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Efficacy of different devices in removing calcium hydroxide from the root canal

Year 2015, Volume: 18 Issue: 4, 318 - 326, 24.02.2015

Emel Uzunoğlu , Melahat Görduysus Emre Nagas

Abstract

Objectives: The aim was to compare the efficiency of removing calcium hydroxide (CH) with different devices and irrigants. Materials and Methods: Ten roots were served as positive and negative controls, the remaining roots (n=75) were assigned into 5 respect to the removal techniques: Group (G) I, Master apical file- manual needle irrigation (MNI); GII, Canal Brush (CB)-MNI; GIII, RinsEndo; GIV, Self-adjusting file(SAF)-Vatea; GV, CB+MNI, followed by SAF+Vatea. The roots were grooved longitudinally and split into halves.  Three specimens from each group were randomly selected to evaluate CH remnants under the SEM. A digital camera acquired images of each half of the canal. A scoring system was used to assess amount of residue. Data were analyzed using Kruskal–Wallis and Mann–Whitney U tests (p < 0.05). Results: Remnants of CH were found in all experimental groups. Examining the efficacy of CH removal from the each third of the canal showed that there was a statistically significant difference between the middle (p=0,003) and cervical (p=0,006) thirds. Conclusions: None of the techniques removed the CH medicament completely; the use of the RE and SAF facilitated removal of CH especially from the cervical third. 

Keywords

Calcium hydroxide removal CanalBrush RinsEndo Self-adjusting file

References

  • References
  • Takahashi K. Microbiological, pathological, inflammatory, immunological and molecular biological aspects of periradicular disease. Int Endod J 1998;31:311-325.
  • Tanomaru-Filho M, Leonardo MR, Silva LAB. Effect of irrigation solution and calcium hydroxide root canal dressing on the repair of apical and periapical tissues of teeth with periapical lesion. J Endod 2002;28:295-299.
  • Erdemir A, Ari H, Gungunes H, Belli S. Effect of medications for root canal treatment on bonding to root canal dentin. J Endod 2004;30:113–116.
  • Çalt S, Serper A. Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. J Endod 1999;25:431–433.
  • Böttcher DE, Hirai VH, Da Silva Neto UX, Grecca FS. I Effect of calcium hydroxide dressing on the long-term sealing ability of two different endodontic sealers: an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:386-389.
  • Hosoya N, Kurayama H, Iino F, Arai T. Effects of calcium hydroxide on physical and sealing properties of canal sealers. Int Endod J 2004;37:178–184.
  • Lambrianidis T, Kosti E, Boutsioukis C, Mazinis M. Removal efficacy of various calcium hydroxide/chlorhexidine medicaments from the root canal. Int Endod J 2006;39:55–61.
  • Kenee DM, Allemang JD, Johnson JD, Hellstein J, Nichol BK. A quantitative assessment of efficacy of various calcium hydroxide removal techniques. J Endod 2006;32:563–565.
  • Taşdemir T, Çelik D, Er K, Yildirim T, Ceyhanli KT, Yeşilyurt C. Efficacy of several techniques for the removal of calcium hydroxide medicament from root canals. Int Endod J 2011;44:505-509.
  • Türker SA, Koçak MM, Koçak S, Sağlam BC. Comparison of calcium hydroxide removal by self-adjusting file, EndoVac, and CanalBrush agitation techniques: An in vitro study. J Conserv Dent 2013;16:439-443.
