scholarly journals Sodium Hypochlorite Irrigation and Its Effect on Bond Strength to Dentin

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Tariq S. Abuhaimed ◽  
Ensanya A. Abou Neel
Keyword(s):  
Bond Strength ◽  
Sodium Hypochlorite ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Antibacterial Action ◽  
Adhesive Resin ◽  
Root Canals ◽  
Adverse Action ◽  
Complex Anatomy ◽  
Halogenated Compound

Effective shaping and cleaning of root canals are essential for the success of endodontic treatment. Due to the complex anatomy of root canal spaces, the use of various instrumentation techniques alone is not effective in producing bacteria-free root canal spaces. Irrigation, disinfectants, rinses, and intervisit medications are used in conjunction with the mechanical instrumentation to ensure the success of endodontic treatment. Sodium hypochlorite (NaOCl), a halogenated compound, is routinely used to irrigate the root canal during endodontic treatments. NaOCl has been known for its antibacterial action, proteolytic and dissolution capacity, and debridement properties. NaOCl, however, can alter the composition of dentin and hence its interaction with the adhesive resins used to bond the restorative materials to treated dentin. This review therefore covers in depth the action of NaOCl on dentin-adhesive resin bond strength including both enhancement and reduction, then mechanisms proposed for such action, and finally how the adverse action of NaOCl on dentin can be reversed.

scholarly journals Endodontic Disinfection for Orthograde Root Canal Treatment in Veterinary Dentistry

2020 ◽  
Vol 37 (1) ◽  
pp. 35-40
Author(s):  
Laura Sasser
Keyword(s):  
Sodium Hypochlorite ◽  
Root Canal ◽  
Ethylenediaminetetraacetic Acid ◽  
Endodontic Treatment ◽  
Smear Layer ◽  
Canal System ◽  
Root Canal Therapy ◽  
Complex Anatomy ◽  
Root Canal System ◽  
Necrotic Debris

Pulp debridement and disinfection in the pulp cavity is a critical step in achieving a successful root canal therapy. Microorganisms remaining in the root canal system after endodontic treatment are a main cause of root canal failure. The challenges faced in endodontic disinfection include the complex anatomy of the root canal system, the existence of a biofilm within the root canal, and the creation of a problematic smear layer during instrumentation of the canal. Historically, sodium hypochlorite and ethylenediaminetetraacetic acid have been utilized as irrigants and still remain as the most effective disinfectants due to their synergistic abilities to eradicate microorganisms, dissolve necrotic debris, and remove the smear layer and biofilm. This article addresses challenges in endodontic disinfection, objectives of endodontic irrigants, properties of an ideal irrigant, currently used irrigants, and irrigant delivery systems utilized in veterinary dentistry.

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 A Comparative study to quantify the area of obturating material, sealer and voids in root canals obturated with Resilon/Epiphany and gutta-percha with different sealers

2014 ◽  
Vol 3 (1) ◽  
pp. 8-13
Author(s):  
M Vikram ◽  
N Shetty ◽  
VP Singh
Keyword(s):  
Comparative Study ◽  
Sodium Hypochlorite ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Filling Material ◽  
Bonferroni Correction ◽  
Medical Sciences ◽  
Root Canals ◽  
Gutta Percha ◽  
Ah Plus

Background: Complete obturation of the root canal with an inert filling material and creation of a fluid-tight seal are among the major goals of successful endodontic treatment. Methods: Extracted mandibular premolar teeth were decoronated, prepared in a crown-down fashion and irrigated with 2.5% sodium hypochlorite and 17% EDTA. The specimens were randomly assigned into 4groups (n=10/each) and obturated with gutta-percha and Resilon/Epiphanywith different sealers. Horizontal sections were obtained of the coronal, middle and apical third at levels of 14-mm, 8-mm and 2-mm from the apex respectively and were viewed under magnification. The area of obturating material, sealer and voids were calculated using Image Jsoftware. Statistical comparisons between the Resilon and gutta-percha groups were made with Kruskal-Wallis Test and intergroup comparisions were made by Mann-Whitney U test with Bonferroni correction. Results: The results of this study showed that root canals obturated with gutta-percha or Resilon with Epiphany as sealer had significantly less area of sealer plus voids and voids alone as compared to root canals obturated with gutta-percha and AH Plus as sealer or gutta-percha and GuttaFlow. Conclusion: From the results of this study it can be concluded that methacrylate resin-based sealer Epiphany will lead to a better obturation of the root canals and adhesive sealers hold a better prospective. Nepal Journal of Medical Sciences | Volume 03 | Number 01 | January-June 2014 | Page 8-13 DOI: http://dx.doi.org/10.3126/njms.v3i1.10342

