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Irrigation of root canals in routine endodontics
https://doi.org/10.33667/2078-5631-2025-1-82-87
Abstract
Purpose: analytical analysis and study of literature sources comparing irrigation solutions and their activation methods in routine endodontics.
Materials and methods: in the eLibrary database, PubMed, Google Scholar and Meduniver requested scientific articles using the keywords: root canal cleaning, sodium hypochlorite, chlorhexidine, ethylenediaminetetraacetic acid, root canal irrigation, activation of irrigation solutions. Thus, this article included 35 research papers on the topic of irrigation solutions and their activation.
Results: this analytical analysis and the study of literary sources have shown that one of the most important factors in the prevention and treatment of endodontic pathology is adequate cleaning and irrigation of the root canal, since in the vast majority of cases they have an irregular shape, numerous lateral, deltoid branches and anastomoses. Oval, dumbbell-shaped or C-shaped root canals are also quite common. In modern endodontics, dentists use sodium hypochlorite, ethylenediaminetetraacetic acid and chlorhexidine as irrigants on a daily basis.
Conclusion: based on the literature, it was revealed that one of the best disinfectant solutions for root canals today is sodium hypochlorite, however, it does not meet all the parameters of an ideal irrigant.
About the Authors
A. V. Zoryan
Рeoples Friendship University of Russia named after Patrice Lumumba (RUDN University)
Russian Federation
Russian Federation
Zoryan Andrey Vladimirovich, PhD, Associate Professor, Department of Therapeutic Dentistry
A. O. Aslanova
Рeoples Friendship University of Russia named after Patrice Lumumba (RUDN University)
Russian Federation
Russian Federation
Aslanova Albina Olegovna, dentist-therapist, postgraduate student of the Department of Therapeutic Dentistry
I. A. Korovkin
Рeoples Friendship University of Russia named after Patrice Lumumba (RUDN University)
Russian Federation
Russian Federation
Korovkin Ivan Andreevich, Postgraduate Student, Department of Therapeutic Dentistry
G. S. Kolganov
Рeoples Friendship University of Russia named after Patrice Lumumba (RUDN University)
Russian Federation
Russian Federation
Kolganov Gleb Sergeevich, Postgraduate Student, Department of Therapeutic Dentistry
References
1. Good M.L., Karim I. A.E., Hussey D.L. Endodontic ‘solutions’ part 1: A literature review on the use of endodontic lubricants, irrigants and medicaments // Dental update. – 2012. – V. 39. – № 4. – P. 239–246.
2. Haapasalo M. et al. Irrigation in endodontics // British dental journal. – 2014.
3. Biryukova M. M. et al. Disinfection of root canals: methods and Means: educational and methodical manual.
4. Neelakantan P. et al. Biofilms in endodontics—current status and future directions // International journal of molecular sciences. – 2017. – V. 18. – № 8. – P. 1748.
5. Mazur I.P., Novoshitsky V.E., Khlebas S.V. Medicinal products used for root canal treatment during endodontic treatment // Dentistry. Aesthetics. Innovations. – 2018. – V. 2. – No. 4. – P. 424–432.
6. Sakko M., Tjäderhane L., Rautemaa-Richardson R. Microbiology of root canal infections // Primary dental journal. – 2016. –V. 5. – № 2. – P. 84–89.
7. Nogueira B.M.L. et al. Effects of different irrigation solutions and protocols on mineral content and ultrastructure of root canal dentine // Iranian endodontic journal. – 2018. – V. 13. – № 2. – P. 209.
8. Kandaswamy D., Venkateshbabu N. Root canal irrigants //Journal of Conservative Dentistry and Endodontics. – 2010. – V. 13. – № 4. – P. 256–264.
9. Baumgartner J. C., Cuenin P. R. Efficacy of several concentrations of sodium hypochlorite for root canal irrigation // Journal of endodontics. – 1992. – V. 18. – № 12. – P. 605-612.
10. Siqueira Jr J. F. et al. Chemomechanical reduction of the bacterial population in the root canal after instrumentation and irrigation with 1%, 2.5%, and 5.25% sodium hypochlorite // Journal of endodontics. – 2000. – V. 26. – № 6. – P. 331–334.
11. Berber V.B. et al. Efficacy of various concentrations of NaOCl and instrumentation techniques in reducing Enterococcus faecalis within root canals and dentinal tubules // International endodontic journal. – 2006. – V. 39. – № 1. – P. 10–17.
12. Reyhani M. F. et al. Antibacterial effect of different concentrations of sodium hypochlorite on Enterococcus faecalis biofilms in root canals //Journal of dental research, dental clinics, dental prospects. – 2017. – V. 11. – № 4. – P. 215.
13. Farzaneh S. et al. Effect of two different concentrations of sodium hypochlorite on postoperative pain following single-visit root canal treatment: a triple-blind randomized clinical trial // International endodontic journal. – 2018. – V. 51. – С. e2–e11.
