Background: This investigation assessed the impact of irrigation activation systems on the depth of penetration of intracanal medicaments into dentinal tubules.
Methods: Ninety-six mandibular premolar teeth were prepared using ProTaper Next up to size X3. The teeth were randomly divided into four groups based on the final irrigation activation systems (n=24): group 1: EndoActivator, group 2: XP-Endo Finisher, group 3: Passive ultrasonic irrigation (PUI), and group 4: control. After the final irrigation, all the samples were divided into two subgroups (n=12): subgroup A: calcium hydroxide (Ca(OH) ) and subgroup B: modified triple antibiotic paste (mTAP). Statistical analysis involved three-way analysis of variance (ANOVA).
Results: EndoActivator, XP-Endo Finisher, and PUI activation methods significantly increased the penetration of intracanal medicaments compared to conventional needle irrigation (<0.05). The XP-Endo Finisher group exhibited the highest penetration percentage and maximum penetration depth, showing a statistically significant difference from the EndoActivator group (<0.001). No significant difference was observed between XP-Endo Finisher and PUI, nor between PUI and EndoActivator (>0.05). mTAP showed a higher percentage of dentinal tubule penetration than Ca(OH), although no significant difference was found in maximum penetration depth. The coronal region demonstrated the highest penetration percentage and depth, while the apical region showed the lowest.
Conclusion: This study showed the effectiveness of XP-Endo Finisher in improving the penetration of intracanal medicaments into dentinal tubules. The findings emphasize the importance of selecting appropriate irrigation activation systems to improve treatment outcomes in endodontics. By demonstrating the effectiveness of advanced systems like XP-Endo Finisher, this research supports their integration into routine clinical practice for better endodontic success.
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http://dx.doi.org/10.34172/joddd.41123 | DOI Listing |
Int J Dent
December 2024
College of Dentistry, King Saud University, P. O. Box 68004, Riyadh 11527, Saudi Arabia.
XP-endo files are composed of Max-Wire alloy, which was developed by FKG Dentaire (La Chaux-de-Fonds, Switzerland). This alloy, known as Martensite-Austenite Electropolish Flex, is the first NiTi alloy used in endodontics to combine the shape memory effect with superelasticity for use in clinical practice. This article aims to provide a comprehensive overview of the existing knowledge and evidence regarding different XP-endo files and systems, XP-endo Finisher (XPEF), XP-endo Shaper (XPES), XP-endo Retreatment (XPER), XP-endo Rise (XPE-Rise), and XPE-Rise Retreatment (XPE-Rise-R), to help clinicians understand their different properties and recommended clinical uses.
View Article and Find Full Text PDFJ Endod
November 2024
Postgraduate Program in Dentistry, Iguaçu University (UNIG), Nova Iguaçu, Rio de Janeiro, Brazil; Postgraduate Program in Dentistry, University of Grande Rio (UNIGRANRIO), Rio de Janeiro, Rio de Janeiro, Brazil.
Introduction: The intracanal antibacterial effectiveness of a bioceramic medication was compared with calcium hydroxide pastes in different vehicles.
Methods: Extracted mandibular incisors with a single long oval canal were selected and distributed into 5 groups based on anatomically paired microcomputed tomographic analyses. The root canals were prepared up to an instrument size 35/04 and contaminated for 30 days with a mixed bacterial culture from subgingival biofilm added with Enterococcus faecalis.
Bioengineering (Basel)
October 2024
Department of Human Genetics, School of Dental Medicine, University of Belgrade, 11000 Beograd, Serbia.
Eradication of microorganisms present in the root canal system during endodontic therapy is one of the critical factors affecting the final outcome of endodontic treatment. However, even adequate technique of the root canal treatment and use of irrigants according to the established protocol does not lead to the complete elimination of microorganisms during endodontic treatment. The presence of (.
View Article and Find Full Text PDFJ Dent
January 2025
Division of Endodontics, Department of Oral Biological and Medical Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, Canada. Electronic address:
Objective: This study evaluated the efficacy of the ProTaper Universal Retreatment system (PTUR) and XP-endo Finisher R instrument (XPFR) in removing 64-month-old root filling material from minimally-instrumented mandibular molar canals.
Methods: Forty-eight root canals with Vertucci type II or IV configurations from 30 mandibular molars were instrumented to size 20/0.04 taper using Vortex Blue NiTi rotary instruments and irrigated with the GentleWave system.
J Dent
December 2024
Department of Dentistry, Endodontics Division, Health Sciences Center, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil. Electronic address:
Objective: To evaluate the efficacy of supplementary methods, including Passive Ultrasonic Irrigation (PUI), ultrasonic inserts, XP-Endo Finisher, XP-Endo Finisher R, Easy Clean, sonic activation, and the Er:YAG laser (SWEEPS), in removing residual filling material (RFM) during endodontic retreatment.
Method: Five electronic databases and gray literature were searched on May 5, 2024. Two independent reviewers selected laboratory studies that assessed the efficacy of supplementary methods for RFM removal using micro-CT imaging.
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