جستجوی مقالات مرتبط با کلیدواژه "irrigation" در نشریات گروه "پزشکی"

Introduction:

This study used different irrigation techniques to compare the levels of apical bacterial extrusion during the preparation of root canals with a reciprocating instrument widely used in endodontics, the Reciproc files 25/0.08 and 40/0.06.

The irrigation techniques employed were conventional syringe irrigation and passive ultrasonic irrigation (PUI); the latter, with one or two activation cycles. Seventy extracted mandibular human premolars were contaminated with Enterococcus faecalisfor 5 days and were distributed into 6 experimental groups (n=10), and the remaining specimens were used as positive and negative control groups (n=5). Group 1: instrumentation performed with Reciproc 25/0.08 and conventional syringe irrigation; Group 2: instrumentation performed with Reciproc 25/0.08 along with PUI for one minute after instrumentation (PUI-1) ; and Group 3: instrumentation performed with Reciproc 25/0.08 along with PUI for one minute before and after instrumentation (PUI-2). Groups 4, 5 and 6 were instrumented with Reciproc 40/0.06, and irrigation was performed similar to the previous groups, in the aforementioned order. Each root canal was irrigated with saline solution. Extruded debris was collected in microtubes. The contents of the microtubes were homogenized, diluted, and spread on Brain Heart Infusion agar. After 48 hours, the number of colony-forming units was determined for each sample. For statistical analysis, the Kruskal-Wallis test followed by the Dunn’s tests were used (α=0.05).

The CFU/mL count indicated that the instrumentation with Reciproc 25/0.08 was associated with the highest bacterial extrusion, mainly when PUI was performed (P<0.05).

All the instrumentation techniques caused bacterial extrusion through the apical foramen; however, the largest file size of the Reciproc 40/0.06 groups was associated with less apical bacterial extrusion.

Oral and dental problems are important issues in patients suffering from hematologic malignancies. This study aimed to assess the efficacy of supragingival irrigation with chlorhexidine in improving the oral health status of patients with hematologic malignancies.

This randomized, single-blind, controlled clinical trial, included 32 patients suffering from blood dyscrasia and hospitalized in Imam-Reza Hospital, Mashhad, Iran. Participants were randomly allocated to intervention and control groups. The control subjects received routine dental care by cleaning their teeth daily with sterilized gauze soaked in normal saline. For the intervention group, supra-gingival irrigation with chlorhexidine was performed in addition to routine dental care. The Debris Index Simplified (DI-S) part of the Oral hygiene index-simplified (OHI-S) index was recorded in all patients at baseline (T0), one (T1), two (T2), and three (T3) weeks later. The World Health Organization (WHO) scale was used to assess oral mucositis.

DI-S decreased significantly in the intervention group (P<0.001), and increased significantly in the control group (P=0.04) over the experiment. The study groups had comparable DI-S values at baseline (T0; P=0.48). However, DI-S scores were significantly lower in the experimental than in the control group at T1, T2, and T3 time points (P=0.002, P<0.001, and P<0.001, respectively). Oral mucositis was observed in only five patients in the control group.

Supra-gingival irrigation with chlorhexidine can improve oral hygiene during chemotherapy and may be used by patients and oral care providers in hospital settings.

This in vitrostudy aimed to evaluate the effect of different irrigation regimens on the chemical composition and cleanliness of root canal dentin.

Forty -eight extracted single -rooted permanent human teeth were collected. Root canals were instrumented using step-back technique up to master apical file size 60. Samples were divided into 3 groups (n=16) based on the type of the irrigant used. The irrigation solutions were 5.25% sodium hypochlorite, 2% chlorhexidine gluconate, and saline solution as a control. Root canal cleanliness was assessed using stereomicroscope and scanning electron microscope. Scanning electron microscope energy dispersive X-ray was used for the inorganic analysis. Fourier transform infrared spectrometer was used for the organic analysis. One-way analysis of variance (ANOVA) and multiple comparison post hoc test were used for comparison between the three groups.

