Emmanuel João Nogueira Leal Silva1,2, Carla Rodrigues Carvalho3, Felipe Gonçalves Belladonna4, Marina Carvalho Prado3, Ricardo Tadeu Lopes5, Gustavo De-Deus4, Edson Jorge Lima Moreira3. 1. Department of Endodontics, Grande Rio University, Duque de Caxias, Rio de Janeiro, Brazil. nogueiraemmanuel@hotmail.com. 2. Department of Endodontics - Dental School - Grande Rio University (UNIGRANRIO), Rua Herotides de Oliveira, 61/902, Icaraí, Niterói, RJ, Brazil. nogueiraemmanuel@hotmail.com. 3. Department of Endodontics, Grande Rio University, Duque de Caxias, Rio de Janeiro, Brazil. 4. Department of Endodontics, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil. 5. Nuclear Engineering Program, Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil.
Abstract
OBJECTIVES: This study aimed to compare four final irrigation protocols (passive ultrasonic irrigation [PUI], EndoVac, Self-Adjusting File [SAF] and EasyClean) on the removal of accumulated hard-tissue debris (AHTD) from mesial canals of mandibular molars through microcomputed tomographic (micro-CT) analysis. MATERIALS AND METHODS: Forty mesial roots of mandibular molars presenting isthmuses type I or III were scanned in a micro-CT device and instrumented up to Reciproc R40 instrument. After the completion of canal preparations, root canals of each group were submitted to a final rinse using 20 mL of solution (16 mL of 5.25% NaOCl and 4 mL of 17% EDTA) in a total time of 5 min according to one of the four final irrigation protocols (n = 10): PUI, EndoVac, SAF and EasyClean operated at reciprocating motion. The sample was scanned again after canal preparation and after the use of the final irrigation protocols, and the registered data sets were examined to evaluate the percentage of AHTD. Data were statistically compared using the Tukey test with a significance level set at 5%. RESULTS: All groups presented a decrease on the accumulation of hard-tissue debris after the use of the final irrigation protocols (P < 0.05). No significant differences in the removal of AHTD were observed among the final irrigation protocols (P > 0.05). CONCLUSIONS: All final irrigation protocols showed the same effectiveness in the removal of AHTD. None of them was able to render mesial canals of mandibular molars completely free from packed debris. CLINICAL RELEVANCE: This study highlighted that all final irrigation protocols (PUI, EndoVac, SAF, and EasyClean) promoted a similar removal of AHTD. However, none of the final irrigation protocols was able to render mesial canals of mandibular molars completely free from packed debris.
OBJECTIVES: This study aimed to compare four final irrigation protocols (passive ultrasonic irrigation [PUI], EndoVac, Self-Adjusting File [SAF] and EasyClean) on the removal of accumulated hard-tissue debris (AHTD) from mesial canals of mandibular molars through microcomputed tomographic (micro-CT) analysis. MATERIALS AND METHODS: Forty mesial roots of mandibular molars presenting isthmuses type I or III were scanned in a micro-CT device and instrumented up to Reciproc R40 instrument. After the completion of canal preparations, root canals of each group were submitted to a final rinse using 20 mL of solution (16 mL of 5.25% NaOCl and 4 mL of 17% EDTA) in a total time of 5 min according to one of the four final irrigation protocols (n = 10): PUI, EndoVac, SAF and EasyClean operated at reciprocating motion. The sample was scanned again after canal preparation and after the use of the final irrigation protocols, and the registered data sets were examined to evaluate the percentage of AHTD. Data were statistically compared using the Tukey test with a significance level set at 5%. RESULTS: All groups presented a decrease on the accumulation of hard-tissue debris after the use of the final irrigation protocols (P < 0.05). No significant differences in the removal of AHTD were observed among the final irrigation protocols (P > 0.05). CONCLUSIONS: All final irrigation protocols showed the same effectiveness in the removal of AHTD. None of them was able to render mesial canals of mandibular molars completely free from packed debris. CLINICAL RELEVANCE: This study highlighted that all final irrigation protocols (PUI, EndoVac, SAF, and EasyClean) promoted a similar removal of AHTD. However, none of the final irrigation protocols was able to render mesial canals of mandibular molars completely free from packed debris.
Authors: Rosa Maria Vianna Lopes; Fernanda Cunha Marins; Felipe Gonçalves Belladonna; Erick Miranda Souza; Gustavo De-Deus; Ricardo Tadeu Lopes; Emmanuel João Nogueira Leal Silva Journal: Aust Endod J Date: 2017-09-20 Impact factor: 1.659
Authors: G Plotino; M Colangeli; T Özyürek; G DeDeus; C Panzetta; R Castagnola; N M Grande; L Marigo Journal: Clin Oral Investig Date: 2020-06-05 Impact factor: 3.573