Efficacy of Needle, Ultrasonic, and Endoactivator Irrigation and Photon-Induced Photoacoustic Streaming in Removing Calcium Hydroxide from the Main Canal and Isthmus: An<i>In Vitro</i>Micro-Computed Tomography and Scanning Electron Microscopy Study

Li, Dongxia; Jiang, Shun-Yuan; Yin, Xing-zhe; Chang, Jianbo; Ke, Jie; Zhang, Chengfei

doi:10.1089/pho.2015.3903

Cited by 49 publications

(65 citation statements)

References 38 publications

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“…Although many endodontic therapies have been introduced, including negative-pressure irrigation, ultrasonic irrigation, sonic irrigation, laser, and photoinduced photo-acoustic streaming (PIPS), none have provided sufficient evidence of adequate debridement and disinfection within the root canal system to prevent the onset and exacerbation of apical periodontitis. 19,[26][27][28] Unfortunately, the safety, efficacy, and reliability of such devices are not well-established. [26][27][28][29][30] For example, because positive pressure is created at the apex with PIPS and standard needle irrigation systems, irritants …”

Section: Resultsmentioning

confidence: 99%

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Utilizing the GentleWave® System for Debridement of Undetected Apical Anatomy

Ford¹

2018

The Journal of Contemporary Dental Practice

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Aim and background: Debriding and disinfecting complex anatomies within the root canal system pose a major challenge during root canal therapy. Even with current chemomechanical techniques, debris and bacterial remnants are commonly left behind, which are generally believed to increase the risk of endodontic failure. This case details the use of a new technique to debride complex apical anatomy in a maxillary molar. Case report:A 48-year-old female presented to the clinic with a chief complaint of increasing pain in her tooth. Clinical examination of the right first maxillary molar (#3) revealed moderate sensitivity to percussion and mild sensitivity to palpation. A pulpal diagnosis of symptomatic irreversible pulpitis and a periapical diagnosis of symptomatic apical periodontitis were made. Mechanical instrumentation was performed using rotary file size #25/.04 for the mesiobuccal and distobuccal canals and size #25/.06 for the palatal canal to create a fluid path and enable obturation of the root canal system following the GentleWave ® Procedure. The GentleWave Procedure was completed using Multisonic Ultracleaning™ for complete debridement and disinfection of the root canal system. The tooth was obturated using a warm vertical continuous wave obturation technique. Postoperative radiographs revealed complex anatomy within the apical third that was undetected both during pre-operative radiography and mechanical instrumentation. The palatal canal exhibited a complex apical delta with multiple points of exit, and the mesiobuccal canal revealed an undetected lateral canal within the apical third that had a separate and distinct egress. Conclusion and clinical significance:It is important for the clinician to debride and disinfect complex anatomy within the root canal system to reduce the risk of endodontic failure. This case report highlights the clinical significance of utilizing the GentleWave Procedure for detecting complex apical anatomy during endodontic therapy.

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Section: Resultsmentioning

confidence: 99%

“…19,[26][27][28] Unfortunately, the safety, efficacy, and reliability of such devices are not well-established. [26][27][28][29][30] For example, because positive pressure is created at the apex with PIPS and standard needle irrigation systems, irritants …”

Section: Resultsmentioning

confidence: 99%

Utilizing the GentleWave® System for Debridement of Undetected Apical Anatomy

Ford¹

2018

The Journal of Contemporary Dental Practice

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“…18,19,29,30 Bu teknikte dişlerin dış yüzeylerinde açılan olukların kök kanalına ulaş-maması ve köklerin ayrılması sırasında kanal içinde arta kalan maddelere temas edilmemesi gerekmektedir. Bununla birlikte, köklerin ayrılması tekniği kök kanal sınırlarının tam olarak saptanmasına ve üç boyutlu bir incelemeye izin vermektedir.…”

Section: Bulgularunclassified

“…Bununla birlikte, köklerin ayrılması tekniği kök kanal sınırlarının tam olarak saptanmasına ve üç boyutlu bir incelemeye izin vermektedir. 30 Radyografik teknik kanal içindeki artık maddelerin tespitinde kullanılan bir diğer tekniktir. Radyografik teknik, üç boyutlu bir yapı üzerinde yalnızca iki boyutlu bilgi sağlamaktadır ve görüntüde bozulmalar olabilmektedir.…”

Section: Bulgularunclassified

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The Effect of Different Irrigation Techniques on the Removal of Double Antibiotic Paste from the Root Canal

Göktürk¹,

Ozkocak²,

Büyükgebiz³

et al. 2017

Turkiye Klinikleri J Dental Sci

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Mobile Nanobots for Prevention of Root Canal Treatment Failure

Dasgupta

Saini

et al. 2022

Adv Healthcare Materials

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Millions of root canal treatments fail worldwide due to remnant bacteria deep in the dentinal tubules located within the dentine tissue of human teeth. The complex and narrow geometry of the tubules renders current techniques relying on passive diffusion of antibacterial agents ineffective. Here, the potential of actively maneuvered nanobots is investigated to disinfect dentinal tubules, which can be incorporated during a standard root canal procedure. It is demonstrated that magnetically driven nanobots can reach the depths of the tubules not possible with current clinical practices. Subtle alterations of the magnetic drive allow both deep implantations of the nanobots isotopically distributed throughout the dentine and spatially controlled recovery from selected regions, further supported by numerical simulations. Finally, the integration of bactericidal therapeutic modality with the nanobots is demonstrated, thereby validating the tremendous potential of nanobots in dentistry and nanomedicine in general.

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Efficacy of Needle, Ultrasonic, and Endoactivator Irrigation and Photon-Induced Photoacoustic Streaming in Removing Calcium Hydroxide from the Main Canal and Isthmus: AnIn VitroMicro-Computed Tomography and Scanning Electron Microscopy Study

Abstract: PIPS and ultrasonic irrigation more effectively removed Ca(OH)2 from the main canal and isthmus in maxillary premolars than did EndoActivator or needle irrigation.

Cited by 49 publications

References 38 publications

Utilizing the GentleWave® System for Debridement of Undetected Apical Anatomy

Utilizing the GentleWave® System for Debridement of Undetected Apical Anatomy

The Effect of Different Irrigation Techniques on the Removal of Double Antibiotic Paste from the Root Canal

Mobile Nanobots for Prevention of Root Canal Treatment Failure

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