Evaluation of the efficacy of XP-endo Finisher, Easy Clean, Passive ultrasonic irrigation, and conventional irrigation in the removal of calcium hydroxide in simulated internal root resorption cavities

Authors

DOI:

https://doi.org/10.33448/rsd-v10i3.13023

Keywords:

Dental Pulp Cavity; Endodontics; Root canal irrigation.

Abstract

This study aimed to evaluate the efficacy of 5 irrigation protocols in removing calcium hydroxide in simulated internal root resorption cavities. Eighteen extracted human teeth, upper anterior and uniradicular, were prepared up to size 50. The teeth were divided longitudinally, and internal root resorption cavities were made by acid demineralization using nitric acid. The same sample was submitted to the five irrigation protocols. The cavities and root canals were filled with Ultracal XS (Ultradent, South Jordan, UT, USA) and stored in an incubator at 37ºC for one week. Afterward, the irrigation protocols were carried out: XP-endo Finisher (XPF; FKG, La Chaux-de-Fonds, Switzerland), passive ultrasonic irrigation (PUI), Easy Clean (Bassi/Easy Equipamentos Odontológicos, Belo Horizonte, Brazil) with reciprocating movement (ECR), Easy Clean with continuous rotation (ECC) and conventional irrigation with a syringe (CI). The solutions used, 2.5% NaOCl, and 17% EDTA, were warmed. The total volume of irrigant used for each sample was 20 mL (10 mL of 2.5% NaOCl, 5 mL of 17% EDTA and 5 mL of distilled water). The amount of calcium hydroxide remaining in the internal resorption after irrigation was assessed using scores. The data were analyzed using the Pearson and Kruskal-Wallis (Dunn) tests. Significantly more calcium hydroxide was removed in the XPF group than all other sample groups (P < 0.0001). XPF was superior to the other methods tested to remove calcium hydroxide in teeth with simulated internal resorptions.

References

Ahmad, M., Pitt Ford, T. J., & Crum, L. A.(1987). Ultrasonic debridement of root canals: Acoustic streaming and its possible role. J Endod, 13:490-9.

Barbizam, J. V., Trope, M., Teixeira, E. C., et al. (2008). Effect of calcium hydroxide intracanal dressing on the bond strength of a resin-based endodontic sealer. Braz Dent J, 19:224-7.

Calt, S., & Serper, A. (1999).Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. J Endod, 25:431-3.

da Silveira, P. F., Vizzotto, M. B., Montagner, F., et al. (2014). Development of a new in vitro methodology to simulate internal root resorption. J Endod,40:211-6.

Dioguardi, M., Di Gioia, G., Illuzzi, G., et al. (2018). Endodontic irrigants: Different methods to improve efficacy and related problems. Eur J Dent, 12:459‐66.

Duque, J. A., Duarte, M. A., Canali, L. C., et al. (2017). Comparative effectiveness of new mechanical irrigant agitating devices for debris removal from the canal and isthmus of mesial roots of mandibular molars. J Endod,43:326-31.

Fernandes, K. G., Silva, B. B., Boer, N. C., et al. (2020). The Effectiveness of Three Irrigation Systems in the Enterococcus faecalis Reduction after Instrumentation with a Reciprocating Instrument. Eur J Dent, 14(4):539-543.

Gabor, C., Tam, E., Shen, Y., et al. (2012) Prevalence of internal inflammatory root resorption. J Endod, 38:24-7.

Ghabraei, S., Bolhari, B., Yaghoobnejad, F., & Meraji, N. Effect of intra-canal calcium hydroxide remnants on the push-out bond strength of two endodontic sealers. Iran Endod J 2017;12:168-72.

Haapasalo, M., & Endal, U. (2006). Internal inflammatory root resorption: The unknown resorption of the tooth. Endodontic topics, 14:60-79.

Jiang, L. M., Verhaagen, B., Versluis, M., et al. (2011). The influence of the ultrasonic intensity on the cleaning efficacy of passive ultrasonic irrigation. J Endod, 37:688-92.

