Continuous Chelation Reduces Instrumentation Time and Straightening of Double-curved Simulated Root Canals in Bovine Dentin.

Introduction: Adding a compatible chelator to the sodium hypochlorite (NaOCl) solution applied during instrumentation may affect shaping efficacy and canal transportation. This was studied in simulated double-curved root canals.

Methods: High-precision computer numerical control milling was used to recreate standardized S-shaped canals from a resin training block in longitudinally sectioned bovine incisor roots.

Solutes in water affect the primary cavitation bubble generated by a pulsed erbium-doped yttrium aluminium garnet laser.

Laser-activated irrigation (LAI) of root canal systems depends on the generation of cavitation bubbles in the endodontic irrigant. Physical studies thus far focused on pulse energy, pulse length, frequency, and fiber tip shape, mostly in plain water. This study investigated the effect of endodontically relevant molecules (sodium hypochlorite (NaOCl), 1-hydroxyethylidene-1,1-diphosphonic acid (HEDP), and their combination) in water on physical properties of the resulting solution, and their impact on primary cavitation bubble features.

Regulatory issues related to the use of sodium hypochlorite solutions in endodontics.

Aim: To assess the regulation of sodium hypochlorite (NaOCl) solutions for endodontic usage in some of the world's main dental markets, in view of the European Union's recent move to classify antimicrobial root canal irrigants as high-risk devices under their Medical Device Regulation (MDR).

Methodology: The authors consulted legal texts available online and communicated with local health authorities wherever necessary to assess into which medical device category NaOCl solutions intended for endodontic application were subsumed. Furthermore, it was investigated whether there were sources outside the dental market to obtain NaOCl solutions for root canal treatments.

Impact of final rinse with saline or alcohol solution on root canal sealability.

Endodontic irrigation protocols are not only used to clean and disinfect the root canal system, but also to condition the canal wall dentine for subsequent root filling. In this study we tested whether a final irrigation step with saline solution or 80% ethanol improved root canal sealabilty by two popular sealers, an epoxy resin (AH Plus) and a hydraulic calcium silicate cement-based product (BioRoot RCS). Root canals in extracted single-rooted human teeth were instrumented and filled with a matched gutta-percha cone and sealer.