Expert consensus on irrigation and intracanal medication in root canal therapy

Yue, L. & Wang, X. Y. Cariology and endodontics (3rd edition). (Peking University Medical Press, 2022).

Hülsmann, M., Peters, O. A. & Dummer, P. M. H. Mechanical preparation of root canals: shaping goals, techniques and means.Endod. Top. 10, 30–76 (2005).

Article  Google Scholar 

Arias, A. & Peters, O. A. Present status and future directions: canal shaping. Int. Endod. J. 55(Suppl 3), 637–655 (2022).

Article  PubMed  PubMed Central  Google Scholar 

Young, G. R., Parashos, P. & Messer, H. H. The principles of techniques for cleaning root canals. Aust. Dent. J. 52, S52–S63 (2007).

Article  CAS  PubMed  Google Scholar 

Sundqvist, G. R. Taxonomy, ecology, and pathogenicity of the root canal flora. Oral. Surg. Oral. Med. Oral. Pathol. 78, 522–530 (1994).

Article  CAS  PubMed  Google Scholar 

Nair, P. N. R., Henry, S., Cano, V. & Vera, J. Microbial status of apical root canal system of human mandibular first molars with primary apical periodontitis after “one-visit” endodontic treatment. Oral. Surg. Oral. Med. Oral. Pathol. Oral. Radiol. Endod. 99, 231–252 (2005).

Article  CAS  PubMed  Google Scholar 

Guo, H. J., Yue, L. & Gao, Y. [Status of bacterial colonization in infected root canal]. Beijing Da Xue Xue Bao Yi Xue Ban 43, 26–28 (2011).

PubMed  Google Scholar 

Safavi, K. E., Spngberg, L. S. W. & Langeland, K. Root canal dentinal tubule disinfection. J. Endod. 16, 207–210 (1990).

Article  CAS  PubMed  Google Scholar 

Haapasalo, M. & Ørstavik, D. In vitro infection and of dentinal tubules. J. Dent. Res. 66, 1375–1379 (1987).

Article  CAS  PubMed  Google Scholar 

Pereira, R. S. et al. Microbial analysis of root canal and periradicular lesion associated to teeth with endodontic failure. Anaerobe 48, 12–18 (2017).

Article  CAS  PubMed  Google Scholar 

Kawashima, N., Wadachi, R., Suda, H., Yeng, T. & Parashos, P. Root canal medicaments. Int. Dent. J. 59, 5–11 (2009).

PubMed  Google Scholar 

Liang, Y. H. & Yue, L. [Root canal treatment: key steps in root canal irrigation and medicaments]. Zhonghua Kou Qiang Yi Xue Za Zhi 54, 788–792 (2019).

CAS  PubMed  Google Scholar 

McGill, S., Gulabivala, K., Mordan, N. & Ng, Y. L. The efficacy of dynamic irrigation using a commercially available system (RinsEndo®) determined by removal of a collagen ‘bio‐molecular film’from an ex vivo model. Int. Endod. J. 41, 602–608 (2008).

Article  CAS  PubMed  Google Scholar 

Estrela, C. et al. Mechanism of action of sodium hypochlorite. Braz. Dent. J. 13, 113–117 (2002).

Article  PubMed  Google Scholar 

Ruksakiet, K. et al. Antimicrobial efficacy of chlorhexidine and sodium hypochlorite in root canal disinfection: a systematic review and meta-analysis of randomized controlled trials. J. Endod. 46, 1032–1041 (2020).

Article  PubMed  Google Scholar 

Mohammadi, Z., Jafarzadeh, H. & Shalavi, S. Antimicrobial efficacy of chlorhexidine as a root canal irrigant: a literature review. J. Oral. Sci. 56, 99–103 (2014).

Souza, M. A. et al. Comparative evaluation of the retaining of QMix and chlorhexidine formulations on human dentin: a chemical analysis. Clin. Oral. Investig. 21, 873–878 (2017).

Article  PubMed  Google Scholar 

Huo Zhiyuan, Y. L. & Zou, X. Research progress on root canal sonic irrigation. Int. J. Stomatol. 50, 91–99 (2023).

Wang, D., Gao, X. & Shen, S. [Comparison of antimicrobial efficacy of four endodontic irrigants using an in vitro model infected by Enterococcus faecalis]. Zhonghua Kou Qiang Yi Xue Za Zhi 42, 223–224 (2007).

PubMed  Google Scholar 

Grawehr, M., Sener, B., Waltimo, T. & Zehnder, M. Interactions of ethylenediamine tetraacetic acid with sodium hypochlorite in aqueous solutions. Int. Endod. J. 36, 411–417 (2003).

Article  CAS  PubMed  Google Scholar 

Rossi-Fedele, G., Doğramacı, E. J., Guastalli, A. R., Steier, L. & de Figueiredo, J. A. P. Antagonistic interactions between sodium hypochlorite, chlorhexidine EDTA, and citric acid. J. Endod. 38, 426–431 (2012).

Cintra, L. T. A. et al. The use of NaOCl in combination with CHX produces cytotoxic product. Clin. Oral. Investig. 18, 935–940 (2014).

Article  PubMed  Google Scholar 

Rasimick, B. J., Nekich, M., Hladek, M. M., Musikant, B. L. & Deutsch, A. S. Interaction between chlorhexidine digluconate and EDTA. J. Endod. 34, 1521–1523 (2008).

