The Comparison of Different Irrigation Systems to Remove Calcium Hydroxide from the Root Canal: A Systematic Review and Meta-Analysis

Jamali, Samira; Jabbari, Golchin; Mousavi, Elnaz; Ahmadizadeh, Hashem; Khorram, Mohammad; Jamee, Azad

doi:10.1590/pboci.2020.017

Cited by 5 publications

(9 citation statements)

References 28 publications

(27 reference statements)

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“…After de-duplication, we browsed titles and abstracts of the remaining 770 studies, and we excluded 752 articles. Among the excluded studies, nine were reviews or meta-analysis [42][43][44][45][46][47][48][49][50], four compared the effectiveness of PUI with XPF on removing hardtissue debris or smear layer [51][52][53][54], three evaluated the efficacy on biofilm or bacteria removal when using the two techniques [55][56][57], one focused on post-operative pain of root canal treatment using the PUI versus XPF [58]. Moreover, 13 studies did not investigate the effectiveness of XPF on intracanal medicaments removal, 45 articles examined the efficacy of PUI on hard-tissue debris, smear layer, root filling remnants, bacteria, or biofilm removal.…”

Section: Literature Selectionmentioning

confidence: 99%

Effectiveness of XP-Endo Finisher and passive ultrasonic irrigation on intracanal medicament removal from root canals: a systematic review and meta-analysis

2021

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Background XP-Endo Finisher (XPF) and passive ultrasonic irrigation (PUI) are commonly used in intracanal medicament removal. The effectiveness of these two techniques needs to be compared, and evidence-based research should be conducted. Methods A comprehensive literature search was conducted in PubMed, Web of Science, Embase, Cochrane Library, and Google Scholar up to December 20th, 2020. The outcomes of the included trials were pooled into the Cochrane Collaboration’s Review Manager 5.3 software. Cochrane’s risk-of-bias tool 2.0 was applied to assess the risk of bias. Results Nine articles were included in this systematic review and processed for data extraction, and eight studies were identified for meta-analysis. In general, the use of PUI showed better medicament removal effectiveness than XPF (odds ratio [OR]: 3.09; 95% confidence interval [CI], 1.96–4.86; P < 0.001). PUI was also significantly more efficient than XPF in the apical third (OR: 3.42; 95% CI, 1.32–8.84; P = 0.01). For trials using sodium hypochlorite (NaOCl) alone, PUI was also significantly more effective than XPF on intracanal medicaments removal (OR: 5.23; 95% CI, 2.79–9.82; P < 0.001). However, there was no significant difference between PUI and XPF when NaOCl and ethylenediaminetetraacetic acid (EDTA) were used in combination (OR: 1.51; 95% CI, 0.74–3.09; P = 0.26). In addition, for studies whose intracanal medicament periods were two weeks, the effectiveness of PUI was statistically better than the XPF (OR: 7.73; 95% CI, 3.71–16.07; P < 0.001). Nevertheless, for trials whose intracanal medicament time was one week or over two weeks, no differences between the XPF and PUI were found (OR: 1.54; 95% CI, 0.74–3.22; P = 0.25) (OR: 1.42; 95% CI, 0.44–4.61; P = 0.56). Conclusions The meta-analysis is the first study to quantitatively compare the effectiveness of XPF and PUI techniques on intracanal medicaments removal. With rigorous eligibility criteria, the study only included high-quality randomised controlled trials. The study indicated that PUI might be superior over XPF techniques for removing intracanal medicaments from artificial standardized grooves and cavities in the root canal system. The anatomical areas, irrigation protocol, and intracanal medicaments time may influence the cleaning efficacy.

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Section: Literature Selectionmentioning

confidence: 99%

Effectiveness of XP-Endo Finisher and passive ultrasonic irrigation on intracanal medicament removal from root canals: a systematic review and meta-analysis

2021

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“…After de-duplication, we browsed titles and abstracts of the remaining 770 studies, and we excluded 752 articles. Among the excluded studies, nine were reviews or meta-analysis [43][44][45][46][47][48][49][50][51], four compared the effectiveness of PUI with XPF on removing hard-tissue debris or smear layer [52][53][54][55], three evaluated the e cacy on bio lm or bacteria removal when using the two techniques [56][57][58], one focused on post-operative pain of root canal treatment using the PUI versus XPF [59]. Moreover, 13 studies did not investigate the effectiveness of XPF on intracanal medicaments removal, 45 articles examined the e cacy of PUI on hard-tissue debris, smear layer, root lling remnants, bacteria, or bio lm removal.…”

Section: Literature Selectionmentioning

confidence: 99%

Effectiveness of XP-Endo Finisher and Passive Ultrasonic Irrigation on Intracanal Medicament Removal From Root Canals: a Systematic Review and Meta-analysis

