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10.08.2023 | Review Article

Effectiveness of different supplementary protocols for remaining filling material removal in endodontic reintervention: an integrative review

verfasst von: Amanda Freitas da Rosa, Bruna Venzke Fischer, Luiz Carlos de Lima Dias-Junior, Anna Victoria Costa Serique, Eduardo Antunes Bortoluzzi, Cleonice da Silveira Teixeira, Lucas da Fonseca Roberti Garcia

Erschienen in: Odontology | Ausgabe 1/2024

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Abstract

The aim of this study was to perform an integrative review to identify the most effective supplementary protocols used after filling material (FM) removal and root canal reinstrumentation, during endodontic reintervention. The literature search was performed on the electronic databases PubMed and Latin American and Caribbean Health Sciences Literature (LILACS), using a combination of specific scientific descriptors. Selection criteria accepted articles published in English, Spanish and Portuguese languages, up to August 2021, involving in vitro and ex vivo studies. After applying the eligibility criteria, 46 articles were included for qualitative analysis. The tool for qualitative analysis of quasi-experimental studies of the Joanna Briggs Institute was used to determine the risk of bias of the included articles. The selected articles provided important data regarding the following supplementary protocols: sonic and ultrasonic activation of the irrigating solution; the use of ultrasonic inserts, XP-endo system instruments, and photon-induced photoacoustic streaming for mechanical debridement; and new devices as GentleWave system, and the self-adjusting file. Overall, all supplementary protocols demonstrated efficacy in removing the remaining FM. The implementation of various supplementary protocols can effectively remove the remaining FM from the root canal walls, although complete removal is not always achieved. However, it was not possible to determine the most effective protocol. Conversely, their association can enhance remaining FM removal. Remaining FM attached to root canal walls hinders proper chemical–mechanical preparation during endodontic reintervention. Supplementary protocols optimize the remaining FM removal, enhancing cleaning and disinfection of root canal.

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Titel: Effectiveness of different supplementary protocols for remaining filling material removal in endodontic reintervention: an integrative review
verfasst von: Amanda Freitas da Rosa
Bruna Venzke Fischer
Luiz Carlos de Lima Dias-Junior
Anna Victoria Costa Serique
Eduardo Antunes Bortoluzzi
Cleonice da Silveira Teixeira
Lucas da Fonseca Roberti Garcia
Publikationsdatum: 10.08.2023
Verlag: Springer Nature Singapore
Erschienen in: Odontology / Ausgabe 1/2024
Print ISSN: 1618-1247
Elektronische ISSN: 1618-1255
DOI: https://doi.org/10.1007/s10266-023-00845-6

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