The highest mean percentage of remaining debris was in saline group followed by chlorhexidine gluconate group. Sodium hypochlorite group showed the lowest mean value of remaining debris. Furthermore, our results showed that canal irrigation with sodium hypochlorite affected the chemical structure of root canal dentin more than chlorhexidine gluconate.

Based on the results, 5.25% sodium hypochlorite emerges as the preferred irrigant for root canal treatment. This research sheds light on the significance of irrigation regimens in endodontics and emphasizes the need for careful consideration of irrigant selection in clinical practice.

The treatment of culture-negative periprosthetic joint infections (CN PJI) of the hip represents complex entities. We, as a result of this, report on 12 cases. Irrigation and debridement (I&D) with implant retention were performed in acute cases and two-stage revisions in chronic infections. Combined antibiotic therapy was administered in all cases for 12 weeks. Infection control was achieved in all patients with an infection-free rate of 100% at 7.5 years of average follow-up.Level of evidence: IV

The purpose was to study the influence of Erbium,Chromium:Yttrium Scandium Gallium Garnet (Er,Cr:YSGG) laser at short pulse duration on smear layer removal from apical root third.

Twenty-four single-rooted mandibular premolars were used. The roots length was cut to 14 mm and instrumented using the Protaper Gold system to size 40/0.06. The samples were divided into four groups (n=6) as follows: (A) conventional irrigation with 5 mL of 17% Ethylenediaminetetraacetic acid ( EDTA), (B) passive ultrasonic irrigation with 5mL of 17% EDTA, (C) Er,Cr:YSGG induced photoacoustic streaming (PIPS) with 5 mL of 17% EDTA and (D)Er,Cr: YSGG induced PIPS with 5 mL of 5.25% sodium hypochlorite (NaOCl). After final irrigation with normal saline and drying, the roots were painted with nail varnish externally, and 2%methylene blue dye was injected into the canal. The tooth split horizontally at the fourth millimetres. The picture was taken by a professional Digital SLR camera. The dye penetration was measured using analytical software (measure picture CAD-KAS Kessler Germany). Dunnett's test was used to compare control group against experimental groups.

After the statistical test, the highest mean percentage was presented in the laser group with 17% EDTA (Group C=85.9804) followed by the laser group with 5.25% NaOCl (Group D=69.7817) and ultrasonic group (Group B=34.5453) respectively and the lowest mean percentage was in the control group (Group A=20.7969).

Based on this in vitro study, PIPS technique using Er,Cr:YSGG pulse laser (0.5 W,5 Hz, air and water off) at short pulse duration and 17% EDTA proved effectively in smear layer removal, while the PIPS proved an acceptable result when the laser is used alone assisted by NaOCl.

Calcium hypochlorite (CH) has been recently used as a root canal irrigant. The aim of the present study was to compare the effect of CH and sodium hypochlorite (SH), as root canal irrigants, on the push-out bond strength of fiber posts cemented with an etch-and-rinse resin cement.

In this experimental in-vitro study, 40 human anterior teeth with similar root lengths were randomly divided into five groups (N=8) according to the protocol of root canal irrigation as follows: group 1: saline (control); group 2: 2.5% SH; group 3: 5.25% SH; group 4: 2.5% CH; group 5: 5% CH. Before post placement, the post space was irrigated using the same irrigation protocol, and after that, they were irrigated by distilled water. Fiber posts were cemented with All-Bond 3 bonding and Dou-Link Universal cement. After thermocycling (1000 cycles, 5-55°C), a push-out test was performed, and data were analyzed using one-way analysis of variance and Tukey's post-hoc test with SPSS version 23 (α=0.05).

The highest and lowest mean bond strengths were detected in groups 2 and 5, respectively. There was no significant difference between group 1 and the SH groups (P>0.05), but the difference between group 1 and the CH groups was significant (P<0.001). There was a significant difference between SH groups and CH groups (P<0.001).

