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386166

The Efficacy of Brush File Used for Irrigation Activation Versus Passive Ultrasonic Irrigation in Terms of Smear Layer Removal and Canal Cleanliness in Single Rooted Teeth: A Com

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

Endodontics

Abstract

Aim: The present study aimed to evaluate the cleaning efficacy of Brush File as an irrigation activation tool compared to Passive Ultrasonic Irrigation and conventional syringe and needle irrigation without activation in terms of smear layer and debris removal in single-rooted teeth. Subjects and methods: 36 single-rooted premolars with single root-canal system were used, Root apices were sealed to simulate the in-vivo conditions. Instrumentation was done using Wave-one gold reciprocating system, then teeth were assigned randomly into three groups (n=12) according to the final irrigation protocol, group (1): Brush File (BF), group (2): Passive ultrasonic irrigation (PUI), group (3): Conventional irrigation with no activation (CI). Longitudinal splitting of teeth for Scanning Electron Microscope (SEM) imaging, Parente's scoring system was used for evaluation. Data were analyzed using Kruskal-Wallis and Mann-Whitney tests, with significance level set at (p < 0.05). Results: The inter-group comparison showed that both BF and PUI groups removed smear layer and debris better than CI group at all root-canal thirds, with no significant difference between them (p > 0.05). For the intra-group comparison, no significant difference between the three root thirds in both BF group and CI group (P > 0.05). Regarding PUI, apical third showed the highest smear layer scores (P = 0.013), while the coronal third showed higher debris scores than middle third (P = 0.05). Conclusion: No activation protocol completely removed smear layer and debris, Brush file showed great cleaning efficacy for both smear layer and debris at all root-canal thirds that were comparable to PUI.

DOI

10.21608/adjc.2024.257300.1446

Keywords

Smear layer removal, Canal cleanliness, Brush File, Passive ultrasonic activation (PUI), irrigation activation, Scanning electron microscope

Authors

First Name

Omnia

Last Name

El-Halaby

MiddleName

Ibrahim

Affiliation

Department of Endodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt

Email

omnia.halaby@dentistry.cu.edu.eg

City

-

Orcid

-

First Name

Alaa

Last Name

Diab

MiddleName

-

Affiliation

Department of Endodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt

Email

alaa.diab@dentistry.cu.edu.eg

City

-

Orcid

-

First Name

Dina

Last Name

Morsy

MiddleName

Ahmed

Affiliation

Department of Endodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt

Email

dina.amorsy@dentistry.cu.edu.eg

City

-

Orcid

000-0002-1398-1755

Volume

6

Article Issue

4

Related Issue

50701

Issue Date

2024-10-01

Receive Date

2023-12-22

Publish Date

2024-10-01

Page Start

675

Page End

690

Print ISSN

2636-302X

Online ISSN

2636-3038

Link

https://adjc.journals.ekb.eg/article_386166.html

Detail API

https://adjc.journals.ekb.eg/service?article_code=386166

Order

386,166

Type

Original Article

Type Code

688

Publication Type

Journal

Publication Title

Advanced Dental Journal

Publication Link

https://adjc.journals.ekb.eg/

MainTitle

The Efficacy of Brush File Used for Irrigation Activation Versus Passive Ultrasonic Irrigation in Terms of Smear Layer Removal and Canal Cleanliness in Single Rooted Teeth: A Com

Details

Type

Article

Created At

24 Dec 2024