Int J Stomatol

Int J Stomatol ›› 2023, Vol. 50 ›› Issue (1): 91-99.doi: 10.7518/gjkq.2023004

• Reviews • Previous Articles     Next Articles

Research progress on root canal sonic irrigation

Huo Zhiyuan(),Yue Lin,Zou Xiaoying.()   

  1. Dept. of Cariology and En-dodontology, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
  • Received:2022-03-07 Revised:2022-08-07 Online:2023-01-01 Published:2023-01-09
  • Contact: Xiaoying. Zou E-mail:1610124216@pku.edu.cn;zouxiaoying1125@163.com
  • Supported by:
    Program for New Clinical Techniques and Therapies of Peking University School and Hospital of Stomatology(PKUSSNCT-20A11)

RichHTML

211

PDF (PC)

1387

Abstract:

The core of root canal therapy is to control the infection in root canal systems. Given the complexity of root canal anatomy and the limitation of mechanical preparation, using mechanical debridement alone is difficult when aiming to achieve the thorough cleaning of the root canal system. Thus, chemical irrigation is necessary for root canal disinfection. Conventional Needle Irrigation is limited due to its inserted depth or root canal configuration. An increasing number of activated irrigation techniques have been used to improve the irrigation effect. In recent years, sonic root canal irrigation has attracted considerable attention due to the updating of its instruments and equipment. This present review addresses the development, principle, and functional features of sonic irrigation, with the aim of providing a reference for clinical practice.

Key words: root canal irrigation, sonic irrigation, cavitation, acoustic streaming

CLC Number: 

  • R 781.33

TrendMD: 

Tab 1

Comparison of main performance parameters of sonic root canal irrigation equipment"

