Restor Dent Endod.  2021 Aug;46(3):e37. 10.5395/rde.2021.46.e37.

The effectiveness of the supplementary use of the XP-endo Finisher on bacteria content reduction: a systematic review and meta-analysis

• Oliveira LSdJ
• Bragança RMFd
• Sarkis-Onofre R
• Faria-e-Silva AL

• KMID: 2548081
• DOI: http://doi.org/10.5395/rde.2021.46.e37

Abstract

Objectives
This systematic review evaluated the efficacy of the supplementary use of the XPendo Finisher on bacteria content reduction in the root canal system.
Materials and Methods
In-vitro studies evaluating the use of the XP-endo Finisher on bacteria content were searched in four databases in July 2020. Two authors independently screened the studies for eligibility. Data were extracted, and risk of bias was assessed. Data were meta-analyzed by using random-effects model to compare the effect of the supplementary use (experimental) or not (control) of the XP-endo Finisher on bacteria counting reduction, and results from different endodontic protocols were combined. Four studies met the inclusion criteria while 1 study was excluded from the meta-analysis due to its high risk of bias and outlier data. The 3 studies that made it to the meta-analysis had an unclear risk of bias for at least one criterion.
Results
No heterogeneity was observed among the results of the studies included in the metaanalysis. The study excluded from the meta-analysis assessing the bacteria counting deep in the dentin demonstrated further bacteria reduction upon the use of the XP-endo Finisher.
Conclusions
This systematic review found no evidence supporting the supplementary use of the XP-endo Finisher on further bacteria counting the reduction in the root canal.

Keyword

Biofilms; Dental pulp cavity; Enterococcus faecalis; Review

Figure

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  Figure 1 Flow diagram of the systematic review.

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  Figure 2 Authors' judgments about each risk of bias criterion for the included studies.

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  Figure 3 Forest plots showing the estimated effect of whether associating (Experimental) or not (Control) the use of XP-endo Finisher with root canal treatment on the bacteria counting reduction.CI, confidence interval; SD, standard deviation.

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