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...]
Molar-Incisor Hypomineralisation: Bonding to Adhesive Materials
Manas Dave in his debut blog for the Dental Elf looks at a review on bonding of adhesive materials to molar-incisor hypomineralisation (MIH) affected enamel. 10 studies were included only 4 of which were clinical so the findings need to be interpreted cautiously.[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...]
Denture hygiene practices
25 studies were included in this review of denture hygiene practices. Mechanical interventions in conjunction with chemical agents were the most effective, Denture brushing was the most common patient practice.[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...]
Review finds limited evidence for predisposing factors for irrigant extrusion during root canal treatment
Irrigation of root canals is an integral part of root canal treatment. A range of irrigant materials have been used with sodium hypochlorite being the material most currently favoured. However this and other agents can cause damage if not kept within the confines of the root canal system. The aim of this review was to [read the full story…]
Which pulp dressing after pulpotomy in primary molars?
The aim of this study was to compare the use of ferric sulphate (FS), formocresol (FC), mineral trioxide aggregate (MTA) and sodium hypochlorite (NaOCl) as pulp dressing following pulpotomy in primary molars. Symptom-free vital primary molars with carious pulp exposure with the possibility of proper restoration of the teeth with a minimum of three walls [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…]