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Review
. 2019 Jan-Mar;10(1):135-142.
doi: 10.4103/ccd.ccd_335_18.

Efficacy of Removal of Calcium Hydroxide Medicament from Root Canals by Endoactivator and Endovac Irrigation Techniques: A Systematic Review of In vitro Studies

Margi Parikh  1 , Karkala Venkappa Kishan  1 , Nidhi P Solanki  1 , Maitry Parikh  2 , Krushn Savaliya  1 , Vinukonda Hima Bindu  1 , T Das Devika  3
Affiliations
Review

Efficacy of Removal of Calcium Hydroxide Medicament from Root Canals by Endoactivator and Endovac Irrigation Techniques: A Systematic Review of In vitro Studies

Margi Parikh et al. Contemp Clin Dent. 2019 Jan-Mar.

Abstract

Introduction: The aim of this systematic review was to systematically evaluate and summarize the outcomes of in vitro studies comparing Endoactivator irrigation and Endovac irrigation techniques for removing calcium hydroxide (Ca[OH]2) medicament from the root canals.

Materials and methods: The research question was developed according to the population, intervention, comparison, and outcome strategy. A computerized literature search was conducted in Medline, PubMed, Google Scholar, and Embase. A hand search of the reference lists of identified articles was performed to separate relevant articles. Two reviewers critically assessed the studies that fulfilled the inclusion criteria and processed. Evaluation of the risk of bias of the studies was performed independently by the two reviewers.

Results: After study selection, 61 were assessed for eligibility. Of these, 13 met the inclusion criteria and were included in the systematic review. Since significant heterogeneity was found in the methodologies, it was not possible to conduct a meta-analysis.

Conclusions: On the basis of available evidence, we determined that Endoactivator irrigation technique showed better performance in removing Ca(OH)2 intracanal medicaments from middle third and coronal third area of the root canals and Endovac irrigation technique showed better performance from the apical third area of the root canals. Due to the limitations, small sample sizes, and low number of included studies, further research is needed to confirm our results.

Keywords: Calcium hydroxide removal; Endoactivator; Endovac; irrigation technique; root canals.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
A flowchart of the systematic review process
See this image and copyright information in PMC

References

    1. Alturaiki S, Lamphon H, Edrees H, Ahlquist M. Efficacy of 3 different irrigation systems on removal of calcium hydroxide from the root canal: A scanning electron microscopic study. J Endod. 2015;41:97–101. - PubMed
    1. Türker SA, Koçak MM, Koçak S, Saǧlam BC. Comparison of calcium hydroxide removal by self-adjusting file, EndoVac, and CanalBrush agitation techniques: An in vitro study. J Conserv Dent. 2013;16:439–43. - PMC - PubMed
    1. Al-Garni S, Al-Shahrani S, Al-Nazhan S, Al-Maflehi N. Evaluation of calcium hydroxide removal using EndoActivator system: An in vitro study. Saudi Endod J. 2014;4:13–7.
    1. Ahmetoglu F, Keles A, Simsek N. Effectiveness of the several irrigation techniques for removal of calcium hydroxide-based intracanal medication from an artificial standardized groove in the apical root canal. Marmara Dent J. 2013;2:53–6.
    1. Capar ID, Ozcan E, Arslan H, Ertas H, Aydinbelge HA. Effect of different final irrigation methods on the removal of calcium hydroxide from an artificial standardized groove in the apical third of root canals. J Endod. 2014;40:451–4. - PubMed