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Dynamic Navigation in Endodontics: Guided Access Cavity Preparation by Means of a Miniaturized Navigation System
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Current Trends in Root Canal Irrigation.

Azhar Ali1, Anuradha Bhosale2, Swapnil Pawar3

  • 1Endodontics, Ministry of Health, Kingdom of Saudi Arabia, Al Jawf, SAU.

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|June 14, 2022
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Summary
This summary is machine-generated.

Effective root canal cleaning relies on irrigating solutions and activation devices to eliminate bacteria and debris. This review examines current irrigants and activation methods for optimal endodontic treatment success.

Keywords:
activationendodonticsirrigantsirrigation devicesroot canal irrigation

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Area of Science:

  • Endodontic Therapy
  • Dental Materials Science

Background:

  • Root canal debridement uses chemical and mechanical methods to remove tissue and bacteria.
  • Sodium hypochlorite is a key irrigant for disinfection, while chelating agents address the smear layer.
  • Effective irrigation is crucial for canal cleanliness and medicament penetration before obturation.

Purpose of the Study:

  • To review current irrigating solutions and irrigant activation devices in endodontics.
  • To analyze the advantages and disadvantages of various endodontic irrigants.
  • To highlight the importance of irrigant-canal wall interaction, especially in apical regions.

Main Methods:

  • Literature review of existing studies on endodontic irrigants.
  • Analysis of in vivo and in vitro research on irrigant efficacy.
  • Evaluation of irrigant activation devices and their role in root canal cleaning.

Main Results:

  • Sodium hypochlorite effectively disinfects, but smear layer removal can be limited in the apical third.
  • Irritant activation devices enhance solution contact with canal walls, particularly in narrow canals.
  • The choice and activation of irrigants significantly impact endodontic treatment outcomes.

Conclusions:

  • Optimizing irrigant selection and activation is vital for successful endodontic therapy.
  • Further research into novel irrigants and activation technologies is warranted.
  • Ensuring thorough canal cleanliness is paramount for predictable clinical results.