Evaluating the Preventive and Therapeutic Roles of Active Irrigation Systems in Root Canal Treatment: A Narrative Review and Critical Appraisal of Theory and Methodology
Endodontic therapy aims at preventing or curing apical periodontitis. To conduct this, the cleaning and shaping of the canals are essential. By using an irrigant, such as sodium hypochlorite (NaOCl), practitioners attempt to wash out debris, dissolve organic and inorganic tissue, lubricate the canal...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-12-01
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| Series: | Dentistry Journal |
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| Online Access: | https://www.mdpi.com/2304-6767/13/1/9 |
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| author | Ignacio Barbero-Navarro Iuliana Sofian-Pauliuc Maria Esther Irigoyen-Camacho Marco Antonio Zepeda-Zepeda David Ribas-Perez Antonio Luis Castaño-Seiquer |
| author_facet | Ignacio Barbero-Navarro Iuliana Sofian-Pauliuc Maria Esther Irigoyen-Camacho Marco Antonio Zepeda-Zepeda David Ribas-Perez Antonio Luis Castaño-Seiquer |
| author_sort | Ignacio Barbero-Navarro |
| collection | DOAJ |
| description | Endodontic therapy aims at preventing or curing apical periodontitis. To conduct this, the cleaning and shaping of the canals are essential. By using an irrigant, such as sodium hypochlorite (NaOCl), practitioners attempt to wash out debris, dissolve organic and inorganic tissue, lubricate the canals, prevent smear layer formation, and disrupt biofilms. Different methods have been developed to optimise the effectiveness of irrigants, including manual or passive techniques (the conventional method used worldwide) and active techniques (the irrigant is activated by certain devices to improve its flow in the root canal system). Some techniques included in the active category are ultrasonic and sonic methods, apical negative pressure irrigation, and multisonic activation. These active techniques appear to have higher effectiveness when compared to the conventional syringe method during the root canal treatment procedure. However, it is unclear whether they also have a higher influence on the treatment outcome and healing of apical periodontitis. There is a consensus on the need for endodontic studies with standardized protocols and methods to reach a standardized clinical protocol when using active irrigation. |
| format | Article |
| id | doaj-art-ef410f3a39764b7597fd31561f64d814 |
| institution | Kabale University |
| issn | 2304-6767 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj-art-ef410f3a39764b7597fd31561f64d8142025-01-24T13:28:35ZengMDPI AGDentistry Journal2304-67672024-12-01131910.3390/dj13010009Evaluating the Preventive and Therapeutic Roles of Active Irrigation Systems in Root Canal Treatment: A Narrative Review and Critical Appraisal of Theory and MethodologyIgnacio Barbero-Navarro0Iuliana Sofian-Pauliuc1Maria Esther Irigoyen-Camacho2Marco Antonio Zepeda-Zepeda3David Ribas-Perez4Antonio Luis Castaño-Seiquer5Dental School, University of Seville, 41009 Seville, SpainDental School, University of Seville, 41009 Seville, SpainHealth Care Department, Autonomous Metropolitan University-Xochimilco, Mexico City 04960, MexicoHealth Care Department, Autonomous Metropolitan University-Xochimilco, Mexico City 04960, MexicoDental School, University of Seville, 41009 Seville, SpainDental School, University of Seville, 41009 Seville, SpainEndodontic therapy aims at preventing or curing apical periodontitis. To conduct this, the cleaning and shaping of the canals are essential. By using an irrigant, such as sodium hypochlorite (NaOCl), practitioners attempt to wash out debris, dissolve organic and inorganic tissue, lubricate the canals, prevent smear layer formation, and disrupt biofilms. Different methods have been developed to optimise the effectiveness of irrigants, including manual or passive techniques (the conventional method used worldwide) and active techniques (the irrigant is activated by certain devices to improve its flow in the root canal system). Some techniques included in the active category are ultrasonic and sonic methods, apical negative pressure irrigation, and multisonic activation. These active techniques appear to have higher effectiveness when compared to the conventional syringe method during the root canal treatment procedure. However, it is unclear whether they also have a higher influence on the treatment outcome and healing of apical periodontitis. There is a consensus on the need for endodontic studies with standardized protocols and methods to reach a standardized clinical protocol when using active irrigation.https://www.mdpi.com/2304-6767/13/1/9active irrigation systemschemical debridementroot canal systemtherapeutic efficacypreventionultrasonic irrigation |
| spellingShingle | Ignacio Barbero-Navarro Iuliana Sofian-Pauliuc Maria Esther Irigoyen-Camacho Marco Antonio Zepeda-Zepeda David Ribas-Perez Antonio Luis Castaño-Seiquer Evaluating the Preventive and Therapeutic Roles of Active Irrigation Systems in Root Canal Treatment: A Narrative Review and Critical Appraisal of Theory and Methodology Dentistry Journal active irrigation systems chemical debridement root canal system therapeutic efficacy prevention ultrasonic irrigation |
| title | Evaluating the Preventive and Therapeutic Roles of Active Irrigation Systems in Root Canal Treatment: A Narrative Review and Critical Appraisal of Theory and Methodology |
| title_full | Evaluating the Preventive and Therapeutic Roles of Active Irrigation Systems in Root Canal Treatment: A Narrative Review and Critical Appraisal of Theory and Methodology |
| title_fullStr | Evaluating the Preventive and Therapeutic Roles of Active Irrigation Systems in Root Canal Treatment: A Narrative Review and Critical Appraisal of Theory and Methodology |
| title_full_unstemmed | Evaluating the Preventive and Therapeutic Roles of Active Irrigation Systems in Root Canal Treatment: A Narrative Review and Critical Appraisal of Theory and Methodology |
| title_short | Evaluating the Preventive and Therapeutic Roles of Active Irrigation Systems in Root Canal Treatment: A Narrative Review and Critical Appraisal of Theory and Methodology |
| title_sort | evaluating the preventive and therapeutic roles of active irrigation systems in root canal treatment a narrative review and critical appraisal of theory and methodology |
| topic | active irrigation systems chemical debridement root canal system therapeutic efficacy prevention ultrasonic irrigation |
| url | https://www.mdpi.com/2304-6767/13/1/9 |
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