scholarly journals Effect of Passive Ultrasonic Irrigation on Apical Extrusion of Irrigating Solution

2008 ◽  
Vol 02 (03) ◽  
pp. 198-203 ◽  
Author(s):  
Tamer Tasdemir ◽  
Kursat Er ◽  
Davut Celik ◽  
Tahsin Yildirim
Keyword(s):  
Stainless Steel ◽  
Sodium Hypochlorite ◽  
Root Canal ◽  
Control Group ◽  
Passive Ultrasonic Irrigation ◽  
Root Canals ◽  
Apical Extrusion ◽  
Ultrasonic Irrigation ◽  
The Mean ◽  
Mandibular Incisors

ABSTRACTObjectives: To determine the influence of passive ultrasonic irrigation (PUI) on apical extrusion of irrigating solution.Methods: Twenty freshly extracted maxillary and mandibular incisors with single straight root canals were instrumented with ProTaper rotary files. During final irrigation, the root canals were filled with 2.5% sodium hypochlorite (NaOCl) solution and PUI was performed with a piezoelectronic unit. A stainless steel instrument (size 15) was inserted into the root canal and the irrigant was ultrasonically activated for one minute. This sequence was repeated three times, resultingin a total PUI time of three minutes. The volume of extruded irrigant was measured by Pipetman pipettes. The data were statistically analyzed with the Mann-Whitney U test.Results: The mean volume of apical extruded irrigant was 2.15 �L for the PUI group and 14 �L forthe control group. The experimentalgroup extruded significantly smaller amounts of irrigant than the control group (P<.05).Conclusions: The PUI procedure as a final irrigation was associated with less apical extrusion of the irrigating solution. (Eur J Dent 2008;2:198-203)

scholarly journals Passive ultrasonic irrigation in calcium hydroxide removal from root canals: a sem/eds analysis

2015 ◽  
Vol 3 (3) ◽  
pp. 668
Author(s):  
Fernanda Hoffmann Busanello ◽  
Angela Longo Do Nascimento ◽  
Lilian Tietz ◽  
Mirela Sangoi Barreto ◽  
Ricardo Abreu Da Rosa ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Control Group ◽  
Passive Ultrasonic Irrigation ◽  
Root Canals ◽  
Eds Analysis ◽  
Ultrasonic Irrigation ◽  
Calcium Hydroxide Removal ◽  
And Control ◽  
Elementary Chemical

AIM: The aim of this study was to evaluate the efficacy of different lengths of time of passive ultrasonic irrigation (PUI) in removing calcium hydroxide (CH) paste from root canal, using scanning electron microscopy and energy dispersive spectrometry (SEM/EDS). MATERIAL AND METHODS: Fifty-four human premolars were used. After coronal access, a size #15 K-file was used to obtain apical patency. Root canal preparation was performed using WaveOne 40.08 instruments. CH paste was placed into the root canal. Specimens were stored in a humid environment, and after seven days, they were divided into five groups (n=12) according to the irrigation protocols: Manual– a size #40 K-file; PUI/1– 1 min; PUI/2– 2 min; PUI/3– 3 min; and Control– without CH paste. An elementary chemical microanalysis (SEM/EDS) was performed to quantify the presence of calcium on the dentinal walls. RESULTS: The percentage of calcium was higher in all experimental groups when compared to the control group (P < 0.05); but no differences among them were found (P > 0.05). CONCLUSION: The amount of calcium hydroxide paste on the dentinal walls was not dependent on length of time of ultrasonic activation. SEM/EDS analysis seems to be a reliable method to assess CH paste removal from the root canals.

scholarly journals Apically Extruded Debris Using Passive Ultrasonic Irrigation Associated with Different Root Canal Irrigants

2019 ◽  
Vol 30 (4) ◽  
pp. 363-367 ◽  
Author(s):  
Rodrigo Arruda-Vasconcelos ◽  
Marlos Barbosa-Ribeiro ◽  
Lidiane Mendes Louzada ◽  
Giovanna Dornelas Mantovani ◽  
Brenda PFA Gomes
Keyword(s):  
Sodium Hypochlorite ◽  
Root Canal ◽  
Saline Solution ◽  
Average Weight ◽  
Passive Ultrasonic Irrigation ◽  
Root Canals ◽  
Root Canal Irrigants ◽  
Ultrasonic Irrigation ◽  
Chlorhexidine Gel ◽  
Chlorhexidine Solution

