Evaluation of the effectiveness of different irrigation protocols in the root canal cleaning

Author(s)

Samuel Lucas Fernandes

• Document type: Master's Dissertation
• Press: Bauru.
• Institution: Universidade de São Paulo (USP). Faculdade de Odontologia de Bauru (FOB/SDB)
• Defense date: 2015-06-15

Examining board members

Marco Antonio Hungaro Duarte; Flaviana Bombarda de Andrade; Marcus Vinicius Reis Só

• Advisor: Marco Antonio Hungaro Duarte

Abstract

The aim of this study was to evaluate the dissolution capacity and removal of biofilm formed in situ, in smear layer and debris removal and debris use ten final irrigation protocols (saline with or without ultrasonic agitation, or sodium hypochlorite as primary irrigating, and then used saline or 17% EDTA, or 2% peracetic acid (PAA), or Qmix, with or without ultrasonic agitation of both solutions). Two hundred and thirty bovine roots were sectioned and cut with 15mm in length and instrumented with Reciproc R50. For the analysis of removal of debris and smear layer were separated 100 roots, which were cleaved, and the apical third of the half of root, has a longitudinal groove made simulating extensions of oval canals, artificial subsequently filled with debris. After this procedure was performed on half the formation of smear layer with a force wall with instrumentation filing motions. These samples were taken to SEM prior to analysis. These halves, after juxtaposed, and again the flask were held treatment protocols. Data analysis was performed by means of scores. For the analysis of the dissolution and viability of the biofilm in situ roots 130 were prepared with R25 separate instrument and dentin disc was taken from the middle third with a trephine. These disks were inserted into a hawley plate, which was used by the researcher for three days. The discs were removed and left for 48 hours in BHI at 37oC. After contamination disks back to the root from which they were removed and fixed with wax utility returning to muffle being treated and evaluated. Seventy disks were used for analysis of dissolution and viability and confocal images were evaluated by Bioimage software. Sixty discs were used for the analysis of the dissolution of the biofilm SEM and are assessed before and after treatment. Comparing the groups for the removal of smear layer statistically significant differences were found (P <0.05) between the protocols used EDTA and Qmix with the protocols using only saline solution and hypochlorite followed by saline independent of ultrasonic agitation. While for the slot there was a statistically significant difference between the groups using PUI and the other groups. Both ultrasonic agitation, and the use of sodium hypochlorite as primary irrigant influenced significantly to the reduction of bacterial viability and biovolume. The group using the NaOCl, and then used Qmix associated with PUI had the lowest viability values and the highest dissolution of the biofilm. The QMix PUI and the PAA / PUI showed the best dissolution results in the analysis MEV.se differentiating statistically (P <0.05) from the other groups. Taking into account all the criteria analyzed, the protocol that was more efficient was the NaOCl and then used QMix and associated with PUI. (AU)

• FAPESP's process: 13/05980-3 - Evaluation of the effectiveness of different irrigation protocols in the root canal cleaning
• Grantee: Samuel Lucas Fernandes
• Support Opportunities: Scholarships in Brazil - Master