A IMPORTÂNCIA DE SE CONHECER OS DIVERSOS SISTEMAS DE IRRIGAÇÃO DOS CANAIS RADICULARES: UMA REVISÃO DE LITERATURA
Abstract
Objetivos: Este trabalho visa demonstrar diferentes técnicas de irrigação as quais buscam se obter o maior benefício das soluções irrigadoras. Metodologia: Levantamento bibliográfico de artigos científicos publicados nas bases de dados da PubMed, Scielo e Cochrane Library no período entre março a outubro de 2020, tendo como critério de inclusão artigos publicados nos idiomas Inglês e Português, data máxima de publicação de 10 anos. Resultados: Em virtude da complexidade do tratamento endodôntico, verificou-se que o conhecimento das diferentes soluções irrigadoras associado a diferentes técnicas de aplicação possibilitaram a obtenção de melhores resultados na terapêutica endodôntica. Para que isto ocorra, foi apresentado os vários sistemas de irrigação que podem ser divididos em dois grupos: técnicas de irrigação manual e técnicas de irrigação assistidas por equipamento. Conclusão: É importante que se conheça diversificados tipos de protocolos de irrigação para que tenha uma maior probabilidade de sucesso nos tratamentos.
References
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ABARAJITHAN M, DHAM S, VELMURUGAN N, VALERIAN AD, BALLAL S, SENTHILKUMAR H. Comparison of Endovac irrigation system with conventional irrigation for removal of intracanal smear layer: An in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, Vol 112, p. 407, 2011.
ASHRAF H, ASNAASHARI M, DARMIANI S, BIRANG R. Smear Layer Removal in the Apical Third of Root Canals by Two Chelating Agents and Laser: A Comparative in vitro study. Iranian Endodontic Journal, Tehran , Vol. 9, n. 3, p. 210, 2014.
BASRANI B. Endodontic Irrigation. Chemical disinfection of the root canal system. Springer International Publishing, 2015.
BARBOSA, R.; Sistemas de irrigação endodônticos: vantagens e desvantagens, p. 43, 2016.
CARMONA, R.; Irrigação em endodontia na atualidade, p. 32, 2016.
CASTELO BP, VARELA PP, RUÍZ PM, ABELLA F, MIGUÉNS VR, MARTÍN B. Continuous Apical Negative Pressure Ultrasonic Irrigatione (CANUI): A new concept fpr activating irrigants. J Clin Exp Dent. v. 9, p.789-93, 2017.
C. BOUTSIOUKIS, B. VERHAAGEN, A WALMSLEY, M. VERSLUIS, LWM VAN DER SLUIS. Measurement and visualization of file-to-wall contact during ultrasonically activated irrigation in simulated canals. Int Endod J. Vol 46, P. 1055, 2013.
CAMPOS, C; Technology for endodontics: advances in the diagnosis and treatment of root canais. Hu Revista, Juiz de Fora. Jan./mar.; v.44, n.1; p. 55-61, 2018.
DESAI P, HIMEL V. Comparative safety of various intracanal irrigation systems. Journal of endodontics. Vol. 35, p.545, 2009.
DE MOOR RJ, MEIRE M, GOHARKHAY K, MORITZ A, VANOBBERGEN J. Efficacy of ultrasonic versus laser-activated irrigation to remove artificially placed dentin debris plugs. Journal of endodontics. Vol .36, p.1580, 2010.
DUQUE JA, DUARTE MA, CANALI LC, ZANCAN RF, VIVIAN RR, BERNARDES RA, BRAMANTE CM. Comparative Effectiveness of New Mechanical Irrigant Agitating Devices for Debris Removal from the Canal and Isthmus of Mesial Roots of Mandibular Molars. J Endod. Vol.43, p. 326-331, 2017.
GULABIVALA K, NG YL, GILBERTSON M, EAMES I. A mecânica dos fluidos da irrigação do canal radicular. Physiol Meas. Vol.31, p.49–84, 2010.
GULABILAVA, K; PATEL, B; EVANS, G; LING, Y; Effects of mechanical and chemical procedures an root canal surfaces. Endodontic Topics, Vol. 10, p.103-122, 2005.
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HAAPASALO M, ENDAL U, ZANDI H, BOBINA JM. Erradicação da infecção endodôntica por instrumentação e soluções de irrigação. Endod Top. Vol.10 p. 77–102, 2005.
HAAPASALO, M.; QIAN, W.; PORTENIER, I; Effects of dentin on the antimicrobial properties of endodontic medicaments. Journal of Endodontics, Vol.33, 917-925, 2007.
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KELES A; ALCIN H; Use of EndoVac System for Aspiration of Exudates from a Large Periapical Lesion: A Case Report. Journal of endodontics. Vol. 41, p. 1735-7, 2015.
KATO, A. S. ET AL. Investigation of the Efficacy of Passive Ultrasonic Irrigation Versus Irrigation with Reciprocating Activation: An Environmental Scanning Electron Microscopic Study. Journal Endodontics, Vol. 42, n. 4, p. 659-63, 2016.
