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Root Canal Cleaning after Different Irrigation Techniques: An Ex Vivo Analysis

Background and Objectives: The endodontic space is a complex area on both micro and macro levels; therefore, traditional irrigation techniques may not guarantee a complete cleaning of such a complicated tridimensional system. The presented ex vivo study aimed to evaluate root canal cleanliness, obta...

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Autores principales: Di Spirito, Federica, Pisano, Massimo, Caggiano, Mario, Bhasin, Prashant, Lo Giudice, Roberto, Abdellatif, Dina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8874436/
https://www.ncbi.nlm.nih.gov/pubmed/35208517
http://dx.doi.org/10.3390/medicina58020193
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author Di Spirito, Federica
Pisano, Massimo
Caggiano, Mario
Bhasin, Prashant
Lo Giudice, Roberto
Abdellatif, Dina
author_facet Di Spirito, Federica
Pisano, Massimo
Caggiano, Mario
Bhasin, Prashant
Lo Giudice, Roberto
Abdellatif, Dina
author_sort Di Spirito, Federica
collection PubMed
description Background and Objectives: The endodontic space is a complex area on both micro and macro levels; therefore, traditional irrigation techniques may not guarantee a complete cleaning of such a complicated tridimensional system. The presented ex vivo study aimed to evaluate root canal cleanliness, obtained through an equal volume of traditionally applied sodium hypochlorite (NaOCl), compared to ultrasonically activated NaOCl and ultrasonically activated NaOCl that had undergone intracanal heating NaOCl. Materials and Methods: A total of 60 freshly extracted human mandibular premolars underwent root sample length standardization (18 mm), root canal preparation and, based on the irrigation method employed, were randomly and equally assigned to three study groups, composed of root samples treated with ultrasonically activated NaOCl, ultrasonically activated NaOCl that had undergone intracanal heating and traditionally applied NaOCl. The root specimens were subsequently fixated with 4% buffered formalin solution and decalcified in Morse liquid. A total often 6-micron-thick serial cross-sections were obtained, dyed using hematoxylin and eosin and examined through an optical microscope at 40×, 100×, and 200×. Results: Ultrasonically activated NaOCl that had undergone intracanal heating showed a significantly smaller amount of debris compared to ultrasonically activated and traditionally applied NaOCl groups (p value < 0.05). Conclusions: Root canal cleanliness saw significant enhancements by ultrasonically activated NaOCl that had undergone intracanal heating.
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spelling pubmed-88744362022-02-26 Root Canal Cleaning after Different Irrigation Techniques: An Ex Vivo Analysis Di Spirito, Federica Pisano, Massimo Caggiano, Mario Bhasin, Prashant Lo Giudice, Roberto Abdellatif, Dina Medicina (Kaunas) Article Background and Objectives: The endodontic space is a complex area on both micro and macro levels; therefore, traditional irrigation techniques may not guarantee a complete cleaning of such a complicated tridimensional system. The presented ex vivo study aimed to evaluate root canal cleanliness, obtained through an equal volume of traditionally applied sodium hypochlorite (NaOCl), compared to ultrasonically activated NaOCl and ultrasonically activated NaOCl that had undergone intracanal heating NaOCl. Materials and Methods: A total of 60 freshly extracted human mandibular premolars underwent root sample length standardization (18 mm), root canal preparation and, based on the irrigation method employed, were randomly and equally assigned to three study groups, composed of root samples treated with ultrasonically activated NaOCl, ultrasonically activated NaOCl that had undergone intracanal heating and traditionally applied NaOCl. The root specimens were subsequently fixated with 4% buffered formalin solution and decalcified in Morse liquid. A total often 6-micron-thick serial cross-sections were obtained, dyed using hematoxylin and eosin and examined through an optical microscope at 40×, 100×, and 200×. Results: Ultrasonically activated NaOCl that had undergone intracanal heating showed a significantly smaller amount of debris compared to ultrasonically activated and traditionally applied NaOCl groups (p value < 0.05). Conclusions: Root canal cleanliness saw significant enhancements by ultrasonically activated NaOCl that had undergone intracanal heating. MDPI 2022-01-27 /pmc/articles/PMC8874436/ /pubmed/35208517 http://dx.doi.org/10.3390/medicina58020193 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Di Spirito, Federica
Pisano, Massimo
Caggiano, Mario
Bhasin, Prashant
Lo Giudice, Roberto
Abdellatif, Dina
Root Canal Cleaning after Different Irrigation Techniques: An Ex Vivo Analysis
title Root Canal Cleaning after Different Irrigation Techniques: An Ex Vivo Analysis
title_full Root Canal Cleaning after Different Irrigation Techniques: An Ex Vivo Analysis
title_fullStr Root Canal Cleaning after Different Irrigation Techniques: An Ex Vivo Analysis
title_full_unstemmed Root Canal Cleaning after Different Irrigation Techniques: An Ex Vivo Analysis
title_short Root Canal Cleaning after Different Irrigation Techniques: An Ex Vivo Analysis
title_sort root canal cleaning after different irrigation techniques: an ex vivo analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8874436/
https://www.ncbi.nlm.nih.gov/pubmed/35208517
http://dx.doi.org/10.3390/medicina58020193
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