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
DOI:
https://doi.org/10.33448/rsd-v10i3.13023Keywords:
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.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Gabriela Jorge Campos; Carlos Eduardo da Silveira Bueno; Rina Andrea Pelegrine; Ana Grasiela da Silva Limoeiro; Carlos Eduardo Fontana; Homero Casonato Junior; Alexandre Sigrist de Martin
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.