Instrumentation with XP-Finisher as an enhancer for the disinfection of the root canal system – integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i13.20474

Keywords:

Endodontics; Desinfection; Root canal therapy.

Abstract

The aim of this study was to present, through a literature review, the performance of XP-Endo Finisher as an aid in cleaning and disinfection of the root canal system. An electronic search in the Virtual Health Library (BVS), also known as the Regional Library of Medicine (BIREME), was carried out from april 2016 to May 2021, using the descriptors endodontics, disinfection and root canal therapy. A total of 76 works were found, of which 30 met the research criteria, which evaluated the instrument's action on the ability to remove smear layer, debris, biofilm and bacteria from the root canal system, in addition to comparing it to other complementary cleaning and disinfection systems. Taking into account the limitations of a literature review, the XPF presented satisfactory results. Thus, XPF was presented as a potential adjuvant instrument in the disinfection of root canal systems.

References

Alakshar, A., Saleh, A .R. M., & Gorduysus, M. O. (2020). Debris and Smear Layer Removal from Oval Root Canals Comparing XP-Endo Finisher, EndoActivator, and Manual Irrigation: A SEM Evaluation. Eur J Dent. https://doi.org/10.1055/s-0040-1714762 ISSN 1305-7456

Alves, F. R. F., Andrade-Júnior, C. V., Marceliano-Alves, M. F., Pérez A. R., Rôças, I. N., Versiani, M. A., Sousa-Neto, M. D., Provenzano, J. C., & Siqueira, J. F. (2016). Adjunctive steps for disinfection of the mandibular molar root canal system: a correlative bacteriologic, micro–computed tomography, and cryopulverization approach. Journal of endodontics, 42 (11), 1667-1672. http://dx.doi.org/10.1016/j.joen.2016.08.003

Amaral, R. R., Braga, T., Reher, P., Oliveira, A. G. G., Farias, L. M., Magalhães, P. P., Ferreira, P. G., & Côrtes, M. I. S. (2020). Quantitative Assessment of the Efficacy of Two Different Single-file Systems in Reducing the Bacterial load in Oval-Shaped Canals: A Clinical Study. J Endod. https://doi.org/10.1016/j.joen.2020.06.007

Azim, A. A., Aksel, H., Zhuang, T., Mashtare, T., Babu J. P., & Huang, G. T. J. (2016). Efficacy of 4 irrigation protocols in killing bacteria colonized in dentinal tubules examined by a novel confocal laser scanning microscope analysis. J Endod, 42, 928–934. http://dx.doi.org/10.1016/j.joen.2016.03.009

Azimian, S., Bakhtiar, H., Azimi, S., & Esnaashari, E. (2019). In vitro effect of XP-Endo finisher on the amount of residual debris and smear layer on the root canal walls. Dental research journal, 16 (3), 179-184. 31040874

Ballal, N. V., Gandhi, P., Shenoy, P. A., & Dummer, P. M. H. (2020). Evaluation of various irrigation activation systems to eliminate bacteria from the root canal system: A randomized controlled single blinded trial. J Dent. https://doi.org/10.1016/j.jdent.2020.103412

Bao, P., Shen, Y., Lin, J., & Haapasalo, M. (2017). In vitro efficacy of XP-endo Finisher with 2 different protocols on biofilm removal from apical root canals. Journal of endodontics, 43 (2), 321-325. http://dx.doi.org/10.1016/j.joen.2016.09.021

Bedier, M. M., Hashem, A. A., & Hassan, Y. M. (2018). Improved dentin disinfection by combining different geometry rotary nickel-titanium files in preparing root canals. Restor Dent Endod, 43(3). https://doi.org/10.5395/rde.2018.43.e46

Carvalho, M. C., Zuolo, M. L., Arruda-Vasconcelos R., Marinho, A. C. S., Louzada, L. M., Francisco, P. A., Pecorari, V. G. A., & Gomes, B. P. F. A. (2019). Effectiveness of XP-Endo Finisher in the reduction of bacterial load in oval-shaped root canals. Brazilian Oral Research, 33. DOI: 10.1590/1807-3107bor-2019.vol33.0021

De-Deus, G., Belladonna, F. G., Zuolo, A. S., Perez, R., Carvalho, M. S., Souza, E. M., Lopes, R. T., & Silva, E. J. N. L. (2019). Micro-CT comparison of XP-endo Finisher and passive ultrasonic irrigation as final irrigation protocols on the removal of accumulated hard-tissue debris from oval shaped-canals. Clin Oral Investig, 23 (7), 3087-3093. https://doi.org/10.1007/s00784-018-2729-y

Della Porta, R., Chaves, C., Bergese, S., Scavo, R., Fernández-Canigia, L., & Zmener, O. (2020). Eficacia del instrumento XP-endo Finisher y del sistema EndoActivator en la reducción/eliminación del biofilm bacteriano: un ensayo ex vivo. Rev. Asoc. Odontol. Argent, 108 (2), 46-51.

