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The use of auxiliary devices during irrigation to increase the cleaning ability of a chelating agent

Restorative Dentistry & Endodontics 2017년 42권 2호 p.105 ~ 110
Prado Marina Carvalho, Leal Fernanda, Simao Renata Antoun, Gusman Heloisa, Do Prado Maira,
소속 상세정보
 ( Prado Marina Carvalho ) - State University of Rio de Janeiro School of Dentistry PROCLIN Department
 ( Leal Fernanda ) - State University of Rio de Janeiro School of Dentistry PROCLIN Department
 ( Simao Renata Antoun ) - Federal University of Rio de Janeiro Metallurgical and Materials Engineering
 ( Gusman Heloisa ) - Federal University of Rio de Janeiro School of Dentistry Department of Dental Clinic
 ( Do Prado Maira ) - Federal University of Rio de Janeiro Metallurgical and Materials Engineering

Abstract


Objectives: This study investigated the cleaning ability of ultrasonically activated irrigation (UAI) and a novel activation system with reciprocating motion (EC, EasyClean, Easy Equipamentos Odontologicos) when used with a relatively new chelating agent (QMix, Dentsply). In addition, the effect of QMix solution when used for a shorter (1 minute) and a longer application time (3 minutes) was investigated.

Materials and Methods: Fifty permanent human teeth were prepared with K3 rotary system and 6% sodium hypochlorite. Samples were randomly assigned to five groups (n = 10) according to the final irrigation protocol: G1, negative control (distilled water); G2, positive control (QMix 1 minute); G3, QMix 1 minute/UAI; G4, QMix 1 minute/EC; G5, QMix 3 minutes. Subsequently the teeth were prepared and three photomicrographs were obtained in each root third of root walls, by scanning electron microscopy. Two blinded and pre-calibrated examiners evaluated the images using a four-category scoring system. Data were statistically analyzed using Kruskal-Wallis and Dunn tests (p < 0.05).

Results: There were differences among groups (p < 0.05). UAI showed better cleaning ability than EC (p < 0.05). There were improvements when QMix was used with auxiliary devices in comparison with conventional irrigation (p < 0.05). Conventional irrigation for 3 minutes presented significantly better results than its use for 1 minute (p < 0.05).

Conclusions: QMix should be used for 1 minute when it is used with UAI, since this final irrigation protocol showed the best performance and also allowed clinical optimization of this procedure.

키워드

Endodontics; Root canal irrigants; Root canal therapy; Scanning electron microscopy; Smear layer; Ultrasonics

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