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New Technologies to Improve Root Canal Disinfection
Gianluca Plotino1, Teresa Cortese1, Nicola M Grande2
1Department of Endodontics, Sapienza University of Rome, Rome, Italy.
Brazilian Dental Journal
|March 24, 2016
Summary
Effective root canal disinfection relies on advanced irrigant delivery and agitation technologies. Ultrasonic activation remains the gold standard for improving endodontic treatment outcomes and debris removal.
Area of Science:
- Endodontics
- Dental Materials Science
- Biomedical Engineering
Background:
- Effective root canal disinfection and debris removal are crucial for successful endodontic treatment.
- Current technologies aim to enhance irrigant delivery and agitation within the endodontic space.
Purpose of the Study:
- To provide an overview of existing technologies for improving endodontic space cleaning and debridement efficacy.
- To analyze various mechanical and chemical activation systems for endodontic disinfection.
Main Methods:
- A comprehensive PubMed electronic literature search was conducted using relevant keywords.
- Full-text articles were retrieved, reviewed, and selected for inclusion in this review.
- Technologies analyzed include manual agitation, sonic/subsonic systems, ultrasonic/laser energy, negative pressure irrigation, ozone, and light-activated disinfection.
Main Results:
- Ultrasonic activation of irrigants, particularly sodium hypochlorite, is considered the gold standard.
- Various mechanical agitation systems demonstrated advantages in improving endodontic disinfection and debridement.
- Chemical disinfection methods like ozone and light-activated disinfection offer specific bacterial decontamination actions.
Conclusions:
- The integration of new technologies and enhanced techniques significantly benefits clinical endodontic practice.
- Different irrigation systems offer distinct advantages for improving clinical endodontic outcomes.
- Advancements in irrigant activation technologies contribute to better root canal disinfection and treatment success.
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