Comparison of passive ultrasonic and sonically activated irrigation methods: an investigation based on PGE2, NO and IL-6 levels

Abstract The effectiveness of Passive Ultrasonic Irrigation(PUI) and Sonically Activated Irrigation(SAI) techniques was investigated in apical periodontitis(AP) patients based on changes in prostaglandin E2(PGE2), nitric oxide(NO), and interleukin-6(IL-6) levels. Sixty-six AP patients and thirty hea...

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Main Authors: Seyda Ersahan, Fatih Ozcelik, Sertan Fındıkçı, Yelda Erdem Hepsenoglu, Duygu Degirmencioglu, Aslı Usta
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-06447-8
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author Seyda Ersahan
Fatih Ozcelik
Sertan Fındıkçı
Yelda Erdem Hepsenoglu
Duygu Degirmencioglu
Aslı Usta
author_facet Seyda Ersahan
Fatih Ozcelik
Sertan Fındıkçı
Yelda Erdem Hepsenoglu
Duygu Degirmencioglu
Aslı Usta
author_sort Seyda Ersahan
collection DOAJ
description Abstract The effectiveness of Passive Ultrasonic Irrigation(PUI) and Sonically Activated Irrigation(SAI) techniques was investigated in apical periodontitis(AP) patients based on changes in prostaglandin E2(PGE2), nitric oxide(NO), and interleukin-6(IL-6) levels. Sixty-six AP patients and thirty healthy controls were enrolled. Preoperative gingival crevicular fluid(preGCF) PGE2, NO and IL-6 levels were measured before treatment. After chemo-mechanical preparation, teeth were assigned into two groups according to final irrigation protocol[PUI(n:33) and SAI(n:33)]. The same markers were again measured 1 week after treatment(postGCF) and also 1st order most commonly seen bacteria(FMCB) typing was performed on microbial samples of the patients. PostGCF-PGE2 levels of the PUI group were lower than postGCF-PGE2 levels of the SAI group(p = 0.0335). Both postGCF-PE2 and IL-6 levels of the PUI group were significantly decreased after treatment(p < 0.0001), while only postGCF-PE2 levels decreased in the SAI group(p = 0.0316). The PUI system significantly reduced PGE2 and IL-6 levels by better controlling inflammation in the treatment of AP.
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institution Kabale University
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publishDate 2025-07-01
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series BMC Oral Health
spelling doaj-art-d19be95fd3dd42cfb8e4334e7c55e7022025-08-20T04:01:36ZengBMCBMC Oral Health1472-68312025-07-0125111310.1186/s12903-025-06447-8Comparison of passive ultrasonic and sonically activated irrigation methods: an investigation based on PGE2, NO and IL-6 levelsSeyda Ersahan0Fatih Ozcelik1Sertan Fındıkçı2Yelda Erdem Hepsenoglu3Duygu Degirmencioglu4Aslı Usta5Faculty of Dentistry, Department of Endodontics, Istanbul Medipol UniversityDepartment of Medical Biochemistry Department, Health Sciences University Sisli Hamidiye Etfal Training and Research HospitalFaculty of Dentistry, Department of Endodontics, Istanbul Medipol UniversityFaculty of Dentistry, Department of Endodontics, Istanbul Medipol UniversityFaculty of Dentistry, Department of Endodontics, Istanbul Medipol UniversityFaculty of Dentistry, Department of Endodontics, Istanbul Medipol UniversityAbstract The effectiveness of Passive Ultrasonic Irrigation(PUI) and Sonically Activated Irrigation(SAI) techniques was investigated in apical periodontitis(AP) patients based on changes in prostaglandin E2(PGE2), nitric oxide(NO), and interleukin-6(IL-6) levels. Sixty-six AP patients and thirty healthy controls were enrolled. Preoperative gingival crevicular fluid(preGCF) PGE2, NO and IL-6 levels were measured before treatment. After chemo-mechanical preparation, teeth were assigned into two groups according to final irrigation protocol[PUI(n:33) and SAI(n:33)]. The same markers were again measured 1 week after treatment(postGCF) and also 1st order most commonly seen bacteria(FMCB) typing was performed on microbial samples of the patients. PostGCF-PGE2 levels of the PUI group were lower than postGCF-PGE2 levels of the SAI group(p = 0.0335). Both postGCF-PE2 and IL-6 levels of the PUI group were significantly decreased after treatment(p < 0.0001), while only postGCF-PE2 levels decreased in the SAI group(p = 0.0316). The PUI system significantly reduced PGE2 and IL-6 levels by better controlling inflammation in the treatment of AP.https://doi.org/10.1186/s12903-025-06447-8Apical periodontitisPassive ultrasonic irrigationGingival crevicular fluidSonically activated irrigationPGE2IL-6
spellingShingle Seyda Ersahan
Fatih Ozcelik
Sertan Fındıkçı
Yelda Erdem Hepsenoglu
Duygu Degirmencioglu
Aslı Usta
Comparison of passive ultrasonic and sonically activated irrigation methods: an investigation based on PGE2, NO and IL-6 levels
BMC Oral Health
Apical periodontitis
Passive ultrasonic irrigation
Gingival crevicular fluid
Sonically activated irrigation
PGE2
IL-6
title Comparison of passive ultrasonic and sonically activated irrigation methods: an investigation based on PGE2, NO and IL-6 levels
title_full Comparison of passive ultrasonic and sonically activated irrigation methods: an investigation based on PGE2, NO and IL-6 levels
title_fullStr Comparison of passive ultrasonic and sonically activated irrigation methods: an investigation based on PGE2, NO and IL-6 levels
title_full_unstemmed Comparison of passive ultrasonic and sonically activated irrigation methods: an investigation based on PGE2, NO and IL-6 levels
title_short Comparison of passive ultrasonic and sonically activated irrigation methods: an investigation based on PGE2, NO and IL-6 levels
title_sort comparison of passive ultrasonic and sonically activated irrigation methods an investigation based on pge2 no and il 6 levels
topic Apical periodontitis
Passive ultrasonic irrigation
Gingival crevicular fluid
Sonically activated irrigation
PGE2
IL-6
url https://doi.org/10.1186/s12903-025-06447-8
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