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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...

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Autores principales: Huiz Peeters, Harry, Suardita, Ketut, Mooduto, Latief, Gutknecht, Norbert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iranian Center for Endodontic Research 2018
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.
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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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