/84), and 23.8% and 10.7% received a score of 3 (20/84 and 9/84), respectively.…”
Section: Results Of Individual Studiesmentioning
confidence: 99%
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“…In the light of these problems, a huge body of literature exists regarding instrumentation techniques for chemo-mechanical preparation of root canals (for example, see [18][19][20][21]) and various irrigation protocols, including ultrasonic-assisted irrigation [22,23], which have been tested with at least partially contradictive results. Even advanced methods of disinfection, such as photodynamic therapy [24], laser-activated irrigation [25], or ozone application [26], as well as combined measures for disinfection, fail to completely eliminate bacteria from root canals [27].…”
Section: Introductionmentioning
confidence: 99%