A Review: Irrigation Solutions in Endodontic Treatment
Keywords:
Irrigation solutions, Root canal therapy, Sodium Hypochlorite
Abstract
This study investigates the role of various irrigation solutions in endodontic treatment, highlighting their importance in eliminating bacteria and enhancing the success of root canal therapy. While normal saline and distilled water are commonly used due to their mild activity and ability to remove chemical remnants, sodium hypochlorite (NaOCl) is favored for its antibacterial properties and ability to dissolve tissue. Ethylenediaminetetraacetic Acid (EDTA) is typically combined with NaOCl for effective smear layer removal, while chlorhexidine is used for its ability to delay canal system recontamination. Hydrogen peroxide and MTAD, a combination of antibiotics, citric acid, and detergent, are also explored for their utility in root canal irrigation. The study aims to evaluate the effectiveness of these solutions, providing insight into optimizing endodontic treatment. Results suggest that combining specific solutions enhances bacterial elimination and overall treatment outcomes, with implications for improved clinical practices in endodontics.
References
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[24] R. Paragliola, V. Franco, C. Fabiani, A. Mazzoni, F. Nato, and F. R. Tay et al., "Final rinse optimization: Influence of different agitation protocols," J. Endod., vol. 36, no. 2, pp. 282-285, 2010, doi: 10.1016/j.joen.2009.10.022.
[25] C. M. Sedgley, A. C. Nagel, D. Hall, and B. Applegate, "Influence of irrigant needle depth in removing bioluminescent bacteria inoculated into instrumented root canals using real-time imaging in vitro," Int. Endod. J., vol. 38, no. 2, pp. 97-104, 2005, doi: 10.1111/j.1365-2591.2005.00884.x.
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[27] L. Machado Silveira, C. Silveira, J. Martos, and L. Suita de Castro, "Evaluation of the different irrigation regimens with sodium hypochlorite and EDTA in removing the smear layer during root canal preparation," J. Microsc. Ultrastruct., vol. 1, no. 1, pp. 51-56, 2013, doi: 10.1016/j.jmau.2013.08.002.
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[29] D. A. Loel, "Use of acid cleanser in endodontic therapy," J. Am. Dent. Assoc., vol. 90, no. 1, pp. 148-151, 1975, doi: 10.14219/jada.archive.1975.0124.
[30] A. B. Kamble, S. Abraham, D. D. Kakde, C. Shashidhar, and D. L. Mehta, "Scanning electron microscopic evaluation of efficacy of 17% ethylenediaminetetraacetic acid and chitosan for smear layer removal with ultrasonics: An in vitro study," Contemp. Clin. Dent., vol. 8, no. 4, pp. 621-626, 2017, doi: 10.4103/0976-237X.210682.
[31] J. F. Siqueira, M. M. Batista, R. C. Fraga, and M. de Uzeda, "Antibacterial effects of endodontic irrigants on black-pigmented gram-negative anaerobes and facultative bacteria," J. Endod., vol. 24, no. 6, pp. 414-416, 1998, doi: 10.1016/S0099-2399(98)80078-3.
[32] M. S. Ajeti, S. V. Hoxha, S. X. Elezi, S. S. Apostolska, M. S. Vula, and M. S. Krasniqi, "Demineralization of root canal dentine with EDTA and citric acid in different concentrations, pH and application times," ILIRIA Int. Rev., vol. 1, no. 2, pp. 1-6, 2011.
[33] S. Calt and A. Serper, "Time-dependent effects of EDTA on dentin structures," J. Endod., vol. 28, no. 1, pp. 17-19, 2002, doi: 10.1097/00004770-200201000-00005.
[34] M. Zehnder, "Root canal irrigants," J. Endod., vol. 32, no. 5, pp. 389-398, 2006, doi: 10.1016/j.joen.2006.01.008.
[35] B. Athanassiadis, P. V. Abbott, and L. J. Walsh, "The use of calcium hydroxide, antibiotics, and biocides as antimicrobial medicaments in endodontics," Aust. Dent. J., vol. 52, no. 1, pp. 64-82, 2007, doi: 10.1111/j.1834-7819.2007.tb00412.x.
[36] Z. Mohammadi and P. V. Abbott, "The properties and applications of chlorhexidine in endodontics," Int. Endod. J., vol. 42, no. 4, pp. 288-302, 2009, doi: 10.1111/j.1365-2591.2009.01572.x.
[37] B. P. Gomes, S. F. Souza, C. C. Ferraz, F. Teixeira, A. Zaia, L. Valdrighi, and F. J. Souza-Filho, "Effectiveness of 2% chlorhexidine gel and calcium hydroxide against Enterococcus faecalis in bovine root dentine in vitro," Int. Endod. J., vol. 36, no. 4, pp. 267-275, 2003, doi: 10.1046/j.1365-2591.2003.00662.x.
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[39] C. C. Ferraz, B. P. Gomes, A. A. Zaia, F. B. Teixeira, and F. J. Souza-Filho, "Comparative study of the antimicrobial efficacy of chlorhexidine gel, chlorhexidine solution, and sodium hypochlorite as endodontic irrigants," Braz. Dent. J., vol. 18, no. 4, pp. 294-298, 2007, doi: 10.1590/S0103-64402007000400006.
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Published
2024-10-11
How to Cite
Kamil, S. S., Khaudhair, A. T., Ahmed, A. S., & Hamid, H. T. (2024). A Review: Irrigation Solutions in Endodontic Treatment. Central Asian Journal of Medical and Natural Science, 5(4), 952-959. Retrieved from https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/2640
Section
Articles
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