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Indian Journal of Dental Research :... 2021Overzealous application of endodontic irrigants affects the root canal dentin mechanical properties. The effect of volume of endodontic irrigants on the microhardness of...
INTRODUCTION
Overzealous application of endodontic irrigants affects the root canal dentin mechanical properties. The effect of volume of endodontic irrigants on the microhardness of root canal dentin has not been studied.
AIM
This study assessed the effect of volume of endodontic irrigants used in different final irrigation activation techniques on root canal dentin microhardness (RCDM).
METHODOLOGY
Sixty human maxillary central incisors were embedded in acrylic resin in Kuttler's endodontic cube to the level of cementoenamel junction. The root samples were randomly divided into 4 experimental groups (n = 15): Group-NI-needle irrigation, Group-PUI-continuous passive ultrasonic irrigation, Group-EndoVac-apical negative pressure system, Group combination- EndoVac + PUI irrigation. Root canals were instrumented up to size 40 (F4). The resin mounted specimens were sectioned longitudinally into two halves and were reassembled in Kuttler's kube to carry out final irrigation activation. A predetermined standardized volume of irrigants was used in each group. The RCDM was measured after root canal instrumentation and after final irrigation using Vicker microhardness tester (coronal, middle, and apical third). The reduction in RCDM values (p < 0.0086) were analyzed using Kruskal Wallis and Mann Whitney-U tests.
RESULTS
Reduction in RCDM was observed with all the endodontic irrigating techniques tested. EndoVac and combination irrigation techniques showed maximum reduction in RCDM in all thirds of root canal.
CONCLUSION
It is concluded that the volume of irrigants and agitation plays a role in reducing RCDM. The overall volume of irrigants to cause maximum reduction was 25 ml, beyond which neither volume nor agitation affects RCDM.
Topics: Dental Pulp Cavity; Dentin; Humans; Root Canal Irrigants; Root Canal Preparation; Sodium Hypochlorite; Therapeutic Irrigation
PubMed: 34810395
DOI: 10.4103/ijdr.IJDR_709_18 -
Hand Clinics Aug 2020A high index of suspicion coupled with excellent knowledge of hand anatomy and function allows for accurate diagnosis and effective management of deep space infections.... (Review)
Review
A high index of suspicion coupled with excellent knowledge of hand anatomy and function allows for accurate diagnosis and effective management of deep space infections. This article describes surgical approaches for closed-space infections. Drainage, debridement, and intraoperative irrigation are initial steps along with the decision for continuous postoperative irrigation based on intraoperative findings. Focused and thorough postoperative evaluation and antibiotics lead to successful management of these soft tissue deep abscesses. An experienced hand therapist should be involved early in recovery process to guide wound care along with passive assisted and active range of motion exercises of the wrist and digits.
Topics: Abscess; Anti-Bacterial Agents; Debridement; Drainage; Hand; Humans; Soft Tissue Infections; Therapeutic Irrigation
PubMed: 32586456
DOI: 10.1016/j.hcl.2020.03.014 -
Harefuah Aug 2022Acute septic arthritis of the knee joint is an orthopedic emergency, potentially devastating, which can lead to high morbidity and may even be life-threatening. While... (Review)
Review
Acute septic arthritis of the knee joint is an orthopedic emergency, potentially devastating, which can lead to high morbidity and may even be life-threatening. While any synovial joint can be infected, the knee is the most often affected joint and is involved in about 50 % of the cases. The infection is usually caused by a gram-positive bacteria. The diagnosis is made by synovial fluid aspiration, microbiological analysis and hematological investigations of inflammatory measures. Treatment requires emergency irrigation and debridement of the joint, and intravenous antibiotics. Surgical debridement can be performed either arthroscopically or via open arthrotomy. In recent years, arthroscopic treatment demonstrated more favorable outcomes with better functional outcomes, shorter operative time and hospital stays.
Topics: Arthroscopy; Debridement; Humans; Knee Joint; Retrospective Studies; Therapeutic Irrigation
PubMed: 35979567
DOI: No ID Found -
International Endodontic Journal May 2024
Topics: Humans; Pain, Postoperative; Anesthetics, Local; Therapeutic Irrigation
PubMed: 38576232
DOI: 10.1111/iej.14048 -
International Journal For Numerical... Aug 2023Root canal irrigation is an important step in root canal preparation procedures and has a great impact on the success rate of root canal treatment. Computational fluid... (Review)
Review
Root canal irrigation is an important step in root canal preparation procedures and has a great impact on the success rate of root canal treatment. Computational fluid dynamics (CFD) is a new method to study root canal irrigation. It can be used to simulate and visualize the process of root canal irrigation, and quantitatively evaluate the effect of root canal irrigation through parameters such as flow velocity and wall shear stress. In recent years, researchers have conducted extensive studies on the factors that influence root canal irrigation efficiency, such as the position of the irrigation needle, the size of root canal preparation, the types of irrigation needles, and so on. This article reviewed the development of root canal irrigation research methods, the steps of CFD simulation in root canal irrigation, and the application of CFD in root canal irrigation in recent years. It aimed to provide new research ideas for the application of CFD to root canal irrigation and to provide a reference for the clinical application of CFD simulation results.
