In this blog Thibault Collloc looks at a review of is the effectiveness of instrumentation and irrigation with NaOCl and EDTA compared to any other root canal irrigant. The review was one of a number undertaken to inform guidelines for the European Society of Endodontics.
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This review comparing the antimicrobial efficacy of chlorhexidine (CHX) and sodium hypochlorite (NaOCl) in root canal disinfection included 8 small RCTs. While teh findings suggest that CHX and NaOCL have similar efficacy the certainty of teh availabel evidence is low.
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Manas Dave in his debut blog for the Dental Elf looks at a review on bonding of adhesive materials to molar-incisor hypomineralisation (MIH) affected enamel. 10 studies were included only 4 of which were clinical so the findings need to be interpreted cautiously.
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This large RCT involving 308 patients found that using 1.3% NaOCl was associated with less intense and less frequent post-endodontic pain than 5.25% NaOCl in mandibular molars with nonvital pulps treated in two visits.
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Kenny Strain looks at this new review of in-vitro studies examining irrigant activation techniques during root canal treatment. The findings suggest improvemed removal of smear layer and debris. However the impact on clinical outcomes needs further investigation.
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25 studies were included in this review of denture hygiene practices. Mechanical interventions in conjunction with chemical agents were the most effective, Denture brushing was the most common patient practice.
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This review only identified 5 small studies that provided insufficient evidence to compare outcomes using sodium hypochlorite and chlorhexidine for root canal disinfection. Additional high quality RCTs are required.
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Irrigation of root canals is an integral part of root canal treatment. A range of irrigant materials have been used with sodium hypochlorite being the material most currently favoured. However this and other agents can cause damage if not kept within the confines of the root canal system. The aim of this review was to [read the full story…]
The aim of this study was to compare the use of ferric sulphate (FS), formocresol (FC), mineral trioxide aggregate (MTA) and sodium hypochlorite (NaOCl) as pulp dressing following pulpotomy in primary molars. Symptom-free vital primary molars with carious pulp exposure with the possibility of proper restoration of the teeth with a minimum of three walls [read the full story…]
Earlier this week (11th Sept ) we reported on a trial that compared the use of two different irrigant solutions during root canal treatment (RoCT). Now a review that aims to assess the effects of irrigants used in the non-surgical of mature permanent teeth has been published on the Cochrane Library. The usual sound Cochrane [read the full story…]
