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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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| Dokumentenart | Artikel | ||||
| Titel eines Journals oder einer Zeitschrift | Applied Sciences | ||||
| Verlag: | MDPI | ||||
|---|---|---|---|---|---|
| Ort der Veröffentlichung: | BASEL | ||||
| Band: | 11 | ||||
| Nummer des Zeitschriftenheftes oder des Kapitels: | 16 | ||||
| Seitenbereich: | S. 1-14 | ||||
| Datum | 9 August 2021 | ||||
| Institutionen | Medizin > Lehrstuhl für Kieferorthopädie Medizin > Lehrstuhl für Zahnerhaltung und Parodontologie > Dr. rer. nat. Karl-Anton Hiller | ||||
| Identifikationsnummer |
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| Stichwörter / Keywords | PASSIVE 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-Klassifikation | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin | ||||
| Status | Veröffentlicht | ||||
| Begutachtet | Ja, diese Version wurde begutachtet | ||||
| An der Universität Regensburg entstanden | Ja | ||||
| URN der UB Regensburg | urn:nbn:de:bvb:355-epub-513709 | ||||
| Dokumenten-ID | 51370 |
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