Effect of conventional needle irrigation, passive ultrasonic irrigation, sonic irrigation and XP-endo finisher in removing intracanal Vitapex paste

Aust Endod J. 2023 Sep:49 Suppl 1:374-380. doi: 10.1111/aej.12747. Epub 2023 Mar 20.

Abstract

To compare the efficiency of conventional needle irrigation, passive ultrasonic irrigation, sonic irrigation and XP-endo Finisher in removing Vitapex paste from root canals. The root canals of human single-rooted teeth were prepared and obturated with Vitapex paste. After 2 weeks, the 48 teeth were randomly allocated into four groups: conventional needle irrigation (CNI) group, passive ultrasonic irrigation (PUI) group, sonic irrigation (SI) group and XP-endo Finisher (XP) group. The specimens of four groups were scanned using a micro-computed tomography after the Vitapex pastes was removed. The results showed that more residual paste was left in the CNI group than in the other three groups (p < 0.05). There was no significant difference among the PUI, SI and XP group (p > 0.05). And, the majority of the residual Vitapex was found in the apical third, with a small amount in the middle third after using any of the three agitated irrigation techniques.

Keywords: Vitapex; XP-endo finisher; irrigation effect; sonic; ultrasonic.

MeSH terms

  • Dental Pulp Cavity / diagnostic imaging
  • Humans
  • Root Canal Irrigants / therapeutic use
  • Root Canal Preparation* / methods
  • Therapeutic Irrigation
  • Ultrasonics*
  • X-Ray Microtomography

Substances

  • calcium hydroxide, iodoform, silicone oil drug combination
  • Root Canal Irrigants