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Effect of passive ultrasonic agitation during final irrigation on cleaning capacity of hybrid instrumentation

Restorative Dentistry & Endodontics 2014³â 39±Ç 2È£ p.104 ~ 108
Vinhorte Marcilene Coelho, Suzuki Eduardo Hideki, de Carvalho Maira Sousa, Marques Andre Augusto Franco, Junior Emilio Carlos Sponchiado, Garcia Lucas da Fonseca Roberti,
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 ( Vinhorte Marcilene Coelho ) - Amazonas State University School of Dentistry Department of Endodontics
 ( Suzuki Eduardo Hideki ) - Amazonas State University School of Dentistry Department of Endodontics
 ( de Carvalho Maira Sousa ) - Federal University of Amazonas School of Dentistry Department of Endodontics
 ( Marques Andre Augusto Franco ) - Amazonas State University School of Dentistry Department of Endodontics
 ( Junior Emilio Carlos Sponchiado ) - Federal University of Amazonas School of Dentistry Department of Endodontics
 ( Garcia Lucas da Fonseca Roberti ) - University of Sao Paulo Ribeirao Preto School of Dentistry Department of Dental Materials and Prosthodontics

Abstract


Objectives: To evaluate the effect of passive ultrasonic agitation on the cleaning capacity of a hybrid instrumentation technique.

Materials and Methods: Twenty mandibular incisors with mesiodistal-flattened root shape had their crowns sectioned at 1 mm from the cementoenamel junction. Instrumentation was initiated by catheterization with K-type files (Denstply Maillefer) #10, #15, and #20 at 3 mm from the working length. Cervical preparation was performed with Largo bur #1 (Dentsply Maillefer) followed by apical instrumentation with K-type files #15, #20 and #25, and finishing with ProTaper F2 file (Denstply Maillefer). All files were used up to the working length under irrigation with 1 mL of 2.5% sodium hypochlorite (Biodynamica) at each instrument change. At the end of instrumentation, the roots were randomly separated into 2 groups (n = 10). All specimens received final irrigation with 1 mL of 2.5% sodium hypochlorite. The solution remained in the root canals in Group 1 for one minute; and ultrasonic agitation was performed in Group 2 for one minute using a straight tip inserted at 1 mm from working length. The specimens were processed histologically and the sections were analyzed under optic microscope (¡¿64) to quantify debris present in the root canal.

Results: The samples submitted to ultrasonic agitation (Group 2) presented significant decrease in the amount of debris in comparison with those of Group 1 (p < 0.05).

Conclusions: The hybrid instrumentation technique associated with passive ultrasonic agitation promoted greater debris removal in the apical third of the root canals.

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Ni-Ti; ProTaper; Sodium hypoclorite; Ultrasonic

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