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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Effect of ultrasonic activation on the reduction of bacteria and endotoxins in root canals: a randomized clinical trial

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Nakamura, V. C. [1] ; Pinheiro, E. T. [1] ; Prado, L. C. [1] ; Silveira, A. C. [1] ; Carvalho, A. P. L. [1] ; Mayer, M. P. A. [2] ; Gavini, G. [1]
Total Authors: 7
[1] Univ Sao Paulo, Sch Dent, Dept Dent, Discipline Endodont, Av Prof Lineu Prestes, 2227, Cidade Univ, BR-05508000 Sao Paulo, SP - Brazil
[2] Univ Sao Paulo, Inst Biomed Sci, Dept Microbiol, Sao Paulo, SP - Brazil
Total Affiliations: 2
Document type: Journal article
Source: International Endodontic Journal; v. 51, n. 1, SI, p. E12-E22, JAN 2018.
Web of Science Citations: 9

Aim This randomized clinical trial aimed to compare the effectiveness of ultrasonic activation with that of nonactivated irrigation on the removal of bacteria and endotoxin from root canals. Methodology Fifty patients with necrotic pulps and asymptomatic apical periodontitis were randomly allocated into two groups according to the final irrigation protocol after root canal preparation: Group UI ultrasonic irrigation (n = 25) and Group NI - needle irrigation (n = 25). The root canals were medicated with calcium hydroxide for 14 days. Microbiological sampling was performed before (S1) and after the root canal preparation (S2), after the irrigation protocols (S3) and after the removal of the intracanal medication (S4). Total bacteria counts were determined by qPCR and the endotoxin levels by the limulus amebocyte lysate assay. Intragroup analyses were performed using the Wilcoxon test for related samples, whereas intergroup analyses were performed using the MannWhitney U-test (P < 0.05). Results All S1 samples were positive for bacteria, with median numbers of 1.49 x 10(6) and 8.55 x 10(5) bacterial cells for the UI and NI groups, respectively. This number significantly decreased in S2 samples (UI: 1.41 x 10(4); NI: 3.53 x 10(4); both with P < 0.001). After final irrigation protocols, there was a significant decrease in bacterial load from S2 to S3 samples in both groups (UI: 4.29 x 10(3); NI: 1.08 x 10(4); P < 0.01). Intergroup analysis revealed a significant difference between irrigation methods regarding bacterial counts in S3 samples (P < 0.05). In contrast, no significant differences were observed between groups for endotoxin levels (P > 0.05). Conclusions Ultrasonic activation was more effective than nonactivated irrigation for reducing the number of bacteria but not the endotoxin levels in root canals of teeth with apical periodontitis. (AU)

FAPESP's process: 13/02923-9 - Influence of passive ultrasonic irrigation on bacterial and endotoxin reduction from root canal system: a randomized clinical study
Grantee:Giulio Gavini
Support Opportunities: Regular Research Grants