scholarly journals Clinical case: second mandibular premolar with three root canals

2021 ◽  
Vol 19 (2) ◽  
pp. 117-120
Author(s):  
E. V. Vusataya ◽  
R. G. Pomogalov
Keyword(s):  
Root Canal ◽  
Clinical Case ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
X Ray ◽  
Root Canals ◽  
Lower Jaw ◽  
Internal Morphology ◽  
Complex Anatomy ◽  
Pathogenic Microbes

Successful and predictable endodontic treatment requires knowledge of root canal anatomy and morphology variations. In cases where X-ray images do not help to clarify the anatomy of the root canals, it is recommended to use magnifying devices. The second premolar of the lower jaw is one of the most diffcult teeth for endodontic treatment due to variations in internal morphology, additional root canals, apical deltas, and lateral canals. Diagnostic radiographs in different projections are important for getting an idea of the number of existing root canals. The purpose of root canal treatment is to clean the root canal of pathogenic microbes and infected pulp, prevent the formation of toxic products, and protect the periapical tissue. The presence of root canal variability increases the complexity of endodontic treatment. The complex anatomy of the root canals, the presence of additional channels, unnoticed by the dentist, can cause the failure of endodontic treatment.

scholarly journals Effects of Calcium Hypochlorite and Sodium Hypochlorite, as Root Canal Irrigants, on the Bond Strength of Glass Fiber Posts Cemented with Self-Adhesive Resin Cement

2019 ◽  
Author(s):  
Maryam Khoroushi ◽  
Maryam Amirkhani Najafabadi ◽  
Atiyeh Feiz
Keyword(s):  
Bond Strength ◽  
Sodium Hypochlorite ◽  
Root Canal ◽  
Resin Cement ◽  
Calcium Hypochlorite ◽  
Adhesive Resin ◽  
Root Canal Irrigants ◽  
Fiber Posts ◽  
Glass Fiber Posts ◽  
Push Out

Objectives: Calcium hypochlorite (Ca(OCl)2) is currently used as a root canal irrigant. The aim of this study was to compare the effects of calcium hypochlorite and sodium hypochlorite (NaOCl), as root canal irrigants, on the bond strength of posts cemented with a self-adhesive resin cement. Materials and Methods: In this in-vitro study, 40 maxillary central incisors with similar root lengths were decoronated. The teeth were randomly divided into five groups based on the irrigant used: Group 1: normal saline (control), Group 2: 2.5% sodium hypochlorite, Group 3: 5.25% sodium hypochlorite, Group 4: 2.5% calcium hypochlorite, and Group 5: 5% calcium hypochlorite. Root canal treatments were performed with Gates-Glidden drills and the irrigant corresponding to each group was used upon changing the file and for irrigating the post space. Then, glass fiber posts were cemented by BisCem self-adhesive cement. After applying 1,000 thermocycles at 5-55°C, three samples of the mid-section of each root were prepared: one for scanning electron microscopy (SEM), and the rest for push-out testing. Data were analyzed with SPSS 23 software using one-way analysis of variance and post-hoc Tukey’s test. Results: The highest and lowest mean bond strengths were recorded in groups 5 and 1, respectively. There was a significant difference between the 5% calcium hypochlorite group and the other groups (P<0.001). The difference between the other groups was not significant. Conclusion: The use of 5% calcium hypochlorite with self-adhesive cements increases the push-out bond strength of fiber posts to radicular dentin.

