Efficacy of a simple apical negative pressure kit on smear layer removal from the root canal surface. An in vitro study

Introduction: The objective of this study was to assess the efficacy of a simple irrigation kit, employing the apical negative pressure principle, assembled from easily obtainable materials in the dental hospital setting, on smear layer removal from the apical third of the root canal surface. Materi...

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Main Authors: Chawin Upara, Chonsiri Vechpanich, Anat Dewi, Tanida Srisuwan, Phumisak Louwakul
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Saudi Endodontic Journal
Subjects:
Online Access:http://www.saudiendodj.com//article.asp?issn=1658-5984;year=2020;volume=10;issue=3;spage=240;epage=246;aulast=Upara
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author Chawin Upara
Chonsiri Vechpanich
Anat Dewi
Tanida Srisuwan
Phumisak Louwakul
author_facet Chawin Upara
Chonsiri Vechpanich
Anat Dewi
Tanida Srisuwan
Phumisak Louwakul
author_sort Chawin Upara
collection DOAJ
description Introduction: The objective of this study was to assess the efficacy of a simple irrigation kit, employing the apical negative pressure principle, assembled from easily obtainable materials in the dental hospital setting, on smear layer removal from the apical third of the root canal surface. Materials and Methods: The root canals of forty single-rooted mandibular premolars were mechanically prepared, and the teeth were then randomly divided into three groups to be irrigated with conventional needle irrigation (CNI) system, passive ultrasonic irrigation (PUI) system, and the simple apical negative pressure (ANP) kit. Four specimens were used as a negative control. After irrigation, the teeth were split longitudinally and examined under scanning electron microscopy at 1 mm, 3 mm, and 5 mm from the working length. The remaining smear layer was analyzed to assess the efficacy of each irrigation system. Results: The least remaining smear layer was observed in the ANP group at all three distances from the working length (P < 0.001). Furthermore, significantly less remaining smear layer was observed in the PUI group 3 mm and 5 mm from the working length than the CNI group (P < 0.01), whereas there was no significant difference between the use of PUI and CNI 1 mm from the working length. Conclusions: In this in vitro study, the assembled simple ANP kit had greater efficacy at delivering irrigants to remove the smear layer from the apical third of the root canal surface than the CNI and PUI systems.
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spelling doaj.art-b2905dc35a3d436e8ded8a8a16d642f02022-12-21T19:56:08ZengWolters Kluwer Medknow PublicationsSaudi Endodontic Journal2320-14952020-01-0110324024610.4103/sej.sej_151_19Efficacy of a simple apical negative pressure kit on smear layer removal from the root canal surface. An in vitro studyChawin UparaChonsiri VechpanichAnat DewiTanida SrisuwanPhumisak LouwakulIntroduction: The objective of this study was to assess the efficacy of a simple irrigation kit, employing the apical negative pressure principle, assembled from easily obtainable materials in the dental hospital setting, on smear layer removal from the apical third of the root canal surface. Materials and Methods: The root canals of forty single-rooted mandibular premolars were mechanically prepared, and the teeth were then randomly divided into three groups to be irrigated with conventional needle irrigation (CNI) system, passive ultrasonic irrigation (PUI) system, and the simple apical negative pressure (ANP) kit. Four specimens were used as a negative control. After irrigation, the teeth were split longitudinally and examined under scanning electron microscopy at 1 mm, 3 mm, and 5 mm from the working length. The remaining smear layer was analyzed to assess the efficacy of each irrigation system. Results: The least remaining smear layer was observed in the ANP group at all three distances from the working length (P < 0.001). Furthermore, significantly less remaining smear layer was observed in the PUI group 3 mm and 5 mm from the working length than the CNI group (P < 0.01), whereas there was no significant difference between the use of PUI and CNI 1 mm from the working length. Conclusions: In this in vitro study, the assembled simple ANP kit had greater efficacy at delivering irrigants to remove the smear layer from the apical third of the root canal surface than the CNI and PUI systems.http://www.saudiendodj.com//article.asp?issn=1658-5984;year=2020;volume=10;issue=3;spage=240;epage=246;aulast=Uparaapical negative pressuredental pulp cavitypassive ultrasonic irrigationroot canal irrigantssmear layer
spellingShingle Chawin Upara
Chonsiri Vechpanich
Anat Dewi
Tanida Srisuwan
Phumisak Louwakul
Efficacy of a simple apical negative pressure kit on smear layer removal from the root canal surface. An in vitro study
Saudi Endodontic Journal
apical negative pressure
dental pulp cavity
passive ultrasonic irrigation
root canal irrigants
smear layer
title Efficacy of a simple apical negative pressure kit on smear layer removal from the root canal surface. An in vitro study
title_full Efficacy of a simple apical negative pressure kit on smear layer removal from the root canal surface. An in vitro study
title_fullStr Efficacy of a simple apical negative pressure kit on smear layer removal from the root canal surface. An in vitro study
title_full_unstemmed Efficacy of a simple apical negative pressure kit on smear layer removal from the root canal surface. An in vitro study
title_short Efficacy of a simple apical negative pressure kit on smear layer removal from the root canal surface. An in vitro study
title_sort efficacy of a simple apical negative pressure kit on smear layer removal from the root canal surface an in vitro study
topic apical negative pressure
dental pulp cavity
passive ultrasonic irrigation
root canal irrigants
smear layer
url http://www.saudiendodj.com//article.asp?issn=1658-5984;year=2020;volume=10;issue=3;spage=240;epage=246;aulast=Upara
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