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ZWR - Das Deutsche Zahnärzteblatt 2019; 128(11): 549-555
DOI: 10.1055/a-1015-2085
Fortbildung | Endodontologie
Georg Thieme Verlag KG Stuttgart · New York

Die mechanische Aktivierung von Wurzelkanal-Spüllösungen – eine Literaturübersicht

David Donnermeyer
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Publication Date:
21 November 2019 (online)

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Die chemische Aufbereitung des Wurzelkanalsystems im Anschluss an die mechanische Instrumentierung stellt den zentralen Punkt einer erfolgreichen endodontischen Therapie dar. Die mechanische Aktivierung von Spülflüssigkeiten im Wurzelkanal bietet dabei gegenüber der manuellen Spülung viele Vorteile. Dieser Beitrag gibt einen Überblick über die in Deutschland verfügbaren Aktivierungssysteme und legt einen Fokus auf klinisch relevante Aspekte.
 

  • Literatur

  • 1 Mohammadi Z. Sodium hypochlorite in endodontics: an update review. Int Dent J 2008; 58: 329-341
    CrossrefPubMedGoogle Scholar
  • 2 Paqué F, Boessler C, Zehnder M. Accumulated hard tissue debris levels in mesial roots of mandibular molars after sequential irrigation steps. Int Endod J 2011; 44: 148-153
    CrossrefPubMedGoogle Scholar
  • 3 Chavez de Paz LE. Redefining the persistent infection in root canals: possible role of biofilm communities. J Endod 2007; 33: 652-662
    CrossrefPubMedGoogle Scholar
  • 4 Van der Sluis LWM, Versluis M, Wu MK. et al. Passive ultrasonic irrigation of the root canal: a review of the literature. Int Endod J 2007; 40: 415-426
    CrossrefPubMedGoogle Scholar
  • 5 Weller RN, Brady JM, Bernier WE. Efficacy of ultrasonic cleaning. J Endod 1980; 6: 740-743
    CrossrefPubMedGoogle Scholar
  • 6 Walmsley AD. Ultrasound and root canal treatment: the need for scientific evaluation. Int Endod J 1987; 20: 105-111
    CrossrefPubMedGoogle Scholar
  • 7 Eneide C, Castagnola R, Martini C. et al. Antibiofilm Activity of Three Different Irrigation Techniques: An in Vitro Study. Antibiotics (Basel) 2019; 9: 8
    CrossrefPubMedGoogle Scholar
  • 8 Urban K, Donnermeyer D, Schäfer E. et al. Canal cleanliness using different irrigation activation systems: a SEM evaluation. Clin Oral Invest 2017; 21: 2681-2687
    CrossrefPubMedGoogle Scholar
  • 9 Estevez R, Conde AJ, Valencia de Pablo O. et al. Effect of Passive Ultrasonic Activation on Organic Tissue Dissolution from Simulated Grooves in Root Canals Using Sodium Hypochlorite with or without Surfactants and EDTA. J Endod 2017; 43: 1161-1165
    CrossrefPubMedGoogle Scholar
  • 10 Faria G, Viola KS, Coaguila-Llerena H. et al. Penetration of sodium hypochlorite into root canal dentine: effect of surfactants, gel form and passive ultrasonic irrigation. Int Endod J 2019; 52: 385-392
    CrossrefPubMedGoogle Scholar
  • 11 Swimberghe RCD, De Clercq A, De Moor RJG. et al. Efficacy of sonically, ultrasonically and laser-activated irrigation in removing a biofilm-mimicking hydrogel from an isthmus model. Int Endod J 2019; 52: 515-523
    CrossrefPubMedGoogle Scholar
  • 12 Donnermeyer D, Wyrsch H, Bürklein S. et al. Removal of Calcium Hydroxide from Artificial Grooves in Straight Root Canals: Sonic Activation Using EDDY Versus Passive Ultrasonic Irrigation and XPendo Finisher. J Endod 2019; 45: 322-326
    CrossrefPubMedGoogle Scholar
  • 13 Grischke J, Müller-Heine A, Hülsmann M. The effect of four different irrigation systems in the removal of a root canal sealer. Clin Oral Investig 2014; 18: 1845-1851
    CrossrefPubMedGoogle Scholar
  • 14 Beus C, Safavi K, Stratton J. et al. Comparison of the effect of two endodontic irrigation protocols on the elimination of bacteria from root canal system: a prospective, randomized clinical trial. J Endod 2012; 38: 1479-1483
    CrossrefPubMedGoogle Scholar
  • 15 Topçuoğlu HS, Topçuoğlu G, Arslan H. The Effect of Different Irrigation Agitation Techniques on Postoperative Pain in Mandibular Molar Teeth with Symptomatic Irreversible Pulpitis: A Randomized Clinical Trial. J Endod 2018; 44: 1451-1456
    CrossrefPubMedGoogle Scholar
  • 16 Hage W, De Moor RJG, Hajj D. et al. Impact of Different Irrigant Agitation Methods on Bacterial Elimination from Infected Root Canals. Dent J (Basel) 2019; 7: E64
    CrossrefPubMedGoogle Scholar
  • 17 Neuhaus KW, Liebi M, Stauffacher S. et al. Antibacterial Efficiacy of a New Sonic Irrigation Device for Root Canal Disinfection. J Endod 2016; 42: 1799-1803
