Effectiveness of passive ultrasonic irrigation in endodontic treatment

Authors

DOI:

https://doi.org/10.33448/rsd-v10i14.21879

Keywords:

Endodontics; endodontics; ultrasonic activation; root canal irrigants.; Ultrasonic activation; Root canal irrigants.

Abstract

Treatment of the root canal system (SCR) requires mechanical and chemical techniques to shape, clean and fill the pulp cavity. There are irrigation techniques that enhance the action of irrigants and allow greater access to undesirable substances in the complex system of root canals that are not reached mechanically during the biomechanics of endodontic treatment, thus improving the cleaning and disinfection of the pulp cavity during endodontic therapy and reducing the bacterial load. The aim of the present study was to investigate the method of passive ultrasonic irrigation (PUI) as a technique for circulating irrigation solutions in root canals, its advantages and limitations compared to conventional irrigation methods. To perform this work, a search was conducted in the BVS, SCIELO, PUBMED databases for the last 16 years. 54 relevant articles were considered, from which 15 articles were selected. It is concluded that the ultrasonic technique is widely used because it enhances and directs the irrigation solution along the entire length of the root canal system and its recesses, but its effect may be limited in the apical part of the root due to the morphology of the root canal.

References

Ahmetoglu, F., Keles, A., Muhammet, Y.(2014). Effectiveness of different irrigation systems on smear layer removal: A scanning electron microscopic study. Eur J Dent, 8( 1): 53, 2014.

Basrani, B. (2015). Endodontic irrigation: Chemical disinfection of the root canal system. Springer.

Bem, S. H. C. (2016). Avaliação dos efeitos da irrigação ultrassônica passiva, por meio de microtomografia computadorizada, microscopia óptica e microscopia eletrônica de varredura. Tese de Doutorado. USP.

Boutsioukis, C., Lambrianidis, T., kastrinakis, E., Bekiaroglou, P. (2007). Measurement of pressure and flow rates during irrigation of a root canal ex vivo with three endodontic needles. Int Endod J, 40(7): 504-513.

Bueno, C. R. E., Cury, M. T. S., Vasques, A. M. V., Sarmiento, J. L., Trizzi, J. Q., Jacinto, R. C., Araujo, G. S., Dezan Junior, E. (2019). Cleaning effectiveness of a nickel- titanium ultrasonic tip in ultrasonically activated irrigation: a SEM study. Braz Oral Res, 33.

Castagna, F., Rizzon, P., Rosa, R. A., Santini, M. F., Barreto, M. S., Duarte, M. A. H., Só, M. V. R. (2013). Effect of passive ultrassonic instrumentation as a final irrigation protocol on debris and smear layer removal - a SEM analysis. Microsc Res Tech, 76(5): 496-502.

Dioguardi, M. Gioia G. D., Illuizzi, G., Laneve, E., Cocco, A., Troiano, G. (2018). Irrigantes Endodônticos: Diferentes Métodos para melhorar a eficácia e problemas relacionados. Eur J Dent, jul-set; 12 (3): 459-466.

Graça, B. P. (2014). O Hipoclorito de sódio em Endodontia. Tese de Doutorado. Universidade Fernando Pessoa.

Gu, X. H., Mao, C. Y., Kern, M. (2009). Effect of different irrigation on smear layer removal after post space preparation. J Endod, 35(4): 583-586.

Iandolo, A., Dagna, A., Poggio, C., Capar, I., Amato, A., Abdellatif, D.. (2019). Evaluation of actual chlorine concentration and required time for pulp dissolution using different sodium hypochlorite irrigating solutions. J Conserv Dent, mar- apr; 22 (2): 108-113.

İriboz, E., Bayraktar, K., Turkaydin, D., Tarçin, B. (2015). Comparison of apical extrusion of sodium hypochlorite using 4 different root canal irrigation techniques. J Endod, 41(3): 380- 384.

