EFFECTIVENESS OF ULTRASONIC CLEANING OF SIMULATED LATERAL CANALS FOLLOWING A DRESSING OF CALCIUM HYDROXIDE
DOI:
https://doi.org/10.15332/us.v5i1.1817Keywords:
Ultrasonic irrigation, Lateral canals, Calcium hydroxide, Thermomechanical compactionAbstract
Purpose: To compare the effectiveness of sodium hypochlorite 5,25% alone and ultrasonically activated on the calcium hydroxide dressing elimination from simulated lateral canals.
Material and methods: An experimental, in vitro study with 24 recently extracted single root human teeth were created simulate lateral canals and instrumented to the working length, each tooth was filled with a calcium hydroxide paste and incubated at 37ºC, 100% humidity for seven days. Teeth were randomly divided in to groups, in group 0 the dressing was removed using sodium hypochlorite irrigation and master file, and group 1 the dressing was removed using sodium hypochlorite irrigation and a # 15 activated U file during one minute. Both groups were obturated using termomechanical compaction. Postoperative radiographs were taken and evaluated; data were analyzed statistically using Mann Whitney or T student and chi square test.
Results: No statistically significant differences were found between both groups 0 and 1.
Conclusions: The sodium hypochlorite 5.25% alone or activated with ultrasound don’t remove completely dressing of hydroxide of calcium of simulated lateral canals of small diameter.
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References
Byström A, Sjögren U, Sundqvist G. Healing of periapical lesions of pulpless teeth after endodontic treatment with controlled asepsis. Endod Dent Traumatol 1987; 3: 58 - 63.
De Deus QD, Horizonte B. Frequency, location and direction of lateral, secondary, and accessory canals. J Endod 1975; 1: 361 - 366.
Rubach WC, Mitchell DF. Periodontal disease, accessory canals and pulp pathosis. J Periodontol 1965; 36: 34 - 38.
Nicholls E. Lateral radicular disease due to lateral branching of the root canals. Oral Med Oral Pathol 1963; 16: 839 - 845.
Dogan H, Calt S. Effects of chelating agents and sodium hypochlorite on mineral content of root dentin. J Endod 2001; 27: 578 - 580.
Ahmad M, Pitt Ford TR Crum LA. Ultrasonic debridement of root canals: an insight into the mechanisms involved. J Endod 1984; 13: 490 - 499.
Cameron JA. The synergistic relationship between ultrasound and sodium hypochlorite: a scanning electron microscope evaluation. J Endod 1987; 13: 541 - 545
Zmener O, Gimenes J. Thermomechanical compaction of guttapercha: a scanning electron microscope study. Endod Dent Traumatol 1991; 7: 153 - 157.
Calt S, Serper A. Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. J Endod 1999; 25: 431 - 433.
Holland R, Alexandre AC, Murata SS, Dos Santos CA. Apical leakage following root canal dressing with calcium hydroxide. Endod Dent Traumatol 1995; 11: 261 - 263.
Ricucci D, Langeland K. Incomplete calcium hydroxide removal from the root canal: a case report. Int Endod J 1997; 30: 418 - 421.
Goldberg F, Artaza LP. Influence of calcium hydroxide dressing on the obturation of simulated lateral canals. J Endod 2002; 28: 99 - 101.
Margelos J, Eliades G, Verdelis C. Interaction of calcium hydroxide with zinc oxide-eugenol type sealers. A potential clinical problem. J Endod 1997; 23: 43 - 48.
Lambrianidis T, Margelos J, Beltes P. Removal efficiency of calcium hydroxide dressing from the root canal. J Endod 1999; 25: 85 - 88.
Kim SK, Kim YO. Influence of calcium hydroxide intracanal medication on apical seal. Int Endod J 2002; 35: 623 - 628.
Porkaew P, Retief EH, Barfield RD. Effects of calcium hydroxide past as an intracanal medicament on apical seal. J Endod 1990; 16: 369 - 375.
Lee S-J, Wu M-K, Wesselink PR. The effectiveness of syringe irrigation and ultrasonic to remove debris from simulated irregularities within prepared root canal walls. Int Endod J 2004; 37: 672 - 678.










