XP-endo Finisher: A New Solution for Smear Layer Removal

Živković, Slavoljub; Nešković, Jelena; Jovanovic-Medojevic, Milica; Popovic-Bajic, Marijana; Živković-Sandić, Marija

doi:10.1515/sdj-2015-0013

Cited by 12 publications

(22 citation statements)

References 23 publications

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“…Earlier investigations used light microscopy to identify the smear layer on the canal walls, but today SEM analysis is the standard in the field of quantitative and qualitative estimation of the presence of the smear layer due to high resolution and high magnification [22][23][24][25].…”

Section: Discussionmentioning

confidence: 99%

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The influence of the final irrigation protocol on the efficiency of root canal cleaning

et al. 2020

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Introduction/Objective Irrigation has an important role in root canal cleaning and its efficiency depends on the type of irrigants, the amount, the technique and the irrigation protocol. The aim of this work was to estimate the efficiency of cleaning of the canal walls by using scanning electron microscope analysis after the instrumentation by rotary NiTi instruments with the use of three different irrigation solutions and two final irrigation protocols. Methods Sixty extracted human incisors were divided into two groups after the rotary instrumentation with the iRace instruments. In both groups, the same amount (1.5 ml) of three solutions (2% sodium hypochlorite solution, 2% chlorhexidine solution, and 10% citric acid solution) and total final irrigation time (90 seconds) was the same. The final irrigation in the first group was accomplished using the technique of continuous irrigation and in the second group it was done using the intermittent protocol. The roots were cut longitudinally and analyzed by thirds (coronal, middle, and apical) on a scanning electron microscope (JSM 6460LV, JEOL Ltd., Tokyo, Japan) with 1,000× magnification. Results The most efficient cleaning of the root canal walls in both groups was seen after the use of citric acid with the intermittent protocol of the final irrigation (90.7% clean walls), while the least efficient was the final irrigation by chlorhexidine with continuous irrigation (80.3%). The most efficient cleaning of the canal walls in both groups was observed in the coronal third and the largest amount of the smear layer in the apical third. Conclusion The most efficient cleaning of the canal was achieved by the use of citric acid and the intermittent protocol of the final irrigation. In all tested solutions, the intermittent protocol of irrigation was more efficient than continuous irrigation.

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Section: Discussionmentioning

confidence: 99%

“…Research has shown that XP-endo Finisher, which is used for the final debridement of the root canal, due to its specific design and extreme flexibility (it changes shape during instrumentation), can reach the inaccessible parts of the canal system [7,20,24].…”

Section: Discussionmentioning

confidence: 99%

The influence of the final irrigation protocol on the efficiency of root canal cleaning

et al. 2020

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“…Clean canal walls in apical third of the nearly all samples could be explained primarily by the simplicity of canal morphology, but also by the effects of the new XPS instrument, or by its specific design, at a speed of 800 rpm, and by the fact that it can change its shape in the canal during the instrumentation and thus, reach the inaccessible canal areas 17,25 . In addition, the extreme flexibility of the XPS and the working end with 6 cutting edges (with minimal torque) ensure efficient cleaning of all canal walls and the apical segment.…”

Section: Discussionmentioning

confidence: 99%

“…Exceptional and prolonged antibacterial effect of chlorhexidine on the large number of bacteria in the canal, makes this irrigant often used in endodontic treatments 8,14 . Researches has also shown that it is possible to increase the efficiency of the irrigant, or to achieve better penetration and better cleaning of the canal walls using some forms of solution activation like: ultrasound 15,16 , a new instrument XP-endo Finisher 1,17 or laser 18 .…”

Section: Sem Analysismentioning

confidence: 99%

Efficiency of XP endo Shaper (XPS) and irrigation protocol on the quality of cleaning the apical third of root canal: SEM study

Živković¹,

Jovanovic-Medojevic²,

Nešković³

et al. 2019

Balkan J Dent Med

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SummaryBackground/Aim: The aim of this study was to evaluate the efficacy of new rotary NiTi instrument XP- endo SHAPER (XPS) used with two irrigation protocols on the root canal cleaning in the apical area.Material and Methods: The research was conducted on 30 single-rooted teeth extracted for orthodontic reasons which were divided into the two groups. Instrumentation of the canals was conducted with XPS instrument and 2% solution of NaOCl was used as irrigant. Instrumentation in the first group was performed using a conventional continuous irrigation, in the second group, protocol of final irrigation was performed intermittently in 3 cycles. The SEM analysis of the apical third of the canal was performed on longitudinal root cross-section standardized photomicrography with a magnification of 2000X.Results: Results showed that a thicker smear layer was observed in the first group and with continuous irrigation protocol (2,10) in relation to the intermittent irrigation protocol in 3 cycles (1,96), but without significant differences.The walls of the root canal in the apical third of the samples of the second group were slightly cleaner (73.3%) in comparison with the teeth of the first group (64, 7%), but also without significant differences.Conclusions: The use of XPS and 2% solution of NaOCl in the root canal enables efficient cleaning of the apical third of tooth. The final irrigation protocol in three cycles improves the efficiency of the smear layer removal in the apical segment of the canal.

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“…Evaluation of the power of XP-endo Finisher files after chemomechanical preparation in cleaning the coronal, middle and apical third. These resulted that using XP-endo Finisher after chemomechanical preparation effectively cleaned canal walls and removed smear layer (18,19) . Other studies compared the effect of XP-endo Finisher files and other agitation techniques.…”

Section: Introductionmentioning

confidence: 96%

Efficacy of Apple vinegar as Final Irrigating Solution in Removing Smear Layer Using XP-Endo Finisher File

2020

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Purpose: This study assessed the efficacy of Apple vinegar as final irrigating solution in removing smear layer using XP-Endo Finisher File by scanning microscope. Material and Methods: Fifty single rooted lower premolars were selected and prepared using Universal ProTaper rotary files. Samples were divided into two main groups (I,II) regarding the final rinse used (20 samples each) and control group (10 samples): Group I: rinsed with 17% EDTA, Group II: rinsed with Apple vinegar and Control group: irrigated with sterile saline. Each group was subdivided into two subgroups (A,B) regarding the agitation file. Subgroup A: Conventional irrigation, Subgroup B: agitated with XP Endo Finisher. Samples were grooved longitudinally and smear layer was assessed. Results: no statistically significant difference in the median scores of smear layer produced by 17% EDTA and Apple Vinegar at coronal, middle and apical root levels when conventional irrigation or XP Endo Finisher were used. There was a significant difference between two irrigating techniques at apical level when 17% EDTA used as final rinse, where XP Endo Finisher showed statistically significant lower median score (P≤ 0.05). Conclusions: Apple vinegar presented similar smear layer removal efficiency from intraradicular dentin compared to 17% EDTA when used as final rinse. XP-Endo Finisher is a successful agitation system for removal of smear layer from intraradicular dentin.

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XP-endo Finisher: A New Solution for Smear Layer Removal

Cited by 12 publications

References 23 publications

The influence of the final irrigation protocol on the efficiency of root canal cleaning

The influence of the final irrigation protocol on the efficiency of root canal cleaning

Efficiency of XP endo Shaper (XPS) and irrigation protocol on the quality of cleaning the apical third of root canal: SEM study

Efficacy of Apple vinegar as Final Irrigating Solution in Removing Smear Layer Using XP-Endo Finisher File

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