Clinical study of single-visit root canal treatment with a nickel-titanium (Ni-Ti) rotary instrument combined with different ultrasonic irrigation solutions for elderly patients with chronic apical periodontitis

Zhen-yu, Tang; Wang, Hui; Jiang, Shiyong

doi:10.3233/bme-151318

Cited by 17 publications

(34 citation statements)

References 5 publications

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“…The data that were extracted regarding study size, PICOS, methodology, type of activation device used, controls used Follow up was done from 4h (14,19) to 19mo (20,21) in the selected studies.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Overall, the activation devices are significantly better than conventional irrigation in one or more parameters evaluated. It appeared that long-term benefits of using activated irrigation over conventional one is negligible as evidenced by radiographic evaluation of periapical healing (20,21) and post-operative pain after 2 days (7,14,31,32).…”

Section: Study Selectionmentioning

confidence: 99%

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Activated Irrigation vs. Conventional non-activated Irrigation in Endodontics – A Systematic Review

Susila

Minu

2019

Eur Endod J

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INTRODUCTIONRoot canal irrigation plays a pivotal role in Endodontics, to facilitate instrumentation by lubrication, remove debris, microorganisms, smear layer and prevent apical debris packing. Irrigants exert their effects, by mechanical, chemical and biological actions (1). On the mechanical front, streaming forces are delivered to the canal walls. On the chemical front, the active components exert specific actions on the organic and inorganic debris. On the biological front, the antimicrobial action on the organisms in the canal help inactivate or kill them. Root canals are considered "closed systems" (2) where the fluid dynamics of the irrigant plays a major role in ensuring optimal actions. This "irrigation dynamics" (1) refers to how they flow, penetrate and exchange within the root canal walls. Conventional irrigation methods, at best deliver irrigant just 1mm beyond the needle tip. This may help microbes thrive after treatment in the safe havens of root canals, namely the lateral, accessory canals, fins, isthmii and anastomoses. Hence to improvise the cleansing effectiveness of irrigants and thorough removal of microbes, many activation devices are being used.Activated irrigation may be defined as using a method to agitate and improve the flow of irrigants to the intricacies of root canal system by mechanical or other energy forms. While conventional • Irrigant activation proves to be beneficial, in terms of post-operative pain intensity, debridement and canal & isthmus cleanliness. However, no significant benefit can be proved with the available evidence, for activation in terms of antibacterial effect and long term healing of lesions. HIGHLIGHTSObjective: Irrigant activation has been claimed to be beneficial in in vitro and clinical studies. This systematic review aims to investigate the clinical efficiency of mechanically activated irrigants and conventional irrigation. Methods: A literature search (PROSPERO registration number: CRD42018112595) was undertaken in PubMed, Cochrane and hand search. The inclusion criteria were clinical trials, in vivo/ex vivo on adult permanent teeth involving an active irrigation device and a control group of conventional irrigation. The exclusion criteria were studies done in vitro, animals and foreign language. Adult patients requiring endodontic treatment of permanent dentition and irrigant activation during the treatment were chosen as the participants and intervention respectively. Results: After removal of duplicates, 89 articles were obtained, and 72 were excluded as they did not meet the selection criteria. 6 devices (EndoVac, EndoActivator, Ultrasonic, MDA (manual dynamic agitation), CUI (Continuous Ultrasonic Irrigation) and PUI (Passive Ultrasonic Irrigation)) and 6 variables of interest (Post-operative pain, periapical healing, antibacterial efficacy, canal and/or isthmus cleanliness, debridement efficacy and delivery up to working length) were evaluated in the 17 included articles. The risk of bias and quality of the selected articles were moderate. Results ...

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Activated Irrigation vs. Conventional non-activated Irrigation in Endodontics – A Systematic Review

Susila

Minu

2019

Eur Endod J

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“…, , , ,b, Parirokh & Abbott , Tang et al . , Cruz Junior et al . , Kandemir Demirci & Çalışkan , Kherlakian et al .…”

Section: Introductionmentioning

confidence: 99%

Effect of two different concentrations of sodium hypochlorite on postoperative pain following single‐visit root canal treatment: a triple‐blind randomized clinical trial

et al. 2017

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Farzaneh S, Parirokh M, Nakhaee N, Abbott PV. Aim To compare the effects of two different concentrations of NaOCl solution on postoperative pain following single-visit root canal treatment in mandibular molars with irreversible pulpitis. Methodology A total of 122 patients who had mandibular molars with irreversible pulpitis were treated. The patients were randomly divided into two groups according to the concentration of NaOCl used during root canal instrumentation -either 2.5% or 5.25%. RaCe rotary instruments were used for root canal preparation, and all root canals were filled in one visit. Postoperative pain was evaluated using the visual analogue scale. Data were analysed by independent t-test, chi-square and Mann-Whitney tests. Results Twelve patients were excluded for various reasons. Pain reported by 110 patients who were eligible to be included in the study was analysed. No significant differences were found in the age and gender of the patients between the two groups (P = 0.50, P = 0.51, respectively). The patients who had 5.25% NaOCl reported significantly lower postoperative pain compared to those who had 2.5% NaOCl during the first 72 h following treatment (P = 0.021); however, there was no significant difference in pain felt by the patients during the rest of the study period, that is 4-7 days following treatment (P = 0.185) when the four-level pain categorization method was used. When the two-level pain categorization method was used, the results revealed that patients who had 5.25% NaOCl reported significantly less pain for the first 3 days after treatment (P = 0.026). The number of analgesics taken by patients who had 2.5% NaOCl was significantly higher than that taken by patients who had 5.25% NaOCl (P = 0.001). Conclusion 5.25% NaOCl was associated with significantly lower postoperative pain compared to 2.5% NaOCl during the first 72 h following one-visit root canal treatment of mandibular molars with irreversible pulpitis.

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“…Assessment of post-operative pain was done immediately post-operative and after 4, 12, 24, 48 and 72-hrs and 7 days (8,9) to record any difference in pain intensity between both groups as Tang et al (2015) (24) reported higher pain intensity with needle irrigation compared to ultrasonic irrigation even after 7 days. Pre-operative pain was measured as Alí et al (2016) (25) showed that the presence of pre-operative pain is the most influencing variable on postoperative painprevalence.…”

Section: Results:-mentioning

confidence: 99%

Evaluation of Post-operative Pain after Irrigation Using End-Vented NaviTip Tips versus Side-Vented NaviTip Tips in Teeth with Irreversible Pulpitis: A Randomized Clinical Trial.

MA¹,

AG²,

MM³

2018

IJAR

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Clinical study of single-visit root canal treatment with a nickel-titanium (Ni-Ti) rotary instrument combined with different ultrasonic irrigation solutions for elderly patients with chronic apical periodontitis

Cited by 17 publications

References 5 publications

Activated Irrigation vs. Conventional non-activated Irrigation in Endodontics – A Systematic Review

Activated Irrigation vs. Conventional non-activated Irrigation in Endodontics – A Systematic Review

Effect of two different concentrations of sodium hypochlorite on postoperative pain following single‐visit root canal treatment: a triple‐blind randomized clinical trial

Evaluation of Post-operative Pain after Irrigation Using End-Vented NaviTip Tips versus Side-Vented NaviTip Tips in Teeth with Irreversible Pulpitis: A Randomized Clinical Trial.

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