New Technologies to Improve Root Canal Disinfection.

نویسندگان

  • Gianluca Plotino
  • Teresa Cortese
  • Nicola M Grande
  • Denise P Leonardi
  • Gianni Di Giorgio
  • Luca Testarelli
  • Gianluca Gambarini
چکیده

Effective irrigant delivery and agitation are prerequisites to promote root canal disinfection and debris removal and improve successful endodontic treatment. This paper presents an overview of the currently available technologies to improve the cleaning of the endodontic space and their debridement efficacy. A PubMed electronic search was conducted with appropriate key words to identify the relevant literature on this topic. After retrieving the full-text articles, all the articles were reviewed and the most appropriate were included in this review. Several different systems of mechanical activation of irrigants to improve endodontic disinfection were analysed: manual agitation with gutta-percha cones, endodontic instruments or special brushes, vibrating systems activated by low-speed hand-pieces or by sonic or subsonic energy, use of ultrasonic or laser energy to mechanically activate the irrigants and apical negative pressure irrigation systems. Furthermore, this review aims to describe systems designed to improve the intracanal bacterial decontamination by a specific chemical action, such as ozone, direct laser action or light-activated disinfection. The ultrasonic activation of root canal irrigants and of sodium hypochlorite in particular still remains the gold standard to which all other systems of mechanical agitation analyzed in this article were compared. From this overview, it is evident that the use of different irrigation systems can provide several advantages in the clinical endodontic outcome and that integration of new technologies, coupled with enhanced techniques and materials, may help everyday clinical practice.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

The effect of photodynamic therapy in root canal disinfection: a systematic review.

INTRODUCTION Effective root canal disinfection is a fundamental component of successful root canal treatment. Photodynamic therapy (PDT) has been proposed as a new adjunctive method for additional disinfection of the root canal system with the possibility of improved treatment outcomes. The aim of this systematic review was to investigate the effect of PDT on bacterial load reduction during roo...

متن کامل

No Shaping Endodontic Treatment of a Mandibular Canine Utilizing the Gentle Wave Procedure: A Case Report

Due to limitations in standard endodontic therapy there have been great endeavors to effectively clean, shape and disinfect the root canal system while preserving the natural anatomy of the tooth [1]. Maintaining the natural canal anatomy and preservation of tooth structure has been correlated to higher clinical success rates [2-5]. A major issue in tooth preservation is the need to maximize cl...

متن کامل

Photo-activated disinfection of the root canal: a new role for lasers in endodontics.

Because micro-organisms play a crucial role in the development of pulpal and periapical disease, the prognosis of endodontic therapy is intimately related to the presence of bacteria within the root canal system. Micro-organisms may persist in the apical region of the root canal system despite chemomechanical preparation. The usefulness of Class IV lasers (such as Nd:YAG, diode, KTP and Er:YAG)...

متن کامل

Antiseptics and Antibiotics Used in Regenerative Endodontics

Contemporary endodontics and the future of endodontics are based on regenerative strategies. Success of these regenerative endodontic treatments depends on disinfection of the root canal system. Current research in endodontics focuses on identifying the optimal methods of disinfection of root canal systems to achieve predictable results in revascularization therapy. Although the use of sodium h...

متن کامل

Antimicrobial irrigants in the endodontic therapy.

This paper highlights the importance of root canal disinfection. It discusses the different endodontic irrigants available and comments on how these can be used most effectively. Eliminating bacteria from the root canal system is an essential stage in endodontic therapy. An objective of endodontic treatment is removal of diseased tissue, elimination of bacteria from the canal system and prevent...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Brazilian dental journal

دوره 27 1  شماره 

صفحات  -

تاریخ انتشار 2016