Endodontic pain, a common complication after root canal treatment, affects 2.5% to 60% of patients. Therefore, it is of interest to compare apical negative pressure irrigation (EndoVac) with conventional needle irrigation to assess their impact on postoperative pain in permanent anterior teeth with symptomatic irreversible pulpitis. Fifty patients were randomly assigned to either the EndoVac or needle irrigation group. Pre and post-operative pain levels were assessed using a Visual Analog Scale and the amount of Ibuprofen taken was recorded. At 12-, 24-, and 48-hour intervals, the EndoVac group reported significantly less pain than the needle irrigation group. The needle irrigation group also required more Ibuprofen. The apical negative pressure irrigation system (EndoVac) resulted in significantly less postoperative pain and reduced the need for analgesic medication than the conventional needle irrigation protocol.
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http://dx.doi.org/10.6026/973206300191129 | DOI Listing |
J Lasers Med Sci
November 2024
Education Development Office, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
This study aimed to evaluate the efficacy of the orifice-level passive ultrasonic activation (OL-PUA) technique in removing debris from the mesial root canals of mandibular molars, besides comparing it with other approaches, including manual dynamic agitation (MDA), EndoActivator, and laser-activated irrigation (LAI). Ninety mesial roots of mandibular molars were prepared up to 25.06 using the Race rotary system, filled with 3% sodium hypochlorite (NaOCl), and then they were randomly assigned to 5 groups (n=15) based on the activation protocol: MDA, EndoActivator, OL-PUA, LAI (using a diode laser), and needle irrigation (no activation).
View Article and Find Full Text PDFBr Dent J
December 2024
School of Dentistry, International Medical University, Kuala Lumpur, Malaysia.
Objective(s) This questionnaire study aimed to analyse the irrigation knowledge and current trends in irrigation practice during endodontic treatment among general dental practitioners (GDPs) in Malaysia.Materials and methods A three-part, self-administered questionnaire with multiple-choice questions was distributed to dentists in Malaysia. The survey comprised three sections: demographic data; irrigant selection and protocol; and other irrigation practices.
View Article and Find Full Text PDFJ Endod
November 2024
Department of Endodontics, Centre of Oral Clinical & Translational Sciences, Faculty of Dentistry, Oral & Craniofacial Sciences, Guy's Dental Hospital, King's College London, London, UK.
Introduction: This study evaluated and compared the amount of apically extruded debris, unprepared wall surface areas, and dentinal crack formation resulting from root canal preparation using ProTaper Next (PTN), ProTaper Ultimate (PTU), and R-Motion (RM) file systems.
Methods: Forty-five palatal roots of maxillary first molars were shortened to a uniform length of 12 mm. The samples were divided randomly into 3 groups (n = 15/group) to be prepared using either PTN, PTU, and RM file systems.
Odontology
November 2024
Department of Conservative and Prosthetic Dentistry, School of Dentistry, Complutense University, Madrid, Spain.
Int Endod J
November 2024
School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan.
Aim: To investigate the efficacy of nanodiamond irrigation solution with sonic agitation for removing of hard-tissue debris (HTD) within the isthmus-containing mesial roots of human mandibular molars using micro-CT analysis.
Methodology: Forty mesial roots of extracted human mandibular molars were selected based on micro-computed tomography scans (9-μm resolution). The mesial canals were mechanically prepared using ProTaper® Gold nickel-titanium rotary instruments and divided into four groups (n = 10 each) according to the final irrigation protocol: sonic agitation with nanodiamond irrigation solution for three 20-s cycles, sonic agitation with 17% EDTA for three 20-s cycles, sonic agitation with 3% NaOCl for three 20-s cycles and manual syringe irrigation with NaOCl using a 30-G needle syringe for 60 s.
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