A Review on Root Canal Irrigation Solutions in Endodontics
نویسندگان
1 General Dental Practitioner, Hamedan, Iran
2 Baylor College of Dentistry, Texas A&M Health Science Center, Dallas, Texas, USA
3 Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine (ZMK Bern), University of Bern, Switzerland
4 Department of Restorative Dentistry, College of Medicine, University of Nigeria, Enugu State, Nigeria
5 Iranian Center for Endodontic Research (ICER), Research Institute of Dental Sciences, Shaheed Beheshti University of Medical Sciences, Tehran, Iran and Iranian National Elite Foundation, Tehran, Iran
6 Department of Conservative Dentistry, Showa University Dental Hospital, Tokyo, Japan
7 School of Dentistry, Department of Endodontics, Università degli Studi di Torino; and Private Practice, Crotone, Italy
8 Department of Endodontics, Mashhad University of Medical Sciences, Mashhad, Iran.
doi
10.22038/jdmt.2021.56003.1431چکیده
Introduction: This paper aims to review the different characteristics of root canal irrigants including sodium hypochlorite (NaOCl), chlorhexidine (CHX), hydrogen peroxide (H2O2), iodine potassium iodide (IKI), antibiotic-based irrigants, photo-activated disinfection, electrochemically activated water, and QMix. The literature on root canal irrigation solutions in the context of endodontics up to June 2020 was reviewed using PubMed and MEDLINE. NaOCl was identified as the most likely effective irrigation solution that could be used for endodontics. Its antimicrobial activity is at least comparable or even greater than that of other common irrigants. Tetraclean was also proposed to be more effective than CHX against endodontic microorganisms. In addition, Hypoclean was suggested as the most potent and effective irrigant against Candida albicans. Similarly, IKI was introduced as a successful irrigant in killing Candida albicans and Enterococcus faecalis. MTAD is also known to be effective in smear layer removal as well as against the growth of Enterococcus faecalis. EDTA is also considered to have limited antimicrobial activity.
