The objective of this project was to evaluate the safety of various intracanal irrigation systems by measuring the apical extrusion of irrigant. Twenty-two single canal, extracted mature teeth were instrumented and secured through the lid of a scintillation vial to collect apically extruded irrigant. A precision syringe pump delivered controlled amounts of irrigant at a constant flow. The irrig...

AIM To analyze the influence of the needle type, insertion depth, and irrigant flow rate on irrigant flow pattern, flow velocity, and apical pressure by ex-vivo based endodontic irrigation computational fluid dynamics (CFD) analysis. METHODS Human upper canine root canal was prepared using rotary files. Contrast fluid was introduced in the root canal and scanned by computed tomography (CT) pr...

The aim of this study was to evaluate the preparation time and the amounts of apically extruded debris and irrigant using different nickel-titanium instrumentation systems. Forty-five extracted single-rooted mandibular premolar teeth were selected and divided into three groups. The root canals were instrumented according to the manufacturers' instructions, using a reciprocating single-file syst...

INTRODUCTION The aim of this study was to evaluate the effect of needle tip design on the irrigant flow inside a prepared root canal during final irrigation with a syringe using a validated Computational Fluid Dynamics (CFD) model. METHODS A CFD model was created to simulate the irrigant flow inside a prepared root canal. Six different types of 30-G needles, three open-ended needles and three...

OBJECTIVE This study investigated the effect of different endodontic irrigant solutions and resin cement systems on the bond strength of cemented fiber posts. METHODS Sixty human single-rooted anterior teeth were sectioned transversely at 2 mm incisal to the cemento-enamel junction (CEJ). The roots were treated endodontically, and teeth were distributed into six groups: group A, includes 5.25...

INTRODUCTION This in vitro study aimed to investigate the antibacterial effects of photodynamic therapy (PDT) with methylene blue (MB) or toluidine blue (TB) (both at 15 microg/mL) as a supplement to instrumentation/irrigation of root canals experimentally contaminated with Enterococcus faecalis. METHODS Seventy extracted teeth had their root canals contaminated with an endodontic strain of E...

INTRODUCTION The aims of this study were to evaluate dentin debris removal from the root canal during ultrasonic activation of sodium hypochlorite (2% and 10%), carbonated water, and distilled water and to determine the influence of 3 ultrasonic refreshment/activation cycles of the irrigant by using the intermittent flush technique. METHODS Root canals with a standardized groove in 1 canal wa...

This study evaluated the irrigation extrusion and smear layer (SL) removal of continuous ultrasonic irrigation (CUI). Forty root canals were shaped, embedded in warm sterile saline agar colored with 1% acid red, and distributed into four groups; three groups had the final irrigation sequence of sodium hypochlorite and EDTA solutions performed by using syringe irrigation (SI), EndoVac (EV), and ...

Sodium hypochloride is the most commonly used endodontic irrigant, despite limitations. None of the presently available root canal irrigants satisfy the requirements of ideal root canal irrigant. Newer root canal irrigants are studied for potential replacement of sodium hypochloride. This article reviews the potential irrigants with their advantages and limitations with their future in endodont...

BACKGROUND Irrigation of the root canal system is an essential step in the endodontic treatment. The aim of this article is to introduce continuous apical negative-pressure ultrasonic irrigation (CANUI), a new irrigation concept, and compare the characteristics of this new technique with current devices for activating the irrigant. MATERIAL AND METHODS CANUI is designed for cleaning and disin...