Assessment of Smear Layer Removal and Penetration Depth of Root Canal Irrigant Using Different Irrigation Activation Systems: A Comparative Study.

Autor: Pujari MD; Department of Conservative Dentistry and Endodontics, Aditya Dental College, Beed (MUHS Nashik), Maharashtra, India, Phone: +91 8149238157, e-mail: mohanpujari712@gmail.com., Das M; Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India., Das A; Department of Oral and Maxillofacial Surgery, Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Bhubaneswar, Odisha, India., Kamath DG; Department of Conservative Dentistry and Endodontics, Indira Gandhi Institute of Dental Sciences, Kothamangalam, Ernakulam, Kerala, India., Henry J; Department of Prosthodontics, Al-azhar Dental College, Thodupuzha, Kerala, India., Shyam A; Department of Conservative Dentistry and Endodontics, Mahe Institute of Dental Sciences & Hospital, Chalakkara, U.T. of Puducherry, India., Alhaleis DM; Department of Operative and Restorative Dentistry, Dentistry Program, Batterjee Medical College, Jeddah, Saudi Arabia.
Jazyk: angličtina
Zdroj: The journal of contemporary dental practice [J Contemp Dent Pract] 2024 Apr 01; Vol. 25 (4), pp. 331-334. Date of Electronic Publication: 2024 Apr 01.
DOI: 10.5005/jp-journals-10024-3626
Abstrakt: Aim: The aim of the current study was to evaluate the penetration depth and smear layer removal of root canal irrigant using various irrigation activation techniques.
Materials and Methods: In this investigation, sixty single-rooted premolars extracted for orthodontic purposes were chosen. Diamond burs were used to create an access cavity, and #10 K-file was used to determine the patency. About sixty samples were divided into the following three groups (20 samples in each group), group I: Irrigation with conventional needle, group II: Activation of EndoVac system, group III: Passive ultrasonic irrigation (PUI). The efficacy of the smear layer was assessed using a scanning electron microscopy at a ×2000 magnification. One-way ANOVA was used to record and analyze the data. All statistical analyses were performed with a significance level of p < 0.05.
Results: At coronal third, the maximum smear layer was removed in group II (1.26 ± 0.02) followed by group III (1.84 ± 0.16) and group I (2.89 ± 0.21). At middle third, smear layer removal was maximum in group I (1.18 ± 0.10) followed by group III (1.72 ± 0.09) and group I (2.66 ± 0.18). At apical third, the more smear layer was removed in group II (1.02 ± 0.01) followed by group III (1.58 ± 0.08) and group I (2.38 ± 0.06). There was a highly significant difference found between the three different irrigation systems at all three levels ( p < 0.001).
Conclusion: In conclusion, every irrigation device that was evaluated was successful in removing the smear layer from the root canal. However, the EndoVac system group removed a greater amount of smear layer compared with PUI and conventional needle group.
Clinical Significance: With the goal of promoting cleaning that is beyond the ability of mechanical devices, irrigation is a crucial part of root canal therapy. If an efficient irrigation delivery system is used, the irrigants can reach the working length (WL). This type of distribution system needs to provide a suitable amount of irrigants up to the WL, as well as have enough flow and be effective at debriding the entire canal system. How to cite this article: Pujari MD, Das M, Das A, et al . Assessment of Smear Layer Removal and Penetration Depth of Root Canal Irrigant Using Different Irrigation Activation Systems: A Comparative Study. J Contemp Dent Pract 2024;25(4):331-334.
Databáze: MEDLINE