Apical enlargement favors endodontic irrigation – an in vivo study

Revista da Faculdade de Odontologia - UPF Pub Date : 2024-01-21 DOI:10.5335/rfo.v28i1.15502

Marieli Navarini, M. Langaro, L. E. Pelepenko, A. Bacchi, V. J. Fornari, J. R. Vanni, M. Hartmann

{"title":"Apical enlargement favors endodontic irrigation – an in vivo study","authors":"Marieli Navarini, M. Langaro, L. E. Pelepenko, A. Bacchi, V. J. Fornari, J. R. Vanni, M. Hartmann","doi":"10.5335/rfo.v28i1.15502","DOIUrl":null,"url":null,"abstract":"Objective: This study evaluated the irrigation penetration during root canal instrumentation and the clinical step in which the irrigation solution can be detected in the apical region. \nMaterials and Methods: \nTwenty necrotic molars were divided according to the irrigation protocol, saline solution with manual active pressure, and 2.5% sodium hypochlorite with dripping delivery. Solution penetration assessment used a radiopaque component added to each irrigant solely before a periapical radiograph. Instrumentation sequence was: #10, and #15 K-files (step 1), cervical flaring using WaveOne Small (step 2), WaveOne Small at working length (step 3), Hero-642 #35/.02 (step 4), and Hero-642 #40/.02 (step 5). The step each contrasted-irrigant reached the 2-mm-apical region was registered. Shapiro-Wilk and Fisher's exact tests were used for comparisons. \nResults: In step 3, both contrasted-irrigants started to be detected in the apical region, and after step 5, contrasted-irrigants penetrated in 100% of the cases, without significant difference. \nConclusion: Considering distal molar roots, the apical enlargement up to an instrument #40.02 favors the irrigation to reach the 2-mm apical region.","PeriodicalId":320919,"journal":{"name":"Revista da Faculdade de Odontologia - UPF","volume":"23 6","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista da Faculdade de Odontologia - UPF","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5335/rfo.v28i1.15502","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This study evaluated the irrigation penetration during root canal instrumentation and the clinical step in which the irrigation solution can be detected in the apical region. Materials and Methods: Twenty necrotic molars were divided according to the irrigation protocol, saline solution with manual active pressure, and 2.5% sodium hypochlorite with dripping delivery. Solution penetration assessment used a radiopaque component added to each irrigant solely before a periapical radiograph. Instrumentation sequence was: #10, and #15 K-files (step 1), cervical flaring using WaveOne Small (step 2), WaveOne Small at working length (step 3), Hero-642 #35/.02 (step 4), and Hero-642 #40/.02 (step 5). The step each contrasted-irrigant reached the 2-mm-apical region was registered. Shapiro-Wilk and Fisher's exact tests were used for comparisons. Results: In step 3, both contrasted-irrigants started to be detected in the apical region, and after step 5, contrasted-irrigants penetrated in 100% of the cases, without significant difference. Conclusion: Considering distal molar roots, the apical enlargement up to an instrument #40.02 favors the irrigation to reach the 2-mm apical region.

查看原文本刊更多论文

根尖扩大有利于牙髓冲洗--一项体内研究

目的：本研究评估了根管器械操作过程中灌洗液的渗透情况以及在根尖区检测灌洗液的临床步骤。材料和方法：将 20 颗坏死磨牙按照灌洗方案分为两种，一种是人工主动加压的生理盐水，另一种是滴注的 2.5% 次氯酸钠。在拍摄根尖周X光片之前，在每种冲洗液中都添加了不透光成分，以评估溶液渗透情况。器械顺序为#10号和15号K锉（步骤1），使用WaveOne Small进行颈椎扩弓（步骤2），工作长度的WaveOne Small（步骤3），Hero-642 #35/.02（步骤4）和Hero-642 #40/.02（步骤5）。每个造影剂到达 2 毫米心尖区域的步骤都被记录下来。比较采用 Shapiro-Wilk 和 Fisher's 精确检验。结果在第 3 步，两种造影剂都开始在根尖区域被检测到，而在第 5 步之后，造影剂在 100%的病例中都穿透了根尖区域，且无显著差异。结论对于远磨牙根，根尖扩大到 40.02 号器械有利于灌洗剂到达 2 毫米的根尖区域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Revista da Faculdade de Odontologia - UPF

自引率

0.00%

发文量