Histologic Evaluation of Canal and Isthmus Debridement Efficacies of Two Different Irrigant Delivery Techniques in a Closed System

Adcock, Jeffrey M.; Sidow, Stephanie J.; Looney, Stephen W.; Liu, Yan; McNally, Kathleen; Lindsey, Kimberly; Tay, Franklin R.

doi:10.1016/j.joen.2011.01.006

Cited by 76 publications

(76 citation statements)

References 36 publications

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“…However, it is known that regardless of the instrumentation technique used, most of the canal wall surfaces may exhibit microbial contamination [1,3,4].…”

Section: Introductionmentioning

confidence: 99%

Tissue response to root canal irrigation systems in dogs’ teeth with apical periodontitis

et al. 2014

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“…However, it is known that regardless of the instrumentation technique used, most of the canal wall surfaces may exhibit microbial contamination [1,3,4].…”

Section: Introductionmentioning

confidence: 99%

Tissue response to root canal irrigation systems in dogs’ teeth with apical periodontitis

et al. 2014

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“…A recent classification of irrigating methods divides them into two categories: (1) passive, or static, delivery of the irrigant and (2) irrigant activation, or agitation, by instruments and devices (12). Some of the agitation techniques, such as passive ultrasonic irrigation (PUI), may help the irrigating solution reach the apical third by activating the NaOCl after the cleaning and shaping procedure, thus improving the cleaning efficiency of the irrigating solution by reaching irregularities in the root canal system (13)(14)(15)(16)(17)(18)(19).…”

mentioning

confidence: 99%

Effect of Maintaining Apical Patency on Irrigant Penetration into the Apical Third of Root Canals When Using Passive Ultrasonic Irrigation: An In Vivo Study

Vera

Arias

Romero

2011

Journal of Endodontics

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“…Además, la oscilación de la lima puede provocar que los irrigantes lleguen a zonas poco accesibles así como tener una mayor capacidad para eliminar una mayor cantidad de detritus. El empleo de CUI también avala estos resultados, especialmente en la limpieza de los istmos (36).…”

Section: Discussionunclassified

“…En 2011, Adcock et al (36) compararon en un estudio ex vivo la eficacia de la jeringa convencional y la irrigación continua ultrasónica (CUI) para eliminar restos en raíces mesiales de primeros molares inferiores con istmos estrechos utilizando un sistema cerrado de conductos. Se seleccionaron 20 piezas, las cuales se sellaron en el ápice con polinivilsiloxano y se instrumentaron con ProFile.…”

Section: Capacidad De Eliminación Del Tejido Pulpar Y Restos De Dentinaunclassified

Sistemas ultrasónicos para la irrigación del sistema de conductos radiculares

et al. 2014

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RESUMENLa eliminación de los restos de tejido pulpar vital y necrótico y de los microorganismos del sistema de conductos radiculares, es esencial para el éxito en endodoncia. La desinfección del canal radicular mediante la irrigación e instrumentación es el factor más importante en la prevención y tratamiento de la periodontitis apical. Al ser imposible con la instrumentación llegar a todas las áreas del sistema de conductos, la irrigación cobra especial importancia. Por este motivo, en la última década se han desarrollado una serie de sistemas de dispensación y agitación de irrigantes, tales como los ultrasonidos. En concreto, en este artículo de revisión se evalúa la información disponible de los diez últimos años sobre la efectividad de los sistemas ultrasónicos para eliminar bacterias, tejido pulpar, restos de dentina y barrillo dentinario, la capacidad de estos dispositivos para hacer que el irrigante penetre en el sistema de conductos radiculares y la seguridad en su uso. Los resultados de la revisión muestran que los sistemas ultrasónicos son más eficaces en el desbridamiento químico, bioló-gico y físico del sistema de conductos radiculares que los sistemas de irrigación convencional, a la vez que son seguros.Palabras clave: Ultrasonidos, irrigación ultrasónica, PUI, CUI, endodoncia. SUMMARYRemoval of vital and necrotic remnants of pulp tissues and microorganisms from the root canal system is essential for endodontic success. Disinfection of the root canal by irrigation and instrumentation are the most important factors in the prevention and treatment of apical periodontitis. As it is impossible for the instruments to reach all the areas of the root canal system, the irrigation has gained special importance. Due to this fact, technological advances during the last decade have brought new delivery and agitation devices, such as ultrasonic devices. Particularly, this review article assesses the available information from the last ten years about the effectiveness of ultrasonic devices to remove bacteria, pulp tissue, dentin debris and smear layer, and the ability of these devices to make the irrigant solution penetrate into the root canal system and the safety of its use. Nowadays scientific literature reveals that ultrasonic devices are more effective on chemical, biological and physical debridement of the root canal system than conventional technique and being safety devices at the same time.Key words: Ultrasound, ultrasonic irrigation, PUI, CUI, endodontics.

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Histologic Evaluation of Canal and Isthmus Debridement Efficacies of Two Different Irrigant Delivery Techniques in a Closed System

Cited by 76 publications

References 36 publications

Tissue response to root canal irrigation systems in dogs’ teeth with apical periodontitis

Tissue response to root canal irrigation systems in dogs’ teeth with apical periodontitis

Effect of Maintaining Apical Patency on Irrigant Penetration into the Apical Third of Root Canals When Using Passive Ultrasonic Irrigation: An In Vivo Study

Sistemas ultrasónicos para la irrigación del sistema de conductos radiculares

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