Zhou¹,

Liu²,

Guo³

2021

Preprint

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Background: XP-Endo finisher (XPF) and passive ultrasonic irrigation (PUI) are commonly used in intracanal medicament removal. The effectiveness of these two techniques needs to be compared, and evidence-based research should be conducted. Methods: A comprehensive literature search was conducted in PubMed, Web of Science, Embase, Cochrane Library, and Google Scholar up to December 20th, 2020. The outcomes of the included trials were pooled into the Cochrane Collaboration’s Review Manager 5.3 software. Cochrane’s risk-of-bias tool 2.0 was applied to assess the risk of bias.Results: Nine articles were included in this systematic review and processed for data extraction, and eight studies were identified for meta-analysis. In general, the use of PUI showed better medicament removal effectiveness than XPF (odds ratio [OR]: 3.09; 95% confidence interval [CI], 1.96-4.86; P < 0.001). In subgroup analysis, when anatomical areas were focused on the apical third region of the canal, PUI was also significantly more effective than XPF (OR: 3.42; 95% CI, 1.32-8.84; P = 0.01). For trials using sodium hypochlorite (NaOCl) alone, PUI was also significantly more effective than XPF on intracanal medicaments removal (OR: 5.23; 95% CI, 2.79-9.82; P < 0.001). However, there was no significant difference between PUI and XPF when NaOCl and ethylenediaminetetraacetic acid (EDTA) were used in combination (OR: 1.51; 95% CI, 0.74-3.09; P = 0.26). In addition, for studies whose intracanal medicament periods were two weeks, the effectiveness of PUI was statistically better than the XPF (OR: 7.73; 95% CI, 3.71-16.07; P < 0.001). Nevertheless, for trials whose intracanal medicament time was one week or over two weeks, no differences between the XPF and PUI were found (OR: 1.54; 95% CI, 0.74-3.22; P = 0.25) (OR: 1.42; 95% CI, 0.44-4.61; P = 0.56). Conclusions: PUI might be superior over XPF techniques for removing intracanal medicaments from artificial standardized grooves and cavities in the root canal system. The anatomical areas, irrigation protocol, and intracanal medicaments time may influence the cleaning efficacy. More large-scale and high-quality trials are warranted to validate the conclusions.

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“…Clıńicamente, la tećnica más utilizada para eliminar el medicamento es la irrigación convencional que considera el uso de jeringas, agujas de diámetro variable, lima apical maestra (LAM) en combinación con soluciones de irrigación, tales como hipoclorito de sodio (NaOCl) y ácido etilendiaminotetraacetico (EDTA). Sin embargo, EndoVac (IPN), EndoActivator (IS), IUP o IAL, han presentado mayor e�icacia en la eliminación de Ca(OH) 2 con diferencias estadıśticamente signi�icativas (7) .…”

Section: Introductionunclassified

Eficacia de técnicas de irrigación en la remoción de hidróxido de calcio: revisión bibliográfica

2022

Odonto

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Objetivo: Caracterizar en base a una revisión bibliográ�ica las tećnicas de irrigación con mayor e�icacia en la remoción de hidróxido de calcio como medicación intraconducto. Materiales y métodos: Revisión bibliográ�ica realizada en las bases de datos electrónicas PubMed, Scopus y Web of Science. Se seleccionaron 32 artıćulos contenidos entre los años 2015 y 2020. Resultados: La tećnica más estudiada es la irrigación ultrasónica, no logrando tener los niveles más altos de e�icacia. La irrigación activada por láser resultóser la más e�icaz en la remoción de medicación en los tres tercios de los conductos. Los irrigantes utilizados con mayor frecuencia fueron el hipoclorito de sodio y el ácido etilendiaminotetraacetico. Conclusión: Las tećnicas con mayor e�icacia son irrigación activada por láser, seguida de irrigación ultrasónica pasiva. La evidencia sustenta que hipoclorito de sodio y ácido etilendiaminotetraacetico deben ser los irrigantes utilizados, ambos de manera secuencial y no de uso excluyente.

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The Comparison of Different Irrigation Systems to Remove Calcium Hydroxide from the Root Canal: A Systematic Review and Meta-Analysis

Cited by 5 publications

References 28 publications

Effectiveness of XP-Endo Finisher and passive ultrasonic irrigation on intracanal medicament removal from root canals: a systematic review and meta-analysis

Effectiveness of XP-Endo Finisher and passive ultrasonic irrigation on intracanal medicament removal from root canals: a systematic review and meta-analysis

Effectiveness of XP-Endo Finisher and Passive Ultrasonic Irrigation on Intracanal Medicament Removal From Root Canals: a Systematic Review and Meta-analysis

Eficacia de técnicas de irrigación en la remoción de hidróxido de calcio: revisión bibliográfica

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