LOPES, H. P.; SIQUEIRA JÚNIOR, J.F.; Endodontia: biologia e técnica. 3.ed., Rio de Janeiro: Guanabara Koogan, p.886-946, 2015.
MOURA-NETTO C, MELLO-MOURA AC, PALO RM, PROKOPOWITSCH I, PAMEIJER CH, MARQUES MM. Adaptation and penetration of resin-based root canal sealers in root canals irradiated with high-intensity lasers. Journal of Biomedical Optics, Bellingham, Vol. 20, n. 3, p. 038002, 2015.
NIELSEN BA; CRAIG BAUMGARTNER J. Comparison of the EndoVac system to needle irrigation of root canals. Journal of endodontics. Vol. 33, p. 611-5, 2007.
NG, Y.; MANN, V.; GULABIVALA, K. A prospective study of the factors affecting outcomes of non surgical root canal treatment: part 1: periapical health. International Endodontic Journal, V.44, p.583–609, 2011.
PANINI, P.; Protocolo de Irrigação em endodontia; p.1-37, 2017.
PAQUE F, GANAHL D, PETERS OA. Effects of root canal preparation on apical geometry assessed by micro-computed tomography. J Endod, Vol.35, p. 1056. 2009.
ROSSI-FEDELE, G. ET AL.; Antagonistic Interactions between Sodium Hypochlorite,Chlorhexidine, EDTA, and Citric Acid. Journal of Endodontics, Vol. 38, p. 426 – 431, 2012.
TUNCER, A. E ÜNAL, B. (2014). Comparison of Sealer Penetration Using the EndoVac Irrigation System and Conventional Needle Root Canal Irrigation. Journal of Endodontics, Vol. 40, p .613-617, 2014.
VAN DER SLUIS LW, GAMBARINI G, WU MK, WESSELINK PR. The influence of volume, type of irrigant and flushing method on removing artificially placed dentine debris from the apical root canal during passive ultrasonic irrigation. Int Endod J, Vol.39, p. 472–6, 2006.
VARGAS, B; Soluções irrigantes e protocolos de irrigação em endodontia; Instituto superior de ciências da saúde Egas Moniz, p. 1-81, 2015.
ZOLLNER, N; FERREIRA, M; CARVALHO, P; RODRIGUES, D; CLEMENTE, R; MEDEIROS, J; Análise da Remoção do Smear layer pelo uso de três soluções irrigantes, Revista Gaúcha de Odontologia, Vol. 55, p. 1-8, 2007.
ZEHNDER, M.; Root Canal Irrigants. Journal of Endodontics, Vol.32, p.389-395, 2006.
ZOU, L. et al. Penetration of sodium hypochlorite into dentin. Journal of Endodontics, Vol.36, p. 793-796, 2010.
ABARAJITHAN M, DHAM S, VELMURUGAN N, VALERIAN AD, BALLAL S, SENTHILKUMAR H. Comparison of Endovac irrigation system with conventional irrigation for removal of intracanal smear layer: An in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, Vol 112, p. 407, 2011.
ASHRAF H, ASNAASHARI M, DARMIANI S, BIRANG R. Smear Layer Removal in the Apical Third of Root Canals by Two Chelating Agents and Laser: A Comparative in vitro study. Iranian Endodontic Journal, Tehran , Vol. 9, n. 3, p. 210, 2014.
BASRANI B. Endodontic Irrigation. Chemical disinfection of the root canal system. Springer International Publishing, 2015.
BARBOSA, R.; Sistemas de irrigação endodônticos: vantagens e desvantagens, p. 43, 2016.
CARMONA, R.; Irrigação em endodontia na atualidade, p. 32, 2016.
CASTELO BP, VARELA PP, RUÍZ PM, ABELLA F, MIGUÉNS VR, MARTÍN B. Continuous Apical Negative Pressure Ultrasonic Irrigatione (CANUI): A new concept fpr activating irrigants. J Clin Exp Dent. v. 9, p.789-93, 2017.
C. BOUTSIOUKIS, B. VERHAAGEN, A WALMSLEY, M. VERSLUIS, LWM VAN DER SLUIS. Measurement and visualization of file-to-wall contact during ultrasonically activated irrigation in simulated canals. Int Endod J. Vol 46, P. 1055, 2013.
CAMPOS, C; Technology for endodontics: advances in the diagnosis and treatment of root canais. Hu Revista, Juiz de Fora. Jan./mar.; v.44, n.1; p. 55-61, 2018.
DESAI P, HIMEL V. Comparative safety of various intracanal irrigation systems. Journal of endodontics. Vol. 35, p.545, 2009.
DE MOOR RJ, MEIRE M, GOHARKHAY K, MORITZ A, VANOBBERGEN J. Efficacy of ultrasonic versus laser-activated irrigation to remove artificially placed dentin debris plugs. Journal of endodontics. Vol .36, p.1580, 2010.
