Abstract
Data sources Cochrane Library, Embase, LILACS, PubMed, SciELO, Scopus databases, endodontic journals and textbooks.
Study selection Two independent reviewers screened the titles, abstracts and/or full-text of the both clinical or in vitro studies that used ultrasonic irrigant activation for management of teeth needing root canal therapy.
Results The study included three clinical studies and 45 in vitro studies. The study reported no evidence of any benefit of ultrasonic activation over needle irrigation in improving the healing rate of apical periodontitis. While the study reported that the evidence for disinfection of the root canal was inconclusive it did show evidence of the efficacy of ultrasonic irrigation over needle irrigation when removal of pulp tissue remnants and hard tissue debris was assessed.
Conclusion The study reported that it was essential that there should be more research into the antimicrobial effect on healing in periapical periodontitis when teeth are treated using ultrasonic activation.
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References
Walsh L J, George R. Activation of Alkaline Irrigation Fluids in Endodontics. Materials (Basel) 2017; 10: DOI: 10.3390/ma10101214.
Plotino G, Pameijer C H, Grande N M, Somma F. Ultrasonics in endodontics: a review of the literature. J Endod 2007; 33: 81-95.
George R, Meyers I A, Walsh L J. Laser activation of endodontic irrigants with improved conical laser fiber tips for removing smear layer in the apical third of the root canal. J Endod 2008; 34: 1524-1527.
Haapasalo M, Shen Y, Qian W, Gao Y. Irrigation in endodontics. Dent Clin North Am 2010; 54: 291-312.
Caputa P E, Retsas A, Kuijk L, Chavez de Paz L E, Boutsioukis C. Ultrasonic Irrigant Activation during Root Canal Treatment: A Systematic Review. J Endod 2019; 45: 31-44.
Liang Y H, Jiang L M, Jiang L et al. Radiographic healing after a root canal treatment performed in single-rooted teeth with and without ultrasonic activation of the irrigant: a randomized controlled trial. J Endod 2013; 39: 1218-1225.
Case P D, Bird P S, Kahler W A, George R, Walsh L J. Treatment of root canal biofilms of Enterococcus faecalis with ozone gas and passive ultrasound activation. J Endod 2012; 38: 523-526.
Neelakantan P, Cheng C Q, Ravichandran V. Photoactivation of curcumin and sodium hypochlorite to enhance antibiofilm efficacy in root canal dentin. Photodiagnosis Photodyn Ther 2015; 12: 109-114.
Nagendrababu V, Jayaraman J, Suresh A, Kalyanasundaram S, Neelakantan P. Effectiveness of ultrasonically activated irrigation on root canal disinfection: a systematic review of in vitro studies. Clin Oral Investig 2018; 22: 655-670.
Mozo S, Llena C, Forner L. Review of ultrasonic irrigation in endodontics: increasing action of irrigating solutions. Med Oral Patol Oral Cir Bucal 2012; 17: e512-e516.
Gulabivala K, Ng Y L, Gilbertson M, Eames I. The fluid mechanics of root canal irrigation. Physiol Meas 2010; 31: R49-R84.
Haapasalo M, Shen Y, Wang Z, Gao Y. Irrigation in endodontics. Br Dent J 2014; 216: 299-303.
Gu L S, Kim J R, Ling J, Choi K K, Pashley D H, Tay F R. Review of contemporary irrigant agitation techniques and devices. J Endod 2009; 35: 791-804.
van der Sluis L W, Versluis M, Wu M K, Wesselink P R. Passive ultrasonic irrigation of the root canal: a review of the literature. Int Endod J 2007; 40: 415-426.
Boutsioukis C, Verhaagen B, Walmsley A D, Versluis M, van der Sluis L W. Measurement and visualization of file-to-wall contact during ultrasonically activated irrigation in simulated canals. Int Endod J 2013; 46: 1046-1055.
Teplitsky P E, Chenail B L, Mack B, Machnee C H. Endodontic irrigation--a comparison of endosonic and syringe delivery systems. Int Endod J 1987; 20: 233-241.
Chou K, George R, Walsh L J. Effectiveness of different intracanal irrigation techniques in removing intracanal paste medicaments. Aust Endod J 2014; 40: 21-25.
Khademi A A, Amini K, Ghodsian B, Zahed S M, Teymori F, Shadmehr E. Removal efficiency of calcium hydroxide intracanal medicament with RinsEndo system in comparison with passive ultrasonic irrigation, an in vitro study. Dent Res J (Isfahan) 2015; 12: 157-160.
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George, R. Evaluation of the evidence of effectiveness of ultrasonic activated irrigation for root canal treatment. Evid Based Dent 20, 83–84 (2019). https://doi.org/10.1038/s41432-019-0037-2
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DOI: https://doi.org/10.1038/s41432-019-0037-2
