Management of Instrument Sterilization Workflow in Endodontics: A Systematic Review and Meta-Analysis.

Mario Dioguardi,Claudia Arena,Enrica Laneve,Gaetano Illuzzi,Vito Carlo Alberto Caponio,Giorgia Apollonia Caloro,Bruna Raddato,Giuseppe Troiano,Lorenzo Lo Muzio,Khrystyna Zhurakivska,Diego Sovereto

doi:10.1155/2020/5824369

Mario Dioguardi, Claudia Arena + Show 9 more

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https://doi.org/10.1155/2020/5824369

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Abstract

Endodontic treatment consists of different working procedures, such as the isolation of the operating field, pulp chamber access, and cleaning and shaping phases with at last the need of a three-dimensional filling of the canals. Each step requires a series of single-use or sterilizable instruments. We have performed a systematic review of different sterilization and disinfection procedures aiming at drawing up a disinfection and sterilization procedure to be used on endodontic instruments. A search on PubMed and Scopus was carried out using the following keywords: “endodontic sterilization,” “endodontic autoclave,” “decontamination dental bur,” “sterilization dental burs,” and “gutta-percha points sterilization.” Eligible articles were included in the qualitative and quantitative analysis. Results of the meta-analysis showed that the most effective method in sterilization is autoclaving. The qualitative analysis showed that the use of single-use or first-use instruments requires presterilization or sterilization procedures, and for reusable tools, attention must be paid to the removal of debris deposited on the blades, not easy to remove manually.

Highlights

Endodontics is a section of odontology that examines all the pathologies affecting the vital and necrotic dental pulp
We have performed a systematic review of different sterilization and disinfection procedures aiming at drawing up a disinfection and sterilization procedure to be used on endodontic instruments
The qualitative analysis showed that the use of single-use or first-use instruments requires presterilization or sterilization procedures, and for reusable tools, attention must be paid to the removal of debris deposited on the blades, not easy to remove manually

Summary

Introduction

Endodontics is a section of odontology that examines all the pathologies affecting the vital and necrotic dental pulp. In relation to other dental branches, the use of endodontic instrumentation has important factors to consider: one is the fracture of the intracanal instrumentation, not always possible to eliminate or bypass as such events depend on the torsional and flexural stress during treatment or alterations during the disinfection phase and sterilization [2]. Endodontic instruments vary according to the operational phases and the methods adopted by the operators. In the glide path and shaping phases, instruments commonly called endodontic files are used, the latter varying depending on the technique adopted by the professional which can be manual or mechanical with constant or variable tapers and with different diameters

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