项目Sonic Air? 1500Vibringe?EAEDDY
上市时间/年1991200920092016
生产商法国Micromega荷兰Vibringe美国Dentsply德国VDW
驱动方式气压电池电池气压
工作尖材质不锈钢不锈钢医用级聚合物聚酰胺
是否切割牙本质是否否否
工作频率/Hz1 500~3 000150160、175和1905 000~6 000
1 Peters OA, Schönenberger K, Laib A. Effects of four Ni-Ti preparation techniques on root canal geo-metry assessed by micro computed tomography[J]. Int Endod J, 2001, 34(3): 221-230.
2 Siqueira Junior JF, Rôças IDN, Marceliano-Alves MF, et al. Unprepared root canal surface areas: cau-ses, clinical implications, and therapeutic strategies[J]. Braz Oral Res, 2018, 32(): e65.
3 Haapasalo M, Shen Y, Wang Z, et al. Irrigation in endodontics[J]. Br Dent J, 2014, 216(6): 299-303.
4 Sabins RA, Johnson JD, Hellstein JW. A comparison of the cleaning efficacy of short-term sonic and ultrasonic passive irrigation after hand instrumentation in molar root canals[J]. J Endod, 2003, 29(10): 674-678.
5 Townsend C, Maki J. An in vitro comparison of new irrigation and agitation techniques to ultrasonic agitation in removing bacteria from a simulated root canal[J]. J Endod, 2009, 35(7): 1040-1043.
6 Lumley PJ. Cutting ability of Heliosonic, Rispiso-nic, and Shaper files[J]. J Endod, 1997, 23(4): 221-224.
7 Dönmez Özkan H, Metin K, Bakir ZB, et al. A no-vel protein testing model to assay the efficacy of multiple irrigation activation techniques for removal of ex vivo biomolecular film[J]. Photomed Laser Surg, 2018, 36(9): 493-498.
8 Johnson M, Sidow SJ, Looney SW, et al. Canal and isthmus debridement efficacy using a sonic irrigation technique in a closed-canal system[J]. J Endod, 2012, 38(9): 1265-1268.
9 Rödig T, Bozkurt M, Konietschke F, et al. Comparison of the Vibringe system with syringe and passive ultrasonic irrigation in removing debris from simulated root canal irregularities[J]. J Endod, 2010, 36(8): 1410-1413.
10 Bolles JA, He JN, Svoboda KK, et al. Comparison of Vibringe, EndoActivator, and needle irrigation on sealer penetration in extracted human teeth[J]. J Endod, 2013, 39(5): 708-711.
11 Dumani A, Guvenmez HK, Yilmaz S, et al. Antibacterial efficacy of calcium hypochlorite with vibringe sonic irrigation system on enterococcus faecalis: an in vitro study[J]. Biomed Res Int, 2016, 2016: 8076131.
12 Jiang LM, Verhaagen B, Versluis M, et al. Evaluation of a sonic device designed to activate irrigant in the root canal[J]. J Endod, 2010, 36(1): 143-146.
13 van der Sluis LW, Versluis M, Wu MK, et al. Passive ultrasonic irrigation of the root canal: a review of the literature[J]. Int Endod J, 2007, 40(6): 415-426.
14 Lumley PJ, Walmsley AD, Laird WR. Streaming patterns produced around endosonic files[J]. Int Endod J, 1991, 24(6): 290-297.
15 Walmsley AD, Lumley PJ, Laird WR. Oscillatory pattern of sonically powered endodontic files[J]. Int Endod J, 1989, 22(3): 125-132.
16 Basrani B. Endodontic irrigation[M]. Switzerland: Springer International Publishing AG, 2015: 109.
17 Zeltner M, Peters OA, Paqué F. Temperature chan-ges during ultrasonic irrigation with different inserts and modes of activation[J]. J Endod, 2009, 35(4): 573-577.
18 González C, Forner L, Llena C, et al. Temperature changes in 2% chlorhexidine gluconate using two activation methods with different intensity levels[J]. J Clin Exp Dent, 2018, 10(5): e458-e461.
19 Iandolo A, Abdellatif D, Amato M, et al. Dentinal tubule penetration and root canal cleanliness follo-wing ultrasonic activation of intracanal-heated so-dium hypochlorite[J]. Aust Endod J, 2020, 46(2): 204-209.
20 Yared G, Al Asmar Ramli G. Antibacterial ability of sodium hypochlorite heated in the canals of infected teeth: an ex vivo study[J]. Cureus, 2020, 12(2): e6975.
21 Violich DR, Chandler NP. The smear layer in en-dodontics-a review[J]. Int Endod J, 2010, 43(1): 2-15.
22 Kanter V, Weldon E, Nair U, et al. A quantitative and qualitative analysis of ultrasonic versus sonic endodontic systems on canal cleanliness and obturation[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011, 112(6): 809-813.
23 Mancini M, Cerroni L, Iorio L, et al. Smear layer removal and canal cleanliness using different irrigation systems (EndoActivator, EndoVac, and passive ultrasonic irrigation): field emission scanning electron microscopic evaluation in an in vitro study[J]. J Endod, 2013, 39(11): 1456-1460.
24 Li Q, Zhang Q, Zou XY, et al. Evaluation of four final irrigation protocols for cleaning root canal walls[J]. Int J Oral Sci, 2020, 12(1): 29.
25 Rödig T, Döllmann S, Konietschke F, et al. Effectiveness of different irrigant agitation techniques on debris and smear layer removal in curved root canals: a scanning electron microscopy study[J]. J Endod, 2010, 36(12): 1983-1987.
26 Blank-Gonçalves LM, Nabeshima CK, Martins GH, et al. Qualitative analysis of the removal of the smear layer in the apical third of curved roots: conventional irrigation versus activation systems[J]. J Endod, 2011, 37(9): 1268-1271.
