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Tissue solvent.
Flush debris.
Lubricant.
a xoncentration of irrigant.
a The volume of the solution used.
a xanal diameter.
a The viscosity or surface tension of the solution.
a The diameter and depth of penetration of the irrigating
needle.
a The anatomy of the canal.
a The method of delivering the irrigant.
a xontact time with the tissue.
a Temperature of the irrigant.
a Ultrasonic activation.
a The effect of combining different types of solutions.
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Antibacterial agent
Dissolves vital and non-vital tissue. However
vital tissue takes longer to dissolve
Lubricant during instrumentation
NaOxl has been criticized for
Unpleasant taste
Relative toxicity
Inability to remove smear layer
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a HOxl exerts its effects by oxidizing sulphydryl
groups within bacterial enzyme systems, thereby
disrupting the metabolism of the microorganism,
resulting in the killing of the bacterial cellsO
a Unbuffered solution at pH 11 in concentration 0.5±
5.25% , and buffered with bicarbonate buffer (pH 9.0)
usually as a 0.5% solution (Dakin's solution).
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a ]uffering had little effect on tissue dissolution.
a Dakin's solution was equally effective on necrotic and
fresh tissues.
a No differences were recorded for the antibacterial
properties of Dakin's solution and an equivalent
unbuffered hypochlorite solution
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Appropriate concentration
Method of delivery
xellular damage caused by extrusion into the
periradicular tissues.
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The
studies performed in
a A test tube.
a Root canals of extracted teeth.
a Prepared dentine blocks infected with a pure culture of
one organism at a time.
The
studies, on the other hand, have focused on
the elimination of microorganisms from the root canal
system in teeth with primary apical periodontitis..
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xanal anatomy
Size of instrumentation
Delivery system
x *+x
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a The time required to eliminate u depended on
the concentration and type of irrigant used.
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The volume of the irrigant has a greater potential to
significantly reduce bacteria colonies in root canal.
There are no
studies yet available that would
confirm the better activity of xHX against u
in the infected root canal.
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a à
, 3% H2O2 and xHX was superior in its
antibacterial activity (u ) compared with
other regimens such as xHX alone and NaOxl.
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a In an
study, the effect of xHX is showed to be
reduced, although not prevented, by the presence of
dentine. -&
a I
study, the antibacterial effects of MTAD,
NaOxl, and EDTA were compared using a disk-
diffusion test on agar plates.
a The results showed that even highly diluted MTAD
produced clear zones of inhibition of the test
bacterium, u
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I
study, the effect of MTAD on root canals
contaminated with either saliva or u was
evaluated, and reported good antibacterial activity.
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xanal diameter (
|iscosity or surface tension of the solution.
Diameter of the irrigating needle.
Depth of penetration of the irrigating needle.
|olume of the solution used.
Anatomy of the canal. u
((
Previous studies showed that both mechanical and
chemical action of the irrigant were dependent upon:
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xitric acid (1%
( - 50% ).
Polyacrylic acid (e.g. Durelon and Fuju II liquids).
xarbamide peroxide.
Aminoquinaldinium diacetate (i.e., Salvizol).
x ë
EDTA
Removal of the smear layer by EDTA (or citric acid)
improves the antibacterial effect of locally used
disinfecting agents in deeper layers of dentine.
U 4-&
1 x
EDTA (ethylene-diaminetetra-aceticacid)
EDTAx (ethylene-diaminetetra-aceticacid ¢rimide)
File-Eze
Rx Prep
1/%ë
1/%ë
*
a The optimal working time of EDTA is 15 minutes,
after which time no more chelating action can be
expected.
a EDTA solutions should replaces in the canal each 15
minutes.
O
ux; &
ux; &
a Rx-Prep is composed of EDTA and urea peroxide in a
base of xarbowax.
a It is not water soluble.
a NaOxl & Rx-Prep
Interaction of the urea peroxide in Rx-Prep with sodium
hypochlorite, producing a bubbling action thought to
loosen and help float out dentinal debris.
ux; &
a A residue of Rx-Prep remains in the canals in spite of
further irrigation and cleansing.
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]eveled needle
Monoject endodontic needle.
ProRinse probes.
a Monoject endodontic needles to be the most efficient
delivery system in which longer needles of a blunted,
open-end system were inserted to the full length of
the canal.
a The point is that a larger volume of solution can be
delivered by this method. However, the closer the
needle tip is placed to the apex, the greater the
potential for damage to the periradicular tissues.
-
!
ProRinse