14. Verma N. et al. Effect of different concentrations of sodium hypochlorite on outcome of primary root canal treatment: a randomized controlled trial // Journal of endodontics. – 2019. – V. 45. – № 4. – P. 357–363.
15. Gazzaneo I. et al. Root canal disinfection by single-and multiple-instrument systems: effects of sodium hypochlorite volume, concentration, and retention time // Journal of endodontics. – 2019. – V. 45. – № 6. – P. 736–741.
16. Karpiński T.M., Szkaradkiewicz A.K. Chlorhexidine-pharmaco-biological activity and application // Eur Rev Med Pharmacol Sci. – 2015. – V. 19. – № 7. – С. 1321–1326.
17. Abrar E. et al. Antimicrobial efficacy of silver diamine fluoride in comparison to photodynamic therapy and chlorhexidine on canal disinfection and bond strength to radicular dentin // Photodiagnosis and photodynamic therapy. – 2020. – V. 32. – P. 102066.
18. Orstavik D. (ed.). Essential endodontology: prevention and treatment of apical periodontitis. – John Wiley & Sons, 2020.
19. Lottanti S. et al. Effects of ethylenediaminetetraacetic, etidronic and peracetic acid irrigation on human root dentine and the smear layer // International endodontic journal. – 2009. – V. 42. – № 4. – P. 335–343.
20. Grande N. M. et al. Interaction between EDTA and sodium hypochlorite: a nuclear magnetic resonance analysis //Journal of endodontics. – 2006. – V. 32. – № 5. – С. 460–464.
21. Topbas C., Adiguzel O. Endodontic irrigation solutions: A review: Endodontic irrigation solutions // International Dental Research. – 2017. – V. 7. – № 3. – С. 54–61.
22. Mohammadi Z. et al. Impact of ultrasonic activation on the effectiveness of sodium hypochlorite: A review // Iranian endodontic journal. – 2015. – V. 10. – № 4. – P. 216.
23. Haapasalo M. et al. Irrigation in endodontics // Dental Clinics. – 2010. – V. 54. – № 2. – P. 291–312.
24. Shreya S. Chlorhexidine as an irrigant in endodontics-A review //Journal of Pharmaceutical Sciences and Research. – 2016. – V. 8. – № 8. – P. 772.
25. Bukhari S., Babaeer A. Irrigation in endodontics: a review //Current Oral Health Reports. – 2019. – V. 6. – P. 367–376.
26. Mohammadi Z., Abbott P.V. The properties and applications of chlorhexidine in endodontics // International endodontic journal. – 2009. – V. 42. – № 4. – С. 288–302.
27. Mohammadi Z. et al. A Review on Root Canal Irrigation Solutions in Endodontics // Journal of Dental Materials & Techniques. – 2021. – V. 10. – № 3.
28. Vahdaty A., Ford T.R. P., Wilson R.F. Efficacy of chlorhexidine in disinfecting dentinal tubules in vitro // Dental Traumatology. – 1993. – V. 9. – № 6. – P. 243–248.
29. Ercan E. et al. Antibacterial activity of 2% chlorhexidine gluconate and 5.25% sodium hypochlorite in infected root canal: in vivo study // Journal of endodontics. – 2004. – V. 30. – № 2. – P. 84–87.
30. Wang C. S. et al. Clinical efficiency of 2% chlorhexidine gel in reducing intracanal bacteria // Journal of endodontics. – 2007. – V. 33. – № 11. – P. 1283–1289.
31. Gonçalves L. S. et al. The effect of sodium hypochlorite and chlorhexidine as irrigant solutions for root canal disinfection: a systematic review of clinical trials // Journal of endodontics. – 2016. –V. 42. – № 4. – P. 527–532.
32. Mohammadi Z. et al. Impact of ultrasonic activation on the effectiveness of sodium hypochlorite: A review // Iranian endodontic journal. – 2015. – V. 10. – № 4. – P. 216.
33. Villalta-Briones N. et al. A laboratory study of root canal and isthmus disinfection in extracted teeth using various activation methods with a mixture of sodium hypochlorite and etidronic acid // International endodontic journal. – 2021. – V. 54. – № 2. – P. 268–278.
34. Tonini R. et al. Irrigating solutions and activation methods used in clinical endodontics: a systematic review // Frontiers in oral health. – 2022. – V. 3. – P. 838043.
35. Yericyan O. A., Vusataya E. V. Comparative analysis of modern methods of activation of sodium hypochlorite in endodontic treatment //Молодежный инновационный вестник. – 2024. – V. 13. – № S1. – С. 493–497.
Review
For citations:
Zoryan A.V., Aslanova A.O., Korovkin I.A., Kolganov G.S. Irrigation of root canals in routine endodontics. Medical alphabet. 2025;(1):82-87. (In Russ.) https://doi.org/10.33667/2078-5631-2025-1-82-87
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