The importance of activation of irrigation in Endodontics
30/12/2021
Fitim Shabani
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The lower first right molar diagnosed with acute irreversible pulpitis.
In this case we want to show the importance of activation of irrigation in Endodontics.
Among the many activation methods here we have used the sonic activation method using sodium hypochlorite 2.5% with sonic activation.
At the end the tooth was restored with an Endocrown using the CAD/CAM technology.
Fig. 1
Clinical case
Clinical data
The first lower right molar
Dg: Acute pulpitis irrevresible
Fig. 2
Initial situation.
Fig. 3
Root canal treatment
cleaning and activation of the irrigant
Fig. 4
Endocrown with CAD/CAM technology
Fig. 5
Endocrown after cementation
Fig. 6
Final X-ray
Conclusions
The long-term success of endodontic treatment is closely linked to adequate cleansing of the endodontic space after root canal shaping, and then proceed to a complete obturation of the complex root canal system
The final goal as well as the long-term prognosis of endodontic treatments depends on how much we have cleaned the endoodntic spaces, therefore irrigation and activation are one of the most important steps in endodontic treatments.
Bibliography
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M. Silvani, E. Brambilla, A. Cerutti, M. Amato, M. GaglianiRoot canal treatment quality in undergraduate program: a preliminar report on NiTi reciprocating files. G Ital Endod, 27 (2013)
G. Ametrano, F. Riccitiello, M. Amato, A. Formisano, M. Muto, R. Grassi, et al.μCT analysis of mandibular molars before and after instrumentation by Reciproc files Recent Prog Med, 104 (2013)
Ghassan Yared, Ghada Al Asmar Ramli, Antibacterial Ability of Sodium Hypochlorite Heated in the Canals of Infected Teeth: An Ex Vivo Study, Feb 2020.
K. Urban, D. Donnermeyer, Edgar Schäfer, S. Bürklein Canal cleanliness using different irrigation activation systems: a SEM evaluation, 09 Feb 2017.
