Journal of Endodontics

Volume 38, Issue 5, May 2012, Pages 688691

Basic Research

In Vitro Comparison of Passive and Continuous Ultrasonic Irrigation in Simulated Lateral Canals of
Extracted Teeth

Pablo Castelo-Baz, DDS, , ,

Benjamn Martn-Biedma, PhD,

Giuseppe Cantatore, PhD,

Manuel Ruz-Pin, MD,

Jos Bahillo, DDS,

Berta Rivas-Mundia, MD,

Purificacin Varela-Patio, PhD,

Abstract
Introduction
Complete endodontic system disinfection requires the removal of vital and necrotic pulp tissue, microorganisms, and
toxins. The purpose of this study was to compare the effects of 2 ultrasonic irrigation techniques on the penetration of
sodium hypochlorite into the main canal and simulated lateral canals of extracted teeth.

Methods
Two simulated lateral canals each were created 2, 4, and 6 mm from the working length in 60 single-rooted teeth (6
canals/tooth, n = 360). To resemble the clinical situation, a closed system was created in each tooth. The teeth were
randomly assigned to 3 experimental irrigation groups: group 1 (n = 20), positive pressure irrigation (PPI); group 2 (n =
20), passive ultrasonic irrigation (PUI); and group 3 (n = 20), continuous ultrasonic irrigation (CUI). Samples were
evaluated by direct observation of still images recorded under a dental operating microscope. To examine irrigating
solution penetration, 20% Chinese ink (Sanford Rotring GmbH, Hamburg, Germany) was added to a 5% sodium
hypochlorite solution and delivered into the root canals.

Results
The results showed a significantly higher (P < .05) penetration of irrigant into the lateral canals in the CUI group. PUI
and CUI did not differ significantly in solution penetration into the apical thirds of the main canals. The PPI group
showed a significantly lower penetration of sodium hypochlorite into the main and lateral canals compared with the CUI
and PUI groups.

Conclusions
CUI as a final rinse significantly increased the penetration of irrigating solution into simulated lateral canals.

Key Words

Continuous ultrasonic irrigation;

passive ultrasonic irrigation;

positive pressure irrigation;

root canal irrigation;

vapor lock

Journal of Endodontics
Volume 38, Issue 9, September 2012, Pages 12611264

Comparison of a Continuous Ultrasonic Irrigation Device and Conventional Needle Irrigation in the Removal of Root
Canal Debris

Tyson O. Curtis, DDS,

Christine M. Sedgley, MDS, MDSc, PhD,

Abstract
Introduction
The purpose of this in vitro study was to compare a continuous ultrasonic irrigation device (VPro StreamClean System
[VSS], Vista Dental Products, Racine, WI) with conventional needle irrigation when used as a final irrigation procedure
to debride the apical region of the root canal. The null hypothesis that there is no difference was tested.

Methods
Root canals of matched pairs (N = 20) of extracted human teeth were prepared to an apical size of 36/.04 using Profile
series 29/.04 rotary files (Dentsply Tulsa Dental, Tulsa, OK) with 6% sodium hypochlorite (NaOCl) irrigation. One tooth
of each pair was randomly assigned to receive final irrigation with either VSS or conventional needle irrigation. The
gauge of the needle (#30), the irrigation cycles (ie, 5 mL NaOCl, 5 mL 15% EDTA, and 5 mL NaOCl), the irrigant flow
rate (5 mL/min), and needle depth placement (1 mm from the working length [WL]) were experimental constants. Serial
sections were obtained at 1 and 3 mm from the WL, stained with hematoxylin-eosin, and viewed at 100 magnification
for the presence of debris. The percentage of debris in the canal lumen after VSS or conventional needle irrigation was
compared by using the Wilcoxon matched pairs test.

Results
There was significantly less debris in the VSS group compared with the conventional needle irrigation group at the 1mm level (1.50% [VSS] vs 9.90% [conventional needle irrigation], P = .0001) and the 3-mm level (0.45% [VSS] vs
5.16% [conventional needle irrigation], P = .0014). The null hypothesis was rejected.

Conclusions
Final irrigation with the VSS compared with conventional needle irrigation delivery resulted in significantly less debris
present in root canals at 1 and 3 mm from the WL.

Key Words

Apical;

debris;

irrigation;

root canal;

ultrasonic

Por favor, use este identificador para citar o enlazar este tem:
http://hdl.handle.net/10347/6250

Ttulo :

Nuevos mtodos de desinfeccin y limpieza del sistema de conductos radiculares

Autor :

Castelo Baz, Pablo

Palabras clave
:

Irrigacin ultarsnica continua

Irrigacin ultrasnica pasiva
Irrigacin del sistema de conductos
Lser de diodo
Hipoclorito de sodio

Fecha de
publicacin :

2012-11-05

Resumen :

La desinfeccin y limpieza del sistema de conductos radiculares, es considerada

una parte esencial en la preparacin qumico-mecnica del mismo, cuyo fin es
poder conseguir el xito en endodoncia. El fin de esta tesis doctoral es demostrar
la utilidad clnica de dos de estos nuevos mecanismos, la irrigacin ultrasnica
continua por un lado y el lser de diodo por el otro.

URI :

http://hdl.handle.net/10347/6250

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rea de Ciencias da Sade

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