    CrossrefPubMedGoogle Scholar
  • 18 Plotino G, Grande NM, Mercade M. et al. Efficacy of sonic and ultrasonic irrigation devices in the removal of debris from canal irregularities in artificial root canals. J Appl Oral Sci 2019; 27: e20180045
    CrossrefPubMedGoogle Scholar
  • 19 Conde AJ, Estevez R, Lorono O. et al. Effect of sonic and ultrasonic activation on organic tissue dissolution from simulated grooves in root canals using sodium hypochlorite and EDTA. Int Endod J 2017; 50: 976-982
    CrossrefPubMedGoogle Scholar
  • 20 Galler KM, Grubmüller V, Schlichting R. et al. Penetration depth of irrigants into root dentine after sonic, ultrasonic and photoacoustic activation. Int Endod J 2019; 52: 1210-1217
    PubMedGoogle Scholar
  • 21 Haupt F, Meinel M, Gunawardana A. et al. Effectiveness of different activated irrigation techniques on debris and smear layer removal from curved root canals: a SEM evaluation. Aust Endod J 2019; DOI: 10.1111/aej.12342.
    CrossrefPubMedGoogle Scholar
  • 22 Kaloustian MK, Nehme W, El Hachem C. et al. Evaluation of two shaping systems and two sonic irrigation devices in removing root canal filling material from distal roots of mandibular molars assessed by micro CT. Int Endod J 2019; DOI: 10.1111/iej.13163.
    CrossrefPubMedGoogle Scholar
  • 23 Ordinola-Zapata R, Bramante CM, Aprecio RM. et al. Biofilm removal by 6 % sodium hypochlorite activated by different irrigation techniques. Int Endod J 2014; 47: 659-666
    CrossrefPubMedGoogle Scholar
  • 24 Bago I, Plečko V, Gabrić Pandurić D. et al. Antimicrobial efficacy of a high-power diode laser, photo-activated disinfection, conventional and sonic activated irrigation during root canal treatment. Int Endod J 2013; 46: 339-347
    CrossrefPubMedGoogle Scholar
  • 25 Pabel AK, Hülsmann M. Comparison of different techniques for removal of calcium hydroxide from straight root canals: an in vitro study. Odontology 2017; 105: 453-459
    CrossrefPubMedGoogle Scholar
  • 26 Ramamoorthi S, Nivedhitha MS, Divyanand MJ. Comparative evaluation of postoperative pain after using endodontic needle and EndoActivator during root canal irrigation: A randomised controlled trial. Aust Endod J 2015; 41: 78-87
    CrossrefPubMedGoogle Scholar
  • 27 Huffaker SK, Safavi K, Spangberg LS. et al. Influence of a passive sonic irrigation system on the elimination of bacteria from root canal systems: a clinical study. J Endod 2010; 36: 1315-1318
    CrossrefPubMedGoogle Scholar
  • 28 Koch JD, Jaramillo DE, DiVito E. et al. Irrigant flow during photon-induced photoacoustic streaming (PIPS) using Particle Image Velocimetry (PIV). Clin Oral Investig 2016; 20: 381-386
    CrossrefPubMedGoogle Scholar
  • 29 Verstraeten J, Jacquet W, De Moor RJG. et al. Hard tissue debris removal from the mesial root canal system of mandibular molars with ultrasonically and laser-activated irrigation: a micro-computed tomography study. Lasers Med Sci 2017; 32: 1965-1970
    CrossrefPubMedGoogle Scholar
  • 30 Turkel E, Onay EO, Ungor M. Comparison of Three Final Irrigation Activation Techniques: Effects on Canal Cleanness, Smear Layer Removal, and Dentinal Tubule Penetration of Two Root Canal Sealers. Photomed Laser Surg 2017; 35: 672-681
    CrossrefPubMedGoogle Scholar
  • 31 Lloyd A, Navarrete G, Marchesan MA. et al. Removal of calcium hydroxide from Weine Type II systems using photon-induced photoacoustic streaming, passive ultrasonic, and needle irrigation: a microcomputed tomography study. J Appl Oral Sci 2016; 24: 543-548
    CrossrefPubMedGoogle Scholar
  • 32 Li D, Jiang S, Yin X. et al. Efficacy of Needle, Ultrasonic, and Endoactivator Irrigation and Photon-Induced Photoacoustic Streaming in Removing Calcium Hydroxide from the Main Canal and Isthmus: An In Vitro Micro-Computed Tomography and Scanning Electron Microscopy Study. Photomed Laser Surg 2015; 33: 330-337
    CrossrefPubMedGoogle Scholar
  • 33 Jiang S, Zou T, Li D. et al. Effectiveness of Sonic, Ultrasonic, and Photon-Induced Photoacoustic Streaming Activation of NaOCl on Filling Material Removal Following Retreatment in Oval Canal Anatomy. Photomed Laser Surg 2016; 34: 3-10
    CrossrefPubMedGoogle Scholar
  • 34 Dagher J, El Feghali R, Parker S. et al. Postoperative Quality of Life Following Conventional Endodontic Intracanal Irrigation Compared with Laser-Activated Irrigation: A Randomized Clinical Study. Photobiomodul Photomed Laser Surg 2019; 37: 248-253
    PubMedGoogle Scholar