Comparison of the removal of calcium hydroxide medicaments on the root canal treatment irrigated with manual and sonic agitation technique

Anna Muryani, Ayu Trisna Hayati, Rahmi Alma Farah Adang

Abstract


Introduction: Irrigation of the root canal is an important part of the endodontic treatment. Root irrigation technique can be done with the manual and sonic system by using 2.5% NaOCI solution. Calcium hydroxide [Ca(OH)2 ] is used as a medicament for root canal sterilization. Root canal treatment will fail due to the imperfect removal of Ca(OH)2 residue. The objective of this research was to analyze the comparison of the removal of Ca(OH)2 medicaments on the root canal treatment irrigated with manual and sonic agitation technique using 2.5% NaOCI. Methods: The methods used in this study was experimental laboratory. The sample used was 30 maxillary incisors. The teeth were then divided into two groups randomly, then the root canal preparation was done by the crown down technique with irrigation using 2.5% NaOCI. The radicular part of the teeth was then split longitudinally, given a standardized groove in the one-third of the apical part, then applied with water-solved calcium hydroxide. The teeth were unified afterwards by using flowable composites, then soaked in the artificial saliva. The sample of the 1st group was irrigated by manual agitation technique, and the 2nd group by sonic agitation technique. The data results were analyzed by Kruskal-Wallis and Mann-Whitney tests. Results: The results of Ca(OH)2 removal were different between manual agitation technique compared to the sonic agitation technique. Conclusion: The irrigation using 2.5% NaOCl with the sonic agitation technique were proven to be more effective in removing Ca(OH)2 from root canals than the manual agitation technique.


Keywords


Manual agitation, sonic agitation, irrigation, calcium hydroxide

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References


Jiang LM, Verhaagen B, Versluis M, Van der Sluis LW. Evaluation of a sonic device designed to activate irrigant in the root canal. J Endod. Jan 2010; 36(1): p. 143-46. DOI: 10.1016/j.joen.2009.06.009.

Rodig T, Bozkurt M, Konietschke F, Hulsmann M. Comparison of the vibringe system with syringe and passive ultrasonic irrigation in removing debris from simulated root canal irregularities. J Endod. Aug 2010;36(8): p. 1410-3. DOI: 10.1016/j.joen.2010.04.023.

Ricucci D, Langeland K. Incomplete calcium hydroxide removal from the root canal: a case report. Int Endod J. Nov 1997;30(6): p. 418–21.

Bergenholtz G, Horsted-Bindslev P, Reit C. Textbook of Endodontology. 2nd ed. Hoboken: Wiley-Blackwell; 2010.

Van der Sluis LW, Gambarini G, Wu MK, Wesselink PR. The influence of volume, type of irrigant anf flushing method of removing artificially placed dentine debris from the apical root canal during passive ultrasonic irrigation. Int Endod J. Jun 2006;39(6): p. 472-6. DOI: 10.1111/j.1365-2591.2006.01108.x.

Haapasalo M, Shen Y, Qian W, Gao Y. Irrigation in endodontics. Dent Clin North Am. Apr 2010;54(2): p. 291-312. DOI: 10.1016/j.cden.2009.12.001.

Van der Sluis LW, Wu MK, Wesselink PR. A comparison between a smooth wire and a K file in the removal of artificially placed dentine debris in plastic blocks. Int Endod J. Sep 2005;38(9): p. 593–6. DOI: 10.1111/j.1365-2591.2005.00921.x.

Van der Sluis LW, Wu MK, Wesselink PR. The efficacy of ultrasonic irrigation to remove artificially placed dentine debris from human root canals prepared using instruments of varying taper. Int Endod J. Oct 2005;38(10): p. 764–8. DOI: 10.1111/j.1365-2591.2005.01018.x.

Van der Sluis LW, Versluis M, Wu MK, Wesselink PR. Passive ultrasonic irrigation of the root canal; a review of the literature. Int Endod J. Jun 2007;40(6): p. 415-26. DOI: 10.1111/j.1365-2591.2007.01243.x.

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. Oct 2004;37(10): p. 672–8. DOI: 10.1111/j.1365-2591.2004.00848.x.

Gu LS, Kim JR, Ling J, Choi KK, Pashley DH, Tay FR. Review of contemporary irrigant agitation techniques and devices. J Endod. Jun 2009;35(6): p. 791-804. DOI: 10.1016/j.joen.2009.03.010.

Ruddle CJ. Hydrodynamic disinfection: tsunami endodontic. Dent Today. May 2007;26(5): p. 110, 112, 114-7.

Lambrianidis T, Kosti E, Boutsioukis C, Mazinis M. Removal efficacy of various calcium hydroxide/chlorhexideine medicaments from the root canal. Int Endod J. Jan 2006;39(1): p. 55-61. DOI: 10.1111/j.1365-2591.2005.01049.x.

Nandini S, Velmurugan N, Kandaswamy D. Removal efficiency of calcium hydroxide intracanal medicament with two calcium chelators; volumetric analysis using spiral CT, an in vitro study. J Endod. Nov 2006;32(11): p. 1097-101. DOI: 10.1016/j.joen.2006.06.005.

Tronstad L, Andreasen JO, Hasselgren G, Kristerson L, Riis I. PH changes in dental tissues after root filling with calcium hydroxide. J Endod. Jan 1981;7(1): p. 17–21. DOI: 10.1016/S0099-2399(81)80262-2.

Estrela C, Decurcio DDA, de Alencar AHG, Sydney GB, Silva JA. Efficacy of calcium hydroxide dressing in endodontic infection treatment : a systematic review. Rev Odonto Cienc. Jan 7 2008;23(1): p. 82–6.

Taşdemir T, Celik D, Er K, Yildirim T, Ceyhanli KT, Yeşilyurt C. Efficacy of several techniques for the removal of calcium hydroxide medicament from root canals. Int Endod J. Jun 2011;44(6): p. 505–9. DOI: 10.1111/j.1365-2591.2011.01854.x.

Vianna ME, Gomes BP, Berber VB, Zaia AA, Ferraz CC, de Souza-Filho FJ. In vitro evaluation of the antimicrobial activity of chlorhexidine and sodium hypochlorite. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Jan 2004;97(1): p. 79–84. DOI: 10.1016/S1079210403003603.

Rao SA, Manasa N. Effect of irrigants using ultrasonics on intracanal calcium hydroxide removal – an in vitro comparative evaluation. Braz J Oral Sci. 2012;11(1): p. 52-5.

Ruddle CJ. Endodontic advancements: game-changing technologies. Dent Today. Nov 2009;28(11): p. 82, 84.

Ruddle CJ. “ Tsunami ” Endodontics. International Dentistry SA. 2008;11(4):6–18.

Duarte MA, Ordinola-Zapata R, Bernardes RA, Bramante CM, Bernardineli N, Garcia RB, et al. Influence of calcium hydroxide association on the physical properties of AH Plus. J Endod. Jun 2010;36(6): p. 1048–51. DOI: 10.1016/j.joen.2010.02.007.

Garg G, Talwar S. Comparison of the efficacy of F File with sonic and ultrasonic debridement to remove artificially placed dentin debris from human root canal-an in vitro study. Endod. 2010;22(1); p. 37-45.




DOI: https://doi.org/10.24198/pjd.vol29no3.14479

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