Abstract The present study evaluated the amount of apically extruded debris after chemo-mechanical preparation (CMP) associated with passive ultrasonic irrigation (PUI) using four different root canal irrigants, namely, 6% sodium hypochlorite (NaOCl), 2% chlorhexidine gel + saline solution (2% CHXg+SS), 2% chlorhexidine solution (2% CHXs) and SS alone. Sixty mandibular premolars with single straight root canals were selected and randomly assigned into 4 groups (n=15) according to the root canal irrigant used as follows: G1 (PUI + NaOCl), G2 (PUI + CHXg+SS), G3 (PUI+CHXs) and G4 (PUI+SS). Reciproc® R25 files (25/.08) were used during CMP and the debris extruded from each tooth were collected in pre-weighted Eppendorf tubes and dried. The average weight of debris was assessed by using an analytical microbalance. Data were statistically analysed by using ANOVA and post-hoc Tukey’s test (a=0.05). Debris extrusion was observed in all groups, irrespective of the root canal irrigating, with 2% CHXg + SS being associated with lower debris extrusion compared to other irrigants (p<0.05). No significant differences were observed between 6% NaOCl, 2% CHXs and SS. In conclusion, passive ultrasonic irrigation did not completely prevent apically extrusion of debris. PUI performed with 2% chlorhexidine gel + saline solution significantly minimized debris extrusion compared to 6% sodium hypochlorite, chlorhexidine solution and saline solution.

scholarly journals Evaluation of Different Passive Ultrasonic Irrigation Protocols on the Removal of Dentinal Debris from Artificial Grooves

2016 ◽  
Vol 27 (5) ◽  
pp. 568-572 ◽  
Author(s):  
Rodrigo Ricci Vivan ◽  
Jussaro Alves Duque ◽  
Murilo Priori Alcalde ◽  
Marcus Vinicius Reis Só ◽  
Clóvis Monteiro Bramante ◽  
...  
Keyword(s):  
Sodium Hypochlorite ◽  
Root Canal ◽  
Root Apex ◽  
Control Group ◽  
Passive Ultrasonic Irrigation ◽  
Similar Performance ◽  
Ultrasonic Device ◽  
Ultrasonic Irrigation

Abstract The aim of this study was to evaluate the influence of different passive ultrasonic irrigation protocols on the removal of debris in artificially created grooves in the cervical, middle and apical root thirds. Forty extracted bovine incisor roots were instrumented to 1 mm of the root apex with a R50 Reciproc instrument and irrigated with 2.5% sodium hypochlorite. The roots were then inserted in a muffle and cleaved into two hemisections. Grooves (3-mm long) were done at 2, 7 and 12 mm from the root apex in one hemisection and filled with dentinal debris. The hemisections were regrouped into the muffle and divided into 4 groups (n=10) according to the final irrigation protocol: Control group: 3x20 s using a #30 gauge needle without agitation of the irrigating solution; Group PUI-s (static passive ultrasonic irrigation): 3x20 s of passive ultrasonic irrigation with the tip of the insert maintained static on the apical third; Group PUI-t (passive ultrasonic irrigation per third): 20 s of PUI in each third; Group PUI-d (passive dynamic ultrasonic irrigation): 3x20 s of PUI dynamically moving the insert in the whole extent of the root canal. In all groups, was used a total of 6 mL of 2.5% sodium hypochlorite as irrigant. After these procedures, the grooves were analyzed with a stereomicroscope and assigned scores as regards removal of the debris. The data were analyzed statistically (a=0.05). The results showed a better cleaning in all the groups where the irrigating solution was agitated with ultrasonic device than in the control group (p<0.05). In the apical third, the PUI-d and PUI-s showed similar performance (p>0.05) and a better cleanness than PUI-t (p<0.05). The dynamic and static methods of agitation of the irrigating solution provided more effective cleaning. PUI-d provided the most completely clean grooves suggesting that its use is the most adequate in cases of teeth with complex canal anatomy.

scholarly journals Effect of intracanal time of triple antibiotic paste on its removal from simulated immature roots using passive ultrasonic irrigation and XP-endo Finisher

2018 ◽  
Vol 12 (4) ◽  
pp. 288-293
Author(s):  
Cangul Keskin ◽  
Duygu Hazal Güler ◽  
Evren Sarıyılmaz
Keyword(s):  
Root Canal ◽  
Scoring System ◽  
Time Intervals ◽  
Maxillary Canine ◽  
Passive Ultrasonic Irrigation ◽  
Root Canals ◽  
Immature Teeth ◽  
Triple Antibiotic Paste ◽  
Ultrasonic Irrigation ◽  
The Mean

