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.

Efficacy of Different Irrigating Systems on Debris and Smear Layer Removal: A Scanning Electron Microscopic Study

2021 ◽  
Vol 13 (4) ◽  
pp. 246-252
Author(s):  
Manjunath P ◽  
Sujatha I ◽  
Jayalakshmi KB ◽  
Prasannalatha Nadig ◽  
Shibani Shetty ◽  
...  
Keyword(s):  
Smear Layer ◽  
Sodium Hypochlorite Solution ◽  
Electron Microscopic ◽  
Passive Ultrasonic Irrigation ◽  
Root Canals ◽  
Group 4 ◽  
Ultrasonic Irrigation ◽  
Group 3 ◽  
Group 2 ◽  
Scanning Electron

Background: The goal of this research was to see how effective various irrigation methods were at eliminating smear layer and debris. Study design: Sixty extracted single rooted human mandibular premolar teeth were used in this study. The root canals were shaped with a WaveOne large (040.08) rotary file after decoronating all the teeth to a uniform 16 mm root length. Root canals were rinsed with 6 ml of 2.5 percent sodium hypochlorite solution during instrumentation. After instrumentation, teeth were arbitrarily classified into four categories, each containing 15 specimens according to the technique of activation of final irrigant. Smear Clear solution (6 ml) was employed in all the categories as irrigating solution. In Group1- Rotary canal brush, Group 2 – EndoActivator, Group 3 – Passive ultrasonic irrigation (PUI), Group 4 – Continuous ultrasonic irrigation was employed. After sectioning the roots longitudinally, the apical, middle and coronal thirds of the canals were inspected with the help of scanning electron microscopy. Results: Group 4 was most effective in eliminating debris and smear layer at the coronal, middle, and apical thirds. But Group 4 was not significantly different to Group 3 at the middle third in eliminating debris and at middle third and apical third in elimination of smear layer. Conclusion: Continuous ultrasonic irrigation eliminated debris and smear layer most effectively, followed by PUI, EndoActivator, and Rotary canal brush. Keywords: Smear layer, Passive Ultrasonic Irrigation, Continuous ultrasonic irrigation, EndoActivator, Rotary canal brush

scholarly journals A scanning electron microscopic evaluation of different root canal irrigation regimens

2006 ◽  
Vol 20 (3) ◽  
pp. 235-240 ◽  
Author(s):  
Chaves Medici Mônika ◽  
Izabel Cristina Fröner
Keyword(s):  
Sodium Hypochlorite ◽  
Root Canal ◽  
Ricinus Communis ◽  
Smear Layer ◽  
Electron Microscopic ◽  
Canal Irrigation ◽  
Root Canals ◽  
Root Canal Irrigation ◽  
Microscopic Evaluation ◽  
Scanning Electron

The purpose of this study was to assess the effectiveness of endodontic irrigants in removing the smear layer from instrumented root canal walls using Scanning Electron Microscopy (SEM). The endodontic irrigants used were: 1% sodium hypochlorite (NaOCl); 1% NaOCl mixed to 17% EDTAC; 2% chlorhexidine gel; and Ricinus communis gel. Photomicrographs of the middle and apical thirds were evaluated with the aid of the Fotoscore - v. 2.0 software. The results indicated that the mixture of sodium hypochlorite and EDTAC completely removed the smear layer from dentinal walls. The other endodontic irrigants were not as efficient in cleansing the root canals.

scholarly journals Effectiveness of a Canal Brush on Removing Smear Layer: A Scanning Electron Microscopic Study

2013 ◽  
Vol 24 (6) ◽  
pp. 580-584 ◽  
Author(s):  
Eleni Protogerou ◽  
Ioanna Arvaniti ◽  
Ioannis Vlachos ◽  
Marouan Georgios Khabbaz
Keyword(s):  
Statistical Difference ◽  
Optical Microscope ◽  
Smear Layer ◽  
Electron Microscopic ◽  
Root Canals ◽  
Scanning Electron Microscopic Study ◽  
Scanning Electron Microscopic ◽  
Group A ◽  
Group B ◽  
Scanning Electron

This study evaluated the effectiveness of a highly flexible endodontic brush made of polypropylene canal brush (CanalBrush; Coltène) on smear layer removal from the canal walls when used according to the manufacturer's recommendations. Forty-four single-rooted mandibular incisors were prepared to apical size 30/0.06 and randomly divided into three groups A, B and C, where the final irrigation regimen was 10 mL 17% EDTA and 10 mL 2.5% NaOCl for group A, 10 mL EDTA, 5 mL NaOCl, CanalBrush for 20 s at 450 rpm and 5 mL NaOCl for group B, 10 mL NaOCl, CanalBrush and 10 mL NaOCl for group C. One medium-sized CanalBrush was used for each root canal and all brushes were examined under the optical microscope after application to evaluate bristle deformation. Afterwards, roots were split longitudinally and the presence of smear layer was evaluated under a scanning electron microscope. Used brushes invariably exhibited bristle deformation. Group C exhibited the highest means of smear layer in all thirds. Comparing the apical thirds in all groups, there was no statistical difference between groups A and B (3.64±0.48 and 3.68±0.62 respectively), while group C exhibited significantly higher scores (3.9±0.28) than the other two groups. In conclusion, the CanalBrush proved unable to remove smear layer from the instrumented root canals, when used according to the manufacturers' instructions.

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.

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