Irrigant agents in enddontics: a narrative review

Detalhes bibliográficos
Autor(a) principal: Silva, Lara Gabriela
Data de Publicação: 2022
Outros Autores: Kervahal, Poliana Albino
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Scire Salutis
Texto Completo: https://sustenere.inf.br/index.php/sciresalutis/article/view/6514
Resumo: Endodontic treatment is based on the diagnosis of irreversible inflammation in the pulp cavity, thus treating the tooth with vitality (biopulpectomy) to prevent the spread of microorganisms in the periapical tissues, thus preventing an infection. When irrigating liquids are used, it is essential that they have biocompatibility, antimicrobial and tissue solvent characteristics. In selecting the irrigant to be used, it is necessary for the dental surgeon to have a foundation about the microorganism that is causing the exposed infection and rigorous knowledge of the properties of chemical solutions. Therefore, this study aims to conduct a literature review on the use of irrigating solutions during endodontic treatment. This is a narrative literature review, whose articles were searched in the following databases PubMed, LILACS, SciELO, BVS and Google Scholar. The inclusion criteria were studies published in the last 05 years (2016 to 2021), unpublished articles in Portuguese and English, available in full, and research with humans. Articles regarding duality, unavailability and non-compliance with the purposes of this study were excluded. The descriptors “Endodontics”, “Root canal preparation”, “Endodontic irrigants” and “Sodium hypochlorite” were used, all present in the Health Sciences Descriptors (DeCS). In all, 18 articles were selected after careful reading. To achieve a safe result, irrigators need to keep in contact with the entire canal wall. Sodium hypochlorite has a great capacity for dissolving organic tissue, while chlorhexidine prevents the growth of bacteria frequent in endodontic infections. EDTA has the ability to remove inorganic debris and both citric acid and MTAD have excellent antimicrobial properties, the latter being effective in removing the smear layer. QMIX has excellent efficacy against the Enterococcus faecalis microorganism, in addition to having action against biofilm and smear layer removal. The complete irrigation phase of the root canal system is able to remove tissue fragments and pulp particles. The ideal irrigation solution must have a set of positive characteristics and a minimum of negative characteristics, however, there is no solution that only it can meet all these requirements. Thus, sodium hypochlorite remains the irrigant of choice among medical professionals and dentists.
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spelling Irrigant agents in enddontics: a narrative reviewAgentes irrigantes em endodontia: uma revisão narrativaEndodontiaPreparo de canal radicularIrrigantes endodônticosHipoclorito de sódioEndodonciaPreparación del conducto radicularIrrigantes endodónticosHipoclorito de sodioEndodonticsroot canal preparationendodontic irrigantsSodium hypochloriteEndodontic treatment is based on the diagnosis of irreversible inflammation in the pulp cavity, thus treating the tooth with vitality (biopulpectomy) to prevent the spread of microorganisms in the periapical tissues, thus preventing an infection. When irrigating liquids are used, it is essential that they have biocompatibility, antimicrobial and tissue solvent characteristics. In selecting the irrigant to be used, it is necessary for the dental surgeon to have a foundation about the microorganism that is causing the exposed infection and rigorous knowledge of the properties of chemical solutions. Therefore, this study aims to conduct a literature review on the use of irrigating solutions during endodontic treatment. This is a narrative literature review, whose articles were searched in the following databases PubMed, LILACS, SciELO, BVS and Google Scholar. The inclusion criteria were studies published in the last 05 years (2016 to 2021), unpublished articles in Portuguese and English, available in full, and research with humans. Articles regarding