Comparison of triple antibiotic paste removal by different irrigation techniques
Source abstract
Abstract
This study compared different irrigation techniques in triple antibiotic paste (TAP) removal from root canals. Fifty-six maxillaryanterior-teeth were filled with TAP for 28 days, and assigned into 5 experimental groups (n=10): Syringe irrigation (SI), NaviTip FX (NFX), Vibringe-Syringe irrigation (V-SI), NaviTip FX-Vibringe (V-NFX), passive ultrasonic irrigation (PUI) and positive and negative control groups (n=3 for each). Following the removal of the medicament, the remaining medicament was evaluated using 4-grade scoring-system. V-NFX and NFX showed similar performances (p>0.05) while V-NFX was significantly more efficient than SI and PUI (p<0.05) at all parts of root canals. VSI was less efficient at apical part when compared to NFX and V-NFX (p<0.05) while not significantly different from PUI and SI at all parts of the root canals (p>0.05). Regarding different parts of the root canals, V-SI and PUI were significantly less efficient at the apical part (p<0.05). In conclusion, the brush form of irrigation delivery with and without sonic activation improved the removal of TAP from the root canals when compared to ultrasonic activation, syringe irrigation or sonic activation alone.
Source: openalex_inverted_index · Quality: baseline
Research context
OpenAlex topics: Endodontics and Root Canal Treatments · Dental Anxiety and Anesthesia Techniques · Dental Radiography and Imaging
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Hacettepe University, Faculty of Dentistry, Department of Endodontics
References (32)
Show source-provided references
1. 1) Chen X, Bao ZF, Liu Y, Liu M, Jin XQ, Xu XB. Regenerative endodontic treatment of an immature permanent tooth at an early stage of root development: a case report. J Endod 2013; 39: 719-722.10.1016/j.joen.2012.12.023 ↗
2. 2) Wigler R, Kaufman AY, Lin S, Steinbock N, Hazan-Molina H, Torneck CD. Revascularization: a treatment for permanent teeth with necrotic pulp and incomplete root development. J Endod 2013; 39: 319-326.10.1016/j.joen.2012.11.014 ↗
3. 3) Banchs F, Trope M. Revascularization of immature permanent teeth with apical periodontitis: new treatment protocol? J Endod 2004; 30: 196-200.10.1097/00004770-200404000-00003 ↗
4. 4) Thibodeau B, Teixeira F, Yamauchi M, Caplan DJ, Trope M. Pulp revascularization of immature dog teeth with apical periodontitis. J Endod 2007; 33: 680-689.10.1016/j.joen.2007.03.001 ↗
5. 5) Torabinejad M, Faras H. A clinical and histological report of a tooth with an open apex treated with regenerative endodontics using platelet-rich plasma. J Endod 2012; 38: 864-868.10.1016/j.joen.2012.03.006 ↗
6. 6) Hoshino E, Kurihara-Ando N, Sato I, Uematsu H, Sato M, Kota K, Iwaku M. In-vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of ciprofloxacin, metronidazole and minocycline. Int Endod J 1996; 29: 125-130.10.1111/j.1365-2591.1996.tb01173.x ↗
7. 7) Sato I, Ando-Kurihara N, Kota K, Iwaku M, Hoshino E.Sterilization of infected root-canal dentine by topical application of a mixture of ciprofloxacin, metronidazole and minocycline in situ. Int Endod J 1996; 29: 118-124.10.1111/j.1365-2591.1996.tb01172.x ↗
8. 8) Ruparel NB, Teixeira FB, Ferraz CC, Diogenes A. Direct effect of intracanal medicaments on survival of stem cells of the apical papilla. J Endod 2012; 38: 1372-1375.10.1016/j.joen.2012.06.018 ↗
9. 9) Lovelace TW, Henry MA, Hargreaves KM, Diogenes A. Evaluation of the delivery of mesenchymal stem cells into the root canal space of necrotic immature teeth after clinical regenerative endodontic procedure. J Endod 2011; 37: 133-138.10.1016/j.joen.2010.10.009 ↗
10. 10) Kim JH, Kim Y, Shin SJ, Park JW, Jung IY. Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. J Endod 2010; 36: 1086-1091.10.1016/j.joen.2010.03.031 ↗
11. 11) Gu LS, Kim JR, Ling J, Choi KK, Pashley DH, Tay FR. Review of contemporary irrigant agitation techniques and devices. J Endod 2009; 35: 791-804.10.1016/j.joen.2009.03.010 ↗
12. 12) Lee SJ, Wu MK, Wesselink PR. The effectiveness of syringe irrigation and ultrasonics to remove debris from simulated irregularities within prepared root canal walls. Int Endod J 2004; 37: 672-678.10.1111/j.1365-2591.2004.00848.x ↗
13. 13) Weller RN, Brady JM, Bernier WE. Efficacy of ultrasonic cleaning. J Endod 1980; 6: 740-743.10.1016/S0099-2399(80)80185-3 ↗
