Root canal disinfection: options to sodium hypochlorite and chlorhexidine

Authors

Keywords:

ROOT CANAL IRRIGANTS, DISINFECTION, BACTERIAL LOAD, CETRIMONIUM.

Abstract

Introduction: the use of irrigants for intraoral disinfection is indispensable for eliminating the bacterial load of the pathology present in the dental piece.

Objective: to discuss the efficacy of intra-canal irrigants such as MTAD, Tetraclean and Catremida.

Methods: bibliographic review based on the use of scientific search engines between 2018 and 2023. The search was carried out in the research databases: Pubmed, Scielo. The words used within the literature search were “irrigation and endodontics”, “irrigants in endodontics”, “new endodontic irrigants”. The research was limited to the English and Spanish language, and only articles that talked about current irrigant solutions used in Endodontics were included. 

Development: MTAD, Tetraclean and Cetrimide have the ability for smear removal, there are also promising data considering the antimicrobial activity of MTAD, especially against E. faecalis and its effect on dental stem cells in regenerative endodontics, although they are still controversial. Despite some unfavorable reactions and havoc that has been generated in the tissues of patients by the use of NaOCl, for years this irrigant continues to be the most suitable for dental practice.

Conclusions: none of the substances used individually meet the requirements of an ideal irrigant, therefore it has been found feasible to combine irrigants together with the proper instrumentation of the root canal to have a much greater impact on the outcome of endodontic treatment.

 

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References

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Published

2024-08-21

How to Cite

1.
Pérez-Solis LF, Reinoso-Toledo EP, Villacís-Tapia Ángel F, Mera-Naranjo BN. Root canal disinfection: options to sodium hypochlorite and chlorhexidine. Rev Ciencias Médicas [Internet]. 2024 Aug. 21 [cited 2025 Aug. 30];28(1):e6519. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/6519

Issue

Vol. 28 No. 1 (2024): Suplemento 1

Section

BRIEF COMMUNICATION

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