Background. The aim of this study was to evaluate the effectiveness of different irrigation techniques in the removal of triple antibiotic paste (TAP), which was applied for 7, 21 or 90 days, from simulated root canals of immature teeth. Methods. The root canal spaces of 190 maxillary canine teeth were filled with TAP and randomly divided into a control and 3 experimental groups according to the intracanal medicament period (7, 21 or 90 days). Syringe irrigation (SI), passive ultrasonic irrigation (PUI) and XP-endo Finisher (XP) were used for the removal of TAP (n=20). The amount of remaining medicament was calculated under a stereomicroscope using a 4-grade scoring system. Kruskal-Wallis H and Wilcoxon signedrank tests were used for statistical analyses (P<0.05). Results. The mean percentage of residual TAP was significantly greater in the SI group compared to PUI and XP at all the time intervals (P<0.05). Paste removal efficacy of PUI was not affected by the intracanal time of TAP (P>0.05), whereas the efficacy of SI and XP was significantly affected (P<0.05). No significant differences were detected between PUI and XP at 7- and 21-day intervals (P>0.05); however, at 90-day interval, PUI removed significantly greater amount of TAP than XP did (P<0.05). Conclusion. The time of the TAP in the root canal negatively affected the removal efficacy of the SI and XP-Endo Finisher; however, it did not affect the efficacy of the PUI.

scholarly journals Antibacterial action of red and green propolis extract in infected root canal

2017 ◽  
Vol 32 (2) ◽  
pp. 99
Author(s):  
Mônica Misaé Endo ◽  
Cyntia R. A. Estrela ◽  
Ana Helena G. Alencar ◽  
Júlio Almeida Silva ◽  
Daniel Almeida Decurcio ◽  
...  
Keyword(s):  
Sodium Hypochlorite ◽  
Root Canal ◽  
Antibacterial Action ◽  
Root Canal Preparation ◽  
Passive Ultrasonic Irrigation ◽  
Propolis Extract ◽  
Root Canals ◽  
Infected Root ◽  
Ultrasonic Irrigation ◽  
Conventional Irrigation

OBJECTIVE: This study investigated the antibacterial action of 30% red propolis, 40% green propolis and 2.5% sodium hypochlorite with irrigation protocols in infected root canals.METHODS: During 60 days, twenty-four root canals were inoculated with E. faecalis. In all experimental groups were performed root canal preparation and two irrigation protocols - passive ultrasonic irrigation and conventional irrigation. In the groups 1, 3, 5 and 7 it were made root canal preparation associated to conventional irrigation with 30% propolis, 40% propolis, 2.5% sodium hypochlorite and distilled water, respectively. In groups 2, 4, 6 and 8 it was made root canal preparation associated with passive ultrasonic irrigation with the solutions described above. The groups 9 and 10 were the controls (negative and positive). Samples of the root canals were collected and immersed in 7 mL of BHI, for 48 hours, at 37ºC. Bacterial growth was analyzed by turbidity of the culture medium.RESULTS: Antibacterial action was observed of 30% red propolis and 2.5% sodium hypochlorite when used passive ultrasonic irrigation and conventional irrigation after 20 minutes, but in 72 hours it was not effective.CONCLUSION: The irrigating agents and protocols were not effective to eliminate the microorganisms of the infected root canals. Clinical Significance: Propolis presents potential for clinical application due to its antimicrobial, anti inflammatory, antioxidant and low toxicity properties.

scholarly journals Comparison of different irrigation and agitation methods for the removal of two types of calcium hydroxide medicaments from the root canal wall: An in-vitro study

2017 ◽  
Vol 90 (3) ◽  
pp. 327-332 ◽  
Author(s):  
Deepak Singh Kirar ◽  
Pradeep Jain ◽  
Pallav Patni
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Positive Control ◽  
Positive Control Group ◽  
Control Group ◽  
Passive Ultrasonic Irrigation ◽  
Ultrasonic Irrigation ◽  
Group 2 ◽  
Group 1

