Endodontic irrigants: Different methods to improve efficacy and related problems

European Journal of Dentistry
Mario DioguardiGiuseppe Troiano

Abstract

Shaping and cleaning a root canal system along with the preservation of the surrounding periodontal tissues are the principal goals of an endodontic treatment. While most of the attention is paid to the mechanical aspects of a root canal treatment, an essential feature of it is the irrigation. All over the years, many materials have been used to clean the root canal of a tooth, and certainly, the sodium hypochlorite (NaOCl) and ethylenediaminetetraacetic acid solutions are the most used and most reliable ones. Putting them inside of a canal is mostly done using a normal syringe, but many techniques have been involved in this process, including the use of sonic/ultrasonic instruments, the use of shaping files, and even laser, to increase the efficacy of irrigant solutions, especially of NaOCl one. Each one of this technique faces some disadvantages, just as the vapor lock effect and the apical extrusion, and has a different action on features such as the reaction rate and the shear stress of an endodontic irrigant solution. In this narrative review, we describe the different features of many irrigant solutions and the different ways of upgrading their efficacy in the cleaning of a root canal system, with the use of tables to sum...Continue Reading

Citations

Oct 7, 2019·International Endodontic Journal·E J N L SilvaT K S Fidalgo
Mar 19, 2020·Journal of Clinical Medicine·Mario DioguardiLorenzo Lo Muzio
Jul 19, 2020·Biomimetics·Muhammad Sohail ZafarNaresh Kumar
Aug 31, 2020·European Journal of Dentistry·Salwa Daoud Yammine, Edgard Antoine Jabbour
May 6, 2019·Dentistry Journal·Mario DioguardiLorenzo Lo Muzio
Feb 13, 2020·Journal of Clinical Medicine·Mario DioguardiGiuseppe Troiano
Oct 1, 2020·Biomedicines·Mario DioguardiLorenzo Lo Muzio
Apr 18, 2019·TheScientificWorldJournal·Mario DioguardiLorenzo Lo Muzio
Mar 10, 2020·International Journal of Dentistry·Mario DioguardiLorenzo Lo Muzio
Sep 9, 2020·European Journal of Dentistry·Karina Gonzalez Camara FernandesCarlos Eduardo Fontana
Jan 20, 2021·Microscopy Research and Technique·Luciana S DemenechMarilisa C L Gabardo
Feb 4, 2021·European Journal of Dentistry·Daniel de Oliveira Brandão-NetoRenata Ximenes Lins
May 4, 2021·Australian Endodontic Journal : the Journal of the Australian Society of Endodontology Inc·Felipe de Souza MatosCamilla Christian Gomes Moura
Mar 12, 2021·European Journal of Dentistry·Takenori SatoKeisuke Handa
Dec 23, 2021·European Journal of Dentistry·Alexandra Aparecida TanomaruMarcos Frozoni

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