  • Ahmetoğlu F, Sımşek N, Keleş A, Ocak MS, Er K. Efficacy of self-adjusting file and passive ultrasonic irrigation on removing calcium hydroxide from root canals. Dent Mater J 2013;32:1005-1010.
  • Rödig T, Hirschleb M, Zapf A, Hülsmann M. Comparison of ultrasonic irrigation and RinsEndo for the removal of calcium hydroxide and Ledermix paste from root canals. Int Endod J 2011;44:1155–1161.
  • Ma J, Shen Y, Yang Y, Gao Y, Wan P, Gan Y, Patel P, Curtis A, Khakpour M, Haapasalo M. In Vitro Study of Calcium Hydroxide Removal from Mandibular Molar Root Canals. J Endod 2015 Jan 14. pii: S0099-2399(14)01139-X. doi: 10.1016/j.joen.2014.11.023. [Epub ahead of print]
  • Alturaiki S, Lamphon H, Edrees H, Ahlquist M. Efficacy of 3 different irrigation systems on removal of calcium hydroxide from the root canal: a scanning electron microscopic study. J Endod 2015;41:97-101.
  • Faria G, Viola KS, Kuga MC, Garcia AJ, Daher VB, De Pasquali Leonardo MF, Tanomaru-Filho M. Effect of rotary instrument associated with different irrigation techniques on removing calcium hydroxide dressing. Microsc Res Tech 2014;77:642-646.
  • Van der Sluis LW, Wu MK, Wesselink PR. The evaluation of removal of calcium hydroxide paste from an artificial standardized groove in the apical root canal using different irrigation methodologies. Int Endod J 2007;40:52–57.
  • Shipper G, Ørstavik D, Teixeira FB, Trope M. An evaluation of microbial leakage in roots filled with a thermoplastic synthetic polymer-based root canal filling material (Resilon). J Endod 2004;30:342-347.
  • Lottanti S, Gautschi H, Sener B, Zehnder M. Effects of ethylenediaminetetraacetic, etidronic and peracetic acid irrigation on human root dentine and the smear layer. Int Endod J 2009;42:335-343.
  • Margelos J, Eliades G, Verdelis C, Palaghias G. Interaction of calcium hydroxide with zinc oxide-eugenol type sealers: a potential clinical problem J Endod 1997;23:43-48.
  • Gorduysus M, Yilmaz Z, Gorduysus O, Atila B, Karapinar SO. Effectiveness of a new canal brushing technique in removing calcium hydroxide from the root canal system: A scanning electron microscope study. J Conserv Dent 2012;15:367-371.
  • Maalouf L, Zogheib C, Naaman A. Removal efficiency of calcium hydroxide dressing from the root canal without chemically active adjuvant. J Contemp Dent Pract 2013;14:188-192.
  • Hauser V, Braun A, Frentzen M. Penetration depth of a dye marker into dentine using a novel hydrodynamic system (RinsEndo®). Int Endod J 2007;40:644-652.
  • Paque F, Peters OA. Micro-computed tomography evaluation of the preparation of long oval root canals in mandibular molars with the self-adjusting file. J Endod 2011;37:517-521.
  • Faria G, Kuga MC, Ruy AC, Aranda-Garcia AJ, Bonetti-Filho I, Guerreiro-Tanomaru JM, Leonardo RT. The efficacy of the self-adjusting file and ProTaper for removal of calcium hydroxide from root canals. J Appl Oral Sci 2013;21:346-350.
  • Paranjpe A, de Gregorio C, Gonzalez AM, Gomez A, Silva Herzog D, Pina AA, Cohenca N. Efficacy of the self adjusting file system on cleaning and shaping oval canals: a microbiological and microscopic evaluation. J Endod 2012;38:226-231.
  • Abramovitz I, Relles-Bonar S, Baransi B, Kfir A. The effectiveness of a self-adjusting file to remove residual guttapercha after retreatment with rotary files. Int Endod J 2012; 45:386-392.
  • Gu LS, Kim JR, Ling J, Choi KK, Pashley DH, Tay FR. Review of contemporary irrigant agitation techniques and devices. J Endod 2009;35:791-804.

