Apical negative pressure irrigation versus syringe irrigation: a systematic review of cleaning and disinfection of the root canal system

Konstantinidi, Efstathia; Psimma, Z.; Paz, Luis E. Chávez de; Boutsioukis, C.

doi:10.1111/iej.12725

Cited by 32 publications

(30 citation statements)

References 89 publications

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“…[5][6][7][8] Consequently irrigation plays a major role in the debridement of the areas not reached by mechanical conformation. 9 An ideal irrigation agent should be organic and able to dissolve necrotic tissue, bactericide, lubricant, biocompatible, nontoxic and non-caustic for periapical tissues. 6 Several irrigation solutions have been widely studied, such as sodium hypochlorite, chlorhexidine, ethylenediaminetetraacetic acid (EDTA), and a mixture of a tetracycline isomer with an acid and a detergent (MTAD), to determine whether they have all these properties or comply with most of them.…”

Section: Introductionmentioning

confidence: 99%

Irrigation trends among members of the Chilean Endodontic Society

et al. 2018

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Introduction: The aim of this study is to determine the current trends of irrigation during root canal therapy by specialists who are members of the Chilean Endodontic Society. Materials and Method: A survey (Survey Monkey®-SurveyMonkey.com) was e-mailed to the 485 members of the Chilean Endodontic Society. The instrument was translated and adapted from the survey "Irrigation trends among American Association of Endodontists members: A web-based survey" applied in the USA in 2012. Participants answered a set of 16 questions that included irrigant selection, irrigant concentration, the adopted protocol, techniques or devices for irrigant activation. Results: 99% of respondents use sodium hypochlorite as the main irrigant. Data indicate that 74% of respondents use hypochlorite at a concentration of 5%. Most respondents (94%) also include EDTA in their usual practice. In addition, 90% of respondents reported that they activate the irrigating agent, and 94% confirmed that they perform a final irrigation protocol. Conclusion: The majority of respondents use sodium hypochlorite as the main irrigant at a concentration of 5%, use ethylenediaminetetraacetic acid (EDTA) as a smear removal agent, activate the irrigant, and perform a final irrigation protocol.

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Section: Introductionmentioning

confidence: 99%

Irrigation trends among members of the Chilean Endodontic Society

et al. 2018

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“…According to Vertucci's classification, maxillary lateral incisor teeth have one main canal (100%) [2]. Generally, maxillary lateral incisor teeth are single-rooted with a single canal [4]. The apex of the maxillary lateral teeth is positioned at the palatal side.…”

Section: Maxillary Incisor Teethmentioning

confidence: 99%

Root Canal Morphology and Anatomy

Güven¹

2020

Human Teeth - Key Skills and Clinical Illustrations

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Success in root canal treatment depends on the proper application of all procedures of root canal treatment. This wholistic approach includes leakproof crown restoration, following ideal instrumentation, irrigation and hermetic obturation. Therefore, the first step of root canal treatment begins with understanding the tooth morphology in detail. The teeth vary according to their localization at the jaws and the gender and race of people. Detection of the extra canals, canal curvatures, isthmuses and lateral and accessory canals plays an important role in the success of root canal treatment. With all this, the academic knowledge and proficiency of the dentist and/or endodontist enable tooth morphology to be more clearly understandable.

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“…There is no such systematic review to compare all supplemental techniques. Though there are several systematic reviews on specific technique (21,(23)(24)(25), there is a dearth of research on comparative evaluation of antimicrobial efficacy of these techniques.…”

Section: Introductionmentioning

confidence: 99%

A Protocol on Antimicrobial effectiveness of adjunctive disinfection techniques during root canal therapy in patients with pulp necrosis and apical periodontitis. A Systematic Review & Meta-analysis

Sadaf¹,

Ahmad²,

Onakpoya³

2019

Preprint

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Background The primary objective of root canal therapy is to eliminate bacteria from the root canal system of teeth. However, standard chemo-mechanical disinfection has been found unable to remove bacteria within the root canals. Clinicians tempted to use additional disinfection techniques to achieve adequate level of disinfection. There is no such systematic review that could comprehensively compare the efficiency of all currently used disinfection techniques. This systematic review aims to compare the antimicrobial effectiveness of various adjunctive disinfection techniques with standards chemo-mechanical disinfection technique(needle syringe irrigation) used during root canal therapy in patients with pulp necrosis and apical periodontitis.Methods A well-defined structured clinical question in the form of PICO (Patients/Problem, Intervention, Comparison, Outcome) is designed. The unit of analysis in this review is a tooth. Teeth with apical periodontitis is a problem (P). Interventions (I) are supplemental disinfection techniques that include photodynamic therapy, passive ultrasonic irrigation, and negative pressure techniques. Comparison (C) will be standard chemo-mechanical disinfection technique. Outcome (O) is the effectiveness of antimicrobial activity in the form of detection of bacteria and colony-forming units (CFU). Keywords, MeSH terms, and synonyms will be searched through previous literature, books, and Medline database. We will perform a comprehensive search strategy using electronic databases MEDLINE (Ovid), EMBASE (Ovid), and Cochrane library. Hand searching of top endodontic journals and reference lists of selected studies will be carried out. Selection of studies will be made under predefined inclusion and exclusion criteria. Data extraction of selected studies will be done with two reviewers using a structured data collection form. At the same time, the risk of bias using the Cochrane risk of bias assessment tools will be carried out. A qualitative and quantitative data synthesis will be done. The data will be presented in the form of tables of summary of findings.Discussion All potential clinical, methodological, and patient's related factors responsible for heterogeneity will be explored and discussed. We will also compare the results of our systematic review with existing literature. Strength and limitations of the systematic review will be discussed.Systematic Review registration Our protocol is registered with the International Prospective Register of Systematic Reviews (PROSPERO-CRD#42019099141).

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Apical negative pressure irrigation versus syringe irrigation: a systematic review of cleaning and disinfection of the root canal system

Abstract: Konstantinidi E, Psimma Z, Chavez de Paz LE, Boutsioukis C. Apical negative pressure irrigation versus syringe irrigation: a systematic review of cleaning and disinfection of the root canal system.

Cited by 32 publications

References 89 publications

Irrigation trends among members of the Chilean Endodontic Society

Irrigation trends among members of the Chilean Endodontic Society

Root Canal Morphology and Anatomy

A Protocol on Antimicrobial effectiveness of adjunctive disinfection techniques during root canal therapy in patients with pulp necrosis and apical periodontitis. A Systematic Review & Meta-analysis

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Apical negative pressure irrigation versus syringe irrigation: a systematic review of cleaning and disinfection of the root canal system

Abstract: Konstantinidi E, Psimma Z, Chavez de Paz LE, Boutsioukis C. Apical negative pressure irrigation versus syringe irrigation: a systematic review of cleaning and disinfection of the root canal system.

Cited by 32 publications

References 89 publications

Irrigation trends among members of the Chilean Endodontic Society

Irrigation trends among members of the Chilean Endodontic Society

Root Canal Morphology and Anatomy

A Protocol on Antimicrobial effectiveness of adjunctive disinfection techniques during root canal therapy in patients with pulp necrosis and apical periodontitis. A Systematic Review &amp; Meta-analysis

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Product

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A Protocol on Antimicrobial effectiveness of adjunctive disinfection techniques during root canal therapy in patients with pulp necrosis and apical periodontitis. A Systematic Review & Meta-analysis