Topics: Hydrodynamics; Dental Pulp Cavity; Rheology; Root Canal Irrigants; Therapeutic Irrigation
PubMed: 37310003
DOI: 10.1002/cnm.3738 -
British Journal of Nursing (Mark Allen... Mar 2022This article provides a brief overview of transanal irrigation (TAI). It covers the rationale behind the procedure, the contraindications, possible complications and... (Review)
Review
This article provides a brief overview of transanal irrigation (TAI). It covers the rationale behind the procedure, the contraindications, possible complications and considerations for patient education and support.
Topics: Fecal Incontinence; Humans; Therapeutic Irrigation
PubMed: 35333548
DOI: 10.12968/bjon.2022.31.6.308 -
Plastic and Reconstructive Surgery Oct 2021The relationship between wound irrigation and healing has been recognized for centuries. However, there is little evidence and no official recommendations from any... (Review)
Review
The relationship between wound irrigation and healing has been recognized for centuries. However, there is little evidence and no official recommendations from any health care organization regarding best wound irrigation practices. This is the first review of wound irrigation that systematically summarizes the literature using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and distills the evidence into a practical format. In this comprehensive review, the authors outline the irrigation fluids and delivery methods used in the identified studies, analyze reported treatment outcomes, summarize irrigation effectiveness, and propose evidence-based guidelines to improve wound healing outcomes and enhance the consistency of wound irrigation. Thirty-one high-quality studies with a combined total of 61,808 patients were included. Based on the current evidence provided by this review, the authors propose the following guidelines: (1) acute soft-tissue wounds should receive continuous gravity flow irrigation with polyhexanide; (2) complex wounds should receive continuous negative-pressure wound therapy with instillation with polyhexanide; (3) infected wounds should receive continuous negative-pressure wound therapy with instillation with silver nitrate, polyhexanide, acetic acid, or povidone-iodine; (4) breast implant wounds should receive gravity lavage with povidone-iodine or antibiotics; and (5) surgical-site infection rates can be reduced with intraoperative povidone-iodine irrigation.
Topics: Biguanides; Evidence-Based Medicine; Humans; Intraoperative Care; Negative-Pressure Wound Therapy; Povidone-Iodine; Practice Guidelines as Topic; Soft Tissue Injuries; Surgical Wound Infection; Therapeutic Irrigation; Treatment Outcome; Wound Healing
PubMed: 34415884
DOI: 10.1097/PRS.0000000000008331 -
The New England Journal of Medicine Feb 2020
Topics: Acetates; Electronic Nicotine Delivery Systems; Humans; Therapeutic Irrigation; Vaping; Vitamin E
PubMed: 32074424
DOI: 10.1056/NEJMe2001065 -
JBJS Reviews Jan 2020» The optimal regimen for wound irrigation in the setting of an open fracture has been a subject of debate. Basic science evidence as well as results from a recent... (Review)
Review
» The optimal regimen for wound irrigation in the setting of an open fracture has been a subject of debate. Basic science evidence as well as results from a recent prospective clinical trial have shed new light on this controversial topic. » While normal saline solution appears to be the optimal irrigation agent, the optimal timing and volume often are determined by the surgeon. Future clinical trials are needed to determine the optimal timing for debridement and irrigation, as well as the ideal volume of irrigant. » Irrigation pressure and the use of pulsatile lavage do not appear to have an effect on outcomes.
Topics: Fractures, Open; Humans; Therapeutic Irrigation
PubMed: 32105234
DOI: 10.2106/JBJS.RVW.19.00061 -
Immunology and Allergy Clinics of North... May 2020As the understanding of the primary cause of chronic rhinosinusitis has shifted away from infection toward inflammation, topical corticosteroid sprays and saline... (Review)
Review
As the understanding of the primary cause of chronic rhinosinusitis has shifted away from infection toward inflammation, topical corticosteroid sprays and saline irrigations have become mainstays of treatment. Topical corticosteroid irrigations are recommended particularly in the postoperative setting, but further research on their effect and possible hypothalamic-pituitary-adrenal axis suppression is needed. The popularity of topical antibiotics has subsequently waned with their use reserved for recalcitrant cases. Further research is needed on the effect of topical antifungals in allergic fungal rhinosinusitis. Topical alternative therapies that target biofilms have gained increasing recognition, and investigations on topical probiotics are on the horizon.
Topics: Administration, Topical; Chronic Disease; Humans; Hypothalamo-Hypophyseal System; Pituitary-Adrenal System; Rhinitis; Sinusitis; Therapeutic Irrigation
PubMed: 32278454
DOI: 10.1016/j.iac.2019.12.014