Keller, J. B. & Miksis, M. (1980). Bubble oscilations of large amplitude. J Acoust Soc Am, 68(2); 628-633.

Kucher, M., Dannemann, M., Modler, N., Hanning, C., Weber, M. T. (2019). Effects of Endodontics irrigants on Material and Surface Properties of Biocompatible Thermoplastics. Dent J, mar; 7 (1): 26.

Mozo, S., Llena, C., Forner, L. (2012). Review of ultrasonic irrigation in endodontics: increasing action of irrigating solutions. Med Oral Patol Oral Cir Bucal, 17(3): e512.

Nagendrababu, V., Jayaraman, J., Suresh, A., Kalyanasundaram, S., Neelakantan, P. (2018). Effectiveness of ultrasonically activated irrigation on root canal disinfection: a systematic review of in vitro studies. Clin Oral Investig, 22( 2): 655-670.

Neuhaus, K. W., Liebi, M., Stauffacher, S., Eick, S., Lussi, A. (2016). Antibacterial efficacy of a new sonic irrigation device for root canal disinfection. J Endod, 42(12): 1799-1803.

Silva, F. M. T. C. (2013). Remoção da smear layer dos canais radiculares em função das técnicas de instrumentação e irrigação endodônticas= Remoción del barrillo dentinario en los conductos radiculares en función de las técnicas de instrumentación e irrigación endodóncicas. Tese de Doutorado. Universitat de València.

Soligo L. T., Lodi, E., Farina, A. P., Souza, M. A., Vidal, C. M. P., Cecchin, D. (2018). Antibacterial efficacy of synthetic and natural derived novel endodontic irrigant solutions. Braz. Dent. J, 29(5): 459-464

Tanomaru-Filho, M., Miano, L. M., Chávez-Andrade, G. M., Torres, F. F., Leonardo, R. T., Guerreiro-Tanomaru, J. M. (2015). Cleaning of Root Canal System by Different Irrigation Methods. J Contemp Dent Pract, 16(11): 859-863.

Van Der Sluis, L. W. M., Versluis, M., Wu, M. K., Wesselink, P.R. (2007). Passive ultrasonic irrigation of the root canal: a review of the literature. Int Endod J, 40(6): 415-426.

Van Der Sluis, L. W. M., Vogels, M. P. J. M., Verhaagen, B., Macedo, R., Wesselink, P. R. (2010). Study on the influence of refreshment/activation cycles and irrigants on mechanical cleaning efficiency during ultrasonic activation of the irrigant. J Endod, 36(4): 737-740.

Vinhorte, M. C., Suzuki, E. H., Carvalho, M. S., Marques, A. A. F., Sponchiado Junior, E. C., Garcia, L. F. R. (2014). Effect of passive ultrasonic agitation during final irrigation on cleaning capacity of hybrid instrumentation. Rest Dent Endod, 39(2): 104-108.

Violich, D. R., Chandler, N. P. (2010). The smear layer in endodontics–a review. Int Endod J, 43(1): 2-15.

Yuanyuan, C., Wenhui, Z., Bin, G., Xiaolong, G., Shilu, H., Hu, L., Min, F., Manxin, Y., Yan, L. (2015). Cleaning effect of ultrasonic activation as an adjunct to syringe irrigation of root canals: a systematic review. West China J Stomatol, 33(2): 145-152.

Published

29/10/2021

How to Cite

BANTLE, M. de L. D. .; ROSAS, C. A. P. .; LIMOEIRO, A. G. . da S. .; PELEGRINE, R. A. .; FONTANA, C. E.; FERREIRA, E. H. R. G. .; CASELLI, R. Z. F.; BUENO, C. E. da S. .; BALDI, J. V. . Effectiveness of passive ultrasonic irrigation in endodontic treatment. Research, Society and Development, [S. l.], v. 10, n. 14, p. e106101421879, 2021. DOI: 10.33448/rsd-v10i14.21879. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/21879. Acesso em: 19 apr. 2024.

Issue

Section

Health Sciences