scholarly journals A Successful Individual Endodontic Treatment of Severely Curved Root Canals in Mandibular Second Molars: A Case Report

2021 ◽  
Author(s):  
Laijun Xu ◽  
jianying zhang ◽  
zihua huang ◽  
xiangzhu wang
Keyword(s):  
Root Canal ◽  
Three Dimensional ◽  
Complete Healing ◽  
Endodontic Treatment ◽  
Second Molar ◽  
Root Canals ◽  
Mandibular Molars ◽  
Complex Anatomy ◽  
Mandibular Second Molar ◽  
Curved Root Canals

Abstract Background and Overview The incidence rate of severely curved root canals in mandibular molars is low, and the root canal treatment of mandibular molars with this aberrant canal anatomy may be visibly and technically challenging. Case Description A 26-year-old Chinese female patient presented with intermittent and occlusal pain in the left mandibular second molar. The patient had undergone caries for filling restoration before endodontic consultation. With the aid of cone beam computed tomography (CBCT), a large periapical radiolucency was observed, and curved root canals in a mandibular second molar were confirmed, depicting a severe and curved distolingual root. Nonsurgical treatments, including novel individual preparation skills and techniques and the use of bioceramic materials as an apical barrier, were performed, and complete healing of the periapical lesion and a satisfactory effect were achieved. Conclusions and Practical implications A case of a severely curved root canal in a mandibular second molar was successfully treated and reported herein. The complex anatomy of the tooth and the postoperative effect were also evaluated via the three-dimensional (3D) reconstruction of CBCT images, which accurately identified the aberrant canal morphology. Furthermore, new devices and biomaterial applications combined with novel synthesis techniques can increase the success rate of intractable endodontic treatment.

scholarly journals Efficacy of Cyombopogon Citratus Extract Against Enterococcus Faecalis

2021 ◽  
Vol 7 (2) ◽  
pp. 357-363
Author(s):  
Tessya Nitulo Permatasari Lahagu ◽  
Huynh Diem An ◽  
Cindy Denhara Wijaya ◽  
Mellisa Sim
Keyword(s):  
Enterococcus Faecalis ◽  
Sodium Hypochlorite ◽  
Root Canal ◽  
Average Diameter ◽  
Endodontic Treatment ◽  
Test Method ◽  
Cymbopogon Citratus ◽  
Pulp Tissue ◽  
Root Canals ◽  
One Way Anova

Endodontic treatment refers to the act of removing infected pulp tissue and formingand reforming the root canals to prevent bacteria from entering the root canals.Microbial infection in the root canal or in the periapical area is a factor that can leadto failure of root canal treatments. Endodontic treatment failure can be caused thebacteria Enterococcus faecalis. The irrigation agent commonly used is sodiumhypochlorite. Sodium hypochlorite in large concentrations can be toxic to tissues.Lemongrass plant (Cymbopogon citratus) is a natural ingredient that can be used asan antibacterial agent. The aims of study to determine the comparison of theantibacterial effectiveness of lemongrass plant extracts (Cyombopogon citratus (DC).Staph) concentrations of 25%, 50%, 75%, 100% with 2.5% sodium hypochlorite ininhibiting the growth of the bacterium Enterococcus faecalis. Lemongrass plantextracts Cyombopogon citratus (DC). Staph) made by maceration method andconverted into 25%, 50%, 75%, and 100%. The bacterial test method used the agardiffusion test (Kirby-Bauer test) to see the effectiveness of antibacterialsThe result ofthe one way ANOVA statistical test resulted in significance value of p=0,001 (p<0,05)so that means there was differences in the average diameter of inhibitory lemongrassplant extracts (Cyombopogon citratus (DC). Staph) concentrations of 25%, 50%,75%, 100% with 2.5% sodium hypochlorite in inhibiting the growth of the bacteriumthe results are 13.68 ± 1.34 mm, 16.08 ± 0.87 mm, 16.33 ± 0.35 mm, 17.78 ± 0.93mm and 7.83 ± 0.44 mm and reinforced by the posthoc Tukey HSD test. Theconclusion from the study that there is a difference between the antibacterialeffectiveness of lemongrass plant extract (Cyombopogon citratus (DC). Staph)concentrations of 25%, 50%, 75% and 100% with 2.5% sodium hypochlorite ininhibiting the growth of the bacterium Enterococcus faecalis.

