Effectiveness of Root Canal Irrigation and Dressing for the Treatment of Asymptomatic Apical Periodontitis: A Systematic Review Assessing Complementary Timeframes

IF 1.5 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Australian Endodontic Journal Pub Date : 2025-01-27 DOI:10.1111/aej.12918

Felipe Immich, Tina Rödig, Philipp Kanzow, Evandro Piva, Giampiero Rossi-Fedele

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Abstract

Sodium hypochlorite (NaOCl), ethylenediaminetetraacetic acid (EDTA), and calcium hydroxide (Ca(OH)₂) are used in root canal treatment. However, further research is needed to assess their effectiveness at time points not considered in previous guidelines. This review complements the systematic review by Rossi-Fedele and Rödig (2023) by considering time points excluded by the latter. A search was conducted in PubMed-MEDLINE, Scopus, EMBASE, Google Scholar, and repositories between March and May 2024. Four studies met the inclusion criteria, providing data from 212 teeth for irrigation and 108 for dressings. No significant differences in pain reduction within 7 days or radiographic reduction of apical lesion size were found between 2% chlorhexidine, 5.25% NaOCl, EDTA, and various NaOCl concentrations. Single and multiple visit protocols also showed no significant differences in postoperative pain. Two studies had a ‘low risk’ of bias and two ‘some concerns’. Evidence suggests that Ca(OH)₂ dressings may not offer additional benefits.

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根管冲洗和敷料治疗无症状根尖牙周炎的有效性：一项评估互补时间框架的系统综述。

次氯酸钠（NaOCl）、乙二胺四乙酸（EDTA）和氢氧化钙（Ca(OH)2）用于根管治疗。然而，需要进一步的研究来评估它们在以前的指南中没有考虑到的时间点的有效性。本综述通过考虑被后者排除的时间点，对Rossi-Fedele和Rödig（2023）的系统综述进行了补充。检索于2024年3月至5月在PubMed-MEDLINE、Scopus、EMBASE、谷歌Scholar和知识库中进行。4项研究符合纳入标准，提供了212个用于冲洗的牙齿和108个用于敷料的牙齿数据。2%氯己定、5.25% NaOCl、EDTA和不同浓度的NaOCl在7天内疼痛减轻或根尖病变大小的影像学缩小方面无显著差异。单次和多次访问方案在术后疼痛方面也没有显着差异。两项研究有“低风险”的偏倚，两项研究有“一些担忧”。有证据表明，Ca(OH)2敷料可能不会提供额外的好处。

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来源期刊

Australian Endodontic Journal DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.50

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： The Australian Endodontic Journal provides a forum for communication in the different fields that encompass endodontics for all specialists and dentists with an interest in the morphology, physiology, and pathology of the human tooth, in particular the dental pulp, root and peri-radicular tissues. The Journal features regular clinical updates, research reports and case reports from authors worldwide, and also publishes meeting abstracts, society news and historical endodontic glimpses. The Australian Endodontic Journal is a publication for dentists in general and specialist practice devoted solely to endodontics. It aims to promote communication in the different fields that encompass endodontics for those dentists who have a special interest in endodontics.