In Vitro Evaluation of Different Irrigation Protocols on Intracanal Smear Layer Removal in Teeth with or without Pre-Endodontic Proximal Wall Restoration

Kharouf, Naji; Pedullà, Eugenio; Rosa, Giusy Rita Maria La; Bukiet, Frédéric; Sauro, Salvatore; Haïkel, Youssef; Mancino, Davide

doi:10.3390/jcm9103325

Cited by 30 publications

(25 citation statements)

References 35 publications

(46 reference statements)

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“…Para investigar a influência da restauração da parede coronal pré-endodôntica na remoção da smear layer durante diferentes estratégias de irrigação, Kharouf et al (2020) realizaram um estudo com pré-molares unirradiculares. Essas amostras foram preparadas com ProTaper Next (Dentsply Sirona), e irrigadas com NaClO a 6%.…”

Section: Resultsunclassified

“…O EA obteve resultados semelhantes ao XPF em diferentes anatomias dos canais radiculares, na eliminação de bactérias do canal radicular e túbulos dentinários se mostrando superior a IC. (Azim et al, 2016;Elnaghy et al 2017;Kharouf et al, 2020;Della-Porta et al, 2020). Os testes em anatomias diversas são interessantes, pois nos possibilita comparar os instrumentais em circunstâncias diversas, algo comum na vida clínica.…”

Section: Resultsunclassified

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Instrumentação com XP- Finisher como potencializador da desinfecção do sistema de canais radiculares – revisão integrativa

Briano

Júnior

Travassos

et al. 2021

RSD

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O objetivo deste estudo foi apresentar por meio de uma revisão de literatura o desempenho do XP-Endo Finisher, como auxiliar na limpeza e desinfecção do sistema de canais radiculares. Uma busca eletrônica na Biblioteca Virtual de Saúde (BVS), também conhecida como Biblioteca Regional de Medicina (BIREME), foi realizada no período de abril de 2016 a maio de 2021, utilizando os descritores endodontia, desinfecção e tratamento do canal radicular. Foram encontrados um total de 76 trabalhos, dos quais 30 se encaixavam nos critérios da pesquisa, que avaliou a ação do instrumento sobre a capacidade de remoção de smear layer, debris, biofilme e bactérias do sistema de canais radiculares, além de compará-lo a outros sistemas complementares de limpeza e desinfecção. Levando-se em consideração as limitações de uma revisão de literatura, o XPF apresentou resultados satisfatórios. Dessa forma, o XPF se apresentou como um instrumento de potencial adjuvante na desinfecção dos sistemas de canais radiculares.

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Section: Resultsunclassified

Instrumentação com XP- Finisher como potencializador da desinfecção do sistema de canais radiculares – revisão integrativa

Briano

Júnior

Travassos

et al. 2021

RSD

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“…Cone beam computed tomography (CBCT) was used to preselect the teeth respecting the following criteria: Single canal; A long/short canal diameter ratio at 5 mm from the apex >2 [ 32 ]; The length of root canal (orifice to apical foramen) = 14 ± 1 mm; Primary root curvature ≤20 in bucco-lingual and mesio-distal view [ 33 ]; Main curvature radius ≥4 mm. …”

Section: Methodsmentioning

confidence: 99%

Does Multi-Fiber-Reinforced Composite-Post Influence the Filling Ability and the Bond Strength in Root Canal?

et al. 2021

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The purpose of the present in vitro study was to investigate the bond strength of root canal dentin and the filling ability of a new multi-fiber-reinforced composite post (mFRC) compared to a conventional single fiber-reinforced-composite post (sFRC). Twenty-eight freshly maxillary first permanent single-rooted premolars were instrumented and divided into groups (n = 14). Group 1: single-fiber-reinforced composite (sFRC), group 2: multi-fiber-reinforced composite (mFRC). Bonding procedures were performed using a dual-cure universal adhesive system and resin cement. All specimens were sectioned so that seven discs of 1 mm of thickness were obtained from each root. An optical microscope was used before the push-out test to measure the total area of the voids and to determine the length of the smaller/bigger circumferences. The push-out bond strength (PBS) test was performed using an Instron universal testing machine. Data were then compared by one-way ANOVA on ranks (α = 0.05). The dentin–cement–post interface was observed using scanning electron microscopy (SEM). At the coronal third, a significantly higher bond strength (p < 0.05) was obtained in the sFRC group (44.7 ± 13.1 MPa) compared to the mFRC group (37.2 ± 9.2 MPa). No significant difference was detected between the groups at the middle third (sFRC group “33.7 ± 12.5 MPa” and mFRC group “32.6 ± 12.4 MPa”) (p > 0.05). Voids were significantly lower in the mFRC compared to those observed in the sFRC group (p < 0.05) at the coronal third. Whereas, no significant difference was found at the middle third (p > 0.05) between the tested groups. Filling ability was overall improved when employing mFRC, although such technique might have characteristic limitations concerning the bond strength to dentin.

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“…After de-duplication, we browsed titles and abstracts of the remaining 770 studies, and we excluded 752 articles. Among the excluded studies, nine were reviews or meta-analysis [42][43][44][45][46][47][48][49][50], four compared the effectiveness of PUI with XPF on removing hardtissue debris or smear layer [51][52][53][54], three evaluated the efficacy on biofilm or bacteria removal when using the two techniques [55][56][57], one focused on post-operative pain of root canal treatment using the PUI versus XPF [58]. Moreover, 13 studies did not investigate the effectiveness of XPF on intracanal medicaments removal, 45 articles examined the efficacy of PUI on hard-tissue debris, smear layer, root filling remnants, bacteria, or biofilm removal.…”

Section: Literature Selectionmentioning

confidence: 99%

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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In Vitro Evaluation of Different Irrigation Protocols on Intracanal Smear Layer Removal in Teeth with or without Pre-Endodontic Proximal Wall Restoration

Cited by 30 publications

References 35 publications

Instrumentação com XP- Finisher como potencializador da desinfecção do sistema de canais radiculares – revisão integrativa

Instrumentação com XP- Finisher como potencializador da desinfecção do sistema de canais radiculares – revisão integrativa

Does Multi-Fiber-Reinforced Composite-Post Influence the Filling Ability and the Bond Strength in Root Canal?

Effectiveness of XP-Endo Finisher and passive ultrasonic irrigation on intracanal medicament removal from root canals: a systematic review and meta-analysis

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