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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 and 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), pp. 1-14.

Date of publication of this fulltext: 11 Jan 2022 15:15
Article
DOI to cite this document: 10.5283/epub.51370


Abstract

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

Item typeArticle
Journal or Publication TitleApplied Sciences
Publisher:MDPI
Open Access Type:Gold (with APC)
Place of Publication:BASEL
Volume:11
Number of Issue or Book Chapter:16
Page Range:pp. 1-14
Date9 August 2021
InstitutionsMedicine > Lehrstuhl für Kieferorthopädie
Medicine > Lehrstuhl für Zahnerhaltung und Parodontologie > Dr. rer. nat. Karl-Anton Hiller
Identification Number
ValueType
10.3390/app11167331DOI
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 Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-513709
Item ID51370

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