Background and aim: Comparison of different irrigation and agitation methods for the removal of two types of calcium hydroxide medicaments from the root canal walls.Methods: Fifty extracted single rooted teeth were selected for this study. After decoronation, the root canals of these teeth were prepared to the size F3 (30 no.) using rotary ProTaper file system. These samples were randomly divided into four groups. Group 1 (n=20) were filled completely with water based calcium hydroxide (CH), Group 2 (n=20) were filled with oil based CH using lentulo spiral, Group 3 (n=5) - the positive control group received the CH as intracanal medication, but no subsequent removal, Group 4 (n=5) - the negative control did not receive CH placement. Further on, Group 1 and Group 2 were divided into four sub-groups (n=5). In sub-group A we performed conventional syringe irrigation with side-vented needle sub-group B) manual dynamic agitation, sub-group C sonic agitation using endoactivator, sub-group D passive ultrasonic irrigation (PUI). Roots were split longitudinally into mesial and distal halves. Digital images of the root canal walls were acquired by a Dental Operating Microscope (DOM) and assessed by using a scoring criteria at different thirds (coronal, middle and apical) of the root canal as follows: score 1, score 2, score 3, and score 4. Data were analyzed applying one-way analysis of variance (ANOVA) and Tukey’s multiple comparison tests at a 95% confidence interval (P < 0.05).Results: Statistically significant differences were not found between the experimental groups and the negative group in any one third of the root canal (P>0.05). However, a difference did exist between the experimental groups and the positive control group (P<0.05). None of the experimental groups totally removed CH substances from root canal walls.Conclusion: Among all experimental groups, removal of CH was best achieved by sonic agitation using endoactivator followed by passive ultrasonic irrigation (PUI), manual dynamic agitation and conventional syringe irrigation with side-vented needle.

scholarly journals Second Root Canal in Mandibular Incisors: an Ex Vivo Cone-Beam Computed Tomography (CBCT) Study

2018 ◽  
Vol 22 (1) ◽  
pp. 38-42
Author(s):  
Maria Elpida Kalaitzoglou ◽  
Eleni Kantilieraki ◽  
Charalampos Beltes ◽  
Christos Angelopoulos ◽  
Panagiotis Beltes
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Ex Vivo ◽  
Cone Beam ◽  
Mean Values ◽  
Root Canals ◽  
The Mean ◽  
Type 3 ◽  
Mandibular Incisors

SummaryBackground/Aim: To analyze the internal morphology of mandibular incisors with two root canals using cone-beam computed tomography (CBCT). Material and Methods: 289 (143 central and 146 lateral) extracted intact mandibular incisors were radiographed for detection of a second root canal. The teeth presenting a second root canal were imaged with CBCT and evaluated regarding: root canal type, the distance of the cementoenamel junction (CEJ) to the bifurcation of the canals and the distance of the canal fusion to the apical foramen (in teeth in which canals rejoined). Results: Out of 143 central and 146 lateral mandibular incisors, 41 (28.7%) and 44 (30.1%) teeth respectively showed a second root canal. Types II, III, V and an additional type to Vertucci’s classification were identified. Type III was the most prevalent and presented in 30 (73.2%) central and 34 (77.3%) lateral mandibular incisors with two root canals. The mean values of the distance of the CEJ to the canal bifurcation were 4.2 mm and 4.0 mm for central and lateral mandibular incisors respectively. The mean values of the distance of the canal fusion to the apical foramen 5.5 mm and 5.1 mm for central and lateral mandibular incisors respectively. Conclusions: Mandibular incisors with two root canals mainly present with Vertucci’s Type 3 canal configuration. The canal bifurcation was identified mostly at the coronal and middle thirds of the root, while the canal fusion occurred in the middle third of the root.

Does the Use of Use of Continuous or Passive Ultrasonic Irrigation Protocols Improve the Removal of Smear Layer? A Scanning Electron Microscopic Study

2021 ◽  
Author(s):  
Ramón Miguéns-Vila ◽  
Pablo Castelo-Baz ◽  
Saleta Aboy-Pazos ◽  
David Uroz-Torres ◽  
Pablo Álvarez-Nóvoa ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Root Canal ◽  
Smear Layer ◽  
Electron Microscopic ◽  
Passive Ultrasonic Irrigation ◽  
Root Canals ◽  
Scanning Electron Microscopic Study ◽  
Ultrasonic Irrigation ◽  
Conventional Irrigation ◽  
Scanning Electron

Abstract The aim of this study was to evaluate the effectiveness of smear layer removal after the use of different irrigation methods (passive ultrasonic irrigation [PUI], continuous ultrasonic irrigation [CUI], apical negative pressure irrigation and conventional irrigation) using the scanning electron microscopy (SEM) as an analytical tool. A total of 100 single-canal teeth were decoronated and randomly divided into five groups (n = 20) according to the irrigation method used: conventional irrigation with front outlet syringe, conventional irrigation with lateral outlet syringe, apical negative pressure irrigation (EndoVac), PUI with Irrisafe, and CUI with ProUltra PiezoFlow ultrasonic irrigation needle. Root canal preparation was performed with the ProTaper Gold system up to the F4 instrument and 5.25% NaOCl was used as an irrigant. After chemical-mechanical preparation, the roots were split longitudinally, and the coronal, middle and apical thirds examined. SEM digital photomicrographs were taken at ×1000 magnification to evaluate the amount of smear layer in each root canal third. CUI was more effective in removing the smear layer than the other irrigation protocols. However, none of the irrigation protocols were able to produce root canals completely free from smear layer.

