The effects of various irrigation protocols on root canal wall adaptation and apical microleakage in primary teeth

Yüksel, Burcu; Demirel, Akif; Ziya, Meryem; Kolçakoğlu, Kevser; Doğan, Salih; Sarı, Şaziye

doi:10.1080/00016357.2019.1709890

Cited by 7 publications

(6 citation statements)

References 22 publications

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“…2,5,7,14,19 Because the smear layer obliterates the dentinal tubules and creates a barrier between canal system and dentin surfaces, it negatively affects the adaptation of canal sealers and the effectiveness of irrigants and medicaments. [14][15][16] The success of pulpectomies applied with smear layer removal has also been confirmed in clinical studies. It was reported that pulpectomy of primary teeth with smear layer removal showed higher success rates at the end of the follow-up period in clinical trials.…”

Section: Discussionmentioning

confidence: 98%

“…5,12 The presence of inaccessible areas such as ramifications, lateral and accessory canals or morphological variations in the root canals especially in primary molar teeth increases the need for chemical debridement. 6,8,[12][13][14][15] Moreover, the inability to provide an effective obturation and lateral condensation in root canals due to increase the diameter of apical foramen with the physiological root resorption especially in the apical portion of the roots, highlight effective smear layer removal for long-term success. 6,12 Numerous different irrigation solutions/ protocols are used in primary tooth pulpectomies for smear layer removal.…”

Section: Introductionmentioning

confidence: 99%

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The Smear Layer Removal Efficiency of Different Concentrations of EDTA in primary teeth: A SEM Study

Demirel

2021

Cumhuriyet Dental Journal

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Objectives: The present study aims to evaluate the effects of different concentrations of ethylenediamine tetraacetic acid (EDTA) on smear layer removal in primary teeth by using scanning electron microscopy (SEM). Materials and Methods:The present study was performed with 28 extracted upper primary incisors assigned into four main groups (n=7) as 5%, 10% and 17% EDTA, and 1% sodium hypochlorite (NaOCl). The root canal surfaces (coronal, middle and apical) were scanned by SEM and scores of smear layer removal were recorded and compared after the root canal irrigation procedures.The results were analyzed using Kruskal-Wallis, Friedman and Dunn tests.Results: In all the root portions, although EDTA groups removed the smear layer more effectively than NaOCl, a statistically significant difference was observed between 17% EDTA and 1% NaOCl only in middle third (p <0.05). Also, smear layer was removed more effectively in coronal than apical in most of the groups (10% EDTA, 17% EDTA and 1% NaOCl) (p <0.05). Erosive defects were seen in 10% EDTA and 17% EDTA groups, mostly in 17% EDTA group. These findings were not detected in 5% EDTA and 1% NaOCl group. Conclusions:It is possible to recommend the use of 5% EDTA irrigation solution in root canal treatment of primary teeth due to its similar smear layer removal efficacy with NaOCl and high concentration EDTA groups, low erosive potential and low concentration for periapical safety.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

The Smear Layer Removal Efficiency of Different Concentrations of EDTA in primary teeth: A SEM Study

Demirel

2021

Cumhuriyet Dental Journal

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“…Consequently, in the primary teeth, determination of the sealing ability of the material used to fill a root canal is mostly affected by the adherence ability of the material to the root canal walls and the technique employed to get this material into the root canal [12]. It also relies on how well the irrigation solution removes the smear layer from the root canal system [40].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Different Obturation Techniques in Primary Teeth on the Apical Microleakage using Endoflas: A Comparative In Vitro Study

