Disinfection of the root canal system: what should the protocol be?

Bonsor, Stephen J

doi:10.12968/denu.2021.48.10.836

Cited by 6 publications

(1 citation statement)

References 86 publications

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“…The target of root canal treatment is to inhibit or eradicate infection within the root canal system. 11 Local wound debridement of the contaminated pulp space is the pivotal phase in root canal treatment to prevent the tooth from being a cause of infection. Irrigation of the canals is essential since mechanical cleaning on its own will not free the root canals of microbes, regardless of whether manual or rotary instruments are employed.…”

Section: Discussionmentioning

confidence: 99%

Comparison of pain observed with sodium hypochlorite and chlorhexidine based root canal irrigant 24 hours post appointment

Amjad¹,

Afreen²,

Afreen³

et al. 2022

JRMC

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Objective: To compare the effectiveness of 2.5% sodium hypochlorite and 2% chlorhexidine, in reduction of frequency in pain 24 hours after endodontic treatment of teeth with chronic apical periodontitis Study design and Setting: Randomized Clinical Trial conducted –removed for blind review--from July 2018 to December 2018. Methodology: A total of 60 patients requiring management of chronic apical periodontitis and pulp necrosis were randomly allocated by lottery method to two groups of 30 each according to the irrigating solution employed: Group A (2.5% sodium hypochlorite) or Group B (2% chlorhexidine gluconate). To assess inter-appointment pain, a questionnaire with visual analogue scale was filled out by the patient at 24 hours after the procedure. The Chi-square test was used to compare the effectiveness between the two irrigation solutions. Results: Group A (2.5% sodium hypochlorite) was effective in 83.3% cases i.e. no or mild pain compared to 76.7% in group B (2% chlorhexidine). In group A, 5(16.7%) patients suffered pain compared to 7(23.3%) in group B. This difference in pain was statistically insignificant. (p-value 0.519). Conclusion: Both 2.5% sodium hypochlorite and 2% chlorhexidine were equally effective in minimizing pain 24 hours post endodontic treatment. Keywords: Chlorhexidine gluconate, Sodium hypochlorite, Flare up

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Section: Discussionmentioning

confidence: 99%

Comparison of pain observed with sodium hypochlorite and chlorhexidine based root canal irrigant 24 hours post appointment

Amjad¹,

Afreen²,

Afreen³

et al. 2022

JRMC

View full text Add to dashboard Cite

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Endodontic Update: 50 years of progress

Bonsor

Saunders

2023

Dent Update

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The science of endodontology and the practice of endodontics have changed immeasurably in the last 50 years. Improved understanding of the aetiology of peri-radicular diseases, in particular the central role of micro-organisms, has driven a more biological approach to treatment. Advances in technology have brought to market sophisticated armamentaria that have facilitated and enhanced clinical delivery. The development of biomaterials and the refinement of clinical techniques have contributed to improved outcomes for both non-surgical and surgical endodontic treatments. The present article summarizes the changes in this field in the past 50 years, and updates the reader on contemporary clinical endodontic practice. CPD/Clinical Relevance: An awareness of historical developments in the field of endodontics provides useful context and an increased understanding of current practices

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The use of cone beam computed tomography in endodontic re-treatment

Caga

2023

Dent Update

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Radiography plays an integral role in endodontics. However, conventional radiographic techniques have limitations, such as background noise, providing only a two-dimensional representation of the image, superimposition and distortion. Cone beam computed tomography (CBCT) provides the clinician with a three-dimensional image of the structures involved in the clinical situation. When considering options for endodontic re-treatments, it is vital to identify the cause of the initial failure and here, the use of CBCT images can be beneficial. This is illustrated through an endodontic re-treatment case owing to a palatal canal missed with conventional radiographic techniques. CPD/Clinical Relevance: Cone beam computed tomography can be beneficial in cases of endodontic re-treatment.

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Disinfection of the root canal system: what should the protocol be?

Cited by 6 publications

References 86 publications

Comparison of pain observed with sodium hypochlorite and chlorhexidine based root canal irrigant 24 hours post appointment

Comparison of pain observed with sodium hypochlorite and chlorhexidine based root canal irrigant 24 hours post appointment

Endodontic Update: 50 years of progress

The use of cone beam computed tomography in endodontic re-treatment

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