scholarly journals Comparison of Anti-Bacterial Efficacy between Passive Ultrasonic Irrigation and 980 nm-GaAlAs Laser Application in Two Root Types

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 537
Author(s):  
Sung-Eun Yang ◽  
Yong-Min Kim
Keyword(s):  
Root Canal ◽  
Qpcr Assay ◽  
Control Group ◽  
Laser Application ◽  
Passive Ultrasonic Irrigation ◽  
Single Root ◽  
Bonferroni Adjustment ◽  
Canal Surfaces ◽  
Ultrasonic Irrigation ◽  
Group 1

Background and Objectives: The purpose of the present study was to investigate the anti-bacterial efficacy of passive ultrasonic irrigation (PUI) and a 980-nm-gallium-aluminum-arsenide (GaAlAs) laser using a real-time DNA-based quantitative polymerase chain reaction (qPCR) assay and scanning electron microscopy (SEM). Materials and Methods: Eighty-six extracted single- and double-rooted human teeth were used in the experiment. The following four experimental groups were evaluated, as well as a control group: group 1: single root + PUI (n = 20); group 2: single root + laser application (n = 20); group 3: double roots + PUI (n = 20); group 4: double roots + laser application (n =20); control group (n = 6): 3 single roots, 3 double roots. The qPCR assay was performed in three stages to evaluate the efficacy of the adjunctive method against Enterococcus faecalis. SEM analysis was also used to examine the microstructure of root canal surfaces. The data were statistically analyzed using the Friedman test and the Kruskal–Wallis test with Bonferroni adjustment. Results: The decrease in the DNA levels from S1 (before preparation) to S2 (just after preparation) was highly significant in all groups, and decreases in DNA levels from S2 to S3 (after incubation for 1 week) were found in all experimental groups except group 1. An inter-group analysis showed that PUI was significantly more effective in terms of antibacterial efficacy than GaAlAs laser irradiation in single root (p < 0.05). However, in double roots, experimental groups did not show significantly lower DNA levels than the control group (p > 0.05). SEM images showed that cleaning of the root canal surface and reduction of dentin debris were achieved only in single-rooted teeth when using PUI application. Conclusions: Two adjunctive methods were effective in reducing E. faecalis in single rooted tooth.

scholarly journals Evaluation of Bacterial Reduction after Root Canal Shaping Using ProTaper Gold and WaveOne Gold Rotary Systems

2021 ◽  
Author(s):  
Denise Otero ◽  
Suresh B. Selvaraju ◽  
Ankita Kathpalia ◽  
Waleed Elmallah ◽  
Kareem Elbatouty ◽  
...  
Keyword(s):  
Root Canal ◽  
Control Group ◽  
Bacterial Number ◽  
Bacterial Reduction ◽  
Passive Ultrasonic Irrigation ◽  
Ultrasonic Irrigation ◽  
Polymerase Chain ◽  
Canal Shaping ◽  
No Activation ◽  
Polymerase Chain Reaction Data

Abstract Introduction The present study evaluated bacterial reduction promoted by the WaveOne system (Dentsply Maillefer, Ballaigues, Switzerland) and ProTaper Gold system (PTG; Dentsply Maillefer) in human extracted central incisors. Methods Sixty-two maxillary central incisors that were infected with Enterococcus faecalis (ATCC 51299) were sterilized with ethylene oxide for 21 days, and then root canal initial bacterial sample was collected with paper points and plated on M-Enterococcus agar. The specimens were randomly divided into two groups according to instrumentation: WaveOne Gold group (n = 30) and PTG group (n = 30). Each group was further subdivided into subgroup A (n = 15) where no activation of the irrigant was performed, and subgroup B (n = 15) where passive ultrasonic activation (PUI) was applied. The other two specimens without contamination were control asepsis. After instrumentation, samples were collected with the use of paper points. The bacterial reduction was calculated using colony-forming unit and quantitative real-time polymerase chain reaction. Data were collected and statistically analyzed. Results All techniques significantly reduced the number of bacteria in the root canal (p < 0.05), in which PTG showed superior bacterial reduction than WaveOne Gold (p > 0.05). The aseptic control group did not show any bacterial growth. PUI showed a significant bacterial reduction with the WaveOne Gold group. Conclusion It can be concluded that the single-file system, WaveOne Gold with the aid of passive ultrasonic irrigation, significantly reduce the bacterial number in the root canal similar to the multifile system, PTG.

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