journal article·2021-12-28Open access

Calcium Hydroxide Removal Using Four Different Irrigation Systems: A Quantitative Evaluation by Scanning Electron Microscopy

Luigi Generali, Francesco Cavani, Federico Franceschetti, Paolo Sassatelli, Luciano Giardino, Chiara Pirani, Francesco Iacono, Carlo Bertoldi, Daniele Angerame, Vittorio Checchi, Eugenio Pedullà

Applied Sciences· Volume 12· Issue 1

Abstract

This study compares conventional endodontic needle irrigation, passive ultrasonic irrigation, apical negative pressure irrigation, and mechanical activation to remove calcium hydroxide from single straight root canals. Eighty-four mandibular premolars were prepared in a crown-down manner up to size #40. Two teeth represented a negative control, and another two served as a positive control. Calcium hydroxide paste was placed inside root canals. The remaining eighty samples were analyzed based on the activation techniques, and the cleanliness of the canals was quantified using Fiji’s software on 500× magnified SEM backscattered electron micrographs. Considering the whole canal, all instruments showed better performance than conventional endodontic needle irrigation in removing calcium hydroxide (p < 0.05). Irrisafe and XP-endo Finisher could remove a significantly higher amount of calcium hydroxide than Endovac (p < 0.05). Irrisafe and XP-endo Finisher have been able to remove more calcium hydroxide than EndoVac.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Endodontics and Root Canal Treatments · Dental Radiography and Imaging · Dental materials and restorations

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance (CHIMOMO), University of Modena and Reggio Emilia, 41124 Modena, Italy

Section of Human Morphology, Department of Biomedical, Metabolic and Neural Science, University of Modena and Reggio Emilia, 41124 Modena, Italy

Product Engineer, Beckett Thermal Solution, 41043 Formigine, Italy

Independent Researcher, 88900 Crotone, Italy

Private Practice, 40122 Bologna, Italy

Clinical Department of Medical, Surgical and Health Sciences, University of Trieste, 34149 Trieste, Italy

Department of General Surgery and Surgical-Medical Specialties, University of Catania, 95123 Catania, Italy

References (31)

Show source-provided references
1. Properties and applications of calcium hydroxide in endodontics and dental traumatology10.1111/j.1365-2591.2011.01886.x ↗
2. Effectiveness of calcium hydroxide-based intracanal medicaments against Enterococcus faecalis10.1111/j.1365-2591.2011.01976.x ↗
3. Comparison of anti-bacterial efficiency of ibuprofen, diclofenac, and calcium hydroxide against Enterococcus faecalis in an endodontic model: An in vitro study
4. Antibacterial activity of various intracanal medicament against enterococcus faecalis, streptococcus mutans and staphylococcus aureus: An in vitro study10.4103/jpbs.JPBS_623_20 ↗
5. Comparison of calcium hydroxide removal by self—Adjusting file, EndoVac, and CanalBrush agitation techniques: An in vitro study10.4103/0972-0707.117523 ↗
6. Efficacy of removal of calcium hydroxide medicament from root canals by endoactivator and endovac irrigation techniques: A systematic review of in vitro studies10.4103/ccd.ccd_335_18 ↗
7. Effect of calcium hydroxide dressing on the dentinal tubule ppenetration of 2 different root canal sealers: A confocal laser scanning microscopy study10.1016/j.joen.2018.02.016 ↗
8. Influence of calcium hydroxide intracanal medication on apical seal10.1046/j.1365-2591.2002.00539.x ↗
9. Ultrasonically activated irrigation to remove calcium hydroxide from apical third of human root canal system: A systematic review of in vitro studies10.1016/j.joen.2015.06.006 ↗
10. Cleaning and shaping the apical third of a root canal system
11. Microscopic cleanliness evaluation of the apical root canal after using calcium hydroxide mixed with chlorhexidine, propylene glicol, or antibiotic paste10.1016/j.tripleo.2010.08.016 ↗
12. The efficacy of the self-adjusting file and protaper for removal of calcium hydroxide from root canals10.1590/1678-775720130034 ↗
13. A quantitative assessment of efficacy of various calcium hydroxide removal techniques10.1016/j.joen.2005.10.065 ↗
14. Efficacy of different irrigants in the removal of calcium hydroxide from root canals10.1111/j.1365-2591.2010.01709.x ↗
15. Effect of different final irrigation methods on the removal of calcium hydroxide from an artificial standardized groove in the apical third of root canals10.1016/j.joen.2013.10.019 ↗
16. An in vitro comparison of irrigation using photon-initiated photoacoustic streaming, ultrasonic, sonic and needle techniques in removing calcium hydroxide10.1111/iej.12306 ↗
17. Irrigation in endodontics10.1016/j.cden.2009.12.001 ↗
18. Preparation of oval-shaped root canals in mandibular molars using nickel-titanium rotary instruments: A micro-computed tomography study10.1016/j.joen.2009.12.020 ↗
19. Removal efficacy of various calcium hydroxide/chlorhexidine medicaments from the root canal10.1111/j.1365-2591.2005.01049.x ↗
20. Comparison of different agitation methods for the removal of calcium hydroxide from the root canal: Scanning electron microscopy study10.4103/JCD.JCD_273_17 ↗
21. New thermomechanically treated NiTi alloy—A review10.1111/iej.12924 ↗
22. Efficacy of XP-endo finisher files in the removal of calcium hydroxide paste from artificial standardized grooves in the apical third of oval root canals10.1111/iej.12668 ↗
23. Efficacy of XP-endo finisher and TRU Shape 3D conforming file compared to conventional and ultrasonic irrigation in removing calcium hydroxide10.1111/aej.12176 ↗
24. Efficacy of XP-endo finisher file in removing calcium hydroxide from simulated internal resorption cavity10.1016/j.joen.2016.09.009 ↗
25. Sodium hypochlorite solution penetration into human dentin: A histochemical evaluation10.1111/iej.12641 ↗
26. Plaque accumulation on titanium disks with different surface treatments: An in vivo investigation10.1007/s10266-017-0317-2 ↗
27. Dentine decalcification and smear layer removal by different ethylenediaminetetraacetic acid and 1-hydroxyethane-1,1-diphosphonic acid species10.1111/iej.12987 ↗
28. The evaluation of removal of calcium hy- droxide paste from an artificial standardized groove in the apical root canal using different irrigation methods10.1111/j.1365-2591.2006.01182.x ↗
29. The XP-endo finisher for the removal of calcium hydroxide paste from root canals and from the apical third
30. Removal of calcium hydroxide from artificial grooves in straight root canals: Sonic activation using EDDY versus passive ultrasonic irrigation and XPendo finisher10.1016/j.joen.2018.11.001 ↗
31. Micro-CT evaluation of calcium hydroxide removal through passive ultrasonic irrigation associated with or without an additional instrument10.1111/iej.12374 ↗