Comparison of EndoVac, CanalBrush, EndoActivator and Syringe Irrigation on Removal of Triple Antibiotic Paste
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
The aim of this study was to compare the efficacy of different irrigation techniques in the removal of triple antibiotic paste (TAP) from root canal walls.Root canal preparations was performed up to size #30 on 46 extracted single-rooted teeth using ProTaper Next rotary instruments. The root canals were filled with TAP medicament, and after 21 days, the roots were randomly assigned to 4 groups (n = 10) according to the irrigation procedures used: syringe irrigation (SI), CanalBrush, EndoVac, and EndoActivator. In 3 teeth, TAP was not removed (positive controls), and another 3 teeth were not filled with TAP (negative controls). The roots were sectioned longitudinally, and the amount of remaining medicament at each root half (n = 20) was evaluated at x30 magnification using a 4-grade scoring system. The data were analyzed statistically using Kruskal–Wallis and Mann–Whitney U tests.CB and EA gropus were significantly more efficient than SI and EV groups in removing TAP from the root canal (P < 0.05). EV group was better than SI group but it was not significant. Also EA group was the most efficient among all the other groups. At the apical, middle and coronal thirds the results were similar, EA group was the most and SI group was the least efficient in removing TAP from root canals. The use of activation during irrigation significantly improves the removal of TAP from the root canals. However none of these techniques were able to completely remove TAP from root canals.
Authors and Affiliations
Görkem Can, Emre İriboz, Dilek Türkaydın, Hesna Sazak Öveçoğlu
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