Comparative Study of Different Irrigation Protocols in Endodontic Treatment

Background: Irrigation is ideal in endodontic treatment as it helps in the removal of bacteria, softening of the organic structure, and then evacuation of debris in the root canal. Materials and Methods: This in vitro study involved 60 extracted single-rooted human teeth, randomly assigned to three...

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Main Authors: Midhun Paul, Rekha V. Ravi, Chintu Sundaresan, Dinesh G. Kamath, Gargi Yumnam, Nada M. Ibrahim
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Pharmacy and Bioallied Sciences
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Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_841_24
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author Midhun Paul
Rekha V. Ravi
Chintu Sundaresan
Dinesh G. Kamath
Gargi Yumnam
Nada M. Ibrahim
author_facet Midhun Paul
Rekha V. Ravi
Chintu Sundaresan
Dinesh G. Kamath
Gargi Yumnam
Nada M. Ibrahim
author_sort Midhun Paul
collection DOAJ
description Background: Irrigation is ideal in endodontic treatment as it helps in the removal of bacteria, softening of the organic structure, and then evacuation of debris in the root canal. Materials and Methods: This in vitro study involved 60 extracted single-rooted human teeth, randomly assigned to three groups (n = 20) based on the irrigation protocol used: The three tested products were Group A, sodium hypochlorite 5. 25%; Group B, Chlorhexidine 2%; and finally, Group C, EDTA 17%. Both groups rated equal in terms of the root canal preparation they were put through. A microbiological technique, debris, and smear layer removal were employed to determine irrigation efficacy, and scanning electron microscopy (SEM) was used on the extracted roots. In this study, the analysis of variance and post hoc tests were used with a predetermined alpha level of (0.05). Results: Comparing all the groups, Group A exhibited the best performance with Group B being the second best as seen with the mean log reduction of the bacterial load being 5. With 4.77 (±0. 54), Group A had the highest mean log reduction, while Group B recorded a mean log reduction of 2 (±0. 4). 54 (±0. 36) and Group C had a mean log reduction of 3. 9 (±0. 6). The SEM analysis for Group A was as follows: the cleanliness of samples was found to 85% in contrast to 70% in Group B and 50% in Group C (P < 0.05). Conclusion: Sodium hypochlorite 5. Twenty five percent was found to be the most effective Results showed that 25% is the most effective irrigation protocol in lowering bacterial count as well as in flushing out debris and smear layer from root canal.
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publisher Wolters Kluwer Medknow Publications
record_format Article
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spelling doaj-art-29a97f6113154952b083bf651b63a7472025-01-12T14:23:05ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062024-12-0116Suppl 4S3361S336310.4103/jpbs.jpbs_841_24Comparative Study of Different Irrigation Protocols in Endodontic TreatmentMidhun PaulRekha V. RaviChintu SundaresanDinesh G. KamathGargi YumnamNada M. IbrahimBackground: Irrigation is ideal in endodontic treatment as it helps in the removal of bacteria, softening of the organic structure, and then evacuation of debris in the root canal. Materials and Methods: This in vitro study involved 60 extracted single-rooted human teeth, randomly assigned to three groups (n = 20) based on the irrigation protocol used: The three tested products were Group A, sodium hypochlorite 5. 25%; Group B, Chlorhexidine 2%; and finally, Group C, EDTA 17%. Both groups rated equal in terms of the root canal preparation they were put through. A microbiological technique, debris, and smear layer removal were employed to determine irrigation efficacy, and scanning electron microscopy (SEM) was used on the extracted roots. In this study, the analysis of variance and post hoc tests were used with a predetermined alpha level of (0.05). Results: Comparing all the groups, Group A exhibited the best performance with Group B being the second best as seen with the mean log reduction of the bacterial load being 5. With 4.77 (±0. 54), Group A had the highest mean log reduction, while Group B recorded a mean log reduction of 2 (±0. 4). 54 (±0. 36) and Group C had a mean log reduction of 3. 9 (±0. 6). The SEM analysis for Group A was as follows: the cleanliness of samples was found to 85% in contrast to 70% in Group B and 50% in Group C (P < 0.05). Conclusion: Sodium hypochlorite 5. Twenty five percent was found to be the most effective Results showed that 25% is the most effective irrigation protocol in lowering bacterial count as well as in flushing out debris and smear layer from root canal.https://journals.lww.com/10.4103/jpbs.jpbs_841_24chlorhexidinedisinfection of the root canal space and residual removaledtairrigation solutions and proceduressmear layersodium hypochlorite
spellingShingle Midhun Paul
Rekha V. Ravi
Chintu Sundaresan
Dinesh G. Kamath
Gargi Yumnam
Nada M. Ibrahim
Comparative Study of Different Irrigation Protocols in Endodontic Treatment
Journal of Pharmacy and Bioallied Sciences
chlorhexidine
disinfection of the root canal space and residual removal
edta
irrigation solutions and procedures
smear layer
sodium hypochlorite
title Comparative Study of Different Irrigation Protocols in Endodontic Treatment
title_full Comparative Study of Different Irrigation Protocols in Endodontic Treatment
title_fullStr Comparative Study of Different Irrigation Protocols in Endodontic Treatment
title_full_unstemmed Comparative Study of Different Irrigation Protocols in Endodontic Treatment
title_short Comparative Study of Different Irrigation Protocols in Endodontic Treatment
title_sort comparative study of different irrigation protocols in endodontic treatment
topic chlorhexidine
disinfection of the root canal space and residual removal
edta
irrigation solutions and procedures
smear layer
sodium hypochlorite
url https://journals.lww.com/10.4103/jpbs.jpbs_841_24
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AT chintusundaresan comparativestudyofdifferentirrigationprotocolsinendodontictreatment
AT dineshgkamath comparativestudyofdifferentirrigationprotocolsinendodontictreatment
AT gargiyumnam comparativestudyofdifferentirrigationprotocolsinendodontictreatment
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