Analysis of the efficiency of sound impact on the system of canals of the tooth root: A laboratory study

Author:

Adamchik Anatolii A.ORCID,Tairov Valerii V.ORCID,Kamyshnikova Irina O.ORCID,Zaporozhskaya-Abramova Ekaterina S.ORCID,Solovyeva Zhanna V.ORCID,Ivashchenko Viktoria A.ORCID,Lapina Natalia V.ORCID,Arutyunov Armenak V.ORCID,Risovannaya Olga N.ORCID,Kirsch Ksenia D.ORCID,Golubina Valeria D.ORCID

Abstract

BACKGROUND: The treatment of chronic apical periodontitis is directly related to the successful impact on the biofilm in the root canal system. Despite recent advances in understanding the effects of bacterial biofilm, there are still many questions concerning bacterial inactivation, and more research in these areas is needed. AIM: To investigate approaches to improve the effectiveness of treating chronic apical periodontitis by combining an antimicrobial drug with sound activation. MATERIALS AND METHODS: The biological material of 40 teeth was obtained as a result of removal according to guidelines to create a model of the process of obturation of a tooths root canal with a calcium hydroxide paste. In the main group, we used the EndoActivator (Dentsply Sirona, USA) system intracanally after introducing the resultant paste with the help of canal filler. The root canal filling was performed using canal filler in the comparison control group. The filling was assessed using a radiovisiograph (Schick Technologies Inc., USA), and the filling of macrocanal and microcanal of the tooth root was examined using a scanning electron microscope. RESULTS: The average score per tooth in the main group was 0.5 points/tooth. The average score per tooth in the control group was 2.05 points/tooth, which was significantly higher than in the main group (p 0.001). A comparison of the proportions of teeth with a certain number of points recorded in the compared groups revealed that teeth with a score of 0 (80%) predominated in the main group, whereas the proportion of such teeth in the control group was 15%; the differences are statistically significant (p 0.001). The data showed that the effectiveness of the root canal filling method with the canal filler and activation of the EndoActivator system resulted in the least complications. CONCLUSION: The use of sonic vibrations of the EndoActivator system causes a dynamic movement of the material in the root canal, aimed at improving its flow and distribution into the dentinal tubules, and contributes to the uniform homogeneity of the filling material in the lumen of the root canal and the absence of voids between the root filling and the walls of the root canal of the tooth.

Publisher

ECO-Vector LLC

Subject

Linguistics and Language,Anthropology,History,Language and Linguistics,Cultural Studies

Reference12 articles.

1. Adamchik AA, Arutyunov AV, Sirak SV, Ovsyannikova AA. Regeneration of bone tissue when conservative treatment of destructive forms of periodontitis. The Dental Institute. 2016;(1):39–41. (In Russ).

2. Sirak SV, Adamchik AA, Kobylkina TL, et al. Comparative characteristics of preparations for temporary root canal filling in treatment apical periodontitis. Endodontija Today. 2016;(4):25–28. (In Russ).

3. Sirak SV, Adamchik AA, Kobylkina TL, et al. Experimental evaluation of the regenerative potential of periodontal tissues. Parodontologiya. 2016;21(3):15–18. (In Russ).

4. Tsarev VN, Mitronin АV, Podporin MS. Microbial biofilm root canals and new approaches to the diagnosis and treatment of the chronic forms of pulpitis using a photoactivatable disinfection and ultrasonic treatment. Endodontija Today. 2016;(3):19–23. (In Russ).

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