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4 "Root canal irrigants"
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Research Articles
Effect of irrigation protocols on smear layer removal, bond strength and nanoleakage of fiber posts using a self-adhesive resin cement
Rodrigo Stadler Alessi, Renata Terumi Jitumori, Bruna Fortes Bittencourt, Giovana Mongruel Gomes, João Carlos Gomes
Restor Dent Endod 2023;48(3):e28.   Published online July 27, 2023
DOI: https://doi.org/10.5395/rde.2023.48.e28
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to investigate the effect of the application method of 2% chlorhexidine (CHX) and its influence on the adhesion of fiberglass posts cemented with a self-adhesive resin cement.

Materials and Methods

Sixty human mandibular premolars were endodontically treated and divided into 5 groups (n = 12), according to the canal irrigant and its application method: 2 groups with conventional syringe irrigation (CSI)—2.5% sodium hypochlorite (NaOCl) (control) and 2% CHX— and 3 groups with 2% CHX irrigation/activation—by passive ultrasonic irrigation (PUI), Easy Clean file, and XP-Endo Finisher file. Two roots per group were evaluated for smear layer (SL) removal by scanning electron microscopy. For other roots, fiber posts were luted using a self-adhesive resin cement. The roots were sectioned into 6 slices for push-out bond strength (BS) (7/group) and nanoleakage (NL) (3/group). Data from SL removal were submitted to Kruskal-Wallis and Student-Newman-Keuls tests (α = 0.05). Data from BS and NL were evaluated by 2-way analysis of variance and Tukey’s test (α = 0.05).

Results

For SL removal and BS, the CHX irrigation/activation promoted better values than CSI with CHX (p < 0.05), but it was not significantly different from CSI with NaOCl (p > 0.05). For NL, the lowest values were obtained by the chlorhexidine irrigation/activation groups (p < 0.05).

Conclusions

Active 2% CHX irrigation can be used to improve the post space cleaning and adhesion before fiber post cementation with self-adhesive resin cements.

Citations

Citations to this article as recorded by  
  • Laser‐Activated Irrigation via Photon‐Induced Photoacoustic Streaming and Shock Wave Enhanced Emission on Smear Layer Removal Efficacy, Pushout Bond Strength, and Sealer Adaptation: A SEM Assessment
    Basil Almutairi, Fahad Alkhudhairy
    Microscopy Research and Technique.2025;[Epub]     CrossRef
  • Evaluation of Microleakage Using Different Luting Cements in Kedo Zirconia Crowns: An In Vitro Assessment
    Guru Vishnu, Ganesh Jeevanandan
    Cureus.2024;[Epub]     CrossRef
  • 379 View
  • 24 Download
  • 2 Web of Science
  • 2 Crossref
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The use of auxiliary devices during irrigation to increase the cleaning ability of a chelating agent
Marina Carvalho Prado, Fernanda Leal, Renata Antoun Simão, Heloisa Gusman, Maíra do Prado
Restor Dent Endod 2017;42(2):105-110.   Published online February 3, 2017
DOI: https://doi.org/10.5395/rde.2017.42.2.105
AbstractAbstract PDFPubReaderePub
Objectives

This study investigated the cleaning ability of ultrasonically activated irrigation (UAI) and a novel activation system with reciprocating motion (EC, EasyClean, Easy Equipamentos Odontológicos) when used with a relatively new chelating agent (QMix, Dentsply). In addition, the effect of QMix solution when used for a shorter (1 minute) and a longer application time (3 minutes) was investigated.

Materials and Methods

Fifty permanent human teeth were prepared with K3 rotary system and 6% sodium hypochlorite. Samples were randomly assigned to five groups (n = 10) according to the final irrigation protocol: G1, negative control (distilled water); G2, positive control (QMix 1 minute); G3, QMix 1 minute/UAI; G4, QMix 1 minute/EC; G5, QMix 3 minutes. Subsequently the teeth were prepared and three photomicrographs were obtained in each root third of root walls, by scanning electron microscopy. Two blinded and pre-calibrated examiners evaluated the images using a four-category scoring system. Data were statistically analyzed using Kruskal-Wallis and Dunn tests (p < 0.05).

Results

There were differences among groups (p < 0.05). UAI showed better cleaning ability than EC (p < 0.05). There were improvements when QMix was used with auxiliary devices in comparison with conventional irrigation (p < 0.05). Conventional irrigation for 3 minutes presented significantly better results than its use for 1 minute (p < 0.05).

