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Review
. 2020 Feb 8:2020:5824369.
doi: 10.1155/2020/5824369. eCollection 2020.

Management of Instrument Sterilization Workflow in Endodontics: A Systematic Review and Meta-Analysis

Mario Dioguardi  1 , Diego Sovereto  1 , Gaetano Illuzzi  1 , Enrica Laneve  1 , Bruna Raddato  1 , Claudia Arena  1 , Vito Carlo Alberto Caponio  1 , Giorgia Apollonia Caloro  2 , Khrystyna Zhurakivska  1 , Giuseppe Troiano  1 , Lorenzo Lo Muzio  1
Affiliations
Review

Management of Instrument Sterilization Workflow in Endodontics: A Systematic Review and Meta-Analysis

Mario Dioguardi et al. Int J Dent. .

Abstract

Endodontic treatment consists of different working procedures, such as the isolation of the operating field, pulp chamber access, and cleaning and shaping phases with at last the need of a three-dimensional filling of the canals. Each step requires a series of single-use or sterilizable instruments. We have performed a systematic review of different sterilization and disinfection procedures aiming at drawing up a disinfection and sterilization procedure to be used on endodontic instruments. A search on PubMed and Scopus was carried out using the following keywords: "endodontic sterilization," "endodontic autoclave," "decontamination dental bur," "sterilization dental burs," and "gutta-percha points sterilization." Eligible articles were included in the qualitative and quantitative analysis. Results of the meta-analysis showed that the most effective method in sterilization is autoclaving. The qualitative analysis showed that the use of single-use or first-use instruments requires presterilization or sterilization procedures, and for reusable tools, attention must be paid to the removal of debris deposited on the blades, not easy to remove manually.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Flow chart of the different phases of the systematic review.
Figure 2
Figure 2
Funnel plot: evaluation of heterogeneity for the first outcome (a) and for the second outcome (b).
Figure 3
Figure 3
Forest plot of the fixed-effects model of the meta-analysis of the primary outcome.
Figure 4
Figure 4
Forest plot of the random-effects model of the meta-analysis of the secondary outcome.
See this image and copyright information in PMC

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