Basrani, B. Endodontic Irrigation. Chemical Disinfection of the Root Canal System (Springer International Publishing AG, 2015).

Boutsioukis, C. & Arias-Moliz, M. T. Present status and future directions—irrigants and irrigation methods. Int. Endod. J. 55(Suppl 3), 588–612 (2022).

Article  PubMed  PubMed Central  Google Scholar 

Boutsioukis, C. et al. Evaluation of irrigant flow in the root canal using different needle types by an unsteady computational fluid dynamics model. J. Endod. 36, 875–879 (2010).

Article  PubMed  Google Scholar 

European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int. Endod. J. 39, 921–930 (2006).

Article  Google Scholar 

Boutsioukis, C. et al. The effect of needle-insertion depth on the irrigant flow in the root canal: evaluation using an unsteady computational fluid dynamics model. J. Endod. 36, 1664–1668 (2010).

Article  PubMed  Google Scholar 

Boutsioukis, C. et al. The effect of apical preparation size on irrigant flow in root canals evaluated using an unsteady Computational Fluid Dynamics model. Int. Endod. J. 43, 874–881 (2010).

Article  CAS  PubMed  Google Scholar 

Blanken, J., De Moor, R. J. G., Meire, M. & Verdaasdonk, R. Laser induced explosive vapor and cavitation resulting in effective irrigation of the root canal. Part 1: a visualization study. Lasers. Surg. Med. 41, 514–519 (2009).

Article  PubMed  Google Scholar 

Vaz-Garcia, E. S. et al. Mechanical properties of anatomic finishing files: XP-Endo Finisher and XP-Clean. Braz. Dent. J. 29, 208–213 (2018).

Article  PubMed  Google Scholar 

Bao, P., Shen, Y., Lin, J. & Haapasalo, M. In vitro efficacy of XP-Endo Finisher with 2 different protocols on biofilm removal from apical root canals. J. Endod. 43, 321–325 (2017).

Article  PubMed  Google Scholar 

Elnaghy, A. M., Mandorah, A. & Elsaka, S. E. Effectiveness of XP-endo Finisher, EndoActivator, and File agitation on debris and smear layer removal in curved root canals: a comparative study. Odontology 105, 178–183 (2017).

Article  CAS  PubMed  Google Scholar 

Neelakantan, P., Khan, K., Li, K. Y., Shetty, H. & Xi, W. Effectiveness of supplementary irrigant agitation with the Finisher GF Brush on the debridement of oval root canals instrumented with the Gentlefile or nickel-titanium rotary instruments. Int. Endod. J. 51, 800–807 (2018).

Article  CAS  PubMed  Google Scholar 

Moreinos, D., Dakar, A., Stone, N. J. & Moshonov, J. Evaluation of time to fracture and vertical forces applied by a novel gentlefile system for root canal preparation in simulated root canals. J. Endod. 42, 505–508 (2016).

Article  PubMed  Google Scholar 

Asnaashari, M., Kooshki, N., Salehi, M. M., Azari-Marhabi, S. & Amin Moghadassi, H. Comparison of antibacterial effects of photodynamic therapy and an irrigation activation system on root canals infected with enterococcus faecalis: an in vitro study. J. Lasers. Med. Sci. 11, 243–248 (2020).

Article  PubMed  PubMed Central  Google Scholar 

Hizarci, U., Koçak, S., Sağlam, B. C. & Koçak, M. M. Effect of different irrigation activation techniques on the amount of apical debris extrusion. Tanta. Dent. J. 16, 29–32 (2019).

Article  Google Scholar 

Hanafy, M. S., Kamel, W. H. & Nour El Din, M. M. Effect of XP-Endo finisher on post-instrumentation pain after using different NiTi rotary systems. Al-Azhar. Dent. J. Girls 7, 157–164 (2020).

Article  Google Scholar 

Mj, R. The use of ultrasonics in root canal therapy and root resection. J. Dent. Med. 12, 12–18 (1957).

Google Scholar 

Plotino, G., Pameijer, C. H., Grande, N. M. & Somma, F. Ultrasonics in endodontics: a review of the literature. J. Endod. 33, 81–95 (2007).

Article  PubMed  Google Scholar 

Van der Sluis, L. W. M., Versluis, M., Wu, M. K. & Wesselink, P. R. Passive ultrasonic irrigation of the root canal: a review of the literature. Int. Endod. J. 40, 415–426 (2007).

Article  PubMed  Google Scholar 

Stock, C. J. Current status of the use of ultrasound in endodontics. Int. Dent. J. 41, 175–182 (1991).

CAS  PubMed  Google Scholar 

Weller, R. N., Brady, J. M. & Bernier, W. E. Efficacy of ultrasonic cleaning. J. Endod. 6, 740–743 (1980).

Article  CAS  PubMed  Google Scholar 

Gu, L. et al. Review of contemporary irrigant agitation techniques and devices. J. Endod. 35, 791–804 (2009).

Article  PubMed  Google Scholar 

Middha, M., Sangwan, P., Tewari, S. & Duhan, J. Effect of continuous ultrasonic irrigation on postoperative pain in mandibular molars with nonvital pulps: a randomized clinical trial. Int. Endod. J. 50, 522–530 (2017).

Article  CAS  PubMed  Google Scholar 

Malki, M. et al. Irrigant flow beyond the insertion depth of an ultrasonically oscillating file in straight and curved root canals: visualization and cleaning efficacy. J. Endod. 38, 657–661 (2012).

Article  PubMed 

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