Root canal debridement efficacy of heated sodium hypochlorite in conjunction with passive ultrasonic agitation: An ex vivo study

Background. This study aimed to investigate the endodontic debridement efficacy of different sodium hypochlorite (NaOCl) irrigation regimens with and without ultrasonic agitation, followed by ethylenediaminetetraacetic acid (EDTA) via scanning electron microscopy (SEM) after using a rotary instrumen...

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Main Authors: Yogesh Damade, Ramchandra Kabir, Sunanda Gaddalay, Sharvaree Deshpande, Sonali Gite, Sandip Bambale, Nileshkumar Dubey
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2020-12-01
Series:Journal of Dental Research, Dental Clinics, Dental Prospects
Subjects:
Online Access:https://joddd.tbzmed.ac.ir/PDF/joddd-14-235.pdf
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author Yogesh Damade
Ramchandra Kabir
Sunanda Gaddalay
Sharvaree Deshpande
Sonali Gite
Sandip Bambale
Nileshkumar Dubey
author_facet Yogesh Damade
Ramchandra Kabir
Sunanda Gaddalay
Sharvaree Deshpande
Sonali Gite
Sandip Bambale
Nileshkumar Dubey
author_sort Yogesh Damade
collection DOAJ
description Background. This study aimed to investigate the endodontic debridement efficacy of different sodium hypochlorite (NaOCl) irrigation regimens with and without ultrasonic agitation, followed by ethylenediaminetetraacetic acid (EDTA) via scanning electron microscopy (SEM) after using a rotary instrumentation system. Methods. Mandibular premolars (n=50) were randomly divided into five experimental groups (n=10) for root canal instrumentation with ProTaper Universal rotary system up to F3. The root canal system was treated with intracanal-heated NaOCl (100°C) or preheated NaOCl (55°C), followed by ultrasonic agitation and EDTA treatment. Samples irrigated with conventional needle irrigation (CNI) using normal saline solution were used as controls. Debridement efficacy was analyzed by SEM. A five-point scale was used to estimate the presence/absence of debris for each canal segment (coronal, middle, and apical). The results were analyzed using one-way ANOVA and post hoc Tukey tests (P<0.05). Results. The experimental groups exhibited less debris compared to CNI with saline (P<0.05). The amount of debris decreased significantly for the group with NaOCl intracanal heating compared to extraoral heating. Ultrasonic agitation further enhanced the root canal debridement efficacy of NaOCl. Conclusion. In summary, intracanal heating of NaOCl with and without ultrasonic agitation followed by EDTA appears to be a promising method to flush debris from the root canal system.
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spelling doaj.art-6604ffc525f944aead54cca35d83236f2022-12-21T21:26:58ZengTabriz University of Medical SciencesJournal of Dental Research, Dental Clinics, Dental Prospects2008-210X2008-21182020-12-0114423523810.34172/joddd.2020.040joddd-28397Root canal debridement efficacy of heated sodium hypochlorite in conjunction with passive ultrasonic agitation: An ex vivo studyYogesh Damade0Ramchandra Kabir1Sunanda Gaddalay2Sharvaree Deshpande3Sonali Gite4Sandip Bambale5Nileshkumar Dubey6Department of Conservative Dentistry & Endodontics, Maharashtra Institute of Dental Sciences & Research Dental College, Latur, IndiaDepartment of Conservative Dentistry & Endodontics, Maharashtra Institute of Dental Sciences & Research Dental College, Latur, IndiaDepartment of Conservative Dentistry & Endodontics, Maharashtra Institute of Dental Sciences & Research Dental College, Latur, IndiaDepartment of Conservative Dentistry & Endodontics, Maharashtra Institute of Dental Sciences & Research Dental College, Latur, IndiaDepartment of Conservative Dentistry & Endodontics, Maharashtra Institute of Dental Sciences & Research Dental College, Latur, IndiaDepartment of Conservative Dentistry & Endodontics, Maharashtra Institute of Dental Sciences & Research Dental College, Latur, IndiaDepartment of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USABackground. This study aimed to investigate the endodontic debridement efficacy of different sodium hypochlorite (NaOCl) irrigation regimens with and without ultrasonic agitation, followed by ethylenediaminetetraacetic acid (EDTA) via scanning electron microscopy (SEM) after using a rotary instrumentation system. Methods. Mandibular premolars (n=50) were randomly divided into five experimental groups (n=10) for root canal instrumentation with ProTaper Universal rotary system up to F3. The root canal system was treated with intracanal-heated NaOCl (100°C) or preheated NaOCl (55°C), followed by ultrasonic agitation and EDTA treatment. Samples irrigated with conventional needle irrigation (CNI) using normal saline solution were used as controls. Debridement efficacy was analyzed by SEM. A five-point scale was used to estimate the presence/absence of debris for each canal segment (coronal, middle, and apical). The results were analyzed using one-way ANOVA and post hoc Tukey tests (P<0.05). Results. The experimental groups exhibited less debris compared to CNI with saline (P<0.05). The amount of debris decreased significantly for the group with NaOCl intracanal heating compared to extraoral heating. Ultrasonic agitation further enhanced the root canal debridement efficacy of NaOCl. Conclusion. In summary, intracanal heating of NaOCl with and without ultrasonic agitation followed by EDTA appears to be a promising method to flush debris from the root canal system.https://joddd.tbzmed.ac.ir/PDF/joddd-14-235.pdfroot canalirrigationintracanal heatingsodium hypochloriteultrasonic agitation
spellingShingle Yogesh Damade
Ramchandra Kabir
Sunanda Gaddalay
Sharvaree Deshpande
Sonali Gite
Sandip Bambale
Nileshkumar Dubey
Root canal debridement efficacy of heated sodium hypochlorite in conjunction with passive ultrasonic agitation: An ex vivo study
Journal of Dental Research, Dental Clinics, Dental Prospects
root canal
irrigation
intracanal heating
sodium hypochlorite
ultrasonic agitation
title Root canal debridement efficacy of heated sodium hypochlorite in conjunction with passive ultrasonic agitation: An ex vivo study
title_full Root canal debridement efficacy of heated sodium hypochlorite in conjunction with passive ultrasonic agitation: An ex vivo study
title_fullStr Root canal debridement efficacy of heated sodium hypochlorite in conjunction with passive ultrasonic agitation: An ex vivo study
title_full_unstemmed Root canal debridement efficacy of heated sodium hypochlorite in conjunction with passive ultrasonic agitation: An ex vivo study
title_short Root canal debridement efficacy of heated sodium hypochlorite in conjunction with passive ultrasonic agitation: An ex vivo study
title_sort root canal debridement efficacy of heated sodium hypochlorite in conjunction with passive ultrasonic agitation an ex vivo study
topic root canal
irrigation
intracanal heating
sodium hypochlorite
ultrasonic agitation
url https://joddd.tbzmed.ac.ir/PDF/joddd-14-235.pdf
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