E-ISSN 2548-0839
Volume : 9 Issue : 3 Year : 2024

Metrics

1.6
2023 IMPACT FACTOR
2.1
5 year Impact Factor
0.00061
Eigenfactor
3.4
2023 CiteScore
86/157
Journal Citation Reports (Clarivate, 2024)(Dentistry, Oral Surgery & Medicine (Science))
Quartile Q3
SCImago Journal & Country Rank
Comparative Efficacy of Different Irrigant Activation Techniques for Irrigant Delivery Up to the Working Length of Mature Permanent Teeth: A Systematic Review and Meta-Analysis [Eur Endod J]
Eur Endod J. 2023; 8(1): 1-19 | DOI: 10.14744/eej.2022.87587

Comparative Efficacy of Different Irrigant Activation Techniques for Irrigant Delivery Up to the Working Length of Mature Permanent Teeth: A Systematic Review and Meta-Analysis

Ram Surath Kumar1, Anil Ankola1, Mateen Peerzade2, Roopali Sankeshwari1, Vinuta Hampiholi3, Atrey Pai Khot1, Mehul Ajit Shah1
1Department of Public Health Dentistry, KLE VK Institute of Dental Sciences, KLE Academy of Higher Education and Research, Belagavi, India
2Department of Conservative Dentistry and Endodontics, KLE VK Institute of Dental Sciences, KLE Academy of Higher Education and Research, Belagavi, India
3Department of Periodontics, KLE VK Institute of Dental Sciences, KLE Academy of Higher Education and Research, Belagavi, India

This systematic review aims to establish whether various irrigant activation techniques (IATs) result in greater penetration of irrigant up to the working length. The MEDLINE, Scopus and Cochrane Library electronic databases were searched to determine the difference in irrigant penetration depth in the main canal following the use of manual dynamic activation (MDA), sonic irrigation (SI), passive ultrasonic irrigation (PUI), and apical negative pressure irrigation technique (ANP) in comparison with conventional needle irrigation technique (CNI) in mature permanent teeth. Meta-analysis was performed for straight canals as well as curved canals in addition to subgroup analyses for a) Individual IATs in comparison with CNI, b) Comparison of PUI v ANP and SI v ANP in the straight canals, c) comparison of different IATs performed in straight and curved canals. The outcome was presented as effect size: standardized mean difference (SMD) and percentage difference (% diff)
of irrigant penetration up to the working length (WL) alongside 95% confidence intervals using chi-square analysis. Of the 840 records screened, 20 studies were included in the systematic review and 17 studies were included in the meta-analysis. It revealed IATs had significant improvement in irrigant delivery up to the WL in straight (% diff: 51.94%, 95% CI: 39.20–64.67%) and curved canals (SMD: 1.08, 95% CI: 0.64–1.52) over CNI. The subgroup analysis revealed ANP was the most effective and significant technique followed by PUI, SI and MDA techniques in straight canals (% diff: 91.70%, 95% CI: 75.63–107.77%) and curved canals (SMD: 1.45, 95% CI: 0.77–2.13). IATs improve irrigant penetration when compared to CNI technique. In both straight and curved canals, ANP is the most effective in delivering the irrigant up to the WL followed by PUI, SI and MDA techniques. Hence adaptation of recent IATs in routine endodontic practice is recommended. (EEJ-2022-03-036)

Keywords: Apical negative pressure, irrigant penetration, passive ultrasonic irrigation, root canal therapy, sonic irrigation, ultrasonics

Corresponding Author: Atrey Pai Khot
Manuscript Language: English
×
APA
NLM
AMA
MLA
Chicago
Copied!
CITE
 (10 accesses)
 (935 downloaded)
LookUs & Online Makale