Post-Operative Pain after Single-Visit Endodontic Treatment Using Different Root Canal Irrigation Activating Techniques

Periapical periodontitis is a major disease, and difficult to achieve successful treatment in some cases. Therefore, root canal irrigation is one of the most important processes to successful endodontic treatment. Sodium Hypochlorite (NaOCl) solution is the most commonly used root canal irrigate. However using NaOCl solution on endodontic treatment should be considered its problems such as allergy, serious tissue damage when inadvertently injected into the maxillary sinus or oral mucosa. Therefore, another root canal irrigant that is safe and has a high antimicrobial effect is desirable. In this study, Hypochlorous Acid (HClO) water was used to evaluate the microbicidal efficacy of the Enterococcus faecalis (E. faecalis) and considered the possibility to be a future root canal irrigant candidate. Original (200ppm), 10% diluted (20ppm), 25% diluted (50ppm) and 50% diluted (100ppm) HClO water were used in this study. Each experimental solution was mixed with low concentrations (5×107 CFU/ml) or high concentration (5×109 CFU/ml) of E. faecalis at 30 seconds, 1minute, 3 minutes, 5 minutes respectively. Then they were placed onto BHI agar plates and incubated for 48 h at 37 ºC, followed by counting the number of Colony formation. The results showed that in the condition of 5×107 CFU/ml E.faecalis, no colony formation was shown within 30 seconds by 50 % diluted HClO water. Whereas only original water was attained to inhibit colony formation completely within 30 seconds under the density of 5×109 CFU/ml E, faecalis. In conclusion, 200ppm HClO water has a capacity to anti-microbiological effect against E.faecalis same as NaOCl solution. Keywords: root canal irrigant, hypochlorous acid (HClO) water, Enterococcus faecalis (E. faecalis)

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The Application of Nano Silver Argitos as a Final Root Canal Irrigation for the Treatment of Pulpitis and Apical Periodontitis. In Vitro Study

Nanomaterials ◽

10.3390/nano12020248 ◽

2022 ◽

Vol 12 (2) ◽

pp. 248

Author(s):

Svetlana Razumova ◽

Anzhela Brago ◽

Dimitriy Serebrov ◽

Haydar Barakat ◽

Yuliya Kozlova ◽

...

Keyword(s):

Root Canal ◽

In Vitro Study ◽

Ct Scanning ◽

Endodontic Treatment ◽

Smear Layer ◽

Canal Irrigation ◽

Nano Silver ◽

Root Canal Irrigation ◽

Silver Solution

Background: Endodontic treatment of various forms of pulpitis with variations of root canal system anatomy should be performed with high quality. The use of various antibacterial agents is aimed at maintaining the success of endodontic treatment. The aim of this study was to evaluate the penetration and fixation of the nano-silver solution on the dentinal surface during endodontic treatment. Materials and methods: the study was carried out on 70 extracted single-rooted teeth, randomly divided into two groups. In the teeth of the first group, the smear layer was removed after canal preparation with 17% EDTA solution; in the second group, the smear layer was not removed. In both groups, for the final treatment of the canal, a colloidal 1% solution of нанo серебра nanosilver was used. Samples were cut and prepared for analysis using micro-CT, scanning electron microscopy (SEM), X-ray microanalysis and energy dispersive spectrometry (elemental mapping). Results: in 100% of cases in groups of teeth with a preserved smear layer, the ability of a 1% colloidal solution of nanosilver with particles of 1–2 nm to be fixed on dentin with a removed and preserved smear layer and to leave a film on the dentinal surface was established. In the samples with removed smear layer, silver was found in 73.5% of cases. Conclusion: The nano-silver solution with a particle size of 1–2 nm proved its ability to penetrate the dentinal surfaces and create a final film covering the dentinal surface of the root canal before applying the sealer.

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Comparison of Effects of Different Endodontic Irrigating Solutions on Post-Operative Pain during Single Visit RCT

10.53350/pjmhs2115113036 ◽

2021 ◽

Vol 15 (11) ◽

pp. 3036-3039

Author(s):

Azhar Iqbal ◽

Osama Khattak ◽

Meshal Aber Alonazi ◽

Hmoud Ali Algarni ◽

Aamir Mehood Khan ◽

...

