A Clinical Study to Evaluate Debridement Efficacy of Ultrasonic Irrigation Followed By Hand Rotary Instrumentation in Anterior Teeth
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 6
Abstract
Introduction: Success of any endodontic treatment depends on proper preparation of the root canal space. Various factors responsible for achieving this success, such as reduction in the microbes and proper obturation of the root canal system, are dependent on thorough root canal debridement. The aim of cleaning and shaping is the removal of all vital or necrotic tissue, microorganisms, and their respective by-products. The complex nature of root canal anatomy has made cleaning and shaping procedure a lot challenging. Materials and Methods: A study analysis was conducted in our dental collage and hospital by the department of endodontic. A prior approval for the study was taken by the ethics board of our collage. A total of 70 patients were included in the study analysis over the period of 10 months, and a total of 155 anterior teeth were treated during this time period. A follow-up period of 4 months was kept to evaluate the results. All 70 patients were randomly divided into two groups; group A included patients who underwent ultrasonic irrigation along with manual rotary canal debridement. Whereas, group B included patients who underwent manual irrigation of the root canals with side vented needles followed by manual hand rotary instrumentation. Results: It was interesting to know that both groups, i.e. group A and group B showed considerable reversal of symptoms after the endodontic treatment of the tooth. Interestingly, group A patients had more post-obturation discomfort (57%) i.e. even after 1 week of endodontic treatment when compared to group B patients (26%). Conclusion: The longer ultrasonic times do increase the time of endodontic treatment and might be inconvenient for the treatment demonstrated that the operator is more important than the technique in the thoroughness of canal debridement.
Authors and Affiliations
Ankita Agrawal, Harsh Kumar
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