OPTIMIZATION OF THE ENDODONTIC TREATMENT PROTOCOL USING MICELLAR WATER. LITERATURE REVIEW

Abstract

In the process of repeated endodontic treatment, we are challenged with washing out the oil solvent from the root canal after the dissolution of gutta-percha. Micellar water, consisting of amphiphilic molecules, has not only a higher leaching capacity for the remnants of the material from the dentine tubules, but also is of minimal toxicity to humans. However, micellar water lacks the bactericidal activity, so further studies are needed to optimize the irrigation protocol. The purpose of this review article is to systematic assessment of scientific data on the use of micellar water in the process of repeated endodontic treatment and its effectiveness Materials and methods: Electronic search of articles was carried out using search engines and databases Google Scholar, Pub Med, CyberLeninka. The articles are included, the content of deals with the use of micellar water in the process of endodontic treatment. The publication date criterion has been selected since January 2011 Results: 72 articles were reviewed during the review process. After analyzing the literature according to the inclusion criteria, the total number of publications was 50. Conclusions: Micellar water is a promising tool for root canal irrigation in the process of repeated endodontic treatment. The amphiphilic structure of the colloidal solution micelles helps to reduce the surface tension of the oil solvent, its dissolution and leaching from the root canals. This irrigant has minimal toxicity and is completely harmless to both the patient and the dentist. However, the absence of a bactericidal effect significantly reduces the quality of drug treatment. Therefore, further research should be directed to the optimization of this irrigation protocol, the introduction of this method into practice.