A COMPARATIVE STUDY ON THE CLEANING EFFICIENCY OF CONVENTIONAL AND ULTRASONICALLY ACTIVATED ENDODONTIC IRRIGANTS
Aim of the study: This study aimed to compare the effectiveness of four irrigation protocols in removing residual dentinal debris from root canal walls: citric acid, EDTA, a combination of sodium hypochlorite and EDTA, and sodium hypochlorite activated with ultrasound. Materials and Methods: A total...
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Romanian Society of Oral Rehabilitation
2025-06-01
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| Series: | Romanian Journal of Oral Rehabilitation |
| Online Access: | https://rjor.ro/a-comparative-study-on-the-cleaning-efficiency-of-conventional-and-ultrasonically-activated-endodontic-irrigants/ |
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| author | Aureliana Caraiane Gheorghe Raftu Cristina Gabriela Pușcașu Steliana Gabriela Buștiuc Cristina Bartok-Nicolae Claudia Elena Sion Erdogan Elvis Șachir |
| author_facet | Aureliana Caraiane Gheorghe Raftu Cristina Gabriela Pușcașu Steliana Gabriela Buștiuc Cristina Bartok-Nicolae Claudia Elena Sion Erdogan Elvis Șachir |
| author_sort | Aureliana Caraiane |
| collection | DOAJ |
| description | Aim of the study: This study aimed to compare the effectiveness of four irrigation protocols in removing residual dentinal debris from root canal walls: citric acid, EDTA, a combination of sodium hypochlorite and EDTA, and sodium hypochlorite activated with ultrasound. Materials and Methods: A total of 40 extracted single-rooted permanent teeth were selected and randomly divided into four groups (n = 10) based on the irrigant and method used. After access cavity preparation, working length determination, and rotary instrumentation using the ProTaper system, canals were irrigated according to their group protocols. The teeth were then sectioned longitudinally and evaluated under an endodontic microscope. RDD was scored on a 3-point scale: 0 – absent, 1 – moderate, 2 – slight presence. Results: The combination of sodium hypochlorite and EDTA (Group 3) showed the highest efficacy, with 5 canals free of RDD and 5 with moderate presence. Ultrasonically activated sodium hypochlorite (Group 4) resulted in mostly moderate presence and one canal with no debris. EDTA alone (Group 2) and citric acid (Group 1) showed lower efficacy, with no canals completely free of debris. Conclusion: The combination of sodium hypochlorite and EDTA proved to be the most effective irrigation protocol. Ultrasonic activation of sodium hypochlorite showed improved results compared to citric acid and EDTA alone, but did not outperform the NaOCl–EDTA combination. These findings highlight the importance of using both effective chemical agents and proper activation techniques for optimal root canal debridement.