Irzooqee

Haidar

Abdul-Kareem

2023

International Journal of Dentistry

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Objectives. This study was carried out to quantitatively evaluate and compare the sealing ability of Endoflas by using different obturation techniques. Materials and Methods. After 42 extracted primary maxillary incisors and canines were decoronated, their canals were instrumented with K files of size ranging from #15 to #50. In accordance with the obturation technique, the samples were divided into three experimental groups, namely, group I: endodontic pressure syringe, group II: modified disposable syringe, and group III: reamer technique, and two control groups. Dye extraction method was used for leakage evaluation. Data were analyzed using one-way ANOVA and Dunnett’s T3 post hoc tests. The level of significance was set at p < 0.05 . Results. Endodontic pressure syringe had significantly less leakage than the modified disposable syringe and reamer techniques ( p < 0.05 ). Meanwhile, no significant difference was found in the mean leakage between the modified disposable syringe and the reamer techniques. Conclusion. Amongst all the techniques used in this study, endodontic pressure syringe could be preferred as an obturation technique in primary teeth when used with Endoflas obturation material because of its potential to provide good apical seal.

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“…A associação de AC 6% + NaOCl 1% foi considerado o protocolo de irrigação mais bem sucedido em fornecer as características avaliadas. Devido à capacidade de fornecer mudanças apropriadas nas paredes do canal radicular a fim de realizar uma obturação bem adaptada e à prova de vazamentos, AC 6% + NaOCl 1% pode ser recomendado como um protocolo de irrigação em dentes decíduos (34).…”

Section: Discussionunclassified

Leucoplasia Verrucosa Proliferativa: Revisão da Literatura com Ênfase no Diagnóstico, Manejo e Tratamento Proliferative Verrucous Leukoplakia: Literature Review With Emphasis on Diagnosis, Manegement and Treatment

Azevedo¹

2021

RNO

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A limpeza dos canais radiculares se apresenta como uma etapa crucial para o sucesso do tratamento endodôntico. Por essa razão, a busca por soluções irrigadoras eficazes na terapia endodôntica de dentes decíduos é frequente nas pesquisas e demonstra a necessidade de encontrar substâncias com menor toxicidade e maior eficiência. Sendo assim, o objetivo do presente estudo é analisar as diferentes soluções e protocolos de irrigação no tratamento endodôntico de dentes decíduos, a fim de construir uma conduta clínica. Para isso, foi realizada uma busca na literatura nas bases de dados PubMed/MEDLINE, Cochrane Library, SCIELO, Por tal de Periódicos CAPES e BVS utilizando a combinação dos termos "deciduous tooth", "root canal irrigants", "pulpectomy" e seus derivados, associados entre si pelo operador booleano "AND" e adaptados para cada base de dados. As buscas foram realizadas no período de Julho à Agosto de 2020. Foi encontrado o total de 192 resultados. Após uma leitura crítica, foram selecionados 8 estudos. A revisão incluiu estudos que abordassem as soluções irrigantes mais usuais: hipoclorito de sódio, digluconato de clorexidina, ácido cítrico e ácido etilenodiaminotetracético (EDTA) na terapia endodôntica de dentes decíduos. O EDTA e digluconato de clorexidina apresentam baixa toxicidade e o hipoclorito de sódio 1% combinado com ácido cítrico 6% apresentam a combinação mais próspera. A associação das duas substâncias mostrou ser mais eficiente na limpeza dos canais radiculares e na remoção da smear layer. Porém, mais estudos são necessários, principalmente clínicos, para confirmação do melhor protocolo de irrigação para o tratamento endodôntico de dentes decíduos.

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The effects of various irrigation protocols on root canal wall adaptation and apical microleakage in primary teeth

Cited by 7 publications

References 22 publications

The Smear Layer Removal Efficiency of Different Concentrations of EDTA in primary teeth: A SEM Study

The Smear Layer Removal Efficiency of Different Concentrations of EDTA in primary teeth: A SEM Study

The Effect of Different Obturation Techniques in Primary Teeth on the Apical Microleakage using Endoflas: A Comparative In Vitro Study

Leucoplasia Verrucosa Proliferativa: Revisão da Literatura com Ênfase no Diagnóstico, Manejo e Tratamento Proliferative Verrucous Leukoplakia: Literature Review With Emphasis on Diagnosis, Manegement and Treatment

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