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Effect of three different irrigation solutions applied by passive ultrasonic irrigation

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초록

Objectives: This study evaluated the maximum depth and percentage of irrigant penetration into dentinal tubules by passive ultrasonic irrigation (PUI). Materials and Methods: Thirty extracted human teeth were instrumented and divided into three groups. According to final irrigation regimen, 5.25% sodium hypochlorite (Group A, NaOCl), 2% chlorhexidine (Group B, CHX) and saline solution (Group C, control group) were applied with Irrisafe 20 tips (Acteon) and PUI. Irrigant was mixed with 0.1% rhodamine B. Sections at 2 mm, 5 mm, and 8 mm from the apex were examined with confocal laser scanning microscopy (CLSM). The percentage and maximum depth of irrigant penetration were measured. Kruskal-Wallis test and Mann-Whitney test were performed for overall comparison between groups at each level and for pairwise comparison, respectively. Within a group, Wilcoxon test was performed among different levels. p values less than 0.05 were considered significant. Results: In all groups, highest penetration depth and percentage of penetration were observed at the 8 mm level. At 2 mm level, Groups A and B had significantly greater depths and percentages in penetration than Group C (p < 0.05), but there were no significant differences between Groups A and B. At 5 mm level, penetration depths and percentage of penetration was not significantly different among the groups. Conclusions: NaOCl and CHX applied by PUI showed similar depth and percentage of penetration at all evaluated levels.

Abstract

Objectives: This study evaluated the maximum depth and percentage of irrigant penetration into dentinal tubules by passive ultrasonic irrigation (PUI). Materials and Methods: Thirty extracted human teeth were instrumented and divided into three groups. According to final irrigation regimen, 5.25% sodium hypochlorite (Group A, NaOCl), 2% chlorhexidine (Group B, CHX) and saline solution (Group C, control group) were applied with Irrisafe 20 tips (Acteon) and PUI. Irrigant was mixed with 0.1% rhodamine B. Sections at 2 mm, 5 mm, and 8 mm from the apex were examined with confocal laser scanning microscopy (CLSM). The percentage and maximum depth of irrigant penetration were measured. Kruskal-Wallis test and Mann-Whitney test were performed for overall comparison between groups at each level and for pairwise comparison, respectively. Within a group, Wilcoxon test was performed among different levels. p values less than 0.05 were considered significant. Results: In all groups, highest penetration depth and percentage of penetration were observed at the 8 mm level. At 2 mm level, Groups A and B had significantly greater depths and percentages in penetration than Group C (p < 0.05), but there were no significant differences between Groups A and B. At 5 mm level, penetration depths and percentage of penetration was not significantly different among the groups. Conclusions: NaOCl and CHX applied by PUI showed similar depth and percentage of penetration at all evaluated levels.

참고문헌 (40)