Kato, A. S., Cunha, R. S., da Silveira Bueno, C. E., et al. (2016). Investigation of the efficacy of passive ultrasonic irrigation versus irrigation with reciprocating activation: An environmental scanning electron microscopic study. J Endod, 42:659-63.

Keskin, C., Sariyilmaz, E., & Sariyilmaz, O. (2017). Efficacy of xp-endo finisher file in removing calcium hydroxide from simulated internal resorption cavity. J Endod, 43:126-30.

Macedo, R., Verhaagen, B., Rivas, D. F., et al. (2014)Cavitation measurement during sonic and ultrasonic activated irrigation. J Endod, 40:580-3.

Majorana, A., Bardellini, E., Conti. G., et al. (2003). Root resorption in dental trauma: 45 cases followed for 5 years. Dent Traumatol, 19:262-5.

Margelos, J., Eliades, G., Verdelis, C., et al. (1997). Interaction of calcium hydroxide with zinc oxide-eugenol type sealers: A potential clinical problem. J Endod, 23:43-8.

Mohammadi, Z., & Dummer, P. M. (2011). Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int Endod J, 44:697-730.

Patel, S., Ricucci, D., Durak, C., et al. (2010) Internal root resorption: A review. J Endod, 36:1107-21.

Salgado, R. J., Moura-Netto, C., Yamazaki, A. K., et al. (2009). Comparison of different irrigants on calcium hydroxide medication removal: Microscopic cleanliness evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 107:580-4.

Tasdemir, T., Celik, D., Er, K., et al. (2011). Efficacy of several techniques for the removal of calcium hydroxide medicament from root canals. Int Endod, 44:505-9.

Topcuoglu, H. S., Duzgun, S., & Ceyhanli, K. T, (2015). Efficacy of different irrigation techniques in the removal of calcium hydroxide from a simulated internal root resortion cavity. Int Endod, 48:309-16.

Ulusoy, O. I., Savur, I. G., Alacam, T., et al. (2018). The effectiveness of various irrigation protocols on organic tissue removal from simulated internal resorption defects. Int Endod J, 51:1030-6.

van der Sluis, L. W., Versluis, M., Wu, M. K., et al. (2007). Passive ultrasonic irrigation of the root canal: A review of the literature. Int Endod J, 40:415-26.

van der Sluis, L.W., Wu, M. K., & Wesselink, P. R. (2007). The evaluation of removal of calcium hydroxide paste from an artificial standardized groove in the apical root canal using different irrigation methodologies. Int Endod J, 40:52-7.

Vivan, R. R., Duque, J. A., Alcalde, M. P., et al. (2016). Evaluation of different passive ultrasonic irrigation protocols on the removal of dentinal debris from artificial grooves. Braz Dent J, 27:568-72.

Wigler, R., Dvir, R., Weisman, A., et al. (2017). Efficacy of xp-endo finisher files in the removal of calcium hydroxide paste from artificial standardized grooves in the apical third of oval root canals. Int Endod J, 50:700-5.

Yucel, A. C., Gurel, M., Guler, E., et al. (2013). Comparison of final irrigation techniques in removal of calcium hydroxide. Aust Endod J, 39:116-21.

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Published

03/03/2021

How to Cite

CAMPOS, G. J.; BUENO, C. E. da S.; PELEGRINE, R. A.; LIMOEIRO, A. G. da S. .; FONTANA, C. E.; CASONATO JUNIOR, H.; MARTIN, A. S. de . Evaluation of the efficacy of XP-endo Finisher, Easy Clean, Passive ultrasonic irrigation, and conventional irrigation in the removal of calcium hydroxide in simulated internal root resorption cavities . Research, Society and Development, [S. l.], v. 10, n. 3, p. e1510313023, 2021. DOI: 10.33448/rsd-v10i3.13023. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/13023. Acesso em: 12 apr. 2021.

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Section

Health Sciences