Effectiveness of XP-Endo Finisher, Endoactivator, and PUI agitation in the penetration of intracanal medicaments into dentinal tubules: A confocal laser scanning microscope analysis
Background. This investigation assessed the impact of irrigation activation systems on the depth of penetration of intracanal medicaments into dentinal tubules. Methods. Ninety-six mandibular premolar teeth were prepared using ProTaper Next up to size X3. The teeth were randomly divided into four gr...
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Tabriz University of Medical Sciences
2024-09-01
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| Series: | Journal of Dental Research, Dental Clinics, Dental Prospects |
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| Online Access: | https://joddd.tbzmed.ac.ir/PDF/joddd-18-196.pdf |
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| author | Elif Akkol Esin Özlek |
| author_facet | Elif Akkol Esin Özlek |
| author_sort | Elif Akkol |
| collection | DOAJ |
| description | Background. This investigation assessed the impact of irrigation activation systems on the depth of penetration of intracanal medicaments into dentinal tubules. Methods. Ninety-six mandibular premolar teeth were prepared using ProTaper Next up to size X3. The teeth were randomly divided into four groups based on the final irrigation activation systems (n=24): group 1: EndoActivator, group 2: XP-Endo Finisher, group 3: Passive ultrasonic irrigation (PUI), and group 4: control. After the final irrigation, all the samples were divided into two subgroups (n=12): subgroup A: calcium hydroxide (Ca(OH)2 ) and subgroup B: modified triple antibiotic paste (mTAP). Statistical analysis involved three-way analysis of variance (ANOVA). Results. EndoActivator, XP-Endo Finisher, and PUI activation methods significantly increased the penetration of intracanal medicaments compared to conventional needle irrigation (P<0.05). The XP-Endo Finisher group exhibited the highest penetration percentage and maximum penetration depth, showing a statistically significant difference from the EndoActivator group (P<0.001). No significant difference was observed between XP-Endo Finisher and PUI, nor between PUI and EndoActivator (P>0.05). mTAP showed a higher percentage of dentinal tubule penetration than Ca(OH)2 , although no significant difference was found in maximum penetration depth. The coronal region demonstrated the highest penetration percentage and depth, while the apical region showed the lowest. Conclusion. This study showed the effectiveness of XP-Endo Finisher in improving the penetration of intracanal medicaments into dentinal tubules. The findings emphasize the importance of selecting appropriate irrigation activation systems to improve treatment outcomes in endodontics. By demonstrating the effectiveness of advanced systems like XP-Endo Finisher, this research supports their integration into routine clinical practice for better endodontic success. |
| format | Article |
| id | doaj-art-10c15d4b0916423a97c7fcaa1db95a35 |
| institution | DOAJ |
| issn | 2008-210X 2008-2118 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Journal of Dental Research, Dental Clinics, Dental Prospects |
| spelling | doaj-art-10c15d4b0916423a97c7fcaa1db95a352025-08-20T03:06:36ZengTabriz University of Medical SciencesJournal of Dental Research, Dental Clinics, Dental Prospects2008-210X2008-21182024-09-0118319620310.34172/joddd.41123joddd-41123Effectiveness of XP-Endo Finisher, Endoactivator, and PUI agitation in the penetration of intracanal medicaments into dentinal tubules: A confocal laser scanning microscope analysisElif Akkol0Esin Özlek1Sancaktepe Oral and Dental Health Center, Istanbul, TurkeyDepartment of Endodontics, Faculty of Dentistry, University of Van Yuzuncu Yıl, Van, TurkeyBackground. This investigation assessed the impact of irrigation activation systems on the depth of penetration of intracanal medicaments into dentinal tubules. Methods. Ninety-six mandibular premolar teeth were prepared using ProTaper Next up to size X3. The teeth were randomly divided into four groups based on the final irrigation activation systems (n=24): group 1: EndoActivator, group 2: XP-Endo Finisher, group 3: Passive ultrasonic irrigation (PUI), and group 4: control. After the final irrigation, all the samples were divided into two subgroups (n=12): subgroup A: calcium hydroxide (Ca(OH)2 ) and subgroup B: modified triple antibiotic paste (mTAP). Statistical analysis involved three-way analysis of variance (ANOVA). Results. EndoActivator, XP-Endo Finisher, and PUI activation methods significantly increased the penetration of intracanal medicaments compared to conventional needle irrigation (P<0.05). The XP-Endo Finisher group exhibited the highest penetration percentage and maximum penetration depth, showing a statistically significant difference from the EndoActivator group (P<0.001). No significant difference was observed between XP-Endo Finisher and PUI, nor between PUI and EndoActivator (P>0.05). mTAP showed a higher percentage of dentinal tubule penetration than Ca(OH)2 , although no significant difference was found in maximum penetration depth. The coronal region demonstrated the highest penetration percentage and depth, while the apical region showed the lowest. Conclusion. This study showed the effectiveness of XP-Endo Finisher in improving the penetration of intracanal medicaments into dentinal tubules. The findings emphasize the importance of selecting appropriate irrigation activation systems to improve treatment outcomes in endodontics. By demonstrating the effectiveness of advanced systems like XP-Endo Finisher, this research supports their integration into routine clinical practice for better endodontic success.https://joddd.tbzmed.ac.ir/PDF/joddd-18-196.pdfconfocal laser scanning microscopydentinal tubulesirrigation activation systemsroot canal medicamentsroot canal preparation |
| spellingShingle | Elif Akkol Esin Özlek Effectiveness of XP-Endo Finisher, Endoactivator, and PUI agitation in the penetration of intracanal medicaments into dentinal tubules: A confocal laser scanning microscope analysis Journal of Dental Research, Dental Clinics, Dental Prospects confocal laser scanning microscopy dentinal tubules irrigation activation systems root canal medicaments root canal preparation |
| title | Effectiveness of XP-Endo Finisher, Endoactivator, and PUI agitation in the penetration of intracanal medicaments into dentinal tubules: A confocal laser scanning microscope analysis |
| title_full | Effectiveness of XP-Endo Finisher, Endoactivator, and PUI agitation in the penetration of intracanal medicaments into dentinal tubules: A confocal laser scanning microscope analysis |
| title_fullStr | Effectiveness of XP-Endo Finisher, Endoactivator, and PUI agitation in the penetration of intracanal medicaments into dentinal tubules: A confocal laser scanning microscope analysis |
| title_full_unstemmed | Effectiveness of XP-Endo Finisher, Endoactivator, and PUI agitation in the penetration of intracanal medicaments into dentinal tubules: A confocal laser scanning microscope analysis |
| title_short | Effectiveness of XP-Endo Finisher, Endoactivator, and PUI agitation in the penetration of intracanal medicaments into dentinal tubules: A confocal laser scanning microscope analysis |
| title_sort | effectiveness of xp endo finisher endoactivator and pui agitation in the penetration of intracanal medicaments into dentinal tubules a confocal laser scanning microscope analysis |
| topic | confocal laser scanning microscopy dentinal tubules irrigation activation systems root canal medicaments root canal preparation |
| url | https://joddd.tbzmed.ac.ir/PDF/joddd-18-196.pdf |
| work_keys_str_mv | AT elifakkol effectivenessofxpendofinisherendoactivatorandpuiagitationinthepenetrationofintracanalmedicamentsintodentinaltubulesaconfocallaserscanningmicroscopeanalysis AT esinozlek effectivenessofxpendofinisherendoactivatorandpuiagitationinthepenetrationofintracanalmedicamentsintodentinaltubulesaconfocallaserscanningmicroscopeanalysis |