Compared to SH, as a root canal irrigant, CH decreased the push-out bond strength of fiber posts cemented with an etch-and-rinse resin cement.

This study compared influence of various irrigation protocols on vertical root fracture resistance of root canal treated teeth. Forty-eight extracted mandibular premolars were included in the study. The root canals of teeth were instrumented and specimens were allocated into 4 (n = 12) groups according to the irrigation solutions: Group 1: 5% EDTA, 2.5% NaOCl and DW; Group 2: 5% EDTA, 2.5% NaOCl, DW and 2% CHX; Group 3: 5% EDTA, 2.5% NaOCl and 5% Na2S2O3; Group 4: 5% EDTA, 2.5% NaOCl, 5% Na2S2O3 and 2% CHX. Root canals were filled and a load in a vertical direction was applied a week later to specimens. The data were analysed using two-way ANOVA test (P < 0.05). Interaction between using DW or Na2S2O3 and using or not using CHX had a significant effect on fracture resistance to vertical forces (P < 0.001). Irrigation with Na2S2O3 improves fracture resistance to vertical forces when compared to irrigation with DW (P < 0.001). Irrigation with CHX did not affect fracture resistance to vertical forces (P = 0.759). The irrigation solutions statistically affect resistance of root canal treated teeth to vertical fracture forces.

The study aims to investigate the endodontic debridement efficacy of the different sodium hypochlorite (NaOCl) irrigation regimens with and without ultrasonic agitation followed by ethylenediaminetetraacetic acid (EDTA) via scanning electron microscope (SEM) after the rotary instrumentation system.

Single-rooted teeth (n=50) were randomly divided into 5 experimental groups (n=10) and root canals were prepared with ProTaper Universal rotary system up to F3. The root canal system was treated with intracanal heated (100°C) NaOCl or preheated (55°C) NaOCl followed by ultrasonic agitation and EDTA treatment. Samples irrigated with conventional needle irrigation using normal saline were used as controls. Debridement efficacy was analyzed by scanning electron microscope (SEM). A five-point scale was used to estimate the presence/absence of debris for each canal segment (coronal, middle, and apical). Data were analyzed using One-Way ANOVA and post-hoc Tukey tests (P<0.05).

All experimental groups had less debris than the control (P<0.05). The amount of debris decreased significantly for the group with NaOCl intracanal heating compared to extraoral heating. The ultrasonic agitation further enhanced the root canal debridement efficacy of NaOCl.

In summary, with and without ultrasonic agitation of the intracanal heated NaOCl followed by EDTA appears to be very promising in eliminating debris from the root canal system.

The present study aimed to evaluate the impact of continuous irrigation with saline solution at room temperature or +4°C on the cyclic fatigue resistance of K3XF files.

Forty-eight new K3XF files (#30, .04 taper) were randomly assigned to three groups: control group (no irrigation), continuous irrigation with saline solution at room temperature, and continuous irrigation with saline solution at +4°C. The instruments were tested in an artificial, stainless steel root canal with a double curvature at body temperature (37±1°C). Time to fracture was converted to the number of cycles to fracture (NCF). The lengths of the fractured fragments were recorded. Kruskal–Wallis H test and one-way ANOVA were used to analyze data.

K3XF files’ cyclic fatigue resistance was significantly higher in the continuous irrigation groups than in the control group. Continuous irrigation with saline solution at +4°C resulted in higher cyclic fatigue resistance than continuous irrigation with saline solution at room temperature. There were no significant differences between the groups in terms of the fractured fragments’ length.

Within this study’s limitations, continuous irrigation with saline solution increased the NCF of NiTi instruments; decreasing the saline solution’s temperature increased this effect.

Pharmacological factors, such as ibuprofen, released topically in the periodontal pocket modulate the host response and enhance the influence of non-surgical periodontal treatment.

