In this blog Thibault Collloc looks at a review of is the effectiveness of instrumentation and irrigation with NaOCl and EDTA compared to any other root canal irrigant. The review was one of a number undertaken to inform guidelines for the European Society of Endodontics.[read the full story...]
Root canal disinfection: Sodium hypochlorite or chlorhexidine?
This review comparing the antimicrobial efficacy of chlorhexidine (CHX) and sodium hypochlorite (NaOCl) in root canal disinfection included 8 small RCTs. While teh findings suggest that CHX and NaOCL have similar efficacy the certainty of teh availabel evidence is low.[read the full story...]
Post-endodontic pain: Is it influenced by concentration of sodium hypochlorite irrigation?
This large RCT involving 308 patients found that using 1.3% NaOCl was associated with less intense and less frequent post-endodontic pain than 5.25% NaOCl in mandibular molars with nonvital pulps treated in two visits.[read the full story...]
Root canal treatment – irrigant activation techniques to remove smear layer and debris?
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.[read the full story...]
Irrigants for pulpectomy in primary teeth- little evidence available
This review of irrigants for pulpectomy in primary teeth only identified 7 small RCTs providing little conclusive evidence. More high quality studies are needed.[read the full story...]
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.[read the full story...]
Insufficient reliable evidence showing the superiority of any one individual irrigant agent for use during root canal treatment
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
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…]