Chemical and mechanical root canal debridement are the primary methods used in endodontic therapy to remove all dead tissue, bacteria, and microbial byproducts from the canal. Sodium hypochlorite, a powerful organic tissue dissolver with a broad spectrum of antibacterial properties, is an excellent choice for disinfecting surfaces. Chelating agents, on the other hand, may be used to remove the inorganic components found on the smear layer. This irrigation method is capable of removing the smear layer; however, it is less effective in the apical third. While using irrigant activation devices, irrigating solutions need to be in direct contact with the whole root canal wall surfaces, especially in the apical portions of tiny root canals. The role of irrigants is extremely important because they help not only to clean the canal but also to allow the seepage of the medicaments into the canal system. Thus, the canal needs to be healthy before the obturation procedure. Nowadays, many irrigants have been studied and hence compilation of the various available sources and their effect has to be studied both and . The correlation between the irrigants and the canal cleanliness is of utmost importance, as the success of endodontic root canal treatment depends on its proper activation and characteristics. Hence, this review incorporates the current use of various irrigating solutions and their advantages and disadvantages. In the future, endodontists may employ the novel irrigants and irrigant activation devices that were discovered in this study.
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http://dx.doi.org/10.7759/cureus.24833 | DOI Listing |
Dent Mater
January 2025
Minnesota Dental Research Center for Biomaterials and Biomechanics, School of Dentistry, University of Minnesota, Minneapolis, MN, USA. Electronic address:
Objective: This study compared the fracture load, stress distribution, and survival probability under cyclic loading of extensively restored teeth treated with multisonic irrigation with those treated with conventional instrumentation, with or without a post.
Methods: Mesial-occlusal-distal cavities were prepared in 30 human mandibular premolars. The teeth were randomly divided into 3 groups of 10 based on the endodontic and restorative procedures: (1) Root canal treatment (RCT) followed by resin composite restoration (control group), (2) RCT followed by a glass fiber post restoration (conventional group), and (3) minimal instrumentation plus multisonic irrigation followed by resin composite restoration (GW group).
BMC Oral Health
January 2025
Department of Endodontics, Beijing Stomatological Hospital, Capital Medical University, Tian Tan Xi Li No.4, Beijing, 100050, China.
Background: To evaluate the prevalence and characteristics of taurodontism in northern China by using cone-beam computed tomography (CBCT) and assisting the treatment.
Methods: The study involved CBCT scans of 8112 teeth from 507 participants of northern China, comprising 217 males and 290 females aged 18 to 60. Analysis was conducted using Shifman and Chanannel's criteria to assess the prevalence and attributes of taurodontism, examining differences based on tooth position (maxilla and mandible) as well as gender (P < 0.
BMC Oral Health
January 2025
Department of Endodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Background: The fracture of an endodontic instrument within the root canal system can occur during root canal therapy, complicating thorough cleaning and shaping. Consequently, managing the broken fragment becomes crucial.
Methods: Eighty Nickel-titanium (NiTi) #20 K-files (Mani, Tochigi, Japan) were cut 8 mm from the tip, fixed into a corkboard, and classified into five groups (n = 14 each).
BMC Oral Health
January 2025
Department of Endodontics, School of Stomatology, Capital Medical University, Beijing, China.
Background: Endodontic file fractures are common complications of root canal treatment, and requires removal via specialized techniques such as endodontic microsurgery when the file beyond the apical foramen. It is often challenging to precisely and minimally remove a fractured file. Recently the use of dental autonomous robotic system (ATR) has shown promise in precisely and minimally in dental surgery.
View Article and Find Full Text PDFBMC Oral Health
January 2025
Department of Endodontics, Faculty of Dentistry, Ordu University, Ordu, 52200, Turkey.
Background: Immature maxillary central teeth can be managed by using several treatment options. The aim of this finite element stress analysis study was to evaluate the effect of different treatment procedures on the stresses on immature maxillary incisor teeth models that generated on cone beam computed tomography, by trauma and bite forces.
Methods: A total of 11 different models consisting of revascularization treatment using MTA and biodentine and the state of the root apex formed with cement after treatment, apexification, modified apexification, traditional root canal treatment and two different control groups have been created.
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