  1. Bronnec F, "Ex vivo assessment of irrigant penetration and renewal during the final irrigation regimen", Int Endod J, 43, pp.663~672 (2010)
  2. Vera J, "Effect of maintaining apical patency on irrigant penetration into the apical third of root canals when using passive ultrasonic irrigation: an in vivo study", J Endod, 37, pp.1276~1278 (2011)
  3. Ferreira RB, "Sousa-Passive ultrasonic irrigation Neto M. Effectiveness of root canal debris removal using passive ultrasound irrigation with chlorhexidine digluconate or sodium hypochlorite individually or in combination as irrigants", J Contemp Dent Pract, 9, pp.68~75 (2008)
  4. Grande NM, "Interaction between EDTA and sodium hypochlorite: a nuclear magnetic resonance analysis", J Endod, 32, pp.460~464 (2006)
  5. Gu LS, "Review of contemporary irrigant agitation techniques and devices", J Endod, 35, pp.791~804 (2009)
  6. Paragliola R, "Final rinse optimization:influence of different agitation protocols", J Endod, 36, pp.282~285 (2010)
  7. Castagna F, "Effect of passive ultrassonic instrumentation as a final irrigation protocol on debris and smear layer removal-a SEM analysis", Microsc Res Tech, 76, pp.496~502 (2013)
  8. van der Sluis LW, "Passive ultrasonic irrigation of the root canal: a review of the literature", Int Endod J, 40, pp.415~426 (2007)
  9. Plotino G, "Ultrasonics in endodontics: a review of the literature", J Endod, 33, pp.81~95 (2007)
  10. van der Sluis LW, "Study on the influence of refreshment", activation cycles and irrigants on mechanical cleaning efficiency during ultrasonic activation of the irrigant, 2010, pp.36, 737~740
  11. Zeltner M, "Temperature changes during ultrasonic irrigation with different inserts and modes of activation", J Endod, 35, pp.573~577 (2009)
  12. de Gregorio C, "Efficacy of different irrigation and activation systems on the penetration of sodium hypochlorite into simulated lateral canals and up to working length: an in vitro study", J Endod, 36, pp.1216~1221 (2010)
  13. van der Sluis LW, "The influence of volume, type of irrigant and flushing method on removing artificially placed dentine debris from the apical root canal during passive ultrasonic irrigation", Int Endod J, 39, pp.472~476 (2006)
  14. Leonardo MR, "In vivo antimicrobial activity of 2% chlorhexidine used as root canal irrigating solution", J Endod, 25, pp.167~171 (1999)
  15. Alves FR, "Disinfecting oval-shaped root canals:effectiveness of different supplementary approaches", J Endod, 37, pp.496~501 (2011)
  16. Baca P, "Residual effectiveness of final irrigation regimens on Enteroccus faecalisinfected root canals", J Endod, 37, pp.1121~1123 (2011)
  17. Lin LM, "Do procedural errors cause endodontic treatment failure?", J Am Dent Assoc, d136, pp.187~193 (2005)
  18. Kara Tuncer A, "Effect of different final irrigation solutions on dentinal tubule penetration depth and percentage of root canal sealer", J Endod, 38, pp.860~863 (2012)
  19. Nagayoshi M, "Antimicrobial effect of ozonated water on bacteria invading dentinal tubules", J Endod, 30, pp.778~781 (2004)
  20. Zapata RO, "Confocal laser scanning microscopy is appropriate to detect viability of Enterococcus faecalis in infected dentin", J Endod, 34, pp.1198~1201 (2008)
  21. Parmar D, "Bacterial localization and viability assessment in human ex vivo dentinal tubules by fluorescence confocal laser scanning microscopy", Int Endod J, 44, pp.644~651 (2011)
  22. Love RM, "Invasion of dentinal tubules by oral bacteria", Crit Rev Oral Biol Med, 13, pp.171~183 (2002)
  23. D'Alpino PH, "Use of fluorescent compounds in assessing bonded resin-based restorations: a literature review", J Dent, 34, pp.623~634 (2006)
  24. Diaspro A, "Two-photon excitation of fluorescence for three-dimensional optical imaging of biological structures", J Photochem Photobiol B, 55, pp.1~8 (2000)
  25. Townsend C, "An in vitro comparison of new irrigation and agitation techniques to ultrasonic agitation in removing bacteria from a simulated root canal", J Endod, 35, pp.1040~1043 (2009)
  26. Marcilene Coelho Vinhorte, "Effect of passive ultrasonic agitation during final irrigation on cleaning capacity of hybrid instrumentation", Restorative Dentistry and Endodontics, 39(2), pp.104~108 (2014), 대한치과보존학회[DOI]
  27. Ahmad M, "Ultrasonic debridement of root canals: acoustic cavitation and its relevance", J Endod, 14, pp.486~493 (1988)
  28. Shokouhinejad N, "Penetration of Epiphany, Epiphany self-etch, and AH Plus into dentinal tubules: a scanning electron microscopy study", J Endod, 37, pp.1316~1319 (2011)
  29. White RR, "The influence of the smeared layer upon dentinal tubule penetration by plastic filling materials", J Endod, 10, pp.558~562 (1984)
  30. Heling I, "The antimicrobial effect within dentinal tubules of four root canal sealers", J Endod, 22, pp.257~259 (1996)
  31. Balguerie E, "Sealer penetration and adaptation in the dentinal tubules: a scanning electron microscopic study", J Endod, 37, pp.1576~1579 (2011)
  32. Moon YM, "Effect of final irrigation regimen on sealer penetration in curved root canals", J Endod, 36, pp.732~736 (2010)
  33. 유연지, "Multivariate analysis of the cleaning efficacy of different final irrigation techniques in the canal and isthmus of mandibular posterior teeth", Restorative Dentistry and Endodontics, 38(3), pp.154~159 (2013), 대한치과보존학회
  34. Al-Jadaa A, "Necrotic pulp dissolution by passive ultrasonic irrigation in simulated accessory canals: impact of canal location and angulation", Int Endod J, 42, pp.59~65 (2009)
  35. Bolles JA, "Comparison of Vibringe, EndoActivator, and needle irrigation on sealer penetration in extracted human teeth", J Endod, 39, pp.708~711 (2013)
  36. Moon YM, "Effect of laser-activated irrigation of 1320-nanometer Nd:YAG laser on sealer penetration in curved root canals", J Endod, 38, pp.531~535 (2012)
  37. De Moor RJ, "Efficacy of ultrasonic versus laseractivated irrigation to remove artificially placed dentin debris plugs", J Endod, 36, pp.1580~1583 (2010)
  38. Desai P, "Comparative safety of various intracanal irrigation systems", J Endod, 35, pp.545~549 (2009)
  39. de Vasconcelos BC, "Cleaning ability of chlorhexidine gel and sodium hypochlorite associated or not with EDTA as root canal irrigants: a scanning electron microscopy study", J Appl Oral Sci, 15, pp.387~391 (2007)
  40. Niu W, "A scanning electron microscopic study of dentinal erosion by final irrigation with EDTA and NaOCl solutions", Int Endod J, 35, pp.934~939 (2002)

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