The Efficiency and Degree of Penetrability of Frequent Washing Solutions Used in Endodontal Treatment

Alexandru Andrei Iliescu,Cristina Iordache,Mihaela Salceanu,Diana Maria Anton,Cristina Stefanescu,Gabriela Popa,Marius Manole,Ionel Dan-Cristian,Anca Melian

doi:10.37358/rc.18.12.6827

Abstract

The new directions of contemporary endodontics to the evolution of treatment techniques are: CTCB, digital radiography, operating microscope, apex locators, titanium nickel rotation tools and rotating systems that allow them to be used, special endodontic irrigation means, use of ultrasonic means, laser applications. The success rate of nowadays endodontic treatments based on the principles accepted and adopted so far should be rather high. However, there are studies that indicate a fairly low percentage of fully successful endodontic treatments. The main causes for which these data are recorded are various, some are strictly the dentist�s technique and some are related to the patient�s field. Obviously, there is a contradiction between what can be achieved and the final result. The study includes a batch of 52 teeth pluriradicular as well as monoradiculars considered irrecoverable and extracted due to clinical situations requiring this method of treatment. Anatomy of dental canals is an important factor to be considered in the irrigation efficiency of the apical region; the degree of permeability of dentinal canals in this area is poor due to very small diameters, cumulative factors can lead for sure to a failure of endodontic treatment. In the coronal and media regions of the channels, the effectiveness of the lavage solutions used could be assessed. These very good results were in accordance with the studies performed and presented.

Highlights

The new directions of contemporary endodontics to the evolution of treatment techniques are: CTCB, digital radiography, operating microscope, apex locators, titanium nickel rotation tools and rotating systems that allow them to be used, special endodontic irrigation means, use of ultrasonic means, laser applications
Anatomy of dental canals is an important factor to be considered in the irrigation efficiency of the apical region; the degree of permeability of dentinal canals in this area is poor due to very small diameters, cumulative factors can lead for sure to a failure of endodontic treatment
It should be borne in mind that, at present, endodontic lavage becomes the only solution that can reach those areas of the root canal that can not be penetrated by any mechanical instrument [1,2]

Summary

Introduction

The new directions of contemporary endodontics to the evolution of treatment techniques are: CTCB, digital radiography, operating microscope, apex locators, titanium nickel rotation tools and rotating systems that allow them to be used, special endodontic irrigation means, use of ultrasonic means, laser applications. A key stage in the success of canal treatment is irrigation The importance of this step is given by the type of irrigant used; it has the advantage of reducing friction between instruments and dentin, increasing the efficiency of needles in channeling, dissolving tissues, instrument and tooth cooling, cleaning, and antimicrobial and antibiotic effects. It should be borne in mind that, at present, endodontic lavage becomes the only solution that can reach those areas of the root canal that can not be penetrated by any mechanical instrument [1,2]. Knowledge of endogenous disease associated microorganisms is necessary to develop a basic understanding of the disease process and the success of an effective treatment against it. most studies have summoned bacteria in the development of endopathy, it has recently been discovered that there are strains of viruses and fungi associated with it [5-7]

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