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Extrusion of Irrigant in Open Apex Teeth with Periapical Lesions Following Laser-Activated Irrigation and Passive Ultrasonic Irrigation
INTRODUCTION: Sodium hypochlorite (NaOCl) irrigation is critical for the success of endodontic treatment and several agitation techniques have been developed to improve the efficacy of this irrigation. Using a combination of contrast medium and radiographic examination, this study evaluated NaOCl ex...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Iranian Center for Endodontic Research
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5911289/ https://www.ncbi.nlm.nih.gov/pubmed/29707010 http://dx.doi.org/10.22037/iej.v13i2.17150 |
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author | Huiz Peeters, Harry Suardita, Ketut Mooduto, Latief Gutknecht, Norbert |
author_facet | Huiz Peeters, Harry Suardita, Ketut Mooduto, Latief Gutknecht, Norbert |
author_sort | Huiz Peeters, Harry |
collection | PubMed |
description | INTRODUCTION: Sodium hypochlorite (NaOCl) irrigation is critical for the success of endodontic treatment and several agitation techniques have been developed to improve the efficacy of this irrigation. Using a combination of contrast medium and radiographic examination, this study evaluated NaOCl extrusion during agitation of irrigant. Development of pressure, which may result in apical extrusion of the irrigant, has been described during laser-activated irrigation (LAI) and passive ultrasonic irrigation (PUI). METHODS AND MATERIALS: We examined 40 single root canals categorized as having open apices with apical lesions in 40 patients. For the final irrigation, the teeth were irrigated with a mixture of radiopaque contrast medium and 2.5% NaOCl in solution. The solution was activated for 60 sec in both groups [the Er, Cr: YSGG laser group (n=20) and the ultrasonic group (n=20)]. The teeth were imaged subsequently using radiography for the evaluation of contrast extrusion. RESULTS: Radiopaque contrast medium was absent from the periapical tissues in all cases. CONCLUSION: Use of LAI or PUI appears to be safe as used currently in endodontic treatment. |
format | Online Article Text |
id | pubmed-5911289 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Iranian Center for Endodontic Research |
record_format | MEDLINE/PubMed |
spelling | pubmed-59112892018-04-27 Extrusion of Irrigant in Open Apex Teeth with Periapical Lesions Following Laser-Activated Irrigation and Passive Ultrasonic Irrigation Huiz Peeters, Harry Suardita, Ketut Mooduto, Latief Gutknecht, Norbert Iran Endod J Original Article INTRODUCTION: Sodium hypochlorite (NaOCl) irrigation is critical for the success of endodontic treatment and several agitation techniques have been developed to improve the efficacy of this irrigation. Using a combination of contrast medium and radiographic examination, this study evaluated NaOCl extrusion during agitation of irrigant. Development of pressure, which may result in apical extrusion of the irrigant, has been described during laser-activated irrigation (LAI) and passive ultrasonic irrigation (PUI). METHODS AND MATERIALS: We examined 40 single root canals categorized as having open apices with apical lesions in 40 patients. For the final irrigation, the teeth were irrigated with a mixture of radiopaque contrast medium and 2.5% NaOCl in solution. The solution was activated for 60 sec in both groups [the Er, Cr: YSGG laser group (n=20) and the ultrasonic group (n=20)]. The teeth were imaged subsequently using radiography for the evaluation of contrast extrusion. RESULTS: Radiopaque contrast medium was absent from the periapical tissues in all cases. CONCLUSION: Use of LAI or PUI appears to be safe as used currently in endodontic treatment. Iranian Center for Endodontic Research 2018 /pmc/articles/PMC5911289/ /pubmed/29707010 http://dx.doi.org/10.22037/iej.v13i2.17150 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Huiz Peeters, Harry Suardita, Ketut Mooduto, Latief Gutknecht, Norbert Extrusion of Irrigant in Open Apex Teeth with Periapical Lesions Following Laser-Activated Irrigation and Passive Ultrasonic Irrigation |
title | Extrusion of Irrigant in Open Apex Teeth with Periapical Lesions Following Laser-Activated Irrigation and Passive Ultrasonic Irrigation |
title_full | Extrusion of Irrigant in Open Apex Teeth with Periapical Lesions Following Laser-Activated Irrigation and Passive Ultrasonic Irrigation |
title_fullStr | Extrusion of Irrigant in Open Apex Teeth with Periapical Lesions Following Laser-Activated Irrigation and Passive Ultrasonic Irrigation |
title_full_unstemmed | Extrusion of Irrigant in Open Apex Teeth with Periapical Lesions Following Laser-Activated Irrigation and Passive Ultrasonic Irrigation |
title_short | Extrusion of Irrigant in Open Apex Teeth with Periapical Lesions Following Laser-Activated Irrigation and Passive Ultrasonic Irrigation |
title_sort | extrusion of irrigant in open apex teeth with periapical lesions following laser-activated irrigation and passive ultrasonic irrigation |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5911289/ https://www.ncbi.nlm.nih.gov/pubmed/29707010 http://dx.doi.org/10.22037/iej.v13i2.17150 |
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