Irrigation Solutions in Endodontics

Yıl 2009, Cilt: 3 Sayı: 2, 368 - 373, 01.07.2009

Resmiye Ebru Tirali

Öz

The role of bacteria and their byproducts in the initiation and perpetuation of pulpal and periapical disease is well-established. The microbial control by biomechanical procedures is very important for the effectiveneness of root canal treatment.Nevertheless due to the anatomical complexities of many root canals, even after meticulous mechanical procedures, organic residues and bacteria located deep in the dentinal tubules cannot be reached.Therefore various substances have been used during and immediately after root canal preperation to remove debris and necrotic pulp tissue and to help eliminate microorganisms that cannot be reached by mechanical instrumentation. In this article, informations concerning different types of endodontic irrigation solutions are presented

Anahtar Kelimeler

Tooth wear, Restoration, Aesthetic

Endodontide Kullanılan İrrigasyon Solusyonları

Öz

Pulpal ve periapikal hastalıkların başlamasında ve devamında bakterilerin ve onların yan ürünlerinin rolü iyice anlaşılmıştır. Kök kanal tedavisinin etkinliğinde biomekhanik prosedürlerle mikrobiyal kontrol oldukça önemlidir. Ancak yinede birçok kök kanal sisteminin kompleks anatomik yapılarından dolayı, titiz mekanik prosedürler sonrasında bile; dentin tübüllerinde lokalize olan organik kalıntılara ve bakterilere ulaşılamaz. Bu yüzden kök kanal preperasyonu sırasında ve hemen sonrasında çeşitli maddeler; debrisin ve nekrotik pulpal dokunun uzaklaştırılması için ve mekanik enstrümantasyon sonrası ulaşılamayan mikroorganizmaların eliminasyonu için kullanılmaktadır. Bu makalede endodontide kullanılan farklı tip irrigasyon solüsyonları ile ilgili bilgiler yer almaktadır

