Efficacy of 3 Different Irrigation Systems on Removal of Calcium Hydroxide from the Root Canal: A Scanning Electron Microscopic Study

Al-Turaiki, Sami A.; Lamphon, Hebah; Edrees, Hadeel Y.; Ahlquist, M.

doi:10.1016/j.joen.2014.07.033

Cited by 54 publications

(87 citation statements)

References 35 publications

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“…1), and 115 studies were off topic. Reasons for exclusion were the following: studies assessing irrigating solutions (14,(16)(17)(18)(19)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53), no apical third evaluation (21,31,(54)(55)(56)(57)(58)(59), no ultrasonically activated irrigation (10-12, 20, 25, 28-30, 60-74), no extracted human adult teeth (75)(76)(77), evaluated under the scanning electron microscopy (39)(40)(41), and case reports (13). Full texts of 62 potential studies were assessed.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Ultrasonically Activated Irrigation to Remove Calcium Hydroxide from Apical Third of Human Root Canal System: A Systematic Review of In Vitro Studies

Yaylali

Keçeci

Kaya

2015

Journal of Endodontics

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Section: Resultsmentioning

confidence: 99%

“…It is impossible to distinguish Ca(OH) 2 remnants from the smear layer or dentin debris because energydispersive X-ray spectroscopy analysis shows Ca ++ in both cases (36)(37)(38). For these reasons, 3 studies were excluded even though they assessed the apical third of the root canal (39)(40)(41).…”

Section: Eligibility Criteria For Inclusion Of Studiesmentioning

confidence: 99%

Ultrasonically Activated Irrigation to Remove Calcium Hydroxide from Apical Third of Human Root Canal System: A Systematic Review of In Vitro Studies

Yaylali

Keçeci

Kaya

2015

Journal of Endodontics

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“…Alturaiki, et al 2 (2015) compared the CH removal capacity of EndoVac, sonic, ultrasonic activated irrigation techniques with conventional irrigation. Researchers reported that no statistically significant difference was found between sonic and ultrasonic irrigation in the coronal and middle third regions, but found that sonic irrigation was more efficient in the apical region.…”

Section: Discussionmentioning

confidence: 99%

“…was used with endodontic tips (a 28 mm long and diameter ISO 30) in place of a CanalBrush. Laser parameters were 1 W, 10 Hz, 100 mJ, and an energy density of 142.8 J/cm 2 . The laser tip was inserted into canal at 1 mm short of the WL.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of various irrigation protocols for the removal of calcium hydroxide from artificial standardized grooves

et al. 2017

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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 standard grooves were created in the coronal and apical section of one segment, and another in the middle part of the second segment. The standardized grooves were filled with CH and the root halves were reassembled. After 14 days, the specimens were randomly divided into 7 experimental groups (n=15/group). CH was removed as follows: Group 1: beveled needle irrigation; Group 2: double side-vented needle irrigation; Group 3: CanalBrush; Group 4: XP-endo Finisher; Group 5: Vibringe; Group 6: PUI; Group 7: LAI. The amount of remaining CH in the grooves was scored under a stereomicroscope at 20× magnification. Statistical evaluation was performed using Kruskal–Wallis and Bonferroni-Correction Mann–Whitney U tests.Results Groups 1 and 2 were the least efficient in eliminating CH from the grooves. Groups 6 and 7 eliminated more CH than the other protocols; however, no significant differences were found between these two groups (P>.05).Conclusions Nevertheless, none of the investigated protocols were able to completely remove all CH from all three root regions. LAI and PUI showed less residual CH than the other protocols from artificial grooves.

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“…Because of the complicated anatomy of the human root canal system, residual Ca(OH) 2 frequently remained in these regions. 16, 24, 27, 28 Because the effectiveness of irrigation could depend on both the mechanical flashing action and the chemical ability to dissolve tissue, 29 it may be a good choice to apply the mechanical flushing action in combination with the decalcifying solution to remove Ca(OH) 2 in the various root canals.…”

Section: Discussionmentioning

confidence: 99%

An in vitro study on the efficacy of removing calcium hydroxide from curved root canal systems in root canal therapy

et al. 2017

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To compare the efficacy of various irrigants (citric acid, ethylenediaminetetraacetic acid (EDTA) and NaOCl) and techniques in removing Ca(OH)2 in two types of curved root canal systems, simulated root canals with specific curvatures were used to investigate the effects of different irrigants and instruments on Ca(OH)2 removal. The optimal methods were verified on extracted human teeth. Simulated root canals were assigned to one of two groups based on the irrigation solution: 10% citric acid or 2.5% NaOCl. Each group was divided into four subgroups according to the technique used to remove Ca(OH)2. The percentage of Ca(OH)2 removal in different sections of root canals was calculated. On the basis of the results obtained for the simulated canals, 10% citric acid and 17% EDTA were applied to remove Ca(OH)2 from the extracted human teeth with curved root canal systems. The teeth were scanned by micro computed tomography to calculate the percentage of Ca(OH)2 removal in the canals. In simulated root canals, we found that 10% citric acid removed more Ca(OH)2 than 2.5% NaOCl in the 0–1 mm group from the apex level (P<0.05). Ultrasonic and EndoActivator activation significantly removed more Ca(OH)2 than a size 30 K file in the apical third (P<0.05). However, there were no significant differences in any sections of the canals for 10% citric acid or 17% EDTA in removing Ca(OH)2 in extracted human teeth. We concluded that it was effective to remove residual Ca(OH)2 using the decalcifying solution with EndoActivator or Passive Ultrasonic Irrigation in a curved root canal system. A protocol for Ca(OH)2 removal was provided based on the conclusions of this study and the methods recommended in previous studies.

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Efficacy of 3 Different Irrigation Systems on Removal of Calcium Hydroxide from the Root Canal: A Scanning Electron Microscopic Study

Cited by 54 publications

References 35 publications

Ultrasonically Activated Irrigation to Remove Calcium Hydroxide from Apical Third of Human Root Canal System: A Systematic Review of In Vitro Studies

Ultrasonically Activated Irrigation to Remove Calcium Hydroxide from Apical Third of Human Root Canal System: A Systematic Review of In Vitro Studies

Effectiveness of various irrigation protocols for the removal of calcium hydroxide from artificial standardized grooves

An in vitro study on the efficacy of removing calcium hydroxide from curved root canal systems in root canal therapy

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