In this double-blind, randomized, split-mouth, clinical trial, 38 outpatients with mild to moderate chronic periodontitis were enrolled by applying the simple random sampling method. They had at least one tooth with a periodontal pocket depth of >4 mm in each quadrant and had undergone phase I of periodontal treatment one week after scaling and root planing (SRP). The parameters of clinical periodontal evaluation, including probing pocket depth (PPD), clinical attachment level (CAL), plaque index (PI), and bleeding index (BI), were measured. In addition, two mandibular molar teeth in one quadrant were randomly nominated for subgingival irrigation with 0.5 mL of 2% ibuprofen or placebo mouthwash. The measurements were repeated after at least one week for three months.

Thirty-four individuals (18 women and 16 men), with an age range of 28‒36 years, were evaluated for three months. Moreover, periodontal clinical parameters were assessed within three months. There was a significant improvement in pocket depth (PD) and clinical attachment level (CAL) readings after 12 weeks in both groups (paired t-test). On comparing, the group with scaling and root planing (SRP) + ibuprofen showed more favorable results than the group with SRP + placebo (P<0.05). There were significant improvements in PI and BI in both groups; the differences between the two groups were significant (P<0.05).

The mouthwashes containing ibuprofen might reduce the symptoms of periodontal disease and might be used as an adjunct in the healing process.

 

Root discoloration is reported after using Ledermix paste for prevention of external inflammatory root resorption in traumatically injured teeth. Therefore, it seems necessary to remove Ledermix completely from the root canal prior to root canal filling. The aim of this study was to evaluate the efficacy of sodium hypochlorite or alcohol with or without passive ultrasonic irrigation in removing Ledermix from standardized grooves in coronal and apical root canal thirds. Methods and Materials: Root canals of ten extracted single-rooted teeth were prepared to size 35 and split longitudinally. Standardized grooves were cut in the coronal and apical part of the root canal and filled with Ledermix paste. The reassembled specimens were irrigated with 1% NaOCl or 80% alcohol delivered with a size 30 syringe or with an ultrasonic device. The amount of remaining Ledermix paste was evaluated by three calibrated observers under 30× magnification using a four-grade scoring system. The data was analysed with a nonparametric ANOVA-type method for longitudinal data in factorial experiments. Pairwise comparisons were adjusted by using the Bonferroni corrections (P=0.05). For the coronal groove, no statistical difference between passive ultrasonic irrigation with NaOCl or alcohol was found (P=0.089). Irrigation with ultrasonically activated alcohol was significantly more effective than manual irrigation irrespective of the irrigant (P=0.0118). Ultrasonic activation of alcohol removed Ledermix paste significantly better from the apical groove than the other irrigation procedures (P<0.05). This in vitro study showed that ultrasonic activation of alcohol was the most effective irrigation technique for removal of Ledermix paste, especially in the apical third of the root canal.

The purpose of this in vitro study was to compare the effectiveness of sonic activation and syringe irrigation of 5.25% sodium hypochlorite in removing the Enterococcus faecalis (E. faecalis) biofilm. Methods and Materials: Root canals of 54 extracted human single-rooted central incisors were prepared with ProTaper S1-S2-F1-F2 and Gates Gliden burs size 1, and 2 at the working length. After sterilization, the root canals were contaminated with E. faecalis suspension and randomly assigned to three groups: G1, conventional syringe irrigation; G2, sonic agitation of NaOCl with Endo Activator system; and G3, no subjected to the mentioned irrigation techniques (negative control). Canals were sampled after the disinfection procedure. The colony forming units (CFU) count was evaluated. Samples were also visualized under fluorescent microscope to count viable bacteria. Data were statistically analyzed using the Kruskal-Wallis and one-way ANOVA followed by Tukey’s test (P<0.05). There was a significant reduction in the CFU count after both irrigation techniques. There was no significant difference between two techniques (P=0.874). Using bacterial viability kit, Endo Activator displayed the least viable bacteria than the other groups (P<0.001) and control group showed the greatest one (P<0.001). In this in vitro study, the Endo Activator system was more successful in reducing intratubular viable bacteria compared with NaOCl syringe irrigation alone.