DUQUE JA, DUARTE MA, CANALI LC, ZANCAN RF, VIVIAN RR, BERNARDES RA, BRAMANTE CM. Comparative Effectiveness of New Mechanical Irrigant Agitating Devices for Debris Removal from the Canal and Isthmus of Mesial Roots of Mandibular Molars. J Endod. Vol.43, p. 326-331, 2017.
GULABIVALA K, NG YL, GILBERTSON M, EAMES I. A mecânica dos fluidos da irrigação do canal radicular. Physiol Meas. Vol.31, p.49–84, 2010.
GULABILAVA, K; PATEL, B; EVANS, G; LING, Y; Effects of mechanical and chemical procedures an root canal surfaces. Endodontic Topics, Vol. 10, p.103-122, 2005.
GU LS, KIM JR, LING J, CHOI KK, PASHLEY DH, TAY FR. Review of contemporary irrigant agitation techniques and devices. Journal of endodontics. Vol.35, p.791-804, 2009.
HAAPASALO M, ENDAL U, ZANDI H, BOBINA JM. Erradicação da infecção endodôntica por instrumentação e soluções de irrigação. Endod Top. Vol.10 p. 77–102, 2005.
HAAPASALO, M.; QIAN, W.; PORTENIER, I; Effects of dentin on the antimicrobial properties of endodontic medicaments. Journal of Endodontics, Vol.33, 917-925, 2007.
HAAPASALO, M.; SHEN, Y.; RICUCCI, D.; Reasons for persistent and emerging post treatment endodontic disease. Endodontic Topics, Vol. 18, p. 31-50, 2010.
KELES A; ALCIN H; Use of EndoVac System for Aspiration of Exudates from a Large Periapical Lesion: A Case Report. Journal of endodontics. Vol. 41, p. 1735-7, 2015.
KATO, A. S. ET AL. Investigation of the Efficacy of Passive Ultrasonic Irrigation Versus Irrigation with Reciprocating Activation: An Environmental Scanning Electron Microscopic Study. Journal Endodontics, Vol. 42, n. 4, p. 659-63, 2016.
LOPES, H. P.; SIQUEIRA JÚNIOR, J.F.; Endodontia: biologia e técnica. 3.ed., Rio de Janeiro: Guanabara Koogan, p.886-946, 2015.
MOURA-NETTO C, MELLO-MOURA AC, PALO RM, PROKOPOWITSCH I, PAMEIJER CH, MARQUES MM. Adaptation and penetration of resin-based root canal sealers in root canals irradiated with high-intensity lasers. Journal of Biomedical Optics, Bellingham, Vol. 20, n. 3, p. 038002, 2015.
NIELSEN BA; CRAIG BAUMGARTNER J. Comparison of the EndoVac system to needle irrigation of root canals. Journal of endodontics. Vol. 33, p. 611-5, 2007.
NG, Y.; MANN, V.; GULABIVALA, K. A prospective study of the factors affecting outcomes of non surgical root canal treatment: part 1: periapical health. International Endodontic Journal, V.44, p.583–609, 2011.
PANINI, P.; Protocolo de Irrigação em endodontia; p.1-37, 2017.
PAQUE F, GANAHL D, PETERS OA. Effects of root canal preparation on apical geometry assessed by micro-computed tomography. J Endod, Vol.35, p. 1056. 2009.
ROSSI-FEDELE, G. ET AL.; Antagonistic Interactions between Sodium Hypochlorite,Chlorhexidine, EDTA, and Citric Acid. Journal of Endodontics, Vol. 38, p. 426 – 431, 2012.
TUNCER, A. E ÜNAL, B. (2014). Comparison of Sealer Penetration Using the EndoVac Irrigation System and Conventional Needle Root Canal Irrigation. Journal of Endodontics, Vol. 40, p .613-617, 2014.
VAN DER SLUIS LW, GAMBARINI G, WU MK, WESSELINK PR. The influence of volume, type of irrigant and flushing method on removing artificially placed dentine debris from the apical root canal during passive ultrasonic irrigation. Int Endod J, Vol.39, p. 472–6, 2006.
VARGAS, B; Soluções irrigantes e protocolos de irrigação em endodontia; Instituto superior de ciências da saúde Egas Moniz, p. 1-81, 2015.
ZOLLNER, N; FERREIRA, M; CARVALHO, P; RODRIGUES, D; CLEMENTE, R; MEDEIROS, J; Análise da Remoção do Smear layer pelo uso de três soluções irrigantes, Revista Gaúcha de Odontologia, Vol. 55, p. 1-8, 2007.
ZEHNDER, M.; Root Canal Irrigants. Journal of Endodontics, Vol.32, p.389-395, 2006.
ZOU, L. et al. Penetration of sodium hypochlorite into dentin. Journal of Endodontics, Vol.36, p. 793-796, 2010.
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2022-05-30
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