27 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[J]. Aust Endod J, 2020, 46(1): 40-46.
28 Uroz-Torres D, González-Rodríguez MP, Ferrer-Luque CM. Effectiveness of the EndoActivator system in removing the smear layer after root canal instrumentation[J]. J Endod, 2010, 36(2): 308-311.
29 Urban K, Donnermeyer D, Schäfer E, et al. Canal cleanliness using different irrigation activation systems: a SEM evaluation[J]. Clin Oral Investig, 2017, 21(9): 2681-2687.
30 Plotino G, Colangeli M, Özyürek T, et al. Evaluation of smear layer and debris removal by stepwise intraoperative activation (SIA) of sodium hypochlorite[J]. Clin Oral Investig, 2021, 25(1): 237-245.
31 Plotino G, Grande NM, Mercade M, et al. Efficacy of sonic and ultrasonic irrigation devices in the removal of debris from canal irregularities in artifi-cial root canals[J]. J Appl Oral Sci, 2019, 27: e20180045.
32 Rödig T, Koberg C, Baxter S, et al. Micro-CT eva-luation of sonically and ultrasonically activated irrigation on the removal of hard-tissue debris from isthmus-containing mesial root canal systems of mandibular molars[J]. Int Endod J, 2019, 52(8): 1173-1181.
33 Rodrigues CT, EzEldeen M, Jacobs R, et al. Cleaning efficacy and uncontrolled removal of dentin of two methods of irrigant activation in curved canals connected by an isthmus[J]. Aust Endod J, 2021, 47(3): 631-638.
34 Linden D, Boone M, de Bruyne M, et al. Adjunctive steps for the removal of hard tissue debris from the anatomic complexities of the mesial root canal system of mandibular molars: a micro-computed tomographic study[J]. J Endod, 2020, 46(10): 1508-1514.
35 Boutsioukis C, Kastrinakis E, Lambrianidis T, et al. Formation and removal of apical vapor lock during syringe irrigation: a combined experimental and Com-putational Fluid Dynamics approach[J]. Int Endod J, 2014, 47(2): 191-201.
36 Ordinola-Zapata R, Bramante CM, Aprecio RM, et al. Biofilm removal by 6% sodium hypochlorite activated by different irrigation techniques[J]. Int Endod J, 2014, 47(7): 659-666.
37 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[J]. Int Endod J, 2019, 52(4): 515-523.
38 Shen Y, Stojicic S, Qian W, et al. The synergistic antimicrobial effect by mechanical agitation and two chlorhexidine preparations on biofilm bacteria[J]. J Endod, 2010, 36(1): 100-104.
39 Seet AN, Zilm PS, Gully NJ, et al. Qualitative comparison of sonic or laser energisation of 4% sodium hypochlorite on an Enterococcus faecalis biofilm grown in vitro [J]. Aust Endod J, 2012, 38(3): 100-106.
40 Brito PR, Souza LC, Machado de Oliveira JC, et al. Comparison of the effectiveness of three irrigation techniques in reducing intracanal Enterococcus faecalis populations: an in vitro study[J]. J Endod, 2009, 35(10): 1422-1427.
41 Tardivo D, Pommel L, La Scola B, et al. Antibacte-rial efficiency of passive ultrasonic versus sonic irrigation. Ultrasonic root canal irrigation[J]. Odontostomatol Trop, 2010, 33(129): 29-35.
42 Hage W, De Moor RJG, Hajj D, et al. Impact of different irrigant agitation methods on bacterial elimination from infected root canals[J]. Dent J (Basel), 2019, 7(3): E64.
43 Zeng C, Willison J, Meghil MM, et al. Antibacterial efficacy of an endodontic sonic-powered irrigation system: an in vitro study[J]. J Dent, 2018, 75: 105-112.
44 Zeng C, Everett J, Sidow S, et al. In vitro evaluation of efficacy of two endodontic sonic-powered irri-gant agitation systems in killing single-species intracanal biofilms[J]. J Dent, 2021, 115: 103859.
45 Eggmann F, Vokac Y, Eick S, et al. Sonic irrigant activation for root canal disinfection: power modes matter[J]. BMC Oral Health, 2020, 20(1): 102.
46 Peters LB, Wesselink PR, Buijs JF, et al. Viable bacteria in root dentinal tubules of teeth with apical periodontitis[J]. J Endod, 2001, 27(2): 76-81.
47 de Gregorio C, Estevez R, Cisneros R, et al. Efficacy of different irrigation and activation systems on the penetration of sodium hypochlorite into simulated lateral canals and up to working length: an in vitro study[J]. J Endod, 2010, 36(7): 1216-1221.
48 Paragliola R, Franco V, Fabiani C, et al. Final rinse optimization: influence of different agitation protocols[J]. J Endod, 2010, 36(2): 282-285.
49 Salas H, Castrejon A, Fuentes D, et al. Evaluation of the penetration of CHX 2% on dentinal tubules u-sing Conventional Irrigation, Sonic Irrigation (EDDY) and Passive Ultrasonic Irrigation (PUI) techniques: an in vitro study[J]. J Clin Exp Dent, 2021, 13(1): e37-e42.
50 Tungsawat P, Arunrukthavorn P, Phuntusuntorn P, et al. Comparison of the effect of three irrigation techniques and root canal preparation size on sodium hypochlorite penetration into root canal dentinal tubules[J]. Int J Dent, 2021, 2021: 6612588.
