Abstract
Introduction: Effective irrigant delivery and agitation are prerequisites for successful endodontic treatment. Ultrasonic irrigation can be performed with or without simultaneous ultrasonic instrumentation. Existing literature reveals that ultrasonic irrigation may have a very positive effect on chemical, biological and physical debridement of the root canal system as investigated in many in vitro studies. Objective: The purpose of this review article was to summarize and discuss the available information concerning ultrasonic irrigation in endodontics. Methods: This article presents an overview of ultrasonic irrigation methods and their debridement efficacy. In this paper the relevant literature on passive ultrasonic irrigation is reviewed. Information from original scientific papers or reviews listed in MEDLINE and Cochrane were included in the review. Results: The use of ultrasound in the irrigation procedure results in improved canal cleanliness, better irrigant transfer to the canal system, soft tissue debridement, and removal of smear layer and bacteria. There are many in vitro studies, but there is a need to standardize protocols, and correlate the clinical efficacy of ultrasonic devices with improved treatment outcomes. Understanding the basis of ultrasonic irrigation is fundamental for clinicians and researchers to improve the design and use of ultrasonic irrigation. Key words:Ultrasonic irrigation, ultrasound, smear layer, endodontics.
Highlights
Effective irrigant delivery and agitation are prerequisites for successful endodontic treatment
This study proposes a review of the use of ultrasound as a technique for agitating irrigant solutions in root canals and its advantages and limitations in relation to conventional irrigation procedures
This review is based on a search of the MEDLINE and Cochrane databases using the terms: ultrasonic irrigation AND
Summary
Effective irrigant delivery and agitation are prerequisites for successful endodontic treatment. Throughout the history of endodontics, ongoing efforts have been made to develop more effective systems to send and agitate irrigant solutions in the canal system. These systems can be divided into two broad categories of manual and mechanical agitation techniques. Machine-assisted procedures include using rotary brushes, simultaneous irrigation with rotary instrumentation of the canal, pressure alternation devices and sonic and ultrasonic systems. This study proposes a review of the use of ultrasound as a technique for agitating irrigant solutions in root canals and its advantages and limitations in relation to conventional irrigation procedures
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