scholarly journals Apical extrusion of debris with different rotary and reciprocating single-file endodontic instrumentation systems: a systematic review and meta-analysis protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e038502
Author(s):  
Muhammad Zubair Ahmad ◽  
Durre Sadaf ◽  
Marcy McCall MacBain ◽  
Ahmed Nabil Mohamed
Keyword(s):  
Systematic Review ◽  
Root Canal ◽  
Ex Vivo ◽  
In Vitro Studies ◽  
Sensitivity Analyses ◽  
Endodontic Infection ◽  
Single File ◽  
Statistical Heterogeneity ◽  
Apical Extrusion

IntroductionRoot canal treatment is one of the oldest dental procedures for the treatment of endodontic infection. Extrusion of debris beyond the root apex during root canal instrumentation and subsequent persistence of pain are common complications. A systematic review of the evidence on reciprocating single-file instrumentation systems and their comparison with rotary single-file systems, with apical extrusion of debris as primary outcome, will be done through this study.Methods and analysisPublished ex vivo and in vitro studies with no language restriction will be included. We will search MEDLINE (Ovid), EMBASE (Ovid), Web of Science, Cochrane and Google Scholar. Strategies will be incorporated to search grey literature also. Thorough evaluation of search results, completion of data abstraction and assessment of quality will be done by two reviewers independent from each other. Assessment of included studies will be done by utilising an evidence model developed on the basis of standards of quality reported in guidelines to document ex vivo and in vitro studies regarding dental materials and pertained for extrusion of debris apically and has been already used in quality assessment of studies involving quantification of debris extrusion apically. We will calculate the standardised mean differences for apically extruded debris, with congruent 95% CIs. We will measure the statistical heterogeneity by applying the Cochrane Q test and quantify using the I2 statistic. Existence of covariates and any potential heterogeneity will be explored through prespecified subgroup and sensitivity analyses.Ethics and disseminationApproval from an ethical research committee is not required because it will be done using data that have been already published and have no concerns related to the privacy of patients. Extensive dissemination of results from this review will be done through submission to a peer-reviewed journal for publication and conferences.PROSPERO registration numberCRD42019151804.

Effectiveness of ultrasonically activated irrigation on root canal disinfection: a systematic review of in vitro studies

2018 ◽  
Vol 22 (2) ◽  
pp. 655-670 ◽  
Author(s):  
Venkateshbabu Nagendrababu ◽  
Jayakumar Jayaraman ◽  
Anand Suresh ◽  
Senthilnayagam Kalyanasundaram ◽  
Prasanna Neelakantan
Keyword(s):  
Systematic Review ◽  
Root Canal ◽  
In Vitro Studies ◽  
Root Canal Disinfection

scholarly journals Effect of QMix irrigant in removal of smear layer in root canal system: a systematic review of in vitro studies

2020 ◽  
Vol 45 (3) ◽  
Author(s):  
Margaret Soo Yee Chia ◽  
Abhishek Parolia ◽  
Benjamin Syek Hur Lim ◽  
Jayakumar Jayaraman ◽  
Isabel Cristina Celerino de Moraes Porto
Keyword(s):  
Systematic Review ◽  
Root Canal ◽  
In Vitro Studies ◽  
Smear Layer ◽  
Canal System ◽  
System A ◽  
Root Canal System

scholarly journals Comparison of Herbal Agents with Sodium Hypochlorite as Root Canal Irrigant: A Systematic Review of In Vitro Studies

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Kavalipurapu Venkata Teja ◽  
Krishnamachari Janani ◽  
Kumar Chandan Srivastava ◽  
Deepti Shrivastava ◽  
Jerry Jose ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sodium Hypochlorite ◽  
Root Canal ◽  
Research Question ◽  
In Vitro Studies ◽  
Microbial Load ◽  
Antimicrobial Efficiency ◽  
Significant Difference ◽  
Root Canal Irrigant

During endodontic treatment, eliminating microorganisms from the root canals should be considered with utmost importance. Before filling the canal, every effort should be made to ensure optimal shaping and adequate disinfection of the root canal system. This systematic review aimed to compare the efficacy of herbal agents with sodium hypochlorite (NaOCl) in reducing the microbial load while used as a root canal irrigant. The research question in the present study was to assess “Is there a significant difference in reducing microbial load comparing sodium hypochlorite (NaOCl) and herbal agents.” Electronic databases (PubMed, Scopus, and Web of Science) were searched from their start dates to November 2020 using strict inclusion and exclusion criteria and reviewed following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Only in vitro studies comparing herbal agents with NaOCl regarding antimicrobial efficiency were included. Two reviewers independently assessed the included article. 825 articles were obtained from an electronic database. Twenty papers were included for review of the full text. Eleven papers were excluded because they did not meet the inclusion criteria. Finally, nine articles were included in the systematic review. The present systematic review was at the in vitro level; therefore, the result cannot translate the exact clinical conditions. This systematic review concludes that herbal agents cannot be used as a main irrigant for canal disinfection.

Post-Space Treatment Influences the Bond Strength In Endodontically Treated Teeth: A Systematic Review and Meta-Analysis of In Vitro Studies

2021 ◽  
Author(s):  
TC Bohrer ◽  
PE Fontana ◽  
RO Rocha ◽  
OB Kaizer
Keyword(s):  
Systematic Review ◽  
Bond Strength ◽  
Root Canal ◽  
In Vitro Studies ◽  
Yttrium Aluminium Garnet ◽  
Yttrium Aluminium ◽  
Root Canal Dentin ◽  
Post Space ◽  
Yttrium Aluminium Garnet Laser

SUMMARY Objectives: This systematic review of in vitro studies investigated the influence of the post-space treatment used to remove the smear layer on the bond strength of the post to root canal dentin. Methods and Materials: In vitro studies included in this study were identified from PubMed/MEDLINE, Lilacs, and Scopus databases up until March 2019, without limits on publication year or language. Two reviewers independently selected the studies based on the inclusion and exclusion criteria, extracted the data, and evaluated the risk of bias of all studies. A random effects model was used for pairwise meta-analyses (control vs. post-space preparation groups) at a significance level of p<0.05. Results: Of the 2,832 potentially eligible studies, 453 studies were selected for full-text analysis, and 75 were included in this systematic review. Only one study was considered to have a low risk of bias. Overall, post-space treatment significantly improves the bond strength to root canal dentin (p<0.00001). Conclusion: Post-space treatment has a positive influence on the bond strength of the post to root canal dentin. In this review, the post-space treatments that improve the adhesive resistance of the post were ethanol, sodium hypochlorite, and ethylene diamine tetra-acetic acid (NaOCl + EDTA), NaOCl + EDTA + ultrasound, erbium-doped yttrium aluminium garnet laser (Er:YAG laser), neodymium-doped yttrium aluminium garnet laser (Nd:YAG laser), and diode laser.

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