14. 14) Munoz HR, Camacho-Cuadra K. In vivo efficacy of three different endodontic irrigation systems for irrigant delivery to working length of mesial canals of mandibular molars. J Endod 2012; 38: 445-448.10.1016/j.joen.2011.12.007 ↗
15. 15) Rödig T, Bozkurt M, Konietschke F, Hülsmann M. Comparison of the vibringe system with syringe and passive ultrasonic irrigation in removing debris from simulated root canal irregularities. J Endod 2010; 36: 1410-1413.10.1016/j.joen.2010.04.023 ↗
16. 16) Al-Hadlaq SM, Al-Turaiki SA, Al-Sulami U, Saad AY. Efficacy of a new brush-covered irrigation needle in removing root canal debris: a scanning electron microscopic study. J Endod 2006; 32: 1181-1184.10.1016/j.joen.2006.07.019 ↗
17. 17) Akman M, Akbulut MB, Aydinbelge HA, Belli S. Comparison of different irrigation activation regimens and conventional irrigation techniques for the removal of modified triple antibiotic paste from root canals. J Endod 2015; 41: 720-724.10.1016/j.joen.2015.01.001 ↗
18. 18) Ok E, Altunsoy M, Nur BG, Kalkan A. Effectiveness of different irrigation solutions on triple antibiotic paste removal from simulated immature root canal. Scanning 2015; 37: 409-413.10.1002/sca.21229 ↗
19. 19) Arslan H, Capar ID, Saygili G, Uysal B, Gok T, Ertas H, Topcuoglu HS. Efficacy of various irrigation protocols on the removal of triple antibiotic paste. Int Endod J 2014; 47: 594-599.10.1111/iej.12194 ↗
20. 20) Berkhoff JA, Chen PB, Teixeira FB, Diogenes A. Evaluation of triple antibiotic paste removal by different irrigation procedures. J Endod 2014; 40: 1172-1177.10.1016/j.joen.2013.12.027 ↗
21. 21) Yucel AC, Gurel M, Guler E, Karabucak B. Comparison of final irrigation techniques in removal of calcium hydroxide. Aust Endod J 2013; 39: 116-121.10.1111/j.1747-4477.2011.00326.x ↗
22. 22) Wiseman A, Cox TC, Paranjpe A, Flake NM, Cohenca N, Johnson JD. Efficacy of sonic and ultrasonic activation for removal of calcium hydroxide from mesial canals of mandibular molars: a microtomographic study. J Endod 2011; 37: 235-238.10.1016/j.joen.2010.11.019 ↗
23. 23) Zmener O, Pameijer CH, Serrano SA, Palo RM, Iglesias EF. Efficacy of the NaviTip FX irrigation needle in removing post instrumentation canal smear layer and debris in curved root canals. J Endod 2009; 35: 1270-1273.10.1016/j.joen.2009.05.001 ↗
24. 24) Goel S, Tewari S. Smear layer removal with passive ultrasonic irrigation and the NaviTip FX: a scanning electron microscopic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: 465-470.10.1016/j.tripleo.2009.04.023 ↗
25. 25) Klyn SL, Kirkpatrick TC, Rutledge RE. In vitro comparisons of debris removal of the EndoActivator system, the F file, ultrasonic irrigation, and NaOCl irrigation alone after hand-rotary instrumentation in human mandibular molars. J Endod 2010; 36: 1367-1371.10.1016/j.joen.2010.03.022 ↗
26. 26) Balvedi R, Versiani M, Manna F, Biffi J. A comparison of two techniques for the removal of calcium hydroxide from root canals. Int Endod J 2010; 43: 763-768.10.1111/j.1365-2591.2010.01718.x ↗
27. 27) Van der Sluis L, Wu M, Wesselink P. The evaluation of removal of calcium hydroxide paste from an artificial standardized groove in the apical root canal using different irrigation methodologies. Int Endod J 2007; 40: 52-57.10.1111/j.1365-2591.2006.01182.x ↗
28. 28) Kahn FH, Rosenberg PA, Gliksberg J. An in vitro evaluation of the irrigating characteristics of ultrasonic and subsonic handpieces and irrigating needles and probes. J Endod 1995; 21: 277-280.10.1016/S0099-2399(06)80998-2 ↗
29. 29) Arslan H, Akcay M, Capar ID, Ertas H, Ok E, Uysal B. Efficacy of needle irrigation, EndoActivator, and photoninitiated photoacoustic streaming technique on removal of double and triple antibiotic pastes. J Endod 2014; 40: 1439-1442.10.1016/j.joen.2014.02.013 ↗
30. 30) Van Der Sluis L, Gambarini G, Wu M, Wesselink P. The influence of volume, type of irrigant and flushing method on removing artificially placed dentine debris from the apical root canal during passive ultrasonic irrigation. Int Endod J 2006; 39: 472-476.10.1111/j.1365-2591.2006.01108.x ↗
31. 31) Law AS. Considerations for regeneration procedures. J Endod 2013; 39: S44-56.10.1016/j.joen.2012.11.019 ↗
32. 32) Tanase S, Tsuchiya H, Yao J, Ohmoto S, Takagi N, Yoshida S.Reversed-phase ion-pair chromatographic analysis of tetracycline antibiotics. Application to discolored teeth. J Chromatogr B Biomed Sci Appl 1998; 706: 279-285.10.1016/S0378-4347(97)00563-X ↗