Conclusions

QMix should be used for 1 minute when it is used with UAI, since this final irrigation protocol showed the best performance and also allowed clinical optimization of this procedure.

Citations

Citations to this article as recorded by  
  • Comparative Evaluation of Different Methods of Activation of Chelating Solution for Smear Layer Removal in the Apical Portion of the Root Canal Using a Scanning Electron Microscopy: An In Vitro Study
    Mrunal B Alhat, Sudha B Mattigatti, Rushikesh R Mahaparale, Kapil D Wahane, Apoorva Jadhav
    Cureus.2024;[Epub]     CrossRef
  • The Impact of Laser-Activated and Conventional Irrigation Techniques on Sealer Penetration into Dentinal Tubules
    Dilara Koruk, Fatma Basmacı, Dilan Kırmızı, Umut Aksoy
    Photobiomodulation, Photomedicine, and Laser Surgery.2022; 40(8): 565.     CrossRef
  • Utilização dos atuais métodos de agitação de soluções endodônticas no canal radicular
    Lívia Rodrigues Schneider, Larissa Giovanella
    Revista Científica Multidisciplinar Núcleo do Conhecimento.2022; : 135.     CrossRef
  • Smear layer removal by passive ultrasonic irrigation and 2 new mechanical methods for activation of the chelating solution
    Ricardo Machado, Isadora da Silva, Daniel Comparin, Bianca Araujo Marques de Mattos, Luiz Rômulo Alberton, Ulisses Xavier da Silva Neto
    Restorative Dentistry & Endodontics.2021;[Epub]     CrossRef
  • Proteomic analysis of human dental pulp in different clinical diagnosis
    Poliana Amanda Oliveira Silva, Stella Maris de Freitas Lima, Mirna de Souza Freire, André Melro Murad, Octávio Luiz Franco, Taia Maria Berto Rezende
    Clinical Oral Investigations.2021; 25(5): 3285.     CrossRef
  • Effect of QMix irrigant in removal of smear layer in root canal system: a systematic review of in vitro studies
    Margaret Soo Yee Chia, Abhishek Parolia, Benjamin Syek Hur Lim, Jayakumar Jayaraman, Isabel Cristina Celerino de Moraes Porto
    Restorative Dentistry & Endodontics.2020;[Epub]     CrossRef
  • The effect of 17% EDTA and QMiX ultrasonic activation on smear layer removal and sealer penetration: ex vivo study
    Felipe de Souza Matos, Fabrício Rutz da Silva, Luiz Renato Paranhos, Camilla Christian Gomes Moura, Eduardo Bresciani, Marcia Carneiro Valera
    Scientific Reports.2020;[Epub]     CrossRef
  • Micro-CT evaluation of different final irrigation protocols on the removal of hard-tissue debris from isthmus-containing mesial root of mandibular molars
    Emmanuel João Nogueira Leal Silva, Carla Rodrigues Carvalho, Felipe Gonçalves Belladonna, Marina Carvalho Prado, Ricardo Tadeu Lopes, Gustavo De-Deus, Edson Jorge Lima Moreira
    Clinical Oral Investigations.2019; 23(2): 681.     CrossRef
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  • 8 Crossref
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Accuracy of Root ZX in teeth with simulated root perforation in the presence of gel or liquid type endodontic irrigant
Hyeong-Soon Shin, Won-Kyung Yang, Mi-Ri Kim, Hyun-Jung Ko, Kyung-Mo Cho, Se-Hee Park, Jin-Woo Kim
Restor Dent Endod 2012;37(3):149-154.   Published online August 29, 2012
DOI: https://doi.org/10.5395/rde.2012.37.3.149
AbstractAbstract PDFPubReaderePub
Objectives

To evaluate the accuracy of the Root ZX in teeth with simulated root perforation in the presence of gel or liquid type endodontic irrigants, such as saline, 5.25% sodium hypochlorite (NaOCl), 2% chlorhexidine liquid, 2% chlorhexidine gel, and RC-Prep, and also to determine the electrical conductivities of these endodontic irrigants.

Materials and Methods

A root perforation was simulated on twenty freshly extracted teeth by means of a small perforation made on the proximal surface of the root at 4 mm from the anatomic apex. Root ZX was used to locate root perforation and measure the electronic working lengths. The results obtained were compared with the actual working length (AWL) and the actual location of perforations (AP), allowing tolerances of 0.5 or 1.0 mm. Measurements within these limits were considered as acceptable. Chi-square test or the Fisher's exact test was used to evaluate significance. Electrical conductivities of each irrigant were also measured with an electrical conductivity tester.