Аpplying of high-frequency monopolar diathermocoagulation in the treatment of chronic pulpitis

2020 ◽  
Vol 1 (12) ◽  
pp. 40-42
Author(s):  
F. Yu. Daurova ◽  
D. I. Tomaeva ◽  
S. V. Podkopaeva ◽  
Yu. A. Taptun
Keyword(s):  
Root Canal ◽  
High Frequency ◽  
Antibacterial Effect ◽  
Comparison Group ◽  
Poor Quality ◽  
Endodontic Treatment ◽  
Root Canals ◽  
The Third ◽  
Before And After

Relevance: the reason for the development of complications in endodontic treatment is poor-quality instrumental treatment root canals.Aims: a study of the animicrobial action and clinical efficacy of high-frequency monopolar diathermocoagulation in the treatment of chronic forms of pulpitis.Materials and methods: 102 patients with various chronic forms of pulpitis were divided into three groups of 34 patients each. In the first two groups, high-frequency monopolar diathermocoagulation was used in endodontic treatment in different modes. In the third group, endodontic treatment was carried out without the use of diathermocoagulation (comparison group). The root canal microflora in chronic pulpitis in vivo was studied twice-before and after diathermocoagulation.Results: it was established that high-frequency monopolar diathermocoagulation in the effect mode is 3, power is 4 (4.1 W) and effect is 4, power is 4 (5.4 W) with an exposure time of 3 seconds, it has a pronounced antibacterial effect on all presented pathogenic microflora obtained from the root canals of the teeth.

scholarly journals The ability of Reciproc instruments to reach full working length without glide path preparation: a clinical retrospective study

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3583 ◽  
Author(s):  
Andreas Bartols ◽  
Bernt-Peter Robra ◽  
Winfried Walther
Keyword(s):  
Retrospective Study ◽  
Root Canal ◽  
Primary Root ◽  
Primary Treatment ◽  
Endodontic Treatment ◽  
Binary Logistic Regression Model ◽  
Root Canals ◽  
Maxillary Molars ◽  
Glide Path ◽  
Working Length

Background Reciproc instruments are the only contemporary root canal instruments where glide path preparation is no longer strictly demanded by the manufacturer. As the complete preparation of root canals is associated with success in endodontic treatment we wanted to assess the ability and find predictors for Reciproc instruments to reach full working length (RFWL) in root canals of maxillary molars in primary root canal treatment (1°RCTx) and retreatment (2°RCTx) cases. Methods This retrospective study evaluated 255 endodontic treatment cases of maxillary molars. 180 were 1°RCTx and 75 2°RCTx. All root canals were prepared with Reciproc instruments. The groups were compared and in a binary logistic regression model predictors for RFWL were evaluated. Results A total of 926 root canals were treated with Reciproc without glide path preparation. This was possible in 885 canals (95.6%). In 1°RCTx cases 625 of 649 (96.3%) canals were RFWL and in 2°RCTx cases 260 of 277 (93.9%). In second and third mesiobuccal canals (MB2/3) 90 out of 101 (89.1%) were RFWL with Reciproc in 1°RCTx and in the 2°RCTx treatment group 49 out of 51 cases (96.1%). In mesio-buccal (MB1) canals “2°RCTx” was identified as negative predictor for RFWL (OR 0.24 (CI [0.08–0.77])). In MB2/3 canals full working length was reached less often (OR 0.04 (CI [0.01–0.31])) if the tooth was constricted and more often if MB2/3 and MB1 canals were convergent (OR 4.60 (CI [1.07–19.61])). Discussion Using Reciproc instruments, the vast majority of root canals in primary treatment and retreatment cases can be prepared without glide path preparation.

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