Official Publication of Cumhuriyet University Faculty of Dentistry

Year 2015, Volume: 18 Issue: 4, 318 - 326, 24.02.2015

Emel Uzunoğlu , Melahat Görduysus Emre Nagas

Abstract

References

  • References
  • Takahashi K. Microbiological, pathological, inflammatory, immunological and molecular biological aspects of periradicular disease. Int Endod J 1998;31:311-325.
  • Tanomaru-Filho M, Leonardo MR, Silva LAB. Effect of irrigation solution and calcium hydroxide root canal dressing on the repair of apical and periapical tissues of teeth with periapical lesion. J Endod 2002;28:295-299.
  • Erdemir A, Ari H, Gungunes H, Belli S. Effect of medications for root canal treatment on bonding to root canal dentin. J Endod 2004;30:113–116.
  • Çalt S, Serper A. Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. J Endod 1999;25:431–433.
  • Böttcher DE, Hirai VH, Da Silva Neto UX, Grecca FS. I Effect of calcium hydroxide dressing on the long-term sealing ability of two different endodontic sealers: an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:386-389.
  • Hosoya N, Kurayama H, Iino F, Arai T. Effects of calcium hydroxide on physical and sealing properties of canal sealers. Int Endod J 2004;37:178–184.
  • Lambrianidis T, Kosti E, Boutsioukis C, Mazinis M. Removal efficacy of various calcium hydroxide/chlorhexidine medicaments from the root canal. Int Endod J 2006;39:55–61.
  • Kenee DM, Allemang JD, Johnson JD, Hellstein J, Nichol BK. A quantitative assessment of efficacy of various calcium hydroxide removal techniques. J Endod 2006;32:563–565.
  • Taşdemir T, Çelik D, Er K, Yildirim T, Ceyhanli KT, Yeşilyurt C. Efficacy of several techniques for the removal of calcium hydroxide medicament from root canals. Int Endod J 2011;44:505-509.
  • Türker SA, Koçak MM, Koçak S, Sağlam BC. Comparison of calcium hydroxide removal by self-adjusting file, EndoVac, and CanalBrush agitation techniques: An in vitro study. J Conserv Dent 2013;16:439-443.
  • Ahmetoğlu F, Sımşek N, Keleş A, Ocak MS, Er K. Efficacy of self-adjusting file and passive ultrasonic irrigation on removing calcium hydroxide from root canals. Dent Mater J 2013;32:1005-1010.
  • Rödig T, Hirschleb M, Zapf A, Hülsmann M. Comparison of ultrasonic irrigation and RinsEndo for the removal of calcium hydroxide and Ledermix paste from root canals. Int Endod J 2011;44:1155–1161.
  • Ma J, Shen Y, Yang Y, Gao Y, Wan P, Gan Y, Patel P, Curtis A, Khakpour M, Haapasalo M. In Vitro Study of Calcium Hydroxide Removal from Mandibular Molar Root Canals. J Endod 2015 Jan 14. pii: S0099-2399(14)01139-X. doi: 10.1016/j.joen.2014.11.023. [Epub ahead of print]
  • Alturaiki S, Lamphon H, Edrees H, Ahlquist M. Efficacy of 3 different irrigation systems on removal of calcium hydroxide from the root canal: a scanning electron microscopic study. J Endod 2015;41:97-101.
  • Faria G, Viola KS, Kuga MC, Garcia AJ, Daher VB, De Pasquali Leonardo MF, Tanomaru-Filho M. Effect of rotary instrument associated with different irrigation techniques on removing calcium hydroxide dressing. Microsc Res Tech 2014;77:642-646.
  • Van der Sluis LW, Wu MK, Wesselink PR. The evaluation of removal of calcium hydroxide paste from an artificial standardized groove in the apical root canal using different irrigation methodologies. Int Endod J 2007;40:52–57.
  • Shipper G, Ørstavik D, Teixeira FB, Trope M. An evaluation of microbial leakage in roots filled with a thermoplastic synthetic polymer-based root canal filling material (Resilon). J Endod 2004;30:342-347.
  • Lottanti S, Gautschi H, Sener B, Zehnder M. Effects of ethylenediaminetetraacetic, etidronic and peracetic acid irrigation on human root dentine and the smear layer. Int Endod J 2009;42:335-343.
  • Margelos J, Eliades G, Verdelis C, Palaghias G. Interaction of calcium hydroxide with zinc oxide-eugenol type sealers: a potential clinical problem J Endod 1997;23:43-48.
  • Gorduysus M, Yilmaz Z, Gorduysus O, Atila B, Karapinar SO. Effectiveness of a new canal brushing technique in removing calcium hydroxide from the root canal system: A scanning electron microscope study. J Conserv Dent 2012;15:367-371.
  • Maalouf L, Zogheib C, Naaman A. Removal efficiency of calcium hydroxide dressing from the root canal without chemically active adjuvant. J Contemp Dent Pract 2013;14:188-192.
  • Hauser V, Braun A, Frentzen M. Penetration depth of a dye marker into dentine using a novel hydrodynamic system (RinsEndo®). Int Endod J 2007;40:644-652.
  • Paque F, Peters OA. Micro-computed tomography evaluation of the preparation of long oval root canals in mandibular molars with the self-adjusting file. J Endod 2011;37:517-521.
  • Faria G, Kuga MC, Ruy AC, Aranda-Garcia AJ, Bonetti-Filho I, Guerreiro-Tanomaru JM, Leonardo RT. The efficacy of the self-adjusting file and ProTaper for removal of calcium hydroxide from root canals. J Appl Oral Sci 2013;21:346-350.
  • Paranjpe A, de Gregorio C, Gonzalez AM, Gomez A, Silva Herzog D, Pina AA, Cohenca N. Efficacy of the self adjusting file system on cleaning and shaping oval canals: a microbiological and microscopic evaluation. J Endod 2012;38:226-231.
  • Abramovitz I, Relles-Bonar S, Baransi B, Kfir A. The effectiveness of a self-adjusting file to remove residual guttapercha after retreatment with rotary files. Int Endod J 2012; 45:386-392.
  • Gu LS, Kim JR, Ling J, Choi KK, Pashley DH, Tay FR. Review of contemporary irrigant agitation techniques and devices. J Endod 2009;35:791-804.
There are 28 citations in total.

Details

Primary Language English
Journal Section Original Research Articles
Authors

Emel Uzunoğlu

Melahat Görduysus

Emre Nagas

Publication Date February 24, 2015
Submission Date February 24, 2015
Published in Issue Year 2015 Volume: 18 Issue: 4

Cite

EndNote Uzunoğlu E, Görduysus M, Nagas E (November 1, 2015) Efficacy of different devices in removing calcium hydroxide from the root canal. Cumhuriyet Dental Journal 18 4 318–326.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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