Results

The accuracies of the Root ZX in perforated teeth were significantly different between liquid types (saline, NaOCl) and gel types (chlorhexidine gel, RC-Prep). The accuracies of electronic working lengths in perforated teeth were higher in gel types than in liquid types. The accuracy in locating root perforation was higher in liquid types than gel types. 5.25% NaOCl had the highest electrical conductivity, whereas 2% chlorhexidine gel and RC-Prep gel had the lowest electrical conductivities among the five irrigants.

Conclusions

Different canal irrigants with different electrical conductivities may affect the accuracy of the Root ZX in perforated teeth.

Citations

Citations to this article as recorded by  
  • Effect of Different Electroconductive Root Canal Irrigations on the Accuracy of Different Apex Locators: An In Vitro Comparative Study
    Eman M. Yahya, Ashraf S. Alchalabi, Emad Farhan Alkhalidi
    Journal of International Society of Preventive and Community Dentistry.2024; 14(3): 211.     CrossRef
  • The precision of radiographic and electronic working length estimation methods in endodontics: A systematic review of clinical studies
    Anithakumari Rangappa, Buvaneshwari Arul, Jayalakshmi Somasundaram, Velmurugan Natanasabapathy
    Endodontology.2024;[Epub]     CrossRef
  • Comparative evaluation of the accuracy of electronic apex locators and cone-beam computed tomography in detection of root canal perforation and working length during endodontic retreatment
    Simay Koç, Hatice Harorlı, Alper Kuştarcı
    BMC Oral Health.2024;[Epub]     CrossRef
  • Comparative Accuracy and Reliability of Three Electronic Apex Locators in Determining the Apical Constriction of Molar Canals: A Micro-CT Evaluation
    Reem M. Barakat, Rahaf A. Almohareb, Arwa O. Alharbi, Asma Alhazmi, Reem Alomar
    Journal of Clinical Medicine.2024; 13(17): 5199.     CrossRef
  • Accuracy of the integrated electronic apex locator in locating simulated perforation under various irrigating solutions in an in vitro study
    Chintan Joshi, Surabhi Joshi, Urooj Desai, Sweety Thumar, Aashray Patel, Ankita Khunt
    Brazilian Journal of Oral Sciences.2024; 23: e241118.     CrossRef
  • The Accuracy of Different Apex Locator Systems in Detecting Root Perforations in the Presence of Different Irrigation Solutions
    Oğuz Burhan Çetinkaya, Emre Çulha, Uğur Aydın
    European Journal of Therapeutics.2023; 30(1): 39.     CrossRef
  • In Vitro Comparison of the Accuracy of Cone-Beam Computed Tomography Scanning and Electronic Apex Locators in Detection of Simulated Root Perforations in Different Localizations
    Hatice Harorlı, Simay Koç, Alper Kuştarcı
    Journal of Endodontics.2023; 49(12): 1676.     CrossRef
  • Accuracy of different electronic apex locators in determination of minimum Root perforation diameter
    Simay Koç, Alper Kuştarcı, Kürşat Er
    Australian Endodontic Journal.2023; 49(S1): 179.     CrossRef
  • The influence of MTAD and QMix on the accuracy of electronic apex locator in locating simulated perforations
    A Dumani, AA Ates, CS Ucan, S Yilmaz, I Unal, O Yoldas
    Nigerian Journal of Clinical Practice.2022; 25(3): 281.     CrossRef
  • Synthesis and evaluation of grafted xanthan gum as a drug carrier in developing lornoxicam gel formulations
    SandipAshok Murtale, PrakashS Goudanavar, NRaghavendra Naveen, WalaaF Alsanie, Majid Alhomrani, AbdulhakeemS Alamri, SyedMohammed Basheeruddin Asdaq, MdKhalid Anwer, Nagaraja Sreeharsha, MazenAl Gharsan, Santosh Fattepur
    Pharmacognosy Magazine.2022;[Epub]     CrossRef