Anahtar Kelimeler

Diş aşınması, Restorasyon, Estetik

Kaynakça

• Alaçam T. Kök Kanallarının irrigasyonu: Alaçam T. Endodonti 2. baskı. Ankara: Barış Yayınları Fakülteler Kitabevi, 2000,289-312.
• Baumgartner JC. Endodontic Microbiology: Walton RE, Torabinejad M. Principles and practise of Endo- dontics. 3rd ed. Philadelphia: W.B. Saunders Com- pany,2002,282-294.
• Harrison JW. Irrigation of the root canal system. Dent Clin North Am. 28: 797-808, 1984.
• Walton RE, Rivera EM. Cleaning and shaping: Walton RE, Torabinejad M. Principles and Practise of Endodon- tics. 2nd. ed. Philadelphia: W.B. Saunders Company, 1996, 212–215.
• Vianna ME, Gomes BP, Berber VB, Zaia AA, Ferraz CC, de Souza- Filho FJ. In vitro evaluation of the antimicro- bial activity of chlorhexidine and sodium hypochlorite. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.97: 79-84,2004.
• Seltzer S. Endodontology: Biologic Considerations in Endodontic Procedures. 2nd ed. Philadelphia, Lea and Febiger, 1988,326-344.
• Hauman CH, Love RM. Biocompatibility of dental mate- rials used in contemporary endodontic therapy: a revi- ew. Part 1. Intracanal drugs and substances. Int Endod J .36: 75-85,2003.
• Abou-Rass M, Oglesby SW. The effects of temperature, concentration, and tissue type on the solvent ability of sodium hypochlorite. J Endod. 7: 376-377,1981.
• Andersen M, Lund A, Andreasen JO, Andreasen FM. In vitro solubility of human pulp tissue in calcium hydroxi- de and sodium hypochlorite. Endod Dent Traumatol. 8: 104 108,1992.
• Baumgartner JC, Cuenin PR. Efficacy of several concen- trations of sodium hypochlorite for root canal irrigation. J Endod. 18: 605-612, 1992.
• Pashley EL, Birdsong NL, Bowman K, Pashley DH. Cy- totoxic effects of NaOCl on vital tissue. J Endod. 11: 525-528,1985.
• Estrela C, Estrela CR, Barbin EL, Spano JC, Marchesan MA, Pecora JD. Mechanism of action of sodium hypo- chlorite. Braz Dent J. 13: 113-117, 2002.
• Guida A. Mechanism of action of sodium hypochlorite and its effects on dentin. Minerva Stomatol. 55: 471- 482,2006.
• Heggers JP, Sazy JA, Stenberg BD, Strock LL, McCauley RL, Herndon DN, Robson MC. Bactericidal and wound- healing properties of sodium hypochlorite solutions: the 1991 Lindberg Award. J Burn Care Rehabil.12: 420- 424, 1991.
• Becking AG. Complications in the use of sodium hypo- chlorite during endodontic treatment. Report of three cases. Oral Surg Oral Med Oral Pathol. 71: 346-348, 1991.
• Gatot A, Arbelle J, Leiberman A, Yanai-Inbar I. Effects of sodium hypochlorite on soft tissues after its inadver- tent injection beyond the root apex. J Endod.17: 573- 574, 1991.
• Gernhardt CR, Eppendorf K, Kozlowski A, Brandt M. Toxicity of concentrated sodium hypochlorite used as an endodontic irrigant. Int Endod J. 37: 272-280,2004.
• Caliskan MK, Turkun M, Alper S. Allergy to sodium hy- pochlorite during root canal therapy: a case report. Int Endod J. 27: 163-167,1994.
• Dandakis C, Lambrianidis T, Boura P. Immunologic eva- luation of dental patient with history of hypersensitivity reaction to sodium hypochlorite. Endod Dent Traumatol. 16: 184-187,2000.
• Siqueira JF Jr, Rocas IN, Favieri A, Lima KC. Chemo- mechanical reduction of the bacterial population in the root canal after instrumentation and irrigation with 1%, 2.5%, and 5.25% sodium hypochlorite. J Endod. 26: 331-334,2000.
• Berber VB, Gomes BP, Sena NT, Vianna ME, Ferraz CC, Zaia AA, Souza-Filho FJ. Efficacy of various con- centrations of NaOCl and instrumentation techniques in reducing Enterococcus faecalis within root canals and dentinal tubules. Int Endod J. 39: 10-17, 2006.
• Gardner JF, Gray KG. Chlorhexidine: Block SS. Disinfe- ction, sterilization and preservation. 4th ed. Philadelp- hia; Lea&Febiger,1991,251–270.
• McDonnell G, Russell AD. Antiseptics and disinfectants: activity, action, and resistance. Clin Microbiol Rev. 12: 147-179, 1999.
• Okino LA, Siqueira EL, Santos M, Bombana AC, Figue- iredo JA. Dissolution of pulp tissue by aqueous solution of chlorhexidine digluconate and chlorhexidine digluco- nate gel. Int Endod J.37: 38-41,2004.
• Leonardo MR, Tanomaru Filho M, Silva LA, Nelson Filho P, Bonifacio KC, Ito IY. In vivo antimicrobial activity of 2% chlorhexidine used as a root canal irrigating soluti- on. J Endod. 25: 167-171,1999.
• Jenkins S, Addy M, Wade W. The mechanism of action of chlorhexidine. A study of plaque growth on enamel inserts in vivo. J Clin Periodontol. 15: 415-424, 1988.
• Jeansonne MJ, White RR. A comparison of 2.0% chlor- hexidine gluconate and 5.25% sodium hypochlorite as antimicrobial endodontic irrigants. J Endod. 20: 276- 278,1994.
• Messer HH, Chen RS.The duration of effectiveness of root canal medicaments. J Endod. 10: 240-245,1984.
• Rosenthal S, Spangberg L, Safavi K. Chlorhexidine su- bstantivity in root canal dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 98: 488-492,2004.
• White RR, Hays GL, Janer LR. Residual antimicrobial ac- tivity after canal irrigation with chlorhexidine. J Endod. 23: 229-231,1997.
• Bergqvist-Karlsson A. Delayed and immediate-type hy- persensitivity to chlorhexidine. Contact Dermatitis. 18: 84-88,1988.
• Lauerma AI. Simultaneous immediate and delayed hy- persensitivity to chlorhexidine digluconate. Contact Der- matitis. 44: 59,2001.
• Babich H, Wurzburger BJ, Rubin YL, Sinensky MC, Blau L. An in vitro study on the cytotoxicity of chlorhexidine digluconate to human gingival cells. Cell Biol Toxicol. 11: 79-88,1995.
• Boyce ST, Warden GD, Holder IA. Cytotoxicity testing of topical antimicrobial agents on human keratinocytes and fibroblasts for cultured skin grafts. J Burn Care Re- habil. 16: 97-103,1995.
• Almyroudi A, Mackenzie D, McHugh S, Saunders WP. The effectiveness of various disinfectants used as endo- dontic intracanal medications: an in vitro study. J En- dod. 28: 163-167,2002.
• Heling I, Chandler NP. Antimicrobial effect of irrigant combinations within dentinal tubules. Int Endod J. 31: 8-14,1998.
• Estrela C, Ribeiro RG, Estrela CR, Pecora JD, Sousa-Ne- to MD. Antimicrobial effect of 2% sodium hypochlorite and 2% chlorhexidine tested by different methods. Braz Dent J. 14: 58-62,2003.
• Orstavik D, Haapasalo M. Disinfection by endodontic irrigants and dressings of experimentally infected denti- nal tubules. Endod Dent Traumatol. 6: 142-149,1990.
• Waltimo TM, Orstavik D, Siren EK, Haapasalo MP. In vitro susceptibility of Candida albicans to four disinfe- ctants and their combinations. Int Endod J. 32: 421- 429,1999. Dr. R. Ebru TİRALİ
• Başkent Üniversitesi Diş Hekimliği Fakültesi, Pedodonti Anabilim Dalı 11.sok. No:26 Bahçelievler- Ankara