Effectiveness of root canal debris removal using passive ultrasound irrigation with chlorhexidine digluconate or sodium hypochlorite individually or in combination as irrigants

Journal of Contemporary Dental Practice

Volumn 9, Issue 5, 2008, Pages 068-075

  Ferreira, Rafael Brandao ^a   Marchesan, Melissa Andreia ^a   Silva Sousa, Yara Teresinha ^a   Sousa Neto, Manoel ^b  

^a UNIVERSITY OF RIBEIRÃO PRETO   (Brazil)

^b UNIVERSITY OF SÃO PAULO   (Brazil)

Author keywords

Chlorhexidine digluconate; CHX; Irrigating solutions; NaOCl; Root canal therapy; Sodium hypochlorite; Ultra sound

Indexed keywords

BIOMEDICAL AND DENTAL MATERIALS; CHLORHEXIDINE; CHLORHEXIDINE GLUCONATE; DRUG DERIVATIVE; HYPOCHLORITE SODIUM;

ARTICLE; DENTAL SURGERY; DRUG COMBINATION; ENDODONTICS; EVALUATION; HUMAN; INCISOR; METHODOLOGY; ULTRASOUND THERAPY;

CHLORHEXIDINE; DRUG COMBINATIONS; HUMANS; INCISOR; ROOT CANAL IRRIGANTS; ROOT CANAL PREPARATION; SMEAR LAYER; SODIUM HYPOCHLORITE; ULTRASONIC THERAPY;

EID: 46749131614     PISSN: None     EISSN: 15263711     Source Type: Journal    
DOI: 10.5005/jcdp-9-5-68     Document Type: Article

References (34)