  • KOMBİNE İRRİGASYON SOLÜSYONLARININ ELEKTRİKSEL İLETKENLİĞİNİN KARŞILAŞTIRILMASI
    Ayşin DUMANİ, Şehnaz YILMAZ, Oğuz YOLDAŞ, Güray KILINÇÇEKER
    Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi.2022; : 1.     CrossRef
  • Accuracy of electronic apex locator in the presence of different irrigating solutions
    Padmanabh Jha, Vineeta Nikhil, Shalya Raj, Rohit Ravinder, Preeti Mishra
    Endodontology.2021; 33(4): 232.     CrossRef
  • Comparative Evaluation of Accuracy of Different Apex Locators: Propex IQ, Raypex 6, Root ZX, and Apex ID with CBCT and Periapical Radiograph—In Vitro Study
    Okba Mahmoud, Mawada Hassan Awad Abdelmagied, Ahmad Hisham Dandashi, Bakr Nssaief Jasim, Hussam Alddin Tawfik Kayali, Saaid Al Shehadat, Luca Testarelli
    International Journal of Dentistry.2021; 2021: 1.     CrossRef
  • Evaluation of Temperature Increase From Joule Heat in Numerical Tooth Model by Applying 500 kHz Current for Apical Periodontitis Treatment—Effect of Applied Voltage and Tooth Conductivity
    Hiroo Tarao, Masatake Akutagawa, Takahiro Emoto, Amane Takei, Hiromichi Yumoto, Toshihiko Tominaga, Toshitaka Ikehara, Yosuke Kinouchi
    Bioelectromagnetics.2021; 42(3): 224.     CrossRef
  • Confort visual en oficinas, factor temporal en la evaluación de deslumbramiento
    J. Yamin, A. Pattini, E. Colombo
    Informes de la Construcción.2020; 72(557): e329.     CrossRef
  • The influence of two forms of chlorhexidine on the accuracy of contemporary electronic apex locators
    Ewa Marek, Ryta Łagocka, Katarzyna Kot, Krzysztof Woźniak, Mariusz Lipski
    BMC Oral Health.2020;[Epub]     CrossRef
  • Efficiency of an integrated apex locator in determining working length in various irrigating solutions: An in vivo study
    RakeshReddy Chukka, MalatiDevi Bellam, NarenderReddy Marukala, Sainath Dinapadu, NareshKumar Konda, Jithender Nagilla
    Journal of Pharmacy And Bioallied Sciences.2020; 12(5): 410.     CrossRef
  • Accuracy of two electronic apex locators in locating root perforations in curved canals in dry and wet conditions: A comparative in vitro study
    MonishaParshotam Khatri, SheetalB Ghivari, Madhu Pujar, Reshma Faras, Pallavi Gopeshetti, Amulya Vanti
    Dental Research Journal.2019; 16(6): 407.     CrossRef
  • Consistency of electronic measurements of endodontic working length when using multiple devices from the same manufacturer—an in vitro study
    Franziska Haupt, M Hülsmann
    Clinical Oral Investigations.2018; 22(9): 3107.     CrossRef
  • The Influence of Various Irrigants on the Accuracy of 2 Electronic Apex Locators in Locating Simulated Root Perforations
    Demet Altunbaş, Alper Kuştarcı, Mustafa Toyoğlu
    Journal of Endodontics.2017; 43(3): 439.     CrossRef
  • Accuracy and Repeatability of 3 Apex Locators in Locating Root Canal Perforations: An Ex Vivo Study
    Fábio Luiz Cunha D'Assunção, Julio Cézar Nascimento Sousa, Kayo César Amaro Felinto, Thiago Clístines de Medeiros, Diego Tavares Leite, Raissa Bezerra de Lucena, Joab de Oliveira Lima
    Journal of Endodontics.2014; 40(8): 1241.     CrossRef
  • 213 View
  • 3 Download
  • 21 Crossref
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Original Article
Evaluation of time-dependent antimicrobial effect of sodium dichloroisocyanurate (NaDCC) on Enterococcus faecalis in the root canal
Hye-Jeong Kim, Se-Hee Park, Kyung-Mo Cho, Jin-Woo Kim
J Korean Acad Conserv Dent 2007;32(2):121-129.   Published online March 31, 2007
DOI: https://doi.org/10.5395/JKACD.2007.32.2.121
AbstractAbstract PDFPubReaderePub

