18Dec 2019

INTEREST AND PRINCIPLES OF ENDODONTIC DISINFECTION: CASE REPORT

  • Assistant professor, Department Of Restorative Dentistry and Endodontics, School Of Dentistry of Casablanca, Morocco
  • Resident, Department of Restorative Dentistry and Endodontics, School Of Dentistry of Casablanca, Morocco
  • Professor, Department of Restorative Dentistry and endodontics, School Of Dentistry Of Casablanca, Morocco
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The main objective of any root canal treatment of an infected teeth is to eliminate microorganisms that colonize the canal system. This disinfection is essentially based on a chemo-mechanical preparation, the endodontic instruments to shape the main canal, associated to the action of the irrigation solutions. The irrigation sequence should begin as soon as the access cavity is performed, during root canal shaping and at the end of the root canal preparation, in order to remove the smear layer generated by the action of the shaping instruments. This action is obtained by the combination of 2.5% sodium hypochlorite and an EDTA-based chelator (Ethylene diamine tetracetic acid). We will explore this whole process through a clinical case with cyst-like chronical periapical periodontitis.


  1. BOUCHER. Parodontites apicales et mauvais traitements endodontiques?: ?tat d?urgence. Rev Odont Stomat 2005?; 34?: 205-217.
  2. SCHILDER. Cleaning and shaping the root canal. Dent Clin North Am 1974; 18: 269-296.
  3. CANTATORE. Struttura dentinale e procedure endodontiche. Dent Cadmos 1995?; 2?: 13-45.
  4. SIQUEIRA, I. R??AS, A. FAVIERI, KC. LIMA. Chemomechanical reduction of the bacterial population in the root canal after instrumentation and irrigation with 1%, 2,5% and 5,25% sodium hypochlorite. J Endod. 2000; 26 : 331-334.
  5. CANTATORE. L?irrigation de l?endodonte?: importance dans le nettoyage et la st?rilisation du r?seau canalaire. . R?alit?s cliniques 2001. Vol. 12, n?2?:185-201.
  6. BUKIET, C. ROLLAND, N. GARDON, L. POMMEL. Optimiser l?antisepsie canalaire par une irrigation efficace. R?alit?s cliniques 2006. Vol. 17, n?4?:371-383.
  7. Gilbert P, Das J and Foley I, Biofilm susceptibility to antimicrobials. Adv. Dent. Res., 1997: 11, 1, 160-7.
  8. Stewart P S and Costerton J W, Antibiotic resistance of bacteria in biofilms. Lancet, 2001: 358, 9276, 135-8.
  9. MADER, J.C. BAUMGARTNER, D. PETERS. Scanning electron microscopic investigation of the smeared layer on root canal walls. J Endod 10 : 477-483, 1984.
  10. O?Connell MS, Morgan LA, Beeler WJ, Baumgartner JC. A comparative study of smear layer removal using different salts of EDTA. J. Endod, 2002 Dec; 26 (12): 739-43.
  11. MACHTOU. Deux d?cennies d?endodontie. R?alit?s cliniques 2010. Vol. 21, n?1?:41-51.
  12. LAROUSSE, GM. GIMENEZ, JP. ROCCA, P. GUERRI. Pharmacologie endodontique, evolution des concepts. R?alit?s cliniques 1992. Vol. 3, n?1?:131-137.
  13. COCHET. Quelles r?gles doit-on respecter lors de la pr?paration canalaire apicale?? Inf.dent, n?37, Oct 2004?: 2427-2430.
  14. DESCROIX, F. BRONNEC, WILHELM-J. PERTOT, F. RILLIARD, K. YASUKAWA, P. ROCHER, M. GOLDBERG, S. KLEINFINGER. M?dicaments et dispositifs m?dicaux en endodontie. Cahier de l?ADF, 2008.
  15. LAROUSSE, GM. GIMENEZ, JP. ROCCA, P. GUERRI. Pharmacologie endodontique, evolution des concepts. R?alit?s cliniques 1992. Vol. 3, n?1?:131-137.
  16. WALTIMO?T, TROPE M, HAAPASALO M, ?RSTAVIK D. Clinical efficacy of treatment procedures in endodontic infection control and one year follow-up of periapical healing. J Endod. 2005 Dec;31(12):863-6.
  17. FUSS Z, WEISS EI,?SHALHAV?M. Antibacterial activity of calcium hydroxide-containing endodontic sealers on Enterococcus faecalis in vitro. Int Endod J. 1997 Nov;30(6):397-402.
  18. Baumgartner JC, Cuenin PR. Efficacy of several concentrations of sodium hypochlorite for root canal irrigating. J.Endod 1992 Dec; 18 (12): 605-12.
  19. CUNNINGHAM WT, JOSEPH SW. Effect of temperature on the bactericidal action of sodium hypochlorite endodontic irrigant. Oral Surg Oral Med Oral Pathol. 1980, Dec;50(6):569-71.
  20. CARON, K. NHAM, F. BRONNEC, P. MACHTOU. Effectiveness of different final irrigant activation protocols on smear layer removal in curved canals. J Endod. 2010; 36: 1361-1366.
  21. Mozo S. Liena C. Forner L. Review of ultrasonic irrigation in endodontics: increasing action of irrigating solutions. Med Oral Patol Oral Cir Bucal.2011, Dec 6.

[DakkakI Jalila, Dhoum Sara, Drouri Sofia, Skalli Radia and Jabri Mouna (2019); INTEREST AND PRINCIPLES OF ENDODONTIC DISINFECTION: CASE REPORT Int. J. of Adv. Res. 7 (Dec). 9-15] (ISSN 2320-5407). www.journalijar.com


dhoum sara
department of restorative dentistry and endodontics

DOI:


Article DOI: 10.21474/IJAR01/10117      
DOI URL: http://dx.doi.org/10.21474/IJAR01/10117