Abstract
Objective: To examine the effect of a variety of irrigation systems on the removal of root canal Ca (OH)2 residues through meta-analysis and systematic review. Material and Methods: A search of relevant articles was systematically performed on databases of Medline, PubMed, Cochrane Library, Embase, ISI, and Google Scholar published from 2013 to 2019. Electronic title management was carried out by EndNote X9 software. Searches were based on the main keywords of “Irrigation Systems”, “Calcium Hydroxide”,” Root Canal”, “Self-adjusting File OR SAF”, “Conventional Irrigation”, “EndoVac System”, “Ultrasonic Irrigation” and “YAG Laser”. Results: The studies investigated were found to lack any standardization concerning the irrigation method used or the measurement of outcomes; for instance, different studies used 5 or 10 mL of 2.5% NaOCl, or 5 mL of 5.25% NaOCl, or 0.5 mL, 3 mL and 10 mL of 17% EDTA. Conclusion: The effective techniques for the removal of root canal Ca(OH)2 were PUI, and SAF approaches.
Highlights
The microorganisms’ presence in root canals plays a key part in developing periapical diseases [1].Root canal therapy is primarily conducted to create an environment where no residual organisms can survive by eliminating as many bacteria as possible from root canal systems [2]
Searches were based on the main keywords of “Irrigation Systems”, “Calcium Hydroxide”,” Root Canal”, “Self-adjusting File OR SAF”, “Conventional Irrigation”, “EndoVac System”, “Ultrasonic Irrigation” and “YAG Laser”
The capacity for inactivating bacterial endotoxins, and the biological properties associated with calcium hydroxide, Ca(OH)2, this substance is commonly used as an endodontic intra-canal medication [4] or a temporary medicament in root canal therapy
Summary
Root canal therapy is primarily conducted to create an environment where no residual organisms can survive by eliminating as many bacteria as possible from root canal systems [2]. Irrigation and instrumentation need to be supported by intra-canal medications to achieve the cited goal [3]. The capacity for inactivating bacterial endotoxins, and the biological properties associated with calcium hydroxide, Ca(OH), this substance is commonly used as an endodontic intra-canal medication [4] or a temporary medicament in root canal therapy. It was previously proposed that calcium hydroxide can be directly used in endodontics as a pulp capping agent [5]. For over 40 years, the calcium hydroxide has been employing as an antimicrobial agent. Some authors believe that it is probably the number one interappointment agent to eliminate the microbiota of the oral cavity [6]
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