The purpose of this study was to assess the antibacterial effect of sodium dichloroisocyanurate (NaDCC), sodium hypochlorite (NaOCl), and chlorhexidine (CHX) on Enterococcus faecalis and to evaluate and to compare the time-dependant antimicrobial effect of NaDCC with NaOCl and CHX in the root canal in vitro before and after instrumentation.

Extracted human single teeth were prepared by serial instrumentation technique. The samples were autoclaved and contaminated for 3 days with E. faecalis monocultures. The teeth were then divided into 4 groups. Each group was irrigated and inserted with 2% NaOCl, 2% NaDCC, 2% CHX and sterilized saline. After 6, 12, 24, 72h, and 1 week incubation, sterilized paper point was inserted into the root canal. Paper points containing root canal contents were then placed on the agar plate. And then each root canal was prepared with #4 and #5 GG (Gates-Glidden) drill. The debris were collected in the sterilized microtube and the plates were incubated at 37℃ in an increased CO2 atmosphere. After 24h incubation the growth of bacteria around the paper points were measured.

NaOCl and NaDCC solution shows similar antimicrobial effect for E. faecalis at 6, 12, 24, 72h and 1 week. In control group, irrigated with sterilized saline, no antimicrobial effect was observed.

The results are in agreement with other investigators, who have shown the bactericidal property and possibility of NaDCC as a root canal irrigation solution. Thus it seems that NaDCC solutions can be clinically applied into the root canal within 1 week after dilution.

Citations

Citations to this article as recorded by  
  • Pulmonary toxicity of sodium dichloroisocyanurate after intratracheal instillation in sprague-dawley rats
    Jean Yoo, Haewon Kim, Yeon-Mi Lim, Byung-Il Yoon, Pilje Kim, Ig-Chun Eom, Ilseob Shim
    Human & Experimental Toxicology.2022;[Epub]     CrossRef
  • Enterococcus faecium and Enterococcus faecalis in endodontic infections: antibiotic resistance profile and susceptibility to photodynamic therapy
    Ana Carolina Chipoletti Prado, Patrícia Pimentel De Barros, Jéssica Diane Dos Santos, Luciane Dias De Oliveira, Claudio Antônio Talge Carvalho, Marcia Carneiro Valera, Antonio Olavo Cardoso Jorge, Juliana Campos Junqueira
    Lasers in Dental Science.2017; 1(2-4): 91.     CrossRef
  • Evaluation of Antimicrobial Activity and Disease Control Efficacy of Sodium Dichloroisocyanurate (NaDCC) Against Major Strawberry Diseases
    Da-Ran Kim, Gun-Hye Gang, Hyun-Ji Cho, Hae-Suk Yoon, Youn-Sig Kwak
    The Korean Journal of Pesticide Science.2015; 19(1): 47.     CrossRef
  • Effect of Gamma Irradiation and Its Convergent Treatments on Lily Leaf Blight Pathogen, Botrytis elliptica, and the Disease Development
    Ji-Hoon Kim, Sung-Chul Yun
    Research in Plant Disease.2014; 20(2): 71.     CrossRef
  • Microorganism penetration in dentinal tubules of instrumented and retreated root canal walls.In vitroSEM study
    Saad Al-Nazhan, Alaa Al-Sulaiman, Fellwa Al-Rasheed, Fatimah Alnajjar, Bander Al-Abdulwahab, Abdulhakeem Al-Badah
    Restorative Dentistry & Endodontics.2014; 39(4): 258.     CrossRef
  • Analysis of para-chloroaniline after chemical interaction between alexidine and sodium hypochlorite using mass spectrometry: A preliminary study
    Hyeon-Sik Kim, Seung-Hyun Han, Soram Oh, Sang-Min Lim, Yu Gu, Kee-Yeon Kum
    Journal of Korean Academy of Conservative Dentistry.2010; 35(4): 295.     CrossRef
  • The comparison of different canal irrigation methods to prevent reaction precipitate between sodium hypochlorite and chlorhexidine
    Moon-Sun Choi, Se-Hee Park, Kyung-Mo Cho, Jin-Woo Kim
    Journal of Korean Academy of Conservative Dentistry.2010; 35(2): 80.     CrossRef
  • Comparison of Antibacterial effect of Listerine® with Various root canal irrigants
    Young Hun Kim, Min-Kyung Kang, Eun-Kyoung Choi, So-Young Yang, Inseok Yang, In-Chol Kang, Yun-Chan Hwang, In-Nam Hwang, Won-Mann Oh
    Journal of Korean Academy of Conservative Dentistry.2009; 34(6): 500.     CrossRef
  • Evaluation ofEnterococcus faecalisremoval efficacy of the EndoVac® and EndoActivator® intracanal irrigation methods
    Seung-Gon Song, Se-Hee Park, Kyung-Mo Cho, Jin-Woo Kim
    Journal of Korean Academy of Conservative Dentistry.2009; 34(5): 390.     CrossRef
  • The effect of MTAD as a final root canal irrigants on the coronal bacterial leakage of obturated root canals
    Tae Woo Kim, Seok Woo Chang, Dong Sung Park
    Journal of Korean Academy of Conservative Dentistry.2008; 33(4): 397.     CrossRef
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