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Published in:

01-01-2024 | Agitation | Research

Effectiveness of a new endodontic irrigation system for removing smear layer and dissolving simulated organic matter

Authors: Raimundo Sales de Oliveira Neto, Luana Arantes de Souza Lima, Pedro Cesar Gomes Titato, Flaviana Bombarda de Andrade, Rodrigo Ricci Vivan, Murilo Priori Alcalde, Marco Antonio Hungaro Duarte

Published in: Clinical Oral Investigations | Issue 1/2024

Abstract

Objectives

The study aimed to evaluate the potential for the dissolution of organic tissue in areas of simulated complexity and cleaning of root canal walls of the new iVac® endodontic irrigation system.

Material and methods

Thirty mandibular premolars were evaluated by scanning electron microscopy before and after biomechanical preparation. Then, they were distributed according to the final irrigation protocol into groups with conventional irrigation, ultrasonic agitation with metallic insert (UA), and iVac® system, and new photomicrographs were obtained. For tissue dissolution analysis, glass capillaries filled with catgut were attached to the cervical and apical thirds of twenty-one prototyped upper incisors. They were weighed before and after the previously mentioned irrigation protocols. The data were statistically compared with a significance level of 5%.

Results

The final irrigation provided greater cleaning of the root canal walls in the cervical, middle, and apical thirds of the root canals (P < 0.05), with no statistically significant difference between UA and iVac®, regardless of the analyzed thirds. Both ultrasonic irrigation protocols dissolved a significantly greater volume than the conventional irrigation protocol (P < 0.05), with no difference between the two protocols (P < 0.05).

Conclusions

The iVac® system showed root canal wall cleaning and tissue dissolution similar to UA with a metallic insert, and both were superior to conventional irrigation.

Clinical relevance

The new irrigation system iVac is more effective than conventional irrigation and has similar root canal wall cleaning and tissue dissolution to UA.

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Title: Effectiveness of a new endodontic irrigation system for removing smear layer and dissolving simulated organic matter
Authors: Raimundo Sales de Oliveira Neto
Luana Arantes de Souza Lima
Pedro Cesar Gomes Titato
Flaviana Bombarda de Andrade
Rodrigo Ricci Vivan
Murilo Priori Alcalde
Marco Antonio Hungaro Duarte
Publication date: 01-01-2024
Publisher: Springer Berlin Heidelberg
Keywords: Agitation
Endodontic Irrigation
Published in: Clinical Oral Investigations / Issue 1/2024
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-023-05418-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Effectiveness of a new endodontic irrigation system for removing smear layer and dissolving simulated organic matter

Abstract

Objectives

Material and methods

Results

Conclusions

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Material and methods

Results

Conclusions

Clinical relevance

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