Root canal irrigants

A review

https://doi.org/10.53730/ijhs.v5nS1.5406

Authors

  • Sunil Malhan HOD, Department of Conservative Dentistry & Endodontics, Desh Bhagat Dental College & Hospital, Mandi Gobindgarh
  • Chahat Bansal PG student (Final year), Department of Conservative Dentistry & Endodontics, Desh Bhagat Dental College & Hospital, Mandi Gobindgarh
  • Suksham Johar Senior Lecturer, Department of Conservative Dentistry & Endodontics, Desh Bhagat Dental College & Hospital, Mandi Gobindgarh

Keywords:

disinfection, EDTA, smear layer, sodium hypochlorite, root canal irrigants, enter-ococcus faecalis, endodontic irrigants

Abstract

Root canal irrigation is not much emphasised in endodontic therapy.  The primary objective of root canal therapy is the retention of the pulpless or pulpally involved tooth with its associated periapical tissues in a healthy state. Achievement of this objective requires that the pulpal spaces and contents be eliminated as sources of infection.  As the Enterococcus faecalis is also found to be the most important cause for endodontic failures, the action and efficacy of fewer irrigants against E. faecalis should also be given prime importance as of others. Therefore, the introduction of an antimicrobial endodontic irrigant during root canal therapy should be given priority in the hierarchy of root canal treatment.  The purpose of this article is to analyse root canal irrigants, irrigation techniques and irrigation protocol.

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References

Peters OA, Schönenberger K, Laib A. Effects of four Ni-Ti preparation techniques on root canal geometry assessed by micro computed tomography. Int Endod J 2001;34:221-30.

Zehnder M. Root Canal Irrigants. J Endod. 2006;32:389–98.

Good M, El KI, Hussey DL. Endodontic ‘solutions’ part 1: A literature review on the use of endodontic lubricants, irrigants and medicaments. Dent Update 2012;39:239-46.

Mistry KS, Shah S. Review on common root canal irrigants. J Dent Sci 2011;2:27-31.

Dychdala GR. Chlorine and chlorine compounds. In: Block SS, editor. Disinfection, Sterilization and Preservation. Philadelphia: Lea & Febiger; 1991. p. 131-51.

Nygaard-Ostby B. Chelation in root canal therapy. Odontol Tidskr 1957;65:3-11.

Loel DA. Use of acid cleanser in endodontic therapy. J Am Dent Assoc 1975;90:148-51.

Von Der Fehr FR, Nygaard-Ostby B. Effect of EDTAC and sulfuric acid on root canal dentine. Oral Surg Oral Med Oral Pathol 1963;16:199-205.

Calt S, Serper A. Time-dependent effects of EDTA on dentin structures. J Endod 2002;28:17-9.

Kuah HG, Lui JN, Tseng PS, Chen NN. The Effect of EDTA with and without Ultrasonics on Removal of the Smear Layer. J Endod 2009;35:393-6.

Rasimick BJ, Nekich M, Hladek MM, Musikant BL, Deutsch AS. Interaction between chlorhexidine digluconate and EDTA. J Endod 2008;34:1521-3.

Mistry KS, Shah S (2011) Review on common root canal irrigants. J Dent Sci 2: 27-31.

Ng YL, Mann V, Gulabivala K (2011) A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: Periapical health. Int Endod J 44: 583- 609.

Sauerbrei A, Wutzler P. Virucidal efficacy of povidone-iodine-containing disinfectants. Lett Appl Microbiol 2010;51:158-63.

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.

Steinberg D, Heling I, Daniel I, Ginsburg I. Antibacterial synergistic effect of chlorhexidine and hydrogen peroxide against Streptococcus sobrinus, Streptococcus faecalis, Staphylococcus aureus. J Oral Rehabil 1999;26:151-6.17.

Smith J, Wayman B. An evaluation of the antimicrobial effect of citric acid as root canal irrigants. J Endod 1986;12:54-8.

Zehnder M, Schmidlin P, Sener B, Waltimo T. Chelation in root canal therapy reconsidered. J Endod 2005;31:817-20.

Asghar S, Ali A, Somoro S, Rashid S. Antimicrobial solutions used for root canal disinfection. Pak Oral Dent J 2013;33:165-71.

Valera MC, Chung A, Menezes MM, Fernandes CE, Carvalho CA, et al. (2010) Scanning electron microscope evaluation of chlorhexidine gel andliquid associated with sodium hypochlorite cleaning on the root canal walls. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 110:82-87.

Ballal NV, Kandian S, Mala K, Bhat KS. Comparison of the efficacy of maleic acid and ethylenediaminetetraacetic acid in smear layer removal from instrumented human root canal: A Scanning Electron Microscopic Study. J Endod 2009;35:1573-6.

Giardino L, Ambu E, Savoldi E, Rimondini R, Cassanelli C, Debbia EA. Comparative evaluation of antimicrobial efficacy of sodium hypochlorite, MTAD, and Tetraclean against Enterococcus faecalis bifilm. J Endod 2007;33:852-5.

Kaufman AY, Binderman I, Tal M, Gedalia I, Peretz G. New chemotherapeutic agent for root canal treatment. A preliminary electron microscopic study on an in vivo and in vitro endodontically treated tooth. Oral Surg Oral Med Oral Pathol 1978;46:283-95.

Salvadori MF. Genotoxicity of antimicrobial endodontic compounds by single cell gel assay in Chinese hamster ovary cells. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:637-40.

Broadwater WT, Hoehn RC, King PH. Sensitivity of three selected bacterial species to ozone. Journal of Appl Microbiol 1973;26:391-3.

Huth KC, Quirling M, Maier S, Kamereck K. Effectiveness of ozone against endodonto-pathogenic microorganisms in a root canal biofilm model. Int Endod J 2009;42:3-13.

Published

31-07-2021

How to Cite

Malhan, S., Bansal, C., & Johar, S. (2021). Root canal irrigants: A review. International Journal of Health Sciences, 5(S1), 134–142. https://doi.org/10.53730/ijhs.v5nS1.5406

Issue

Section

Peer Review Articles