Clinical one-visit root treatment with nickel-titanium rotary instrument and ultrasonic irrigation unit for chronic apical periodontitis

doi:10.3969/j.issn.2095-4344.2014.43.014

Abstract

Abstract:

BACKGROUND: For on-visit root canal therapy, ultrasound washing can improve the quality of root canal irrigation, and play a synergistic role with ultrasound so that the flushing fluid can reach the area that cannot be completely cleaned up by root canal preparation instruments, such as apical isthmus and collateral root canal, for removal of the detritus, cleanup and disinfection.
OBJECTIVE: To evaluate the clinical effect of one-visit root treatment with nickel-titanium rotary instruments and ultrasonic irrigation unit in treatment of chronic apical periodontitis.
METHODS: A total of 460 patients with illed 460 teeth were selected. Patients were randomly divided into three groups: Mtwo instrument and ultrasonic technique combined with sodium hypochlorite was utilized in group A; ultrasonic technique combined with active silver ion antibacterial solution was utilized in group B; stainless steel K files with saline and hydrogen peroxide solution were used as irrigations in group C. Twenty-four hours after root
canal filling, the pain degree was self-assessed by patients with visual analogue scale, and subsequent visit was done 7 days after root canal filling. Six and twelve months after root canal filling, the therapeutic effect was determined with X-ray examination and clinical assessment．
RESULTS AND CONCLUSION: The degree of pain and occurrence rate of acute reactions in groups A and B were significantly lower than those in group C (P < 0.05), but there was no significant difference between groups A and B (P > 0.05). Six months after root canal filling, the cure rate was not significantly different between three groups (P > 0.05). But after 12 months, the cure rate in the group C was significantly lower than that in groups A and B (P < 0.05). By using of nickel-titanium rotary instruments and ultrasonic irrigation unit in treatment of chronic apical periodontitis, the short- and long-term effects of one-visit root treatment have been achieved clinically.

中国组织工程研究杂志出版内容重点：生物材料；骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性；组织工程

全文链接：

Key words: periapical periodontitis, 隔root canal irrigants, root canal therapy

CLC Number:

R318

Tang Zhen-yu, Jiang Shi-yong, Wang Hui, Lan Bi-feng. Clinical one-visit root treatment with nickel-titanium rotary instrument and ultrasonic irrigation unit for chronic apical periodontitis[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(43): 6973-6978.

