The utilization of mechanical agitation of irrigation solution in endodontic treatment: case series

Abstract

Aim. To evaluate the advantages of working with the Endoactivator device on the example of a series of clinical cases concerning the treatment of chronic apical periodontitis. Materials and methods. The series of clinical cases included five patients (two men and three women) who were treated for chronic apical periodontitis (diagnosis according to ICD-10 K04.5). The patients underwent endodontic treatment in two visits, namely, mechanical treatment with rotating nickel-titanium instruments, drug treatment using an Endoactivator device for sound activation of irrigation solutions and the introduction of calcium hydroxide between visits. Postoperative sensitivity was assessed according to the criteria: absent, low, medium and high. The patients informed the research doctors via messengers about the intensity of postoperative soreness. Results. Next results of postoperative sensitivity have been revealed: none of the patients noted high postoperative soreness, average soreness was noted by one patient, low soreness was noted by two patients and absence of soreness was noted by two patients. Conclusions: on the example of this series of clinical cases, convenient manipulation characteristics of the EndoActivator device were revealed. There were no cases of high postoperative sensitivity after operation of these devices in the presented series of cases. In all clinical cases, radiological methods confirm the positive dynamics of healing of periapical foci.