duality, unavailability and non-compliance with the purposes of this study were excluded. The descriptors “Endodontics”, “Root canal preparation”, “Endodontic irrigants” and “Sodium hypochlorite” were used, all present in the Health Sciences Descriptors (DeCS). In all, 18 articles were selected after careful reading. To achieve a safe result, irrigators need to keep in contact with the entire canal wall. Sodium hypochlorite has a great capacity for dissolving organic tissue, while chlorhexidine prevents the growth of bacteria frequent in endodontic infections. EDTA has the ability to remove inorganic debris and both citric acid and MTAD have excellent antimicrobial properties, the latter being effective in removing the smear layer. QMIX has excellent efficacy against the Enterococcus faecalis microorganism, in addition to having action against biofilm and smear layer removal. The complete irrigation phase of the root canal system is able to remove tissue fragments and pulp particles. The ideal irrigation solution must have a set of positive characteristics and a minimum of negative characteristics, however, there is no solution that only it can meet all these requirements. Thus, sodium hypochlorite remains the irrigant of choice among medical professionals and dentists.ABSTRACTOINTRODUCCIÓN: El tratamiento de endodoncia se basa en el diagnóstico de una inflamación irreversible en la cavidad pulpar, tratando así el diente con vitalidad (biopulpectomía) para prevenir la propagación de microorganismos en los tejidos periapicales, previniendo una infección. Cuando se utilizan líquidos de irrigación, es fundamental que tengan características de biocompatibilidad, antimicrobianas y disolventes tisulares. Al seleccionar el irrigante que se utilizará, es necesario que el cirujano dental tenga una base sobre el microorganismo que está causando la infección expuesta y un conocimiento riguroso de las propiedades de las soluciones químicas. Por tanto, este estudio tiene como objetivo realizar una revisión de la literatura sobre el uso de soluciones de irrigación durante el tratamiento de endodoncia. METODOLOGÍA: Se trata de una revisión de literatura narrativa, cuyos artículos fueron buscados en las siguientes bases de datos PubMed, LILACS, SciELO, BVS y Google Scholar. Los criterios de inclusión fueron estudios publicados en los últimos 05 años (2016 a 2021), artículos inéditos en portugués e inglés, disponibles en su totalidad, e investigaciones con humanos. Se excluyeron los artículos sobre dualidad, indisponibilidad e incumplimiento de los propósitos de este estudio. Se utilizaron los descriptores “Endodoncia”, “Preparación del conducto radicular”, “Irrigantes endodónticos” e “Hipoclorito de sodio”, todos presentes en los Descriptores de Ciencias de la Salud (DeCS). En total, se seleccionaron 18 artículos después de una lectura cuidadosa. DISCUSIÓN: Para lograr un resultado seguro, los regantes deben mantenerse en contacto con toda la pared del canal. El hipoclorito de sodio tiene una gran capacidad para disolver el tejido orgánico, mientras que la clorhexidina previene el crecimiento de bacterias frecuentes en las infecciones endodónticas. El EDTA tiene la capacidad de eliminar los desechos inorgánicos y tanto el ácido cítrico como el MTAD tienen excelentes propiedades antimicrobianas, siendo este último eficaz para eliminar la capa de frotis. QMIX tiene una excelente eficacia contra el microorganismo Enterococcus faecalis, además de tener acción contra el biofilm y la eliminación de la capa de frotis. CONCLUSIONES: La fase de irrigación completa del sistema de conductos radiculares es capaz de eliminar fragmentos de tejido y partículas de pulpa. La solución de riego ideal debe tener un conjunto de características positivas y un mínimo de características negativas, sin embargo, no hay solución que solo ella pueda cumplir con todos estos requisitos. Por lo tanto, el hipoclorito de sodio sigue siendo el irrigante de elección entre los profesionales médicos y los dentistas.O tratamento endodôntico é feito a partir do diagnóstico de uma inflamação irreversível na cavidade pulpar, tratando, assim, o dente com vitalidade (biopulpectomia) para não permitir a propagação de microrganismos nos tecidos periapicais, evitando uma infecção. Quando são utilizados líquidos irrigantes é indispensável que possuam características de biocompatibilidade, antimicrobiana e solvente tecidual. Na seleção do irrigante a ser utilizado é necessário que o cirurgião dentista tenha fundamento sobre o microrganismo que está causando a infecção exposta e conhecimento rigoroso das propriedades das soluções químicas. Portanto, o presente estudo tem como objetivo realizar uma revisão da literatura acerca do uso de soluções irrigadoras durante o tratamento endodôntico. Trata-se de uma revisão narrativa da literatura, cuja pesquisa dos artigos se deu nas seguintes bases de dados PubMed, LILACS, SciELO, BVS e o Google Acadêmico. Os critérios de inclusão foram estudos publicados nos últimos 05 anos (2016 a 2021), artigos inéditos em português e em inglês, disponíveis na íntegra e pesquisas com humanos. Foram excluídos os artigos quanto à dualidade, indisponibilidade e o não atendimento aos propósitos deste estudo. Foram utilizados os descritores “Endodontia”, “Preparo de canal radicular”, “Irrigantes Endodonticos” e “Hipoclorito de sódio”, todos presentes nos Descritores em Ciências da Saúde (DeCS). Ao todo, foram selecionados 18 artigos após leitura criteriosa. Para alcançar um resultado seguro, os irrigantes precisam se manter em contado com toda a parede do canal. O hipoclorito de sódio apresenta grande capacidade de dissolução de tecido orgânico, enquanto que a clorexidina impossibilita o crescimento de bactérias frequentes em infecções endodônticas. O EDTA possui a capacidade de remoção de detritos inorgânicos e tanto o ácido cítrico e quanto o MTAD possuem ótimas propriedades antimicrobianas, sendo este último eficaz na remoção da smear layer. O QMIX apresenta ótima eficácia contra o microrganismo Enterococcus faecalis, além de possuir ação contra biofilme e remoção de smear layer. A fase da irrigação completa do sistema de canais radiculares consegue remover os fragmentos teciduais e as partículas pulpares. A solução irrigadora ideal deve ter um conjunto de caraterísticas positivas e o mínimo de caraterísticas negativas, porém, não existe uma solução que somente ele consiga apresentar todos esses requisitos. Desse modo, o hipoclorito de sódio continua sendo o irrigante de escolha entre os profissionais médicos e dentistas.Sustenere Publishing2022-05-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://sustenere.inf.br/index.php/sciresalutis/article/view/651410.6008/CBPC2236-9600.2022.002.0034Scire Salutis; Vol. 12 No. 2 (2022): Scire Salutis - Fev, Mar, Abr 2022; 327-334Scire Salutis; Vol. 12 Núm. 2 (2022): Scire Salutis - Fev, Mar, Abr 2022; 327-334Scire Salutis; v. 12 n. 2 (2022): Scire Salutis - Fev, Mar, Abr 2022; 327-3342236-9600reponame:Scire Salutisinstname:Companhia Brasileira de Produção Científica (CBPC)instacron:ESSporenghttps://sustenere.inf.br/index.php/sciresalutis/article/view/6514/3787https://sustenere.inf.br/index.php/sciresalutis/article/view/6514/3786Copyright (c) 2022 Scire Salutishttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessSilva, Lara GabrielaKervahal, Poliana Albino2023-08-03T13:33:39Zoai:ojs.pkp.sfu.ca:article/6514Revistahttps://sustenere.co/index.php/sciresalutisONGhttps://sustenere.co/index.php/sciresalutis/oai||carlos@arvore.org.br2236-96002236-9600opendoar:2023-08-03T13:33:39Scire Salutis - Companhia Brasileira de Produção Científica (CBPC)false
dc.title.none.fl_str_mv Irrigant agents in enddontics: a narrative review
Agentes irrigantes em endodontia: uma revisão narrativa
title Irrigant agents in enddontics: a narrative review
spellingShingle Irrigant agents in enddontics: a narrative review
Silva, Lara Gabriela
Endodontia
Preparo de canal radicular
Irrigantes endodônticos
Hipoclorito de sódio
Endodoncia
Preparación del conducto radicular
Irrigantes endodónticos
Hipoclorito de sodio
Endodontics
root canal preparation
endodontic irrigants
Sodium hypochlorite
title_short Irrigant agents in enddontics: a narrative review
title_full Irrigant agents in enddontics: a narrative review
