The Effectiveness of Three Irrigation Systems in the Enterococcus faecalis Reduction after Instrumentation with a Reciprocating Instrument

Fernandes, Karina Gonzalez Câmara; Silva, Bruno Barciela da; Boer, Nilton César Pezati; Mandarini, Danilo Rodrigues; Moreti, Lucieni Cristina Trovati; Kato, Augusto Shoji; Bueno, Carlos Eduardo da Silveira; Limoeiro, Ana Grasiela da Silva; Pinheiro, Sérgio Luiz; Martin, Alexandre Sigrist De; Fontana, Carlos Eduardo

doi:10.1055/s-0040-1714760

Cited by 12 publications

(27 citation statements)

References 34 publications

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“…A longer incubation period allows the bacteria to penetrate deeper into dentinal tubules. In light of the data available in the literature, in this study, specimens were infected for 21 days in order to ensure the effective penetration of E. faecalis into the dentinal tubules [5,6,24].…”

Section: Discussionmentioning

confidence: 99%

“…The presence of persistent bacteria within the root canals after chemomechanical procedures is a key reason for endodontic failure [3,4]. Enterococcus faecalis is a Gram-positive, facultative anaerobic bacterium, commonly isolated from persistent root canal infections [5,6]. The prevalence of E. faecalis is usually high in cases of unsuccessful root canal treatment owing to the different virulence factors expressed by the bacterium.…”

Section: Introductionmentioning

confidence: 99%

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Impact of Different Access Cavity Designs and Ni–Ti Files on the Elimination of Enterococcus faecalis from the Root Canal System: An In Vitro Study

et al. 2022

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The present research aimed to reveal the in vitro effects of different endodontic file systems utilizing different endodontic access cavity designs on the elimination of Enterococcus faecalis from root canal systems. One hundred and fifty mandibular molar teeth were separated into three groups with respect to the access cavity design: traditional endodontic cavity (TEC), conservative endodontic cavity (CEC), and truss access cavity (TAC) (n = 50). After access cavity preparation, inolulation of teeth with E. faecalis was undertaken for 21 days. Following the first sampling (S1), further division of the groups into five subgroups (n = 10) was performed: ProTaper Gold, 2Shape, TruNatomy, Reciproc Blue, and WaveOne Gold. After instrumentation, bacterial sampling (S2) was performed. Bacterial reduction was evaluated in colony-forming units/mL, and statistical analysis was carried out. The E. faecalis count decreased significantly in all groups (p < 0.05). The range of mean values for a decrease in E. faecalis in log numbers was lowest in the TAC and Reciproc Blue groups, while the highest values of bacterial reduction were detected in the TEC and ProTaper Gold groups. The highest level of antibacterial action was obtained with the use of ProTaper Gold compared to the other file systems tested.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of Different Access Cavity Designs and Ni–Ti Files on the Elimination of Enterococcus faecalis from the Root Canal System: An In Vitro Study

et al. 2022

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“…Although no studies are analyzing the e cacy of Easy Clean in the removal of organic tissue in simulated internal resorption defects, Kato et al [13] showed superior effectiveness in removing debris from the apical third after using Easy Clean in comparison with PUI. Nevertheless, other studies showed similar e cacy of both methods in the removal of calcium hydroxide in oval root canals [12], removal of remnants of lling material [18], reduction in bacterial load [19,20], and penetration of the irrigating liquid into simulated lateral canals [17].…”

Section: Discussionmentioning

confidence: 99%

“…This device cleans by (i) agitating the irrigating solution and (ii) during the friction of its blades inside the root canal. This system was shown to e ciently penetrate the irrigating solution into simulated lateral canals and showed good results in smear layer removal, cleanness e cacy, [8, [11][12][13][14][15][16][17][18] reduction of enterococcus faecalis [19] and sealer penetration [20]. However, up to now, no study investigated the e cacy of Easy Clean device in the removal of organic tissue in the internal root resorption cavities.…”

Section: Introductionmentioning

confidence: 99%

Mechanical activation with Easy Clean enhanced organic tissue removal from simulated internal root resorption.

