COMPARATIVE ASSESSMENT OF THE ROOT CANAL IRRIGATION QUALITY WITH EXPERIMENTAL INTRA-ROOT RESORPTION IN VITRO

Abstract

Introduction. To date, intra-root resorption of teeth is poorly understood, although it is often encountered in dental clinics.

This study aimed on assess and comparison of different methods of irrigation and antiseptic solutions activation used for root canal treatment, and focus on cleaning the area of simulated intra-root resorption.

Methods. 24 extracted teeth were used, which the simulation of internal resorption was reproduced by dissection the inside of the root canal under the control of an electron microscope (Karl Kaps, Germany) in. Distilled water, sodium hypochlorite 5.25 %, sodium hypochlorite 3 %, chlorhexidine 2 % were used for comparative assessment of irrigation quality by staining with Indian Ink dye.

Results. When using an endodontic needle and passive irrigation with the studied irrigation solutions, the dye remained on the inner surfaces of the root canal walls, which indicated their insufficient cleaning. The use of auxiliary cleaning methods - sound and ultrasonic irrigation nozzles - showed better cleaning of the root canal resorption zone. When using the sound activation of the irrigator with the EndoActivator device, the dye partially remained in the simulated resorption zone, while a significant part of the root canal system was cleaned. The use of ultrasonic activation of the irrigator with the P5 XS device showed that all dye-stained root canals of the samples were cleaned. Zones of simulated root resorption did not show any dye residues visually and under electron microscope control.

Conclusions. The quality of root canal cleaning in case of intra-root resorption in terms of visual assessment of their transparency and under the control of an electron microscope was more pronounced when using methods of activating irrigation solutions with sound and ultrasonic activators.