Keyword(s):

Pain Intensity ◽

Sodium Hypochlorite ◽

Normal Saline ◽

Root Canal ◽

Endodontic Treatment ◽

Single Visit ◽

Post Operative Pain ◽

Group A ◽

The Mean ◽

Group B

Aims: Comparing the effects of normal saline, 5.25% sodium hypochlorite and 2% chlorhexidine on the post-operative pain intensity after a single visit root canal treatment. Methods: A total of 120 male and female patients requiring an endodontic treatment for necrotic teeth with chronic apical periodontitis were randomly divided into three equal groups (40 each) according to the type of root canal irrigating solution, i.e. group A (normal saline {NaCl}), group B (sodium hypochlorite {5.25% NaOCl}) and group C (chlorhexidine {2.0% CLX}) . The post-operative pain intensity was determined using a self-explanatory questionnaire with four-point pain intensity scale at 6 hrs and 24 hrs and on 4th, 7th and 10th day after a single visit endodontic procedure. Tukey’s test was used to compare significant pain intensity among three root canal irrigating solution. Results: Among group A (NaCl) participants, most of them experienced mild pain at 6th hr. The mean pain score was further compared among the three irrigant groups at different time intervals by Post hoc comparison using Tukey’s HSD test, which showed that group A (NaCl) had a significant difference (p ≤ 0.05) with a mean pain value of 0.66±1 at 6th hr post-endodontic pain determination as compared to group B (5.25% NaOCl) and group C (2.0% CLX) where the mean pain value was 1.05±0.91 and 2.48±0.55 respectively. Conclusion: The present study concludes that normal saline should not be used as the sole root canal irrigant during the endodontic treatment especially when the involved teeth are having necrotic pulp and chronic peri-radicular periodontitis to avoid the incidence of post-endodontic pain. Keywords: Endodontics, Irrigant, Pain, Chlorhexidine.

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Effectiveness of photon-initiated photoacoustic streaming in root canal models with different diameters or tapers

BMC Oral Health ◽

10.1186/s12903-021-01671-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Cheng Wen ◽

Yuanyuan Kong ◽

Jian Zhao ◽

Yang Li ◽

Ya Shen ◽

...

Keyword(s):

Fluorescence Intensity ◽

Root Canal ◽

Distilled Water ◽

Canal Irrigation ◽

Root Canals ◽

Atp Assay ◽

Root Canal Irrigation ◽

Average Fluorescence Intensity ◽

Different Diameters ◽

Average Fluorescence

Abstract Background This study aimed to compare the use of photon-initiated photoacoustic streaming (PIPS) and conventional needle irrigation (CNI) in conjunction with different concentrations of sodium hypochlorite (NaOCl) to remove Enterococcus faecalis (E. faecalis) suspended bacteria and biofilms from root canal systems with different diameters or tapers. Methods Artificial root canal samples (n = 480) were randomly divided into three groups (n = 160/group). The canals were prepared to fit file sizes #10/.02, #25/.02, or #25/.06. The size #10/.02 group was incubated for seven days. The size #25/.02 or #25/.06 group was incubated for 2 days. A stable biological model of E. faecalis infection was established. The root canals were washed with distilled water or with 1%, 2%, or 5.25% NaOCl combined with CNI or PIPS. Bacterial suspensions and biofilms were assessed using an ATP assay kit and fluorescence microscopy. Image-Pro Plus was used to analyse the average fluorescence intensity to determine the most suitable root canal irrigation solution. Results In the CNI and PIPS groups, the ATP value of the 5.25% NaOCl subgroup was the lowest, followed by that of the 2% and 1% NaOCl subgroups. The ATP value of the distilled water subgroup was the highest (P < 0.05). When the root canal taper was 0.02, the ATP value of the #10/.02 + PIPS group was significantly lower than that of the #25/.02 + CNI group (P < 0.05). The average fluorescence intensity of the #10/.02 + PIPS group was lower than that of the #25/.02 + CNI group (P < 0.05). When the apical diameter was #25, the ATP value of the 0.02 taper in the PIPS group was lower than that of the 0.06 taper in the CNI group (P < 0.05), and the average fluorescence intensity of the 0.02 taper + PIPS group was lower than that of the 0.06 taper + CNI group (P < 0.05). PIPS combined with 2% and 5.25% NaOCl effectively improved the long-term antibacterial effect after irrigation and re-culture for 6 h. Conclusions Compared with CNI, PIPS has greater ability to remove bacteria in root canals with a small preparation diameter and a small taper. PIPS with 2% and 5.25% NaOCl exhibited superior antibacterial and bacteriostatic effects.

