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Gary Shun Pan Cheung 2 Articles
Clinical efficacy of activated irrigation in endodontics: a focused review
Amelia Wan Tin Cheung, Angeline Hui Cheng Lee, Gary Shun Pan Cheung
Restor Dent Endod 2021;46(1):e10.   Published online January 26, 2021
DOI: https://doi.org/10.5395/rde.2021.46.e10
AbstractAbstract PDFPubReaderePub

Root canal debridement, which includes the removal of infected tissues and microbial biofilms, is considered the corner stone of root canal treatment. Chemical adjuncts play a multitude of functions in this regard, as tissue solvents, antimicrobial agents and for removing the smear layer. These adjuncts (irrigants) are usually delivered using a syringe and needle. With increasing knowledge of the complexity of root canal anatomy and tenacity of microbial biofilms, the need for strategies that potentiate the action of these irrigants within the root canal system cannot be overemphasized. Several such activated irrigation strategies exist. The aim of this review is to comprehensively discuss the different irrigant activation methods from the context of clinical studies.

Citations

Citations to this article as recorded by  
  • REVOLUCIONANDO LA ENDODONCIA: LA IMPORTANCIA DE IRRIGANTES MÚLTIPLES PARA UNA DESINFECCIÓN EFECTIVA DEL SISTEMA DE CONDUCTOS RADICULARES UNA REVISIÓN NARRATIVA
    Irving Pablo Fernandez Calle, Edwin Macias Limachi , Abigail Marisol Vargas Ticona , Jenny Paula Aguilar Avalos , Marivel Irene Condori Escobar, Alcides Ramber Maldonado Huaycho , Jenny Claudia Apaza Cayo , Miguel Angel Espinoza Vega , Jesús Alejan
    RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218.2024; 5(11): e5115929.     CrossRef
  • Cleaning and disinfection of the root canal system provided by four active supplementary irrigation methods
    Alessandra Timponi Goes Cruz, Adriane Antoniw Klemz, Edvaldo Antônio Ribeiro Rosa, Fabiana Soares Grecca, Bianca Mattos, Lucila Piasecki, Ricardo Machado, Sérgio Aparecido Ignácio, Ulisses Xavier da Silva Neto
    Scientific Reports.2024;[Epub]     CrossRef
  • Postendodontic Pain Using Single File System with Different Irrigation Protocols in Single-visit Root Canal Treatment: A Randomized Control Trial
    Kiran Patel, Kailash Attur, Nishtha Patel, Kamal M Bagda, Karthik P Venkataraghavan, Mohammed B Mustafa, Shylaja K Attur
    The Journal of Contemporary Dental Practice.2024; 25(2): 180.     CrossRef
  • Bacteria debridement efficacy of two sonic root canal irrigant activation systems
    Chang Zeng, Pei Hu, Colin P. Egan, Brian E. Bergeron, Franklin Tay, Jingzhi Ma
    Journal of Dentistry.2024; 140: 104770.     CrossRef
  • Evaluation of different activated irrigation protocols on debridement quality in various access cavity designs
    Urvashi M. Ujariya, Mitul Lallubhai Gangani, Rajendra P. Bharatiya, Anjali K. Kothari
    Endodontology.2024; 36(4): 400.     CrossRef
  • Synergistic antimicrobial potential of EGCG and fosfomycin against biofilms associated with endodontic infections
    Cristiane DUQUE, Amanda Caselato Andolfatto SOUZA, Kelly Limi AIDA, Jesse Augusto PEREIRA, Karina Sampaio CAIAFFA, Vanessa Rodrigues dos SANTOS, Leopoldo COSME-SILVA, Anuradha PRAKKI
    Journal of Applied Oral Science.2023;[Epub]     CrossRef
  • Insights of fluid dynamics in an optimally shaped root canal system
    Kavalipurapu Venkata Teja, Sindhu Ramesh, Krishnamachari Janani
    Saudi Endodontic Journal.2023; 13(2): 216.     CrossRef
  • Diamond–coated ultrasonic tip decreases debris and uninstrumented surface after preparation of curved canals with isthmus
    Maria Luiza GIOSTER–RAMOS, Mariana Mena Barreto PIVOTO–JOÃO, Jáder Camilo PINTO, Juliane Maria GUERREIRO–TANOMARU, Mário TANOMARU–FILHO
    Brazilian Oral Research.2023;[Epub]     CrossRef
  • Effectiveness of Passive Ultrasonic Irrigation Protocols in Simulated Complex Root Canal Cavities
    Flávia A. Plazza, Renan Dal-Fabbro, Leopoldo Cosme-Silva, Paulo C. T. Duarte, Caroline Loureiro, Vitória Z. Custódio, Luciano T. A. Cintra, Marco A. H. Duarte, João Eduardo Gomes-Filho
    Oral.2022; 3(1): 1.     CrossRef
  • Comparison of sealer penetration of sonic activation versus conventional needle irrigation: a systematic review and meta-analysis of randomized controlled trials
    Li Tan, Qiong Liu, Yun Chen, Ya-Qiong Zhao, Jie Zhao, Marie Aimee Dusenge, Yao Feng, Qin Ye, Jing Hu, Ze-Yue Ou-Yang, Ying-Hui Zhou, Yue Guo, Yun-Zhi Feng
    BMC Oral Health.2022;[Epub]     CrossRef
  • Efficacy of Photoinduced Photoacoustic Streaming and Diode Laser Irrigation Techniques on Smear Layer Removal, Sealer Penetration and Push-out Bond Strength
    Latifa Mohamed Abdelgawad, Nancy Attia Ahmed ElShafei, Somaia Abdlatif Eissa, Dalia Yahia Ibrahim
    Journal of Lasers in Medical Sciences.2022; 13(1): e12.     CrossRef
  • Microbiological Aspects of Root Canal Infections and Disinfection Strategies: An Update Review on the Current Knowledge and Challenges
    Jasmine Wong, Daniel Manoil, Peggy Näsman, Georgios N. Belibasakis, Prasanna Neelakantan
    Frontiers in Oral Health.2021;[Epub]     CrossRef
  • In vitro evaluation of efficacy of two endodontic sonic-powered irrigant agitation systems in killing single-species intracanal biofilms
    Chang Zeng, Joseph Everett, Stephanie Sidow, Brian E. Bergeron, Fucong Tian, Jingzhi Ma, Franklin R. Tay
    Journal of Dentistry.2021; 115: 103859.     CrossRef
  • A novel three‐dimensionally printed model to assess biofilm removal by ultrasonically activated irrigation
    Min‐Ji Choi, Mi‐Ah Kim, Yoorina Choi, Prasanna Neelakantan, Mi‐Kyung Yu, Kyung‐San Min
    International Endodontic Journal.2021; 54(10): 1871.     CrossRef
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Quality of root canal fillings using three gutta-percha obturation techniques
Edith Siu Shan Ho, Jeffrey Wen Wei Chang, Gary Shun Pan Cheung
Restor Dent Endod 2016;41(1):22-28.   Published online January 4, 2016
DOI: https://doi.org/10.5395/rde.2016.41.1.22
AbstractAbstract PDFPubReaderePub
Objectives