Elnaghy, A. M., Mandorah, A., & Elsaka, S. E. (2017). Effectiveness of XP-endo Finisher, EndoActivator, and File agitation on debris and smear layer removal in curved root canals: a comparative study. Odontology, 105 (2), 178-183. DOI 10.1007/s10266-016-0251-8

Gazzaneo, I., Amoroso-Silva, P., Pacheco-Yanes, J., Alves, F. R. F., Marceliano-Alves M., Olivares, P., Meto, A., Mdala, I., Siqueira, J. F., & Rôças, I. N. (2020). Disinfecting and Shaping Type I C-shaped Root Canals: A Correlative Micro–computed Tomographic and Molecular Microbiology Study. Journal of Endodontics, 47, 621-630. https://doi.org/10.1016/j.joen.2020.11.007.

Gobbo, G D M. (2018). XP-endo Finisher: características e desempenho no sistema de canais radiculares - uma revisão de literatura. TCC (Graduação), Universidade de Brasília, Brasília, Brasil.

Jayakumaar, A., Ganesh, A., Kalaiselvam, R., Rajan, M., & Deivanayagam, K. (2019). Evaluation of debris and smear layer removal with XP-endo finisher: A scanning electron microscopic study. Indian Journal of Dental Research, 30 (3), 420-423. DOI: 10.4103/ijdr.IJDR_655_17

Kharouf, N., Pedullà, E., La Rosa, G., Bukiet, F., Sauro, S., Haikel, Y., & Mancino, D. (2020). In Vitro Evaluation of Different Irrigation Protocols on Intracanal Smear Layer Removal in Teeth with or without Pre-Endodontic Proximal Wall Restoration. Journal of clinical medicine, 9(10), 3325. https://doi.org/10.3390/jcm9103325

Leoni, G. B., Versiani, M. A., Silva-Sousa, Y. T., Bruniera, J. F. B., Pécora, J. D., & Sousa-Neto, M. D. (2017). Ex vivo evaluation of four final irrigation protocols on the removal of hard-tissue debris from the mesial root canal system of mandibular first molars. Int Endod J, 50, 398–406. doi:10.1111/iej.12630

Machado, A. G. (2017). Avaliação comparativa entre os sistemas saf®, trushape® e xp-endo shaper® na remoção de material obturador em molares inferiores associados ou não ao sistema xp-endo finisher r®. Dissertação de mestrado, Universidade Estácio de Sá, Rio de Janeiro, RJ, Brasil.

Marchi, A. (2018). Endo XP funções, vantagens e desvantagens. Dissertação de mestrado, Universidade Fernando Pessoa, Porto, Portugal.

Nangia D., Roongta Nawal, R., Yadav, S., & Talwar, S. (2020). Influence of Final Apical Width on Smear Layer Removal Efficacy of Xp Endo Finisher and Endodontic Needle: An Ex Vivo Study. Eur Endod J, 5 (1), 18-22. DOI 10.14744/eej.2019.58076

Pacheco-Yanes J., Provenzano, J. C., Marceliano-Alves, M. F., Gazzaneo, I., Pérez, A. R., Gonçalves, L. S., & Siquiera Jr, J. F. (2020). Distribution of sodium hypochlorite throughout the mesial root canal system of mandibular molars after adjunctive irrigant activation procedures: a micro-computed tomographic study. Clin Oral Investig, 24 (2), 907-914. https://doi.org/10.1007/s00784-019-02970-5

Pereira, S. M. da S. (2017). Dentina radicular submetida à limpeza final com XP-Endo Finisher, Irrigação Ultrassônica Passiva e K-file: Estudo ex vivo. Dissertação de mestrado, Universidade Ceuma, São Luiz, MA, Brasil.