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Effectiveness of root canal irrigation

Journal of Dentistry ◽

10.1016/0300-5712(78)90220-8 ◽

1978 ◽

Vol 6 (2) ◽

pp. 182-183

Author(s):

J. Cunningham

Keyword(s):

Root Canal ◽

Canal Irrigation ◽

Root Canal Irrigation

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Post-operative Pain Analysis between Single Visit and Two Visit Root Canal Treatments using Visual Analogue Scale: An In Vivo Study

Journal of Dental and Allied Sciences ◽

10.4103/2277-4696.159256 ◽

2013 ◽

Vol 2 (1) ◽

pp. 8 ◽

Cited By ~ 2

Author(s):

Kavita Tarale

Keyword(s):

Visual Analogue Scale ◽

Root Canal ◽

Analogue Scale ◽

In Vivo Study ◽

Single Visit ◽

Post Operative Pain ◽

Pain Analysis

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APEXIFICATION WITH BIODENTINE - A CASE REPORT

CODS Journal of Dentistry ◽

10.5005/cods-5-2-3 ◽

2013 ◽

Vol 5 (2) ◽

pp. 3-5

Author(s):

R.S. Bassvanna ◽

Chitra Gohil

Keyword(s):

Case Report ◽

Calcium Hydroxide ◽

Root Canal ◽

Endodontic Treatment ◽

Clinical Scenario ◽

Root Canal Obturation ◽

Single Visit ◽

Dental Practitioners ◽

New Material ◽

Open Apices

ABSTRACT Management of non vital teeth with open apices isa challenge to the dental practitioners. In this clinical scenario, it is difficult to maintain the obturating material confine within the root canal without encroaching into periapical area. These kinds of cases cannot be managed by conventional endodontic treatment, and treatment of such cases with calcium hydroxide may take longer time for apical closure. But with this new material called BIODENTINE (Septodont) same treatment can be done in single visit with predictable result. Hence this case report present the use ofbiodentine to form an apical plug in open apex followed by complete root canal obturation using thermoplasticized guttapercha.

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Management of periradicular pathosis by single visit endodontic treatment using calcium hydroxide and mineral trioxide aggregate based sealer

Update Dental College Journal ◽

10.3329/updcj.v10i2.50174 ◽

2020 ◽

Vol 10 (2) ◽

pp. 10-13

Author(s):

Md Abdul Hannan Sheikh ◽

Eyad Al Khalifa ◽

Mozammal Hossain ◽

Md Faruk Hossain ◽

Nazneen Karim ◽

...

Keyword(s):

Calcium Hydroxide ◽

Statistical Methods ◽

Root Canal ◽

Mineral Trioxide Aggregate ◽

Endodontic Treatment ◽

Root Canal Treatment ◽

Radiological Evaluation ◽

Root Canal Therapy ◽

Radiological Investigation ◽

Single Visit

In this study, 120 teeth having periradicular pathosis were treated with single visit root canal treatment and then obturated with either calcium hydroxide containing sealer or mineral trioxide aggregate based sealer. The healing of periradicular pathosis was examined at 3, 6, and 12 months by clinical and radiological evaluation. Collected data were analyzed with standard statistical methods by using SPSS version- 20. The results showed that at 3 and 6 months, the differences between calcium hydroxide containing sealer or mineral trioxide aggregate based sealer were not statistically significant. However, the healing capability of periapical radiolucency at 12 months between two groups was statistically significant (P=0.03). The final outcome of the clinical and radiological investigation showed successful results of 96.6% and 98.1% in calcium hydroxide and mineral trioxide aggregate group, respectively. In conclusion, both calcium hydroxide and mineral trioxide aggregate based sealers are almost equally effective in single visit root canal therapy for the management of periradicular pathosis. Update Dent. Coll. j: 2020; 10 (2): 10-13

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Root Canal Irrigation

Springer Series on Biofilms - The Root Canal Biofilm ◽

10.1007/978-3-662-47415-0_9 ◽

2015 ◽

pp. 259-301 ◽

Cited By ~ 2

Author(s):

Luc van der Sluis ◽

Christos Boutsioukis ◽

Lei-Meng Jiang ◽

Ricardo Macedo ◽

Bram Verhaagen ◽

...

Keyword(s):

Root Canal ◽

Canal Irrigation ◽

Root Canal Irrigation

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Resistance to vertical root fracture of apicoected teeth using different devices during two root canal irrigation procedures

Lasers in Medical Science ◽

10.1007/s10103-018-2517-6 ◽

2018 ◽

Vol 33 (8) ◽

pp. 1685-1691 ◽

Cited By ~ 1

Author(s):

Ferhat Ayrancı ◽

Leyla Benan Ayrancı ◽

Alper Özdoğan ◽

Serkan Özkan ◽

Mutlunur Önder Peker ◽

...

Keyword(s):

Root Canal ◽

Root Fracture ◽

Canal Irrigation ◽

Vertical Root Fracture ◽

Root Canal Irrigation

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