The goal of this study was to compare the density of gutta-percha root fillings obturated with the following techniques: cold lateral (CL) compaction, ultrasonic lateral (UL) compaction, and warm vertical (WV) compaction.

Materials and Methods

Thirty-three extracted mandibular first molars, with two separate mesial canals in each, were selected. After instrumentation, the canals were stratified into three groups based on canal length and curvature, and underwent obturation with one of the techniques. No sealer was used in order to avoid masking any voids. The teeth were imaged pre- and post-obturation using micro-computed tomography. The reconstructed three-dimensional images were analyzed volumetrically to determine the amount of gutta-percha present in every 2 mm segment of the canal. P values < 0.05 were considered to indicate statistical significance.

Results

The overall mean volume fraction of gutta-percha was 68.51 ± 6.75% for CL, 86.56 ± 5.00% for UL, and 88.91 ± 5.16% for WV. Significant differences were found between CL and UL and between CL and WV (p < 0.05), but not between UL and WV (p = 0.526). The gutta-percha density of the roots treated with WV and UL increased towards the coronal aspect, but this trend was not noted in the CL group.

Conclusions

WV compaction and UL compaction produced a significantly denser gutta-percha root filling than CL compaction. The density of gutta-percha was observed to increase towards the coronal aspect when the former two techniques were used.

