Restor Dent Endod.  2021 Feb;46(1):e10. 10.5395/rde.2021.46.e10.

Clinical efficacy of activated irrigation in endodontics: a focused review

• Cheung AWT
• Lee AHC
• Cheung GSP

• KMID: 2548045
• DOI: http://doi.org/10.5395/rde.2021.46.e10

Abstract

Root canal debridement, which includes the removal of infected tissues and microbial biofilms, is considered the corner stone of root canal treatment. Chemical adjuncts play a multitude of functions in this regard, as tissue solvents, antimicrobial agents and for removing the smear layer. These adjuncts (irrigants) are usually delivered using a syringe and needle. With increasing knowledge of the complexity of root canal anatomy and tenacity of microbial biofilms, the need for strategies that potentiate the action of these irrigants within the root canal system cannot be overemphasized. Several such activated irrigation strategies exist. The aim of this review is to comprehensively discuss the different irrigant activation methods from the context of clinical studies.

Keyword

Sodium hypochlorite; Microbial reduction; Pain; Root canal treatment; Sonic; Ultrasonic

Figure

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  Figure 1 A flowchart of the article selection process.*Four studies investigated the effects on 2 outcome measures.

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