Monteiro

Sousa

Castro

et al. 2022

Preprint

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Background: This study aimed to evaluate the effectiveness of passive ultrasonic irrigation (PUI) compared to mechanical activation with Easy Clean in the removal of organic tissue from simulated areas of internal root resorption.Methods: The root canals of 72 extracted single-rooted teeth with oval canals were instrumented with Reciproc R25 instruments. After root canal preparations, the specimens were split longitudinally, and semicircular cavities were prepared using a round bur on each half of the roots. Samples obtained from bovine muscle tissue were weighed and adapted into semicircular cavities. The roots were reassembled and joined, and the teeth were divided into six groups (n=12) according to the irrigation protocol: NaOCl without activation; NaOCl + PUI; NaOCl + Easy Clean; distilled water without activation; distilled water + PUI; and distilled water + Easy Clean. After irrigation protocols, the teeth were disassembled, and the remaining organic tissue was weighed. Data were analyzed by two-way ANOVA and Tukey’s post hoc test (p<0.05).Results: Tissue weight reduction was significantly affected by the activation method (p<0.05) and by irrigation solution (p>0.05). The use of Easy Clean resulted in the greatest tissue weight loss compared to those of PUI and no activation (p<0.05).Conclusions: Mechanical activation with Easy Clean enhanced organic tissue removal from simulated internal resorption more effectively than passive ultrasonic irrigation. Easy Clean for agitation of the irrigating solution is effective in removing simulated organic tissues from artificial internal resorption cavities, being an alternative to the use of passive ultrasonic irrigation

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“…Alternative techniques of irrigating agitation are necessary for effective root canal cleaning (Fernandes et al 2020).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the efficacy of XP-endo Finisher, Easy Clean, Passive ultrasonic irrigation, and conventional irrigation in the removal of calcium hydroxide in simulated internal root resorption cavities

Campos

Bueno

Pelegrine

et al. 2021

RSD

Self Cite

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This study aimed to evaluate the efficacy of 5 irrigation protocols in removing calcium hydroxide in simulated internal root resorption cavities. Eighteen extracted human teeth, upper anterior and uniradicular, were prepared up to size 50. The teeth were divided longitudinally, and internal root resorption cavities were made by acid demineralization using nitric acid. The same sample was submitted to the five irrigation protocols. The cavities and root canals were filled with Ultracal XS (Ultradent, South Jordan, UT, USA) and stored in an incubator at 37ºC for one week. Afterward, the irrigation protocols were carried out: XP-endo Finisher (XPF; FKG, La Chaux-de-Fonds, Switzerland), passive ultrasonic irrigation (PUI), Easy Clean (Bassi/Easy Equipamentos Odontológicos, Belo Horizonte, Brazil) with reciprocating movement (ECR), Easy Clean with continuous rotation (ECC) and conventional irrigation with a syringe (CI). The solutions used, 2.5% NaOCl, and 17% EDTA, were warmed. The total volume of irrigant used for each sample was 20 mL (10 mL of 2.5% NaOCl, 5 mL of 17% EDTA and 5 mL of distilled water). The amount of calcium hydroxide remaining in the internal resorption after irrigation was assessed using scores. The data were analyzed using the Pearson and Kruskal-Wallis (Dunn) tests. Significantly more calcium hydroxide was removed in the XPF group than all other sample groups (P < 0.0001). XPF was superior to the other methods tested to remove calcium hydroxide in teeth with simulated internal resorptions.

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The Effectiveness of Three Irrigation Systems in the Enterococcus faecalis Reduction after Instrumentation with a Reciprocating Instrument

Cited by 12 publications

References 34 publications

Impact of Different Access Cavity Designs and Ni–Ti Files on the Elimination of Enterococcus faecalis from the Root Canal System: An In Vitro Study

Impact of Different Access Cavity Designs and Ni–Ti Files on the Elimination of Enterococcus faecalis from the Root Canal System: An In Vitro Study

Mechanical activation with Easy Clean enhanced organic tissue removal from simulated internal root resorption.

Evaluation of the efficacy of XP-endo Finisher, Easy Clean, Passive ultrasonic irrigation, and conventional irrigation in the removal of calcium hydroxide in simulated internal root resorption cavities

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