 |
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2023, vol. 29, issue1
Subject Area: Dental Medicine
-
DOI: 10.5272/jimab.2023291.4826
Published online: 22 February 2023
Review article
J of IMAB. 2023 Jan-Mar;29(1):4826-4831
IMPACT OF THE PASSIVE/ACTIVE ULTRASONIC ACTIVATION ON THE ENDODONTIC IRRIGANTS EFFECTIVENESS - A REVIEW
Elvira Gyulbenkiyan
, Angela Gusiyska,
Department of Conservative dentistry, Faculty of Dental Medicine, Medical University - Sofia, Bulgaria.
ABSTRACT:
Introduction: various irrigation devices and chemical solutions are being developed and improved nowadays for better penetration deep into the complex root canal system. Activation of irrigating solutions enhances the solution effectiveness. Evidence in the literature suggests that ultrasonic irrigation is much more effective in this respect than syringe irrigation alone.
Passive ultrasonic irrigation (PUI) and/or ultrasonically activated irrigation (UAI): nowadays, the two terms, PUI and UAI, are interchangeable in the literature and represent the same technique. Literature data have shown that combining ultrasonically activated NaOCl with EDTA results in significantly greater removal of the smear layer.
Conclusion: the use of ultrasonic activation of the irrigating solution after root canal preparation significantly improves the removal of debris from hard-to-reach areas such as isthmuses, lateral canals and the apical delta.
Keywords: irrigants, active ultrasound activation, passive ultrasound activation, ultrasound, smear layer,
- Download FULL TEXT /PDF 1511 KB/
Please cite this article as: Gyulbenkiyan E, Gusiyska A. Impact of the passive/active ultrasonic activation on the endodontic irrigants effectiveness - a review. J of IMAB. 2023 Jan-Mar;29(1):4826-4831.
DOI: 10.5272/jimab.2022281.4826
Correspondence to: Elvira Gyulbenkiyan, Department of Conservative dentistry, Faculty of Dental Medicine, Medical University – Sofia; 1, Georgi Sofiyski Blvd., Sofia, Bulgaria; E-mail: elvira.simon@gmail.com
REFERENCES:
1. Peters OA, Schönenberger K, Laib A. Effects of four Ni-Ti preparation techniques on root canal geometry assessed by micro-computed tomography. Int Endod J. 2001 Apr;34:22130. [PubMed]
2. Hülsmann M, Hahn W. Complications during root canal irrigation: literature review and case reports. Int Endod J. 2000 May;33(3):18693. [PubMed]
3. Shen Y, Gao Y, Qian W, Ruse ND, Zhou X, Wu H, et al. Three-dimensional numeric simulation of root canal irrigant flow with different irrigation needles. J Endod. 2010 May;36(5):884–9. [PubMed]
4. Versiani MA, Pécora JD, Sousa-Neto MD. Update in Root Canal Anatomy of Permanent Teeth Using Microcomputed Tomography. In: Endodontic Irrigation: Chemical Disinfection of the Root Canal System. Basrani B Editor. Springer Cham. 2015, pp.15-44. [Crossref]
5. Dutner J, Mines P, Anderson A. Irrigation trends among American Association of Endodontists members: a web-based survey. J Endod. 2012 Jan;38(1):37-40. [PubMed]
6. Plotino G, Pameijer CH, Grande NM, Francesco S. Ultrasonics in Endodontics: A Review of the Literature. J of Endod. 2007 Mar;33(2):81-95. [Crossref]
7.Cunningham WT, Martin H. A scanning electron microscope evaluation of root canal debridement with the endosonic ultrasonic synergistic system. Oral Surg Oral Med Oral Pathol. 1982 May;53(5):527-31. [PubMed]
8. Martin H, Cunningham WT. Endosonic endodontics: the ultrasonic synergistic system. Int Dent J. 1984 Sep;34(3):198-203. [PubMed]
9. Hancock J. Ultrasonic cleaning. In: Surface Engineering, Vol 5. Edited by Cotell CM, Sprague JA, Smidt, Jr. FA. ASM International. 1994, pp.44-7. [Crossref]
10. Ahmad M, Pitt Ford TR, Crum LA. Ultrasonic debridement of root canals: An insight into the mechanisms involved. J Endod. 1987 Mar;13(3):93-101. [PubMed]
11.Ahmad M, Roy RA, Kamarudin AG. Observations of acoustic streaming fields around an oscillating ultrasonic file. Endod Dent Traumatol. 1992;8:189–94. [PubMed]
12. Weller RN, Brady JM, Bernier WE. Efficacy of ultrasonic cleaning. J Endod. 1980; 6:740-3. [PubMed]
13. Archer R, Reader A, Nist R, Beck M, Meyers WJ. An in vivo evaluation of the efficacy of ultrasoundafter step-back preparation in mandibular molars. J Endod. 1992;18:549–52. [PubMed]
14. Boutsioukis C, Verhaagen B, Walmsley AD, Versluis M, van der Sluis LW. Measurement and visualization of file-to-wall contact during ultrasonically activated irrigation in simulated canals. Int Endod J. 2013;46:1046–55. [PubMed]
15. Goodman A, Reader A, Beck F, Melfi R, Meyers W. An in vitro comparison of the efficacy of the step-back technique versus a step-back ultrasonic technique in human mandibular molars. J Endod. 1985;11:249–56. [PubMed]
16. Metzler RS, Montgomery S. The effectiveness of ultrasonics and calcium hydroxide for the debridement of human mandibular molars. J Endod. 1989;15:373–8. [PubMed]
