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A comparative evaluation of smear layer removal using apical negative pressure (EndoVac), sonic irrigation (EndoActivator) and Er:YAG laser - an in vitro SEM study

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A comparative evaluation of smear layer removal using apical negative pressure (EndoVac), sonic irrigation (EndoActivator) and Er:YAG laser - an in vitro SEM study

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dc.contributor.author Suman, Sanghamitra es
dc.contributor.author Verma, Promila es
dc.contributor.author Prakash Tikku, Aseem es
dc.contributor.author Bains, Rhythm es
dc.contributor.author Kumar Shakya, Vijay es
dc.date.accessioned 2017-11-15T09:24:28Z
dc.date.available 2017-11-15T09:24:28Z
dc.date.issued 2017 es
dc.identifier.citation Suman, Sanghamitra ; Verma, Promila ; Prakash Tikku, Aseem ; Bains, Rhythm ; Kumar Shakya, Vijay. (2017). A Comparative Evaluation of Smear Layer Removal Using Apical Negative Pressure (EndoVac), Sonic Irrigation (EndoActivator) and Er:YAG laser - an In vitro SEM Study. En: Journal of Clinical and Experimental Dentistry, 9 (8), 981-987. es
dc.identifier.uri http://hdl.handle.net/10550/63052
dc.description.abstract This study aimed to compare the smear layer removing efficacy of the EndoActivator, EndoVac and Er:YAG laser in extracted mandibular premolars, at the apical, middle and coronal third of root canal, through scanning electron microscopy. 40 extracted mandibular premolars were decoronated to a standardized length of 12 mm. Specimens were shaped to ProTaper F4 size and irrigated with 5.25% sodium hypochlorite at 370C between instrumentation. Teeth were divided into four groups (n=10), one control (needle irrigation) and three experimental, according to the irrigant activation technique used i.e. sonic irrigation (EndoActivator), apical negative pressure (EndoVac) or laser (Er:YAG). The final irrigants used were 10ml,17% ethylenediaminetetraacetic acid (EDTA) and 10ml, 5.25% sodium hypochlorite. Root canals were then split longitudinally and observed under a scanning electron microscope. The presence of smear layer at the apical, middle and coronal third of root canal was evaluated. Scores were analyzed by Kruskal-Wallis and Mann-Whitney U tests. Intraexaminer and interexaminer reliability were determined by Kappa test. The EndoVac system was significantly more effective in removing debris from the apical third than all other groups. EndoActivator performed better than laser at the apical third. All three experimental groups (EndoVac, EndoActivator, and laser) were better than needle irrigation at the middle and apical third. At the coronal third, no significant difference was seen between the four groups. None of the activation systems completely removes the smear layer from the dentine walls; nevertheless, EndoVac is significantly better in removing debris from the apical third of canal. es
dc.title A comparative evaluation of smear layer removal using apical negative pressure (EndoVac), sonic irrigation (EndoActivator) and Er:YAG laser - an in vitro SEM study es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/jced.53881 es
dc.type.hasVersion VoR es_ES

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