Root canal treatment – irrigant activation techniques to remove smear layer and debris?

shutterstock_18525676- root canal instruments

Kenny Strain looks at this new review of in-vitro studies examining irrigant activation techniques during root canal treatment. The findings suggest improvemed removal of smear layer and debris. However the impact on clinical outcomes needs further investigation.

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Irrigants for pulpectomy in primary teeth- little evidence available

caries upper arch

This review of irrigants for pulpectomy in primary teeth only identified 7 small RCTs providing little conclusive evidence. More high quality studies are needed.

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Root canal disinfection –sodium hypochlorite or chlorhexidine as an irrigant?


This review only identified 5 small studies that provided insufficient evidence to compare outcomes using sodium hypochlorite and chlorhexidine for root canal disinfection. Additional high quality RCTs are required.

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Insufficient reliable evidence showing the superiority of any one individual irrigant agent for use during root canal treatment

Logo of The Cochrane Collaboration

Earlier this week (11th Sept ) we reported on a trial that compared the use of two different irrigant solutions during root canal treatment (RoCT). Now a review that aims to assess the effects of irrigants used in the non-surgical of mature permanent teeth has been published on the Cochrane Library. The usual sound Cochrane [read the full story…]

Sodium hypochlorite and chlorhexidine used as root canal irrigants had similar low postoperative pain rates

shutterstock_2296216-root canal xray

Clean, shape and fill is a well-known mantra for root canal treatment (RoCT) and the use of irrigating solutions is an important element of the process. The aim of this study was to compare the degree of postoperative pain after single-visit RoCT when using two separate irrigation solutions. Patients with a diagnosis of chronic apical [read the full story…]