17. Gyulbenkiyan E. [Contemporary endodontic approaches in conditioning the root canal dentin for three-dimensional hermetic sealing] [dissertation]. [Bulgaria, Sofia]: Medical Univercity of Sofia;2019. 81-82 pp. [in Bulgarian]
18. Cameron JA. The choice of irrigant during hand instrumentation and ultrasonic irrigation of the root canal: a scanning electron microscope study. Aust Dent J. 1995;40:85–90. [PubMed]
19. Andrabi SM, Kumar A, Zia A, Iftekhar H, Alam S, Siddiqui S. Effect of passive ultrasonic irrigation and manual dynamic irrigation on smear layer removal from root canals in a closed apex in vitro model. J Investig Clin Dent. 2014;5(3):188–93. [PubMed]
20. Orlowski NB, Schimdt TF, Teixeira CDS, Garcia LDFR, Savaris JM, Tay FR, et al. Smear Layer Removal Using Passive Ultrasonic Irrigation and Different Concentrations of Sodium Hypochlorite. J Endod. 2020 Nov;46(11):1738-1744. [PubMed]
21. Abbott PV, Heijkoop PS, Cardaci SC, Hume WR, Heithersay GS. An SEM study of the effects of different irrigation sequences and ultrasonics. Int Endod J. 1991;24:308–16. [PubMed]
22. Cheung GS, Stock CJ. In vitro cleaning ability of root canal irrigants with and without endosonics. Int Endod J. 1993; 26:334–43. [PubMed]
23. Cameron JA. The use of ultrasonics in the removal of the smear layer: a scanning electron microscope study. J Endod. 1983;9:289–92. [PubMed]
24. 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. 2004;37:672–8. [PubMed]
25. 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. 2005;38:764–8. [PubMed]
26. Rödig T, Bozkurt M, Konietschke F, Hülsmann M. Comparison of the Vibringe system with syringe and passive ultrasonic irrigation in removing debris from simulated root canal irregularities. J Endod. 2010;36:1410-3. [PubMed]
27. Rödig T, Döllmann S, Konietschke F, Drebenstedt S, Hülsmann M. Effectiveness of different irrigant agitation techniques on debris and smear layer removal in curved root canals: a scanning electron microscopy study. J Endod 2010;36:1983-7. [PubMed]
28. Jiang LM, Verhaagen B, Versluis M, Langedijk J, Wesselink P, van der Sluis LW. The influence of the ultrasonic intensity on the cleaning efficacy of passive ultrasonic irrigation. J Endod.2011;37:688-–92. [PubMed]
29. Gregorio C, Estevez R, Cisneros R, Paranjpe A, Cohenca N. Efficacy of different irrigation and activation systems on the penetration of sodium hypochlorite into simulated lateral canals and up to working length: an in vitro study. J Endod. 2010;36:1216-21. [PubMed]
30. Spoorthy E, Velmurugan N, Ballal S, Nandini S. Comparison of irrigant penetration up to working length and into simulated lateral canals using various irrigating techniques. Int Endod J. 2013;46: 815-22. [PubMed]
31. Macedo RG, Verhaagen B, Wesselink PR, Versluis M, van der Sluis LW. Influence of refreshment/activation cycles and temperature rise on the reaction rate of sodium hypochlorite with bovine dentine during ultrasonic activated irrigation. Int Endod J. 2014;47:147–54. [PubMed]
32. Sluis LW, Vogels MP, Verhaagen B, Macedo R, Wesselink PR. Study on the influence of refreshment/activation cycles and irrigants on mechanical cleaning efficiency during ultrasonic activation of the irrigant. J Endod. 2010;36:737–40. [PubMed]
33. Haapasalo M, Wang Z, Shen Y, et al. Tissue dissolution by a novel multi-sonic ultra-cleaning system and sodium hypochlorite. J Endod. 2014;40:1178–81. [PubMed]
34. Ma J, Shen Y, Yang Y, et al. In vitro study of calcium hydroxide removal from mandibular molar root canals using a GentleWave System. J Endod. 2015;41:553–8. [PubMed]
35. Charara K, Friedman S, Sherman A, et al. Assessment of apical extrusion during root canal procedure with the novel GentleWave System in a simulated apical environment. J Endod. 2016;42:135-9. [PubMed]
36. Lev R, Reader A, Beck M, Meyers W. An in vitro comparison of the step-back technique versus a step-back/ultrasound technique for one and three minutes. J Endod. 1987;13:523-30. [PubMed]
37. Malki M, Verhaagen B, Jiang LM, Nehme W, Naaman A, Versluis M, Wesselink P, van der Sluis L. Irrigant flow beyond the insertion depth of an ultrasonically oscillating file in straight and curved root canals: visualization and cleaning efficacy. J Endod. 2012;38:657–61. [PubMed]
38. Munoz HR, Camacho-Cuadra K. In vivo efficacy of three different endodontic irrigation systems for irrigant delivery to working length of mesial canals of mandibular molars. J Endod. 2012;38(4):445-8. [PubMed]
39. Malentacca A, Uccioli U, Zangari D, Lajolo C, Fabiani C. Efficacy and safety of various active irrigation devices when used with either positive or negative pressure: an in vitro study. J Endod. 2012;38:1622-6. [PubMed]
Received: 26 June 2022
Published online: 22 February 2023