1. Gulabivala K, Patel B, Evans G, Yuan-Ling NG. Effects of mechanical and chemical procedures on root canal surfaces. Endod Topics. 2005 10:103-22.
2. Spanó JC, Barbin EL, Santos TC, Guimaraes LF, Pecora, JD. Solvent action of sodium hypochlorite on bovine pulp and physico-chemical properties of resulting liquid. Braz Dent J. 2001 12:154-7.
3. Sirtes G, Waltimo T, Schaetzle M, Zehnder M. The effects of temperature on sodium hypochlorite short-term stability, pulp dissolution capacity, and antimicrobial efficacy. J Endod. 2005 31:669-71.
4. Spencer HR, Ike V, Brennan PA. Review: the use of sodium hypochlorite in endodontics- potential complications and their management Brit Dent J. 2007 9(12):555-59.
5. Cathro P. The importance of irrigation in endodontics. Contemp Endod. 2004 1:3-7.
6. Vianna ME, Gomes BP, Berber VB, Zaia AA, Feraz CC, de Souza-Filho FJ. In vitro evaluation of the antimicrobial activity of chlorhexidine and sodium hypochlorite. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 97:79-84.
7. Dametto RD, Ferraz CCR, Gomes BPFA, Zaia AA, Teixeira FB, Sousa-Filho FJ. In vitro assessment of the immediate and prolonged antimicrobial action of chlorhexidine gel as an endodontic irrigant against Enterococcus faecalis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 99:768-72.
8. Zehnder M. Root canal irrigants. J Endod. 2006 32:389-98.
9. Zamany A, Safavi K, Spångberg LS. The effect of chlorhexidine as an endodontic disinfectant. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003 96:578-81.
10. Ohara P, Torabinejad M, Kettering JD. Antibacterial effects of various endodontic medicaments on selected anaerobic bacteria. J Endod. 1993 19:498-500.
11. Yesilsoy C, Whitaker E, Cleveland D, Phillips E, Trope M. Antimicrobial and toxic effects of established and potential root canal irrigants. J Endod. 1995 21:513-5.
12. Siqueira JF Jr, Uzeda M. Intracanal medicaments: evaluation of the antibacterial effects of chlorhexidine, metronidazole, and calcium hydroxide associated with three vehicles. J Endod. 1997 23:167-9.
13. Basrani B, Lemonie C. Chlorhexidine gluconate. Aust Endod J. 2005 31:48-52.
14. Vahdaty A, Pitt Ford TR, Wilson RF. Efficacy of chlorhexidine in disinfecting dentinal tubules in vitro. Endod Dent Traumatol. 1993 9:243-8.
15. Heling I, Chandler NP. Antimicrobial effect of irrigant combinations within dentinal tubules. Int Endod J. 1998 31:8-14.
16. Kuruvilla JP, Kamath P. Antimicrobial activity of 2.5% sodium hypochlorite and 0.2% chlorhexidine gluconate separately and combined, endodontic irrigants. J Endod. 1998 24:472-76.
17. Sabins RA, Johnson JD, Hellstein JW. A comparison of the cleaning efficacy of short-term sonic and ultrasonic passive irrigation after hand instrumentation in mesio root canals. J Endod. 2003 29(10):674-78.
18. Gutarts R, Nusstein J, Reader A, Beck M. In vivo debridament efficacy of ultrasonic irrigation following hand-rotary instrumentation in human mandibular molars. J Endod. 2005 31(3):166-70.
19. Cunningham WT, Martin HA. A scanning electron microscope evaluation of root canal debriment with the endosonic ultrasonic synergistic system. Oral Surg Oral Med Oral Pathol. 1982 53(1):527-31.
20. van der Sluis LW, Versluis M, Wu MK, Wesselink PR. Passive ultrasonic irrigation of the root canal: a review of the literature. Int Endod J. 2007 40(6):415-26.
21. Munley PJ, Goodell GG. Comparison of passive ultrasonic debridement between fluted and nonfluted instruments in root canals. J Endod. 2007 33(5):578-80.
22. Barbizam JVB, Fariniuk LF, Marchesan MA, Pécora JD, Sousa-Neto MD. Effectiveness of manual and rotatory instrumentation techniques for cleaning flattened root canals. J Endod. 2002 28(5):365-66.
23. Colak M, Evcil S, Bayindir Y, Yigit N. The Effectiveness of Three Instrumentation Techniques on the Elimination of Enterococcus Faecalis from a Root Canal: An In Vitro Study. J Contemp Dent Pract. 2005 (6)1:94-106.
24. Vansan LP, Pécora JD, Costa WF, Maia Campos G. Effects of various irrigating solutions on the cleaning of root canal with ultrasonic instrumentation. Braz Dent J. 1990 1(1):37-44.
25. Mayer BE, Peters OA, Barbakow F. Effects of rotary instruments and ultrasonic irrigation on debris and smear layer scores: a scanning electron microscopic study. Int Endod J. 2002 35(7):582-89.
26. Ferreira, RB, Alfredo E, Arruda MP, Silva-Sousa YTC, Sousa-Neto MD. Histological analysis of the cleaning capacity of niquel-titanium rotatory instrumentation with ultrasonic irrigation in root canals. Aust Endod J. 2004 30(2):56-58.
27. Gutarts R, Nusstein J, Reader A, Beck M. In vivo debridament efficacy of ultrasonic irrigation following hand-rotary instrumentation in human mandibular molars. J Endod. 2005 31(3):166-70.
28. Passarinho-Neto JG, Marchesan MA, Ferreira RB, Silva RG, Silva-Sousa YTC, Sousa-Neto MD. In vitro evaluation of endodontic debris removal as obtained by rotary instrumentation coupled with ultrasonic irrigation. Aust Endod J. 2006 32(3):123-28.
29. Weber CD, Mc Clanahan SB, Miler GA, Diener-West M, Johnson JD. The effect of passive ultrasonic activation of 2% chlorhexidine or 5.25% sodium hypochlorite irrigant on residual on residual antimicrobial activity in root canals. J. Endod. 2003 29(9):562-64.
30. Cameron JA. The use of ultrasonics in the removal of smear layer: a scanning electron microscope study. J Endod. 1983 9(7):289-92.
31. Karadag LS, Mihçioglu T, Tinaz AC. Influence of Passive Ultrasonic Activation on the Penetration Depth of Different Sealers. J Contemp Dent Pract. 2004 (5)1:115-25.
32. Okino LA, Siqueira EL, Santos M, Bombana AC, Figueiredo JAP. Dissolution of pulp tissue by aqueous solution of chlorhexidine digluconate and chlorhexidine digluconate gel. Int Endod J. 2004 37(1):38-41.
33. Naenni N, Thoma K, Zehnder M. Soft Tissue Dissolution Capacity of Currently Used and Potencial Endodontic Irrigants. J Endod. 2004 30(11):785-87.
34. Marchesan MA, Pasternak-Júnior B, Afonso MMF, Sousa-Neto MD, Paschoalato C. Chemical analysis of the flocculate formed by the association of sodium hypochlorite and chlorhexidine. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 103(5):e103-5.