Quinto, I. F. S. (2016). Influência da lima XP-endo Finisher na remoção de resíduos e consequente selagem da obturação dos canais. Dissertação de mestrado, Faculdade de Medicina - Universidade de Coimbra, Portugal.

Sanabria-Liviac D., Moldauer, B. I., Garcia-Godoy, F., Antonio-Campos, A., Casaretto, M., Torres-Navarro, J., & Scalercio, J. M. (2017). Comparison of the XP-endo finisher File system and Passive Ultrasonic Irrigation (PUI) on smear layer removal after root canal instrumentation effectiveness of two Irrigation methods on smear Layer removal. Journal of Dentistry and Oral Health, 4, 1-7. doi:10.17303/jdoh.2017.101

Sasanakul P., Ampornaramveth R. S., & Chivatxaranukul P. (2019). Influence of Adjuncts to Irrigation in the Disinfection of Large Root Canals. Journal of Endodontic, 45 (3), 332-337. https://doi.org/10.1016/j.joen.2018.11.015

Sousa, V. C. (2016). Efeito antibacteriano dos sistemas Self-Ajusting File, XPendo finisher e irrigação ultrassônica passiva sobre biofilme de Enterococcus faecalis. Dissertação de Mestrado, Universidade Federal de Goias, Goiania, GO, Brasil.

Teves, A., Blanco, D., Casaretto, M., Torres, J., Alvarado, D., & Jaramillo, D. E. (2019). Effectiveness of different disinfection techniques of the root canal in the elimination of a multi-species biofilm. J Clin Exp Dent, 11 (11), 978-983. doi:10.4317/jced.56000 http://dx.doi.org/10.4317/jced.56000

Trindade, A. (2016). Capacidade do sistema rotatório XP-Endo® Finisher na remoção de resíduos: avaliação da penetração de cimento de selagem nos túbulos dentinários. Dissertação de mestrado, Faculdade de Medicina, Universidade de Coimbra, Portugal.

Tüfenkçi, P., & Yilmaz, K. (2020). The Effects of Different Endodontic Access Cavity Design and Using XP-endo Finisher on the Reduction of Enterococcus faecalis in the Root Canal System. J Endod, 46 (3), 419-424. https://doi.org/10.1016/ j.joen.2019.11.011

Villalta-Briones, N., Baca, P., Bravo, M. Solana, C., Aguado-Pérez, B., Ruiz-Linares, M., & Arias-Moliz, M. T. (2020). A laboratory study of root canal and isthmus disinfection in extracted teeth using various activation methods with a mixture of sodium hypochlorite and etidronic acid. Int Endod J, 54 (2), 268-278. doi:10.1111/IEJ.13417

Xin, Y.,Yang, J., & Song, K. Y. (2019). In vitro evaluation of the effectiveness of XP-endo Finisher file on smear layer removal after root canal instrumentation. Hua xi kou qiang yi xue za zhi Huaxi kouqiang yixue zazhi West China journal of stomatology, 37 (1), 48-52. Doi 10.7518/hxkq.2019.01.009

Zand, V., Mokhtari, H., Reyhani, M. F., Nahavandizadeh, N., & Azimi, S. (2017). Smear layer removal evaluation of different protocol of Bio Race file and XP- endo Finisher file in corporation with EDTA 17% and NaOCl. J Clin Exp Dent, 9 (11), 1310-1314. doi:10.4317/jced.54179 http://dx.doi.org/10.4317/jced.54179

Zhao, Y., Fan, W., Xu, T., Tay, F. R., Gutmann, J. L. & Fan, B. (2019). Evaluation of several instrumentation techniques and irrigation methods on the percentage of untouched canal wall and accumulated dentine debris in C-shaped canals. Int Endod J, 52 (9), 1354-1365. doi: 10.1111/iej.13119

Published

09/10/2021

How to Cite

BRIANO, A. X. de L. C. T.; MELO JÚNIOR, P. M. R. de; TRAVASSOS, R. M. C.; PAZ, E. S. L. da. Instrumentation with XP-Finisher as an enhancer for the disinfection of the root canal system – integrative review . Research, Society and Development, [S. l.], v. 10, n. 13, p. e152101320474, 2021. DOI: 10.33448/rsd-v10i13.20474. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/20474. Acesso em: 7 dec. 2021.

Issue

Section

Health Sciences