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Widbiller, Matthias ; Keim, Lukas ; Schlichting, Ralf ; Striegl, Birgit ; Hiller, Karl-Anton ; Jungbauer, Rebecca ; Buchalla, Wolfgang ; Galler, Kerstin M.

Debris Removal by Activation of Endodontic Irrigants in Complex Root Canal Systems: A Standardized In-Vitro-Study

Widbiller, Matthias , Keim, Lukas, Schlichting, Ralf, Striegl, Birgit, Hiller, Karl-Anton, Jungbauer, Rebecca , Buchalla, Wolfgang und Galler, Kerstin M. (2021) Debris Removal by Activation of Endodontic Irrigants in Complex Root Canal Systems: A Standardized In-Vitro-Study. Applied Sciences 11 (16), S. 1-14.

Veröffentlichungsdatum dieses Volltextes: 11 Jan 2022 15:15
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.51370


Zusammenfassung

Aim of the study was to develop a standardized model system to investigate endodontic irrigation techniques and assess the efficiency of different activation methods on the removal of hard tissue debris in complex root canal systems. Mesial roots of mandibular molars were firstly scanned by micro-computed tomography (mu CT) and allocated to three groups of irrigant activation: sonic activation ...

Aim of the study was to develop a standardized model system to investigate endodontic irrigation techniques and assess the efficiency of different activation methods on the removal of hard tissue debris in complex root canal systems. Mesial roots of mandibular molars were firstly scanned by micro-computed tomography (mu CT) and allocated to three groups of irrigant activation: sonic activation (EDDY, VDW, Munich, Germany), laser activation (AutoSWEEPS, FOTONA, Ljubljana, Slovenia) and conventional needle irrigation (control). Roots were fixed in individual 3D-printed holders to facilitate root canal enlargement under constant irrigation with NaOCl (5%). To enable standardized quantification of remaining debris, BaSO4-enriched dentine powder was compacted into the canals, followed by another mu CT-scan. The final irrigation was performed using 17% ethylenediaminetetraacetic acid (EDTA) and 5% sodium hypochlorite (NaOCl) with the respective activation method, and the volume of remaining artificial debris was quantified after a final mu CT-scan. The newly developed model system allowed for reliable, reproducible and standardized assessment of irrigation methods. Activation of the irrigant proved to be significantly more effective than conventional needle irrigation regarding the removal of debris, which persisted particularly in the apical third of the root canal in the control group. The efficiency of irrigation was significantly enhanced with laser- and sonic-based activation, especially in the apical third.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftApplied Sciences
Verlag:MDPI
Ort der Veröffentlichung:BASEL
Band:11
Nummer des Zeitschriftenheftes oder des Kapitels:16
Seitenbereich:S. 1-14
Datum9 August 2021
InstitutionenMedizin > Lehrstuhl für Kieferorthopädie
Medizin > Lehrstuhl für Zahnerhaltung und Parodontologie > Dr. rer. nat. Karl-Anton Hiller
Identifikationsnummer
WertTyp
10.3390/app11167331DOI
Stichwörter / KeywordsPASSIVE ULTRASONIC IRRIGATION; HARD-TISSUE DEBRIS; MICRO-COMPUTED TOMOGRAPHY; PLACED DENTIN DEBRIS; CALCIUM HYDROXIDE; SODIUM-HYPOCHLORITE; MANDIBULAR MOLARS; SMEAR LAYER; UNCONTROLLED REMOVAL; CLEANING EFFICACY; disinfection; sodium hypochlorite; ethylenediaminetetraacetic acid; lasers; computed tomography
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-513709
Dokumenten-ID51370

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