title_fullStr Irrigant agents in enddontics: a narrative review
title_full_unstemmed Irrigant agents in enddontics: a narrative review
title_sort Irrigant agents in enddontics: a narrative review
author Silva, Lara Gabriela
author_facet Silva, Lara Gabriela
Kervahal, Poliana Albino
author_role author
author2 Kervahal, Poliana Albino
author2_role author
dc.contributor.author.fl_str_mv Silva, Lara Gabriela
Kervahal, Poliana Albino
dc.subject.por.fl_str_mv Endodontia
Preparo de canal radicular
Irrigantes endodônticos
Hipoclorito de sódio
Endodoncia
Preparación del conducto radicular
Irrigantes endodónticos
Hipoclorito de sodio
Endodontics
root canal preparation
endodontic irrigants
Sodium hypochlorite
topic Endodontia
Preparo de canal radicular
Irrigantes endodônticos
Hipoclorito de sódio
Endodoncia
Preparación del conducto radicular
Irrigantes endodónticos
Hipoclorito de sodio
Endodontics
root canal preparation
endodontic irrigants
Sodium hypochlorite
description Endodontic treatment is based on the diagnosis of irreversible inflammation in the pulp cavity, thus treating the tooth with vitality (biopulpectomy) to prevent the spread of microorganisms in the periapical tissues, thus preventing an infection. When irrigating liquids are used, it is essential that they have biocompatibility, antimicrobial and tissue solvent characteristics. In selecting the irrigant to be used, it is necessary for the dental surgeon to have a foundation about the microorganism that is causing the exposed infection and rigorous knowledge of the properties of chemical solutions. Therefore, this study aims to conduct a literature review on the use of irrigating solutions during endodontic treatment. This is a narrative literature review, whose articles were searched in the following databases PubMed, LILACS, SciELO, BVS and Google Scholar. The inclusion criteria were studies published in the last 05 years (2016 to 2021), unpublished articles in Portuguese and English, available in full, and research with humans. Articles regarding duality, unavailability and non-compliance with the purposes of this study were excluded. The descriptors “Endodontics”, “Root canal preparation”, “Endodontic irrigants” and “Sodium hypochlorite” were used, all present in the Health Sciences Descriptors (DeCS). In all, 18 articles were selected after careful reading. To achieve a safe result, irrigators need to keep in contact with the entire canal wall. Sodium hypochlorite has a great capacity for dissolving organic tissue, while chlorhexidine prevents the growth of bacteria frequent in endodontic infections. EDTA has the ability to remove inorganic debris and both citric acid and MTAD have excellent antimicrobial properties, the latter being effective in removing the smear layer. QMIX has excellent efficacy against the Enterococcus faecalis microorganism, in addition to having action against biofilm and smear layer removal. The complete irrigation phase of the root canal system is able to remove tissue fragments and pulp particles. The ideal irrigation solution must have a set of positive characteristics and a minimum of negative characteristics, however, there is no solution that only it can meet all these requirements. Thus, sodium hypochlorite remains the irrigant of choice among medical professionals and dentists.
publishDate 2022
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https://sustenere.inf.br/index.php/sciresalutis/article/view/6514/3786
dc.rights.driver.fl_str_mv Copyright (c) 2022 Scire Salutis
http://creativecommons.org/licenses/by-nc-nd/4.0
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rights_invalid_str_mv Copyright (c) 2022 Scire Salutis
http://creativecommons.org/licenses/by-nc-nd/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sustenere Publishing
publisher.none.fl_str_mv Sustenere Publishing
dc.source.none.fl_str_mv Scire Salutis; Vol. 12 No. 2 (2022): Scire Salutis - Fev, Mar, Abr 2022; 327-334
Scire Salutis; Vol. 12 Núm. 2 (2022): Scire Salutis - Fev, Mar, Abr 2022; 327-334
Scire Salutis; v. 12 n. 2 (2022): Scire Salutis - Fev, Mar, Abr 2022; 327-334
2236-9600
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