The aim of this study was to evaluate the effectiveness of different irrigation techniques in the removal of triple antibiotic paste (TAP), which was applied for 7, 21 or 90 days, from simulated root canals of immature teeth. The root canal spaces of 190 maxillary canine teeth were filled with TAP and randomly divided into a control and 3 experimental groups according to the intracanal medicament period (7, 21 or 90 days). Syringe irrigation (SI), passive ultrasonic irrigation (PUI) and XP-endo Finisher (XP) were used for the removal of TAP (n=20). The amount of remaining medicament was calculated under a stereomicroscope using a 4-grade scoring system. Kruskal-Wallis H and Wilcoxon signedrank tests were used for statistical analyses (P<0.05). The mean percentage of residual TAP was significantly greater in the SI group compared to PUI and XP at all the time intervals (P<0.05). Paste removal efficacy of PUI was not affected by the intracanal time of TAP (P>0.05), whereas the efficacy of SI and XP was significantly affected (P<0.05). No significant differences were detected between PUI and XP at 7- and 21-day intervals (P>0.05); however, at 90-day interval, PUI removed significantly greater amount of TAP than XP did (P<0.05). The time of the TAP in the root canal negatively affected the removal efficacy of the SI and XP-Endo Finisher; however, it did not affect the efficacy of the PUI.

To determine what would be the minimal apical diameter for optimal chemomechanical preparation in the root canal system in terms of debridement and/or irrigation delivery, in patients undergoing nonsurgical root canal treatment. Methods and Materials: Randomized controlled clinical trials, cohorts, cross-over studies from peer-reviewed journals published in English from January 1950 to June 2018 which reported outcome in terms of healing, microbial reduction and/or effectiveness of irrigation delivery to the apical third of the root canal system. Two reviewers conducted a comprehensive literature search. There were no disagreements between the two reviewers. The articles that met the inclusion criteria went through a predefined review process. Due to the variety of methodologies and different techniques used to measure outcome for master apical file enlargement, it was not possible to standardize the research data and to perform meta-analysis. Twelve clinical articles were identified that met the inclusion criteria. The overall level of evidence on this topic was moderate (fair). From this systematic review, the majority of the studies collected and referred to recommend sizes higher than #30 as the minimal size in order to adequately prepare the apical region of the root canals. Only 2 out of 12 studies suggested the size #25 as acceptable. From this systematic review it may be concluded that a larger MAF preparation above size 30 aids chemomechanical action.

The aim of the present study was to simultaneously investigate parasitic contamination of treated wastewater and downstream
vegetable farms that are irrigated with treated sewage, during a year. (Oo) Cysts and eggs of parasites are resistant to most of routine wastewater treatment process. Irrigation of vegetables
farms with either treated wastewater or illegally use of raw wastewaters enhances the risk of contamination with enteric pathogens. The treated wastewater samples were taken after chlorination from a wastewater treatment plant located at the south of
Tehran. In addition, 60 vegetable samples (5 samples from each farm) were collected from the selected downstream farms that
routinely used treated wastewater for irrigation of crops. Parasitological tests were performed using Ziehl–Neelsen, conventional
lugol’s iodine staining and direct microscopical examination. Parasites including free living larvae, eggs of Toxoascaris leonina, egg of Toxocara sp. Trichuris sp, Trichostrongylus sp
and amoeboid trophozoite were seen in 5/12 (41.7%) of vegetable samples gathered during a year. There was no statistically
significant correlation between the season and parasitic contamination of the vegetables (P= 1). Furthermore, parasitic contamination
was observed in 7/12 (53.8%) of treated wastewater samples. The correlation between season and parasitic contamination of treated
wastewater was evaluated that the results showed a higher contamination of treated wastewater in spring and autumn (P<0.05).
Fisher’s exact test also showed that there was no significant correlation between parasitic contaminations of vegetable samples and
treated wastewater according to seasonal change. The results showed parasites in both treated wastewater plant and downstream crops farms that suggests the public
health importance of the quality of water resources that routinely used for irrigation of vegetable farms

