Title
Cleaning of endodontic files with and without enzymatic detergent by means of the manual method versus the ultrasonic method: An experimental study
Date Issued
01 May 2021
Access level
open access
Resource Type
journal article
Author(s)
Brito-Ávila E.
Aliaga-Mariñas A.S.
Hernández-Caba K.K.
Saenz-Cazorla E.D.
Universidad Inca Garcilaso de la Vega
Publisher(s)
Wolters Kluwer (UK) Ltd.
Abstract
Aim: The aim of this article is to evaluate the cleanliness level achieved with and without the application of enzymatic detergent for the manual method versus the ultrasonic method, applied to Flexoreamer K-type files No. 25, No. 30, and No. 35. Materials and Methods: 192 K-type Flexoreamer files were divided into four categories: A1 (ultrasonic method with enzymatic detergent), A2 (ultrasonic method without enzymatic detergent), B1 (manual method with enzymatic detergent), and B2 (manual method without enzymatic detergent). Each category was randomly distributed in three groups of 16 files each (No. 25, No. 30, and No. 35). The files were used for biomechanical instrumentation of the root canal in premolars. The active part of the files was examined under a stereomicroscope, considering four cleaning levels: 4 (100% cleanliness), 3 (95-99% cleanliness), 2 (85-94% cleanliness), 1 (75-84% cleanliness), and 0 (less than 75% cleanliness). For hypothesis testing, the Mann-Whitney U-test was used to differentiate between techniques, and the Kruskal-Wallis multiple comparison test was used to compare pairs of files within each cleaning method. Results: When using enzymatic detergents, the manual and ultrasonic methods did not show significant differences when comparing each group of the files analyzed (P > 0.05). However, when comparing the cleaning level without enzymatic detergent between the manual and ultrasonic methods, we observed that it obtained a superior result when compared with the manual method for each type of file: No. 25 (P = 0.021), No. 30 (P 0.001), and No. 35 (P 0.001). Both methods achieved a significantly higher level of cleaning with the application of the enzymatic detergent (P 0.05) than without applying it. Conclusion: The ultrasonic cleaning method proved to be the most effective method for the removal of biologic waste when compared with the manual method using a nylon brush. However, there was no significant difference between these two methods when enzymatic detergent was used.
Start page
307
End page
315
Volume
11
Issue
3
Language
English
OCDE Knowledge area
Odontología, Cirugía oral, Medicina oral
Subjects
Scopus EID
2-s2.0-85108168403
Source
Journal of International Society of Preventive and Community Dentistry
ISSN of the container
22310762
Sources of information:
Directorio de Producción Científica
Scopus