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| format | Article |
| id | doaj-art-9be009257e8c44f6bab410a1bfc28cd0 |
| institution | Kabale University |
| issn | 2066-7000 2601-4661 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Romanian Society of Oral Rehabilitation |
| record_format | Article |
| series | Romanian Journal of Oral Rehabilitation |
| spelling | doaj-art-9be009257e8c44f6bab410a1bfc28cd02025-08-20T03:41:44ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612025-06-0117265265810.62610/RJOR.2025.2.17.59A COMPARATIVE STUDY ON THE CLEANING EFFICIENCY OF CONVENTIONAL AND ULTRASONICALLY ACTIVATED ENDODONTIC IRRIGANTSAureliana Caraiane0Gheorghe Raftu1Cristina Gabriela Pușcașu2Steliana Gabriela Buștiuc3Cristina Bartok-Nicolae4Claudia Elena Sion5Erdogan Elvis Șachir6Department of Dentistry, Faculty of Dentistry, ”Ovidius” University of Constanța, 7 Ilarie Voronca Street, 900684 Constanța, RomaniaDepartment of Dentistry, Faculty of Dentistry, ”Ovidius” University of ConstanțaDepartment of Dentistry, Faculty of Dentistry, ”Ovidius” University of ConstanțaDepartment of Dentistry, Faculty of Dentistry, ”Ovidius” University of ConstanțaDepartment of Dentistry, Faculty of Dentistry, ”Ovidius” University of ConstanțaDepartment of Dentistry, Faculty of Dentistry, ”Ovidius” University of ConstanțaDepartment of Dentistry, Faculty of Dentistry, ”Ovidius” University of ConstanțaAim of the study: This study aimed to compare the effectiveness of four irrigation protocols in removing residual dentinal debris from root canal walls: citric acid, EDTA, a combination of sodium hypochlorite and EDTA, and sodium hypochlorite activated with ultrasound. Materials and Methods: A total of 40 extracted single-rooted permanent teeth were selected and randomly divided into four groups (n = 10) based on the irrigant and method used. After access cavity preparation, working length determination, and rotary instrumentation using the ProTaper system, canals were irrigated according to their group protocols. The teeth were then sectioned longitudinally and evaluated under an endodontic microscope. RDD was scored on a 3-point scale: 0 – absent, 1 – moderate, 2 – slight presence. Results: The combination of sodium hypochlorite and EDTA (Group 3) showed the highest efficacy, with 5 canals free of RDD and 5 with moderate presence. Ultrasonically activated sodium hypochlorite (Group 4) resulted in mostly moderate presence and one canal with no debris. EDTA alone (Group 2) and citric acid (Group 1) showed lower efficacy, with no canals completely free of debris. Conclusion: The combination of sodium hypochlorite and EDTA proved to be the most effective irrigation protocol. Ultrasonic activation of sodium hypochlorite showed improved results compared to citric acid and EDTA alone, but did not outperform the NaOCl–EDTA combination. These findings highlight the importance of using both effective chemical agents and proper activation techniques for optimal root canal debridement. https://rjor.ro/a-comparative-study-on-the-cleaning-efficiency-of-conventional-and-ultrasonically-activated-endodontic-irrigants/ |
| spellingShingle | Aureliana Caraiane Gheorghe Raftu Cristina Gabriela Pușcașu Steliana Gabriela Buștiuc Cristina Bartok-Nicolae Claudia Elena Sion Erdogan Elvis Șachir A COMPARATIVE STUDY ON THE CLEANING EFFICIENCY OF CONVENTIONAL AND ULTRASONICALLY ACTIVATED ENDODONTIC IRRIGANTS Romanian Journal of Oral Rehabilitation |
| title | A COMPARATIVE STUDY ON THE CLEANING EFFICIENCY OF CONVENTIONAL AND ULTRASONICALLY ACTIVATED ENDODONTIC IRRIGANTS |
| title_full | A COMPARATIVE STUDY ON THE CLEANING EFFICIENCY OF CONVENTIONAL AND ULTRASONICALLY ACTIVATED ENDODONTIC IRRIGANTS |
| title_fullStr | A COMPARATIVE STUDY ON THE CLEANING EFFICIENCY OF CONVENTIONAL AND ULTRASONICALLY ACTIVATED ENDODONTIC IRRIGANTS |
| title_full_unstemmed | A COMPARATIVE STUDY ON THE CLEANING EFFICIENCY OF CONVENTIONAL AND ULTRASONICALLY ACTIVATED ENDODONTIC IRRIGANTS |
| title_short | A COMPARATIVE STUDY ON THE CLEANING EFFICIENCY OF CONVENTIONAL AND ULTRASONICALLY ACTIVATED ENDODONTIC IRRIGANTS |
| title_sort | comparative study on the cleaning efficiency of conventional and ultrasonically activated endodontic irrigants |
| url | https://rjor.ro/a-comparative-study-on-the-cleaning-efficiency-of-conventional-and-ultrasonically-activated-endodontic-irrigants/ |
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