Evaluation of Double and Triple Antibiotic Paste Removal Efficiency of Various Irrigation Protocols

Sarıyılmaz, Evren; Keskin, Cangül

doi:10.4274/meandros.galenos.2018.63496

Cited by 5 publications

(17 citation statements)

References 20 publications

(35 reference statements)

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“…XPF was more effective for removing calcium hydroxide residues than the XP-endo Shaper in extracted maxillary central incisors [15]. Moreover, in simulated immature root canals, the cleaning e cacy of XPF on medicaments removal was also better than SNI and EA [34].…”

Section: Introductionmentioning

confidence: 89%

“…Then, a total of 18 articles underwent a full-text screening. In this phase, nine [15,21,[66][67][68][69][70][71][72] studies were excluded for the following reasons: ve [15,66,69,71,72] lacked a comparison of medicament removal e cacy between the PUI group and XPF group, and four [21,67,68,70] did not evaluate outcomes according to the scoring system described by Lee et al or van der Sluis et al Finally, nine articles were included in the present systematic review and processed to data extraction [27,[30][31][32][33][34][73][74][75]. Among the nine studies included for qualitative synthesis, one was not appropriate for the quantitative synthesis, because it just presented the minimum and maximum of the scoring results in the PUI and XPF group [27].…”

Section: Literature Selectionmentioning

confidence: 99%

“…Among the nine studies included for qualitative synthesis, one was not appropriate for the quantitative synthesis, because it just presented the minimum and maximum of the scoring results in the PUI and XPF group [27]. Therefore, eight studies were identi ed for meta-analysis [30][31][32][33][34][73][74][75]. References listed in all eligible studies were screened, and no additionally eligible studies were identi ed.…”

Section: Literature Selectionmentioning

confidence: 99%

“…After the removal of medicament, researchers used the same scoring system to evaluate the specimens' effects by observing digital photographs [38,39]. A total of eight trials with 754 specimens (374 in XPF groups and 380 in PUI groups) were analysed in the quantitative synthesis stage [30][31][32][33][34][73][74][75]. In each study, the XPF le was employed according to the manufacturer's instructions.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…Furthermore, the intracanal medicament time varied among these studies. Five articles reported that medicaments were stored in the root canal for a week [27,30,31,33,75], two for two weeks [73,74], one for a month [34]. Meanwhile, a study contained three kinds of intracanal medicament periods; in detail, the medicaments were stored for 7, 21, and 90 days [32].…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 89%

Section: Literature Selectionmentioning

confidence: 99%

Section: Literature Selectionmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

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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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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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Efficacy of Ultrasonics Versus XP-endo Finisher for Removal of Intracanal Medications with Two Different Vehicles (An In-Vitro Study)

abdelmalek,

Abdelsalam,

Fayad

2024

Dental Science Updates

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Introduction:The ultimate goal of endodontic treatment is to eliminate bacteria from infected root canals. Intracanal medications have been thought to be an important step in reducing microorganisms. Different means were introduced for the removal of intracanal medications, so there is a need to investigate which irrigation method should be used to remove the intracanal medication to achieve a complete coronal and apical seal of the disinfected canals. Aim: To compare the effectiveness of removal of Calcium hydroxide (Ca(OH)2) and Double antibiotic paste (DAP) with Propylene glycol (PG) and Glycerol vehicles using Passive Ultrasonic irrigation (PUI) and XP-Endo Finisher. Material and methods: 80 single-rooted extracted human teeth were categorized into 4 groups (n=20) based on the intracanal medicament used GroupA1; Ca(OH) 2 + PG GroupA2; Ca(OH) 2 + Glycerol. GroupA3; DAP + PG.GroupA4; DAP + Glycerol. Samples were stored in an incubator for 3 weeks and then subdivided into two groups Subgroup B1; PUI and Subgroup B2; XP-Endo Finisher. Irrigation protocol was NaOCl 2.5% followed by 17% EDTA. Each root half's picture was photographed using a USB digital microscope.The amount of medication still present in the canal was measured using the NIH image J V1.56 software program. One-way ANOVA and Duncan's Multiple Range Tests were used for the statistical analysis. Results: The difference between vehicles was not significant when all groups were compared as a total using the PUI method and XP-Endo Finisher (p>0.05). However, the differences in the percentage of remaining intracanal medication between vehicles were significant at apical, middle and coronal levels of PUI and also levels of XP-Endo Finisher. Conclusion: None of the irrigation activation methods used could eliminate any of the medications. Both vehicles did not improve the elimination of the medications used from the root canals. Removal of the medications from the apical level was more difficult than the other levels.

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Evaluation of Double and Triple Antibiotic Paste Removal Efficiency of Various Irrigation Protocols

Cited by 5 publications

References 20 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

Efficacy of Ultrasonics Versus XP-endo Finisher for Removal of Intracanal Medications with Two Different Vehicles (An In-Vitro Study)

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