Transurethral lithotripsy (TUL) is a major modality for the endoscopic management of ureteral stones. Ureteral spasm makes access for ureters difficult, which causes impaction of the ureteroscope, ureteral dislodge, and a low success rate of endoscopic surgeries. This study described the outcomes of a new endoscopic surgical experience by use of 40-degree warm saline irrigation during TUL compaired with routine ambient air irrigation in TUL.

In this randomized clinical trial from 2014 to 2015, 150 patients with ureteral stone with balanced randomization were divided into two parallel groups. Patients underwent TUL in the first group with 20–25 degree saline irrigation and in the second group with 40-degree saline irrigation. One surgical team with the same semi-rigid instrument performed all TULs and the other steps were similar in both groups. Complete stone fragmentation was measured as the primary outcome and the duration of procedure, retrograde stone migration and all and any intraoperative complications were the secondary measurements.

While comparing warm saline irrigation with cold saline irrigation, the rate of access to upper ureter was 95% versus 72%, stone retropulsion frequency was 10.7% versus 30.7% and the stone-free rate was 96% versus 76% respectively (P

Using warm saline irrigation in endoscopic surgeries results in better surgical outcomes including a lower ureteral spasm rate, greater ureteral muscle relaxation and better access to the upper ureteral zone, and a lower rate of complications, such as ureteroscope impaction, ureteral dislodge and stone retropulsion.

The wastewater of alcohol plants is called Vinasse. After conversion of molasses to alcohol and other derivatives, this compound must be removed as waste from the factory.
If released without careful planning and proper management and supervision, this wastewater can cause serious and several social, economic, and environmental consequences. Therefore, it is very important to eliminate heavy elements before the waste goes deep into the soil or to underground water reservoirs.
The aim of this study is to use 2 natural absorbents zeolite and vermiculite to low-off or lower the movement of heavy metals lead and cadmium in the soil.
To evaluate the potential of Vermiculite and Zeolites in refinement of metal pollutants cadmium and lead, 2 irrigation periods by Vinasse and 3 treatments were conducted. First, the soil of the region was irrigated by Vinasse up to the saturation level. Second, the soil of the region with 2 layers of Zeolites in the depths of 25 cm and 50 cm was irrigated by Vinasse up to the saturation level. Third, the soil of the region with 2 layers of Vermiculites (same depths as treatment two) was irrigated by Vinasse up to the saturation level. The experiment was performed within columns with diagonal of 90 mm and height of 1000 mm. Surface irrigation (flooding) with the volume of 2.3 l was conducted every 5 days. Sampling in the depths of 15 - 25 cm and 40 - 50 cm of soil columns and drained water from the bottom of the soil columns were collected 24 hours after each irrigation and samples were taken to a laboratory to perform chemical analysis.
The results showed that before the experiment, the amounts of lead and cadmium in soil were 2.6 mg/kg and 42.0 mg/kg, respectively. As for Vinasse, the amounts were 46.2 and 7.11 mg/kg, respectively. After irrigation by Vinasse in the depth of 15-25 in treatments 1, 2, and 3, the increases in the level of cadmium were 0.034, 0.042, and 0.04 mg/kg, respectively. In addition, the increases in the level of lead in the depth of 30-50 in treatments 1, 2, and 3 were 0.28, 0.036, and 0.034 mg/kg, respectively.
The concentration of lead in drainage water in all three treatments decreased. Vermiculite was not effective in adsorbing lead compared to the treatment in which no adsorbent was used.