2014
DOI: 10.1111/iej.12319
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Micro‐computed tomography evaluation of the removal of calcium hydroxide medicament from C‐shaped root canals of mandibular second molars

Abstract: A considerable proportion of the apical canal space remained filled with Ca(OH)2 in the C-shaped root canals after instrumentation and conventional needle irrigation. Although combining rotary instrumentation and irrigation with sonic or ultrasonic agitation reduced the amount of residual Ca(OH)2 in the C-shaped root canals, the large amount of calcium hydroxide in the critical apical area remains a concern. Alternative strategies should be considered in medication of the apical canal in C-shaped teeth.

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Cited by 39 publications
(44 citation statements)
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“…Finally, 9 articles fulfilled the inclusion criteria (22-24, 26, 27, 78-81). The authors of all but 2 studies (27,79) reported random assignment in their reports. No standardization was found among the studies regarding the irrigation methods used or the outcome measurements.…”
Section: Resultsmentioning
confidence: 99%
“…Finally, 9 articles fulfilled the inclusion criteria (22-24, 26, 27, 78-81). The authors of all but 2 studies (27,79) reported random assignment in their reports. No standardization was found among the studies regarding the irrigation methods used or the outcome measurements.…”
Section: Resultsmentioning
confidence: 99%
“…These results are in line with findings obtained in previous studies (2,8). In a recent study, no significant difference was reported in the amount of remaining CH between PUI and sonic agitation groups in C-shaped root canals of mandibular molars (9).…”
Section: Introductionmentioning
confidence: 86%
“…Although this technique has been widely reported in previous studies (24,28,30,31) for determining the amount of remnant medicament or root filling material on the root canal walls, its major limitation is its destructiveness and loss of remnants during root separation (9,40). Three-dimensional imaging permits root canal system scanning without tooth destruction (1,9,22,37).…”
Section: Study Limitationsmentioning
confidence: 99%
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“…[17,18] [24,25] The use of double antibiotic paste (DAP), which is a combination of metronidazole and ciprofloxacin, is suggested to overcome the discoloration problem associated with the minocycline in TAP. [26,27] It is not possible to remove the canal medicaments completely from the root canal, [28,29] and residual medicaments on the root canal walls have been shown in many studies to affect the bond strength, apical leakage and the penetration of sealers into dentinal tubules.…”
Section: Introductionmentioning
confidence: 99%