Citations

Citations to this article as recorded by  
  • Effect of quality of radiographs taken during root canal treatment on technical quality of root canal fillings and endodontic outcome
    Jia Min Ng, Yan Yee Lee, Prashanti Chippagiri, Elaheh Ahanin, Abhishek Parolia
    Restorative Dentistry & Endodontics.2025; 50(1): e3.     CrossRef
  • Restorative and endodontic clinical strategies during COVID-19 (SARS-CoV-2) pandemic: a revision of the literature
    Manuele MANCINI, Flavio PALAZZI, Francesco IACONO
    Minerva Dental and Oral Science.2025;[Epub]     CrossRef
  • Different strategies for treating intracanal fractured instruments in a single tooth: A case report
    Rong Chai, Xinpei Jiang, Ruixia Ma, Qiang Zhang, E Yang, Ansheng Zhang
    Experimental and Therapeutic Medicine.2024;[Epub]     CrossRef
  • An Experimental Anatomic CBCT Study on the Correlations Between MB1 and MB2 of the Mesio-Vestibular Root of the Upper First Molars
    Luca Fiorillo, Cesare D’Amico, Giusy Rita Maria La Rosa, Francesco Calanna, Alfio Pappalardo, Eugenio Pedullà
    Journal of Craniofacial Surgery.2024; 35(2): 672.     CrossRef
  • Comparative Evaluation of Different Obturation Techniques for Root Canal Filling of Permanent Teeth: An In-Vitro Study
    Adhishree S Chib, Neeta S Padmawar, Sonali Waghmare, Durgesh A Tiwari, Shahinwaz Mulani, Megna Bhatt
    Cureus.2024;[Epub]     CrossRef
  • Root canal treatment of a rhizomegaly tooth 36 mm long right permanent maxillary canine – A case report
    Anita Kapri, Kiran Reddy, Varun Rana, Oliver Jacob, Pushpa Kumari
    IP Annals of Prosthodontics and Restorative Dentistry.2024; 10(1): 59.     CrossRef
  • Thermal and volumetric assessment of endodontic filling techniques using infrared thermography and micro-CT
    Fernanda Clotilde M. Suassuna, Débora Ketley M. de Araújo, Ana Marly A. M. Amorim, Saulo Leonardo S. Melo, Richard J. Heck, Antonio Celso D. Antonino, Patrícia M. Bento, Diego Filipe B. Silva, Daniela P. de Melo
    Journal of Oral Science.2023; 65(1): 34.     CrossRef
  • A Comparative Evaluation of Efficacy of Various Obturating Techniques for the Presence of Voids
    Rehan Ahmad Khan, Shailja Singh, Shazia Siddiqui, Mariyam Khan, Arfat Ahmad, Parul Shakarwal
    Journal of Pharmacy and Bioallied Sciences.2023; 15(Suppl 2): S895.     CrossRef
  • Influence of the root canal filling technique on the success rate of primary endodontic treatments: a systematic review
    Daniel Feijolo Marconi, Giovana Siocheta da Silva, Theodoro Weissheimer, Isadora Ames Silva, Gabriel Barcelos Só, Leonardo Thomasi Jahnke, Jovito Adiel Skupien, Marcus Vinicius Reis Só, Ricardo Abreu da Rosa
    Restorative Dentistry & Endodontics.2022;[Epub]     CrossRef
  • Current trends in bio‐based elastomer materials
    Shuai Tang, Jiao Li, Runguo Wang, Jichuan Zhang, Yonglai Lu, Guo‐Hua Hu, Zhao Wang, Liqun Zhang
    SusMat.2022; 2(1): 2.     CrossRef
  • Carrier-Based Obturation: Effect of Sonication Technique on Sealer Penetration in Dentinal Tubules: A Confocal Laser Scanning Microscope Study
    Riccardo Tonini, Matteo Salvadori, Marco Bartoli, Jacopo Francinelli, Paolo Bertoletti, Maria Luisa Garo, Stefano Salgarello
    Applied Sciences.2022; 12(17): 8877.     CrossRef
  • A critical analysis of research methods and experimental models to study root canal fillings
    Gustavo De‐Deus, Erick Miranda Souza, Emmanuel João Nogueira Leal Silva, Felipe Gonçalves Belladonna, Marco Simões‐Carvalho, Daniele Moreira Cavalcante, Marco Aurélio Versiani
    International Endodontic Journal.2022; 55(S2): 384.     CrossRef
  • The effect of two endodontic sealers and interval before post-preparation and cementation on the bond strength of fiber posts
    He Yuanli, Wu Juan, Ji Mengzhen, Chen Xuan, Xiong Kaixin, Yang Xueqin, Qiao Xin, Hu Hantao, Gao Yuan, Zou Ling
    Clinical Oral Investigations.2021; 25(11): 6211.     CrossRef
  • Complete Obturation—Cold Lateral Condensation vs. Thermoplastic Techniques: A Systematic Review of Micro-CT Studies
    Shilpa Bhandi, Mohammed Mashyakhy, Abdulaziz S. Abumelha, Mazen F. Alkahtany, Mohamed Jamal, Hitesh Chohan, A. Thirumal Raj, Luca Testarelli, Rodolfo Reda, Shankargouda Patil
    Materials.2021; 14(14): 4013.     CrossRef
  • Root canal filling quality of mandibular molars with EndoSequence BC and AH Plus sealers: A micro‐CT study
    Rafael Nigri Roizenblit, Fabiola Ormiga Soares, Ricardo Tadeu Lopes, Bernardo Camargo dos Santos, Heloisa Gusman
    Australian Endodontic Journal.2020; 46(1): 82.     CrossRef
  • Effect of four different root canal obturation techniques on marginal adaptation of bioceramic sealer: An in vitro scanning electron microscopic study
    NawalA Al-Sabawi, MahaM Yahya, NjwanF Shehab
    Journal of International Oral Health.2020; 12(5): 455.     CrossRef
  • Micro-computed tomographic evaluation of a new system for root canal filling using calcium silicate-based root canal sealers
    Mario Tanomaru-Filho, Fernanda Ferrari Esteves Torres, Jader Camilo Pinto, Airton Oliveira Santos-Junior, Karina Ines Medina Carita Tavares, Juliane Maria Guerreiro-Tanomaru
    Restorative Dentistry & Endodontics.2020;[Epub]     CrossRef
  • Quantification of the tug-back by measuring the pulling force and micro computed tomographic evaluation
    Su-Jin Jeon, Young-Mi Moon, Min-Seock Seo
    Restorative Dentistry & Endodontics.2017; 42(4): 273.     CrossRef
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