Root Canal Irrigants in Primary Teeth

Vora, Miloni S; Nihal, Nidhi K; Ramachandra, Jaya Agali

doi:10.5005/jp-journals-10015-1349

Cited by 35 publications

(7 citation statements)

References 24 publications

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“…Chemomechanical preparation involves use of irrigating agents and the mechanical preparation that helps to remove the bacteria, tissue debris, infected dentinal regions, thereby ensuring a sterile canal space which is ready to receive suitable filling material [22][23][24][25]. For pediatric endodontics, the usage of rotary files used for permanent teeth has become very common.…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of volumetric changes between two pediatric rotary files (Kedo-S plus, Kedo-SG blue) and manual files (hand K-files) during canal preparation of primary mandibular molars: an in-vitro nano-CT analysis

2024

JOCPD

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Pediatric endodontics has become popular due to advancements in cleaning, shaping and irrigation systems, resulting in faster and effective removal of infected pulp, saving time, and creating a pathogen-free environment. The patented rotary file system, Kedo-S, designed for primary teeth, introduced a single file generation for efficient pulp therapy. However, there are currently no studies assessing canal preparation in primary mandibular molars using nano-CT (computed Tomography). To evaluate the volumetric changes of two recently introduced pediatric rotary file systems in comparison with conventional hand file systems in primary mandibular molar using an ultra-high resolution nano-CT. This in-vitro study was performed in extracted primary mandibular molar based on certain inclusion and exclusion criteria. Samples were prepared and working length was determined before the pre-operative scan using a high resolution nano-CT device (SkyScan 2214, Bruker, Kontich, Belgium). A single wellexperienced pediatric dentist prepared the canals using three file systems: Kedo-S plus, Kedo-SG blue and Hand K-files. A post-operative scan was performed similar to preoperative scan. Image reconstruction was performed with NRecon software for 3D volumetric visualization and analysis of the root canals. Kedo-SG blue file systems had the highest mean difference in the canal volume (8.85%). Hand K-files had the least difference at (1.24%) of canal volume. Kedo-S plus file system had a mean canal volume difference (6.14%) which is closer to hand K-files. Rotary file systems resulted in a significant enlargement of canals compared to hand files.

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Section: Discussionmentioning

confidence: 99%

Comparative evaluation of volumetric changes between two pediatric rotary files (Kedo-S plus, Kedo-SG blue) and manual files (hand K-files) during canal preparation of primary mandibular molars: an in-vitro nano-CT analysis

2024

JOCPD

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“…Statistical analysis of the compiled data was performed using IBM SPSS statistical analyzer (Buldur and Kapdan, 2018). Chi-square test was done for statistical analysis (Vora et al, 2015). The data constituted those of the patients who underwent pulpectomy.…”

Section: Methodsmentioning

confidence: 99%

Assessment of Commonly used Irrigants During Pulpectomy in Primary Teeth in a Hospital Based Setting - A Retrospective Study

Timothy

Ravindran

Suresh

2020

ijrps

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Pulpectomy is a procedure done for non-vital teeth which involves the extirpation of pulp from primary teeth and filling it with an inert substance. pulpectomy requires biomechanical preparation, but this biomechanical preparation alone is insufficient. Irrigants are used during this procedure for the purpose of lubrication, disinfection and washing away action. These irrigants penetrate the smaller accessory and lateral canals, thereby cleaning and disinfecting them. It is essential to eradicate the microorganisms and their by products from the root canal and pulp chamber. The aim of this study is to evaluate the most common irrigants used during pulp therapy in primary teeth by south indian dentists. Data was collected and tabulated. The collected data was further analyzed, recorded in Microsoft excel software and was subjected to statistical analysis using IBM SPSS statistics analyzer. The total sample size of the current study was 2400 cases. The most common age group of the patients who reported to the clinics were 0 to 5 years of age (69.1 %) (p < 0.05 - significant). The more common gender for using saline as an irrigant were male (57.7 %) (p < 0.05 - significant). We found that saline was the most commonly used irrigant (58.7 %), while sodium hypochlorite was the least commonly used (0.1 %). The most common visit for using saline as an irrigant were single visit (p < 0.05 - significant) followed by multi-visit. Within the limitations of the current study, saline was the most commonly used and sodium hypochlorite was the least commonly used for pulpectomy procedure in primary teeth. Saline was also commonly preferred for single visit in patients in the age group of 0 to 5 years.

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“…There are several irrigation solutions used in primary teeth; however, sodium hypochlorite (NaOCl) has long been the gold standard irrigation solution [9]. The remarkable antibacterial qualities of NaOCl and its capacity to breakdown organic materials make it an extensively utilized irrigant.…”

Section: Introductionmentioning

confidence: 99%

Cytotoxic effect of 1% and 3% Sodium hypochlorite as irrigation agent in primary teeth on human red blood cells: an in vitro study

Mukundan,

Sruthi

2024

Ro J Stomatol.

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Background and objectives. The endodontic treatment of primary teeth presents significant challenges due to their unique anatomical characteristics. To ensure a successful treatment, it is essential to evaluate a few factors. These factors include accurate diagnosis, disinfection protocol, intracanal medicaments, and irrigation solutions. While Sodium hypochlorite (NaOCl) has gained success as an irrigation agent in primary teeth, it is important to note that higher concentrations of NaOCl can potentially cause toxicity to the periapical environment if they pass through the tooth's apical foramina. Thus, this study compared the cytotoxicity of two different concentrations of sodium hypochlorite at varied volumes on red blood cells (RBC). Materials and methods. In order to evaluate the cytotoxicity potential, fresh human blood was collected from a single healthy individual and subjected to testing. For the test, 10 µL, 20 µL, 30 µL, 40 µL and 50 µL of 1% and 3% NaOCl were added to the RBC. The tubes were gently mixed and incubated at 37°C for 30 minutes. A UV-visible spectrophotometer was used to calculate the absorbance of the supernatant at a wavelength of 540 nm. Results. There was no significant difference in 1% sodium hypochlorite at different volumes with a p value >0.05 using Tukey's post hoc test. However, there was a significant difference between the volumes of 3% sodium hypochlorite at 40 and 50 µg/ml with a p value of 0.004 and 0.001 respectively. Conclusions. According to the current study's findings, 1% sodium hypochlorite solution exhibited less toxicity than 3% sodium hypochlorite.

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Root Canal Irrigants in Primary Teeth

Cited by 35 publications

References 24 publications

Comparative evaluation of volumetric changes between two pediatric rotary files (Kedo-S plus, Kedo-SG blue) and manual files (hand K-files) during canal preparation of primary mandibular molars: an in-vitro nano-CT analysis

Comparative evaluation of volumetric changes between two pediatric rotary files (Kedo-S plus, Kedo-SG blue) and manual files (hand K-files) during canal preparation of primary mandibular molars: an in-vitro nano-CT analysis

Assessment of Commonly used Irrigants During Pulpectomy in Primary Teeth in a Hospital Based Setting - A Retrospective Study

Cytotoxic effect of 1% and 3% Sodium hypochlorite as irrigation agent in primary teeth on human red blood cells: an in vitro study

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