Figures/Tables 3

References

[1] 唐仲良,王芳,梅林. 3种不同根管预备方法对老年人根管治疗约诊间痛的影响[J].华西口腔医学杂志,2013,31(5):493-495
[2] Andrabi SM, Kumar A, Kumar Tewari R, et al. An in vitro SEM study on the effectiveness of smear layer removal of four different irrigations. Iran Endod J.2012;7(4): 171-176.
[3] Ajagannanavar SL, Battur H, Shamarao S, et al. Effect of aqueous and alcoholic licorice (glycyrrhiza glabra) root extract against streptococcus mutans and lactobacillus acidophilus in comparison to chlorhexidine:an in vitro study.J Int Oral Health. 2014;6(4):29-34.
[4] Prabhakar A,Taur S,Hadakar S,et al.Comparison of Antibacterial Efficacy of Calcium Hydroxide Paste, 2% Chlorhexidine Gel and Turmeric Extract as an Intracanal Medicament and their Effect on Microhardness of Root Dentin: An in vitro Study.Int J Clin Pediatr Dent.2013;6(3): 171-177.
[5] 逢爱慧,力明,杜田丰,等.根管冲洗液对多物种细菌生物膜的影响[J],华中科技大学学报:医学版,2014,43(4):437-440
[6] Lindblad RM,Lassila LV,Salo V,et al.Effect of chlorhexidine on initial adhesion of fiber-reinforced post to root canal.J Dent. 2010;38(10):796-801.
[7] 陈超.根管冲洗常用药物及特点[J].山东医药,2013,53(22): 97-98.
[8] 徐心怡,吕岩,郭斌.五倍子防龋的研究进展[J].中华老年口腔医学杂志,2013,11(4):235-238.
[9] Thomas AR,Velmurugan N,Smita S,et al.Comparative Evaluation of Canal Isthmus Debridement Efficacy of Modified EndoVac Technique with Different Irrigation Systems.J Endod. 2014;19(14):527-528.
[10] Vinhorte MC,Suzuki EH,de Carvalho MS,et al.Effect of passive ultrasonic agitation during final irrigation on cleaning capacity of hybrid instrumentation.Restor Dent Endod. 2014; 39(2):104-108.
[11] Akcay M,Sari S.The effect of sodium hypochlorite application on the success of calcium hydroxide and mineral trioxide aggregate pulpotomies in primary teeth. Pediatr Dent. 2014; 36(4):316-321.
[12] Weber CD, McClanahan SB, Miller GA,et al.The effect of passive ultrasonic activation of 2% chlorhexidine or 5.25% sodium hypochlorite irrigant on residual antimicrobial activity in root canals.J Endod. 2003;29(9):562-564.
[13] Jordan RA,Holzner AL,Markovic L,et al.Clinical effectiveness of basic root canal treatment after 24 months: a randomized controlled trial.J Endod.2014;40(4):465-470.
[14] Arash Poorsattar BM, Zahra-Sadat M, Ali Akbar M, et al. Analgesic effect of etoricoxib compared to Ibuprofen on post endodontic pain.Oral Health Dent Manag.2013;12(3): 186-190.
[15] 刘爽,冷志勇.感染根管一次性根管治疗的近期疗效观察[J].上海交通大学学报:医学版,2013,33(7):1014-1017.
[16] Xavier AC,Martinho FC,Chung A,et al. One-visit versus two-visit root canal treatment: effectiveness in the removal of endotoxins and cultivable bacteria.J Endod. 2013;39(8): 959-964.
[17] Asgary S,Ahmadyar M.One-visit endodontic retreatment of combined external/internal root resorptionusing a calcium-enriched mixture.Gen Dent. 2012;60(4):e244-248
[18] Alonso-Ezpeleta LO,Gasco-Garcia C,Castellanos-Cosano L,et al.Postoperative pain after one-visit root-canal treatment on teeth with vital pulps: comparison of three different obturation techniques.Med Oral Patol Oral Cir Bucal. 2012; 17(4):e721-727.
[19] Rao KN,Kandaswamy R,Umashetty G,et al.Post-Obturation pain following one-visit and two-visit root canal treatment in necrotic anterior teeth.J Int Oral Health.2014;6(2):28-32.
[20] Dorasani G,Madhusudhana K,Chinni SK.Clinical and radiographic evaluation of single-visit and multi-visit endodontic treatment of teeth with periapical pathology: An in vivo study.J Conserv Dent.2013;16(6):484-488.
[21] Risso PA,Cunha AJ,Araujo MC,et al.Postobturation pain and associated factors in adolescent patients undergoing one and two-visit rootcanal treatment.J Dent. 2008;36(11):928-934.
[22] 孙玉亮,梁学萍,赵今.比较一次法与多次法根管治疗术治疗慢性牙髓炎、根尖周炎疗效的系统评价[J].牙体牙髓牙周病学杂志, 2011,21(8):452-458.
[23] Mozo S,Llena C,Chieffi N,et al.Effectiveness of passive ultrasonic irrigation in improving elimination of smear layer and opening dentinal tubules.J Clin Exp Dent.2014;6(1): e47-52.
[24] Ahmetoglu F,Keles A,Yalcin M,et al.Effectiveness of different irrigation systems on smear layer removal: A scanning electron microscopic study.Eur J Dent.2014;8(1):53-57.
[25] Berkhoff JA,Chen PB,Teixeira FB,et al.Evaluation of triple antibiotic paste removal by different irrigation procedures.J Endod.2014;40(8):1172-1177.
[26] Spoorthy E,Velmurugan N,Ballal S,et al. Comparison of irrigant penetration up to working length and into simulated lateral canals using various irrigating techniques.Int Endod J.2013;46(9):815-822.
[27] 周淑,李静,汤根兄.活性银离子抗菌液治疗乳牙瘘管型根尖周炎的疗效观察[J].口腔医学.2012,32(8):468-470.
[28] 黄思贵,钟吉华,刘春.活性银离子抗菌液Ⅱ型与磺胺嘧啶银治疗Ⅱ度烧伤创面的临床观察[J].重庆医学,2009,38(6):688-689.
[29] 李永青.活性银离子抗菌液治疗乳牙瘘管型根尖周炎的临床疗效[J].吉林医学,2013,34(27):5557.
[30] 王书杰.银离子消毒剂的杀菌作用、机制、影响因素及应用[J].中国感染控制杂志,2007,6(3):214-216.