Comparison of bacterial removal from dentinal tubules with different irrigant agitation techniques: An in vitro study

Aim: This investigation was conducted to assess the ability of various irrigant agitation devices to eradicate Enterococcus faecalis from the dentinal tubules of extracted teeth. Methodology: Fifty roots of extracted human teeth were instrumented to size 30 k with a 0.04 taper. The roots were autocl...

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Main Authors: Mohammad I. Al-Obaida (Author), Reina Moukaddem (Author), Ziyad Allahem (Author), AbdulAziz AbdulWahed (Author), Faisal A AlOnaizan (Author), Ebtissam M. Al-Madi (Author)
Format: Book
Published: Elsevier, 2019-10-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Mohammad I. Al-Obaida  |e author 
700 1 0 |a Reina Moukaddem  |e author 
700 1 0 |a Ziyad Allahem  |e author 
700 1 0 |a AbdulAziz AbdulWahed  |e author 
700 1 0 |a Faisal A AlOnaizan  |e author 
700 1 0 |a Ebtissam M. Al-Madi  |e author 
245 0 0 |a Comparison of bacterial removal from dentinal tubules with different irrigant agitation techniques: An in vitro study 
260 |b Elsevier,   |c 2019-10-01T00:00:00Z. 
500 |a 1013-9052 
500 |a 10.1016/j.sdentj.2019.05.001 
520 |a Aim: This investigation was conducted to assess the ability of various irrigant agitation devices to eradicate Enterococcus faecalis from the dentinal tubules of extracted teeth. Methodology: Fifty roots of extracted human teeth were instrumented to size 30 k with a 0.04 taper. The roots were autoclaved and then injected with E. faecalis. The canals were assigned to one of four intervention groups and disinfected using (A) standard needle irrigation, (B) EndoUltra® Ultrasonic Activator, (C) the EndoActivator system, or (D) EDDY sonic activation and to two control groups that were (E) treated with saline and (F) not inoculated with any bacteria. The roots were split in half, dyed with a LIVE/DEAD Back Light Bacterial Viability Kit, and then scanned with a confocal laser scanning microscope (CLSM) to identify live/dead bacteria in the dentinal tubules. Results: CLSM images revealed differences among the groups. Both the EndoUltra® Ultrasonic Activator group and the EDDY group had a combination of dead and live bacteria, while the EndoActivator group had mostly dead bacteria, in contrast to single needle irrigation which had mostly live bacteria. Activation of the irrigating solution resulted in more dead bacteria than standard needle irrigation at the coronal, middle, and apical parts of the roots. Overall, the EndoActivator system was superior to all other techniques in reducing live bacteria within the root canal. Conclusion: Activation of sodium hypochlorite with sonic and ultrasonic systems dramatically reduced live bacteria contamination in the dentinal tubules of infected root canals. Keywords: Irrigation, EndoUltra® ultrasonic activator, EndoActivator, EDDY sonic activation, Confocal laser scanning microscopy, Dentinal tubules 
546 |a EN 
690 |a Medicine 
690 |a R 
690 |a Dentistry 
690 |a RK1-715 
655 7 |a article  |2 local 
786 0 |n Saudi Dental Journal, Vol 31, Iss 4, Pp 431-436 (2019) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S1013905219303451 
787 0 |n https://doaj.org/toc/1013-9052 
856 4 1 |u https://doaj.org/article/c696e4e10f474db5a69cff49aad817f7  |z Connect to this object online.