51 Galler KM, Grubmüller V, Schlichting R, et al. Penetration depth of irrigants into root dentine after so-nic, ultrasonic and photoacoustic activation[J]. Int Endod J, 2019, 52(8): 1210-1217.
52 Rodríguez-Figueroa C, McClanahan SB, Bowles WR. Spectrophotometric determination of irrigant extrusion using passive ultrasonic irrigation, EndoActivator, or syringe irrigation[J]. J Endod, 2014, 40(10): 1622-1626.
53 Boutsioukis C, Psimma Z, Kastrinakis E. The effect of flow rate and agitation technique on irrigant extrusion ex vivo [J]. Int Endod J, 2014, 47(5): 487-496.
54 Desai P, Himel V. Comparative safety of various intracanal irrigation systems[J]. J Endod, 2009, 35(4): 545-549.
55 Dos Reis S, Cruz VM, Hungaro Duarte MA, et al. Volumetric analysis of irrigant extrusion in immature teeth after different final agitation techniques[J]. J Endod, 2020, 46(5): 682-687.
56 Magni E, Jäggi M, Eggmann F, et al. Apical pressures generated by several canal irrigation methods: a laboratory study in a maxillary central incisor with an open apex[J]. Int Endod J, 2021, 54(10): 1937-1947.
57 Gündoğar M, Sezgin GP, Kaplan SS, et al. Postope-rative pain after different irrigation activation techniques: a randomized, clinical trial[J]. Odontology, 2021, 109(2): 385-392.
58 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]. J Endod, 2018, 44(10): 1451-1456.
59 Gümüş H, Delikan E. The effect of sonic activation of irrigant on postoperative pain after root canal treatment in primary molar teeth: a randomized, clinical study[J]. Clin Oral Invest, 2021, 25(1): 363-370.
60 Haapasalo M, Wang ZJ, Shen Y, et al. Tissue dissolution by a novel multisonic ultracleaning system and sodium hypochlorite[J]. J Endod, 2014, 40(8): 1178-1181.
61 Haapasalo M, Shen Y, Wang ZJ, et al. Apical pressure created during irrigation with the GentleWaveTM system compared to conventional syringe irrigation[J]. Clin Oral Investig, 2016, 20(7): 1525-1534.
62 Molina B, Glickman G, Vandrangi P, et al. Evaluation of root canal debridement of human molars u-sing the GentleWave system[J]. J Endod, 2015, 41(10): 1701-1705.
63 Park SY, Kang MK, Choi HW, et al. Comparative analysis of root canal filling debris and smear layer removal efficacy using various root canal activation systems during endodontic retreatment[J]. Medicina (Kaunas), 2020, 56(11): E615.
64 Sigurdsson A, Garland RW, Le KT, et al. 12-month healing rates after endodontic therapy using the no-vel GentleWave system: a prospective multicenter clinical study[J]. J Endod, 2016, 42(7): 1040-1048.
[1] Gao Yutian,Su Qin. Research and application of electrolyzed-oxidizing water in the field of root canal treatment [J]. Int J Stomatol, 2023, 50(4): 401-406.
[2] Li Zhuanzhuan,Gegen Tana. Research progress on root canal irrigation and disinfection drugs for pulp revascularization [J]. Int J Stomatol, 2022, 49(5): 569-577.
[3] He Rong,Liu Xuejun,Zhou Yukun. Systematic review on the effect of photon-initiated photoacoustic streaming in endodontic irrigation [J]. Int J Stomatol, 2021, 48(6): 644-655.
[4] Huang Lidong, Gong Weiyu, Dong Yanmei.. Research progress on root canal irrigation [J]. Inter J Stomatol, 2018, 45(4): 465-472.
[5] Shen Yanxin, Feng Yuchao, Ren Jie, Liang Yajing, Yin Shihai.. Effect factors of the removal of the calcium hydroxide from the root canals by ultrasonic irrigation [J]. Inter J Stomatol, 2014, 41(4): 483-486.
[6] Cai Xue, Wang Xiaoyan.. Relevant factors for passive ultrasonic irrigation in root canal treatment [J]. Inter J Stomatol, 2014, 41(1): 72-76.
[7] Shi Yan, Yang Jia. Determination of antibacterial volume fraction of sodium hypochlorite solution [J]. Inter J Stomatol, 2012, 39(5): 590-592.
[8] Zhang Ran. . Advances on NaClO and MTAD removing the smear layer as root canal irrigation [J]. Inter J Stomatol, 2012, 39(2): 208-210.
[9] SHI Yan, YANG Jian. Research progress on chelating agent used as root canal irrigation [J]. Inter J Stomatol, 2009, 36(6): 708-711，715.
[10] YU Xin1, HUANG Yun-xia2, HU Ning1, SU Qin3. Comparation of bacteriostasis efficacy of BioPure MTAD and several other irrigant [J]. Inter J Stomatol, 2009, 36(2): 127-127～129.
[11] SHI Yan, YANG Jian. Advances on sodium hypochlor ite solution used as root canal ir r igation [J]. Inter J Stomatol, 2008, 35(4): 375-375～378，392.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[2] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[3] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[4] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[5] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[7] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[8] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[9] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[10] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .