Efficacy of chlorhexidine as a final irrigant in one‐visit root canal treatment: a prospective comparative study
Aim To evaluate postoperative pain and radiographic evidence of periapical healing in teeth with apical periodontitis treated in one visit with an additional final irrigation using 2% chlorhexidine (CHX) and to compare the results with conventional two‐visit root canal treatment (RCT) with an intrac...
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| Veröffentlicht in: | International endodontic journal 2018-10, Vol.51 (10), p.1069-1076 |
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| creator | Kurt, S Miçooğulları Çalışkan, M K |
| description | Aim
To evaluate postoperative pain and radiographic evidence of periapical healing in teeth with apical periodontitis treated in one visit with an additional final irrigation using 2% chlorhexidine (CHX) and to compare the results with conventional two‐visit root canal treatment (RCT) with an intracanal calcium hydroxide (CH) dressing as a control group.
Methodology
Ninety asymptomatic maxillary anterior teeth with periapical lesions were treated by a single operator. Root canals were prepared using the step‐back technique with manual instrumentation with 2.5% NaOCl and 5% EDTA as irrigants. Half of the teeth were randomly assigned to the one‐visit (OV) group and received an additional final rinse with 2% CHX before canal filling. The other teeth were treated in two visits (TV) with a CH paste made by mixing CH powder and distilled water as an interappointment dressing. All patients were recalled and investigated clinically and radiographically for 24 months. Postoperative pain at 24–48 h and changes in apical bone density indicating radiographic healing were evaluated statistically using the Mann–Whitney U‐test followed by the Friedman and the Wilcoxon tests (α = 0.05).
Results
There were no significant differences between two groups regarding the incidence of postoperative pain at 24 h (OV group 50% no pain, 47.6% mild, 2.4% moderate pain/TV group 55% no pain, 42.5% mild, 2.5% moderate pain) and at 48 h (OV group 95% no pain, 5% mild pain/TV group 98% no pain, 2% mild pain). None of the patients reported severe postoperative pain, swelling and/or flare‐ups during the follow‐up period. There was no significant difference in the radiographic healing rates (OV group 97.6% PAI 1 and/or PAI 2 and 2.4% PAI 3/TV group 95% PAI 1 and/or PAI 2 and 5% PAI 3; P > 0.05).
Conclusion
Both groups provided favourable and similar postoperative pain and periapical healing rates at 24 months. Thus, one‐visit RCT with a final rinse with 2% CHX is an acceptable alternative to two‐visit RCT with CH as temporary dressing in maxillary anterior teeth. |
| doi_str_mv | 10.1111/iej.12931 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2020490253</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2020490253</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3531-cae7af7db19dfefb9b6589c8be9da5c6a5731f2adaa06b71aae5d407d0ab6c1b3</originalsourceid><addsrcrecordid>eNp10c9OFTEUBvCGaOCKLngB08QNLgb653Zmyo6Qq2JI3Oh6cqY9hd7MTK9tB7g7HsFn9EksXHRBYjft4tcvPf0IOeLshJd16nF9woWWfI8suKxVJZTmr8iC8aWsRNuqA_ImpTVjTDHJ98mB0DWTQusFiSvnvAGzpcFRczOEeIP33voJKSQK1PkJBupj9NcwZeonGib8_fDr1iefaQwhUwOPJEeEPOKUz8qtTQxpgyb7W6QmjBuI8HROebbbt-S1gyHhu-f9kPz4tPp-8aW6-vb58uL8qjJSSV4ZwAZcY3uurUPX675WrTZtj9qCMjWoRnInwAKwum84ACq7ZI1l0NeG9_KQHO9yy2t-zphyN_pkcBhgwjCnTjDBlpoJJQv98IKuwxzLWEVxxngrpBJFfdwpU8ZLEV23iX6EuO046x6L6EoR3VMRxb5_Tpz7Ee0_-ffnCzjdgTs_4Pb_Sd3l6usu8g_pMJU3</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2100182352</pqid></control><display><type>article</type><title>Efficacy of chlorhexidine as a final irrigant in one‐visit root canal treatment: a prospective comparative study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Kurt, S Miçooğulları ; Çalışkan, M K</creator><creatorcontrib>Kurt, S Miçooğulları ; Çalışkan, M K</creatorcontrib><description>Aim
To evaluate postoperative pain and radiographic evidence of periapical healing in teeth with apical periodontitis treated in one visit with an additional final irrigation using 2% chlorhexidine (CHX) and to compare the results with conventional two‐visit root canal treatment (RCT) with an intracanal calcium hydroxide (CH) dressing as a control group.
Methodology
Ninety asymptomatic maxillary anterior teeth with periapical lesions were treated by a single operator. Root canals were prepared using the step‐back technique with manual instrumentation with 2.5% NaOCl and 5% EDTA as irrigants. Half of the teeth were randomly assigned to the one‐visit (OV) group and received an additional final rinse with 2% CHX before canal filling. The other teeth were treated in two visits (TV) with a CH paste made by mixing CH powder and distilled water as an interappointment dressing. All patients were recalled and investigated clinically and radiographically for 24 months. Postoperative pain at 24–48 h and changes in apical bone density indicating radiographic healing were evaluated statistically using the Mann–Whitney U‐test followed by the Friedman and the Wilcoxon tests (α = 0.05).
Results
There were no significant differences between two groups regarding the incidence of postoperative pain at 24 h (OV group 50% no pain, 47.6% mild, 2.4% moderate pain/TV group 55% no pain, 42.5% mild, 2.5% moderate pain) and at 48 h (OV group 95% no pain, 5% mild pain/TV group 98% no pain, 2% mild pain). None of the patients reported severe postoperative pain, swelling and/or flare‐ups during the follow‐up period. There was no significant difference in the radiographic healing rates (OV group 97.6% PAI 1 and/or PAI 2 and 2.4% PAI 3/TV group 95% PAI 1 and/or PAI 2 and 5% PAI 3; P > 0.05).
Conclusion
Both groups provided favourable and similar postoperative pain and periapical healing rates at 24 months. Thus, one‐visit RCT with a final rinse with 2% CHX is an acceptable alternative to two‐visit RCT with CH as temporary dressing in maxillary anterior teeth.</description><identifier>ISSN: 0143-2885</identifier><identifier>EISSN: 1365-2591</identifier><identifier>DOI: 10.1111/iej.12931</identifier><identifier>PMID: 29603299</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; apical periodontitis ; Bone density ; Bone healing ; Calcium hydroxide ; Chlorhexidine ; Chlorhexidine - therapeutic use ; Dentistry ; Endodontics ; Female ; Gum disease ; Humans ; Incidence ; Lavage ; Male ; Maxilla ; one‐visit root canal treatment ; Pain ; Pain Measurement ; Pain, Postoperative - epidemiology ; Patients ; periapical healing ; Periapical Periodontitis - diagnostic imaging ; Periapical Periodontitis - drug therapy ; Periapical Tissue - diagnostic imaging ; Periodontitis ; Powder ; Prospective Studies ; Radiography, Dental ; Root Canal Filling Materials ; Root Canal Irrigants - therapeutic use ; Root Canal Obturation ; Root Canal Therapy - methods ; Root canals ; Sodium hypochlorite ; Teeth ; Therapeutic Irrigation</subject><ispartof>International endodontic journal, 2018-10, Vol.51 (10), p.1069-1076</ispartof><rights>2018 International Endodontic Journal. Published by John Wiley & Sons Ltd</rights><rights>2018 International Endodontic Journal. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2018 International Endodontic Journal. Published by John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3531-cae7af7db19dfefb9b6589c8be9da5c6a5731f2adaa06b71aae5d407d0ab6c1b3</citedby><cites>FETCH-LOGICAL-c3531-cae7af7db19dfefb9b6589c8be9da5c6a5731f2adaa06b71aae5d407d0ab6c1b3</cites><orcidid>0000-0002-6714-4282 ; 0000-0001-7843-5686</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fiej.12931$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fiej.12931$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29603299$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kurt, S Miçooğulları</creatorcontrib><creatorcontrib>Çalışkan, M K</creatorcontrib><title>Efficacy of chlorhexidine as a final irrigant in one‐visit root canal treatment: a prospective comparative study</title><title>International endodontic journal</title><addtitle>Int Endod J</addtitle><description>Aim
To evaluate postoperative pain and radiographic evidence of periapical healing in teeth with apical periodontitis treated in one visit with an additional final irrigation using 2% chlorhexidine (CHX) and to compare the results with conventional two‐visit root canal treatment (RCT) with an intracanal calcium hydroxide (CH) dressing as a control group.
Methodology
Ninety asymptomatic maxillary anterior teeth with periapical lesions were treated by a single operator. Root canals were prepared using the step‐back technique with manual instrumentation with 2.5% NaOCl and 5% EDTA as irrigants. Half of the teeth were randomly assigned to the one‐visit (OV) group and received an additional final rinse with 2% CHX before canal filling. The other teeth were treated in two visits (TV) with a CH paste made by mixing CH powder and distilled water as an interappointment dressing. All patients were recalled and investigated clinically and radiographically for 24 months. Postoperative pain at 24–48 h and changes in apical bone density indicating radiographic healing were evaluated statistically using the Mann–Whitney U‐test followed by the Friedman and the Wilcoxon tests (α = 0.05).
Results
There were no significant differences between two groups regarding the incidence of postoperative pain at 24 h (OV group 50% no pain, 47.6% mild, 2.4% moderate pain/TV group 55% no pain, 42.5% mild, 2.5% moderate pain) and at 48 h (OV group 95% no pain, 5% mild pain/TV group 98% no pain, 2% mild pain). None of the patients reported severe postoperative pain, swelling and/or flare‐ups during the follow‐up period. There was no significant difference in the radiographic healing rates (OV group 97.6% PAI 1 and/or PAI 2 and 2.4% PAI 3/TV group 95% PAI 1 and/or PAI 2 and 5% PAI 3; P > 0.05).
Conclusion
Both groups provided favourable and similar postoperative pain and periapical healing rates at 24 months. Thus, one‐visit RCT with a final rinse with 2% CHX is an acceptable alternative to two‐visit RCT with CH as temporary dressing in maxillary anterior teeth.</description><subject>Adult</subject><subject>apical periodontitis</subject><subject>Bone density</subject><subject>Bone healing</subject><subject>Calcium hydroxide</subject><subject>Chlorhexidine</subject><subject>Chlorhexidine - therapeutic use</subject><subject>Dentistry</subject><subject>Endodontics</subject><subject>Female</subject><subject>Gum disease</subject><subject>Humans</subject><subject>Incidence</subject><subject>Lavage</subject><subject>Male</subject><subject>Maxilla</subject><subject>one‐visit root canal treatment</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - epidemiology</subject><subject>Patients</subject><subject>periapical healing</subject><subject>Periapical Periodontitis - diagnostic imaging</subject><subject>Periapical Periodontitis - drug therapy</subject><subject>Periapical Tissue - diagnostic imaging</subject><subject>Periodontitis</subject><subject>Powder</subject><subject>Prospective Studies</subject><subject>Radiography, Dental</subject><subject>Root Canal Filling Materials</subject><subject>Root Canal Irrigants - therapeutic use</subject><subject>Root Canal Obturation</subject><subject>Root Canal Therapy - methods</subject><subject>Root canals</subject><subject>Sodium hypochlorite</subject><subject>Teeth</subject><subject>Therapeutic Irrigation</subject><issn>0143-2885</issn><issn>1365-2591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10c9OFTEUBvCGaOCKLngB08QNLgb653Zmyo6Qq2JI3Oh6cqY9hd7MTK9tB7g7HsFn9EksXHRBYjft4tcvPf0IOeLshJd16nF9woWWfI8suKxVJZTmr8iC8aWsRNuqA_ImpTVjTDHJ98mB0DWTQusFiSvnvAGzpcFRczOEeIP33voJKSQK1PkJBupj9NcwZeonGib8_fDr1iefaQwhUwOPJEeEPOKUz8qtTQxpgyb7W6QmjBuI8HROebbbt-S1gyHhu-f9kPz4tPp-8aW6-vb58uL8qjJSSV4ZwAZcY3uurUPX675WrTZtj9qCMjWoRnInwAKwum84ACq7ZI1l0NeG9_KQHO9yy2t-zphyN_pkcBhgwjCnTjDBlpoJJQv98IKuwxzLWEVxxngrpBJFfdwpU8ZLEV23iX6EuO046x6L6EoR3VMRxb5_Tpz7Ee0_-ffnCzjdgTs_4Pb_Sd3l6usu8g_pMJU3</recordid><startdate>201810</startdate><enddate>201810</enddate><creator>Kurt, S Miçooğulları</creator><creator>Çalışkan, M K</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6714-4282</orcidid><orcidid>https://orcid.org/0000-0001-7843-5686</orcidid></search><sort><creationdate>201810</creationdate><title>Efficacy of chlorhexidine as a final irrigant in one‐visit root canal treatment: a prospective comparative study</title><author>Kurt, S Miçooğulları ; Çalışkan, M K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3531-cae7af7db19dfefb9b6589c8be9da5c6a5731f2adaa06b71aae5d407d0ab6c1b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>apical periodontitis</topic><topic>Bone density</topic><topic>Bone healing</topic><topic>Calcium hydroxide</topic><topic>Chlorhexidine</topic><topic>Chlorhexidine - therapeutic use</topic><topic>Dentistry</topic><topic>Endodontics</topic><topic>Female</topic><topic>Gum disease</topic><topic>Humans</topic><topic>Incidence</topic><topic>Lavage</topic><topic>Male</topic><topic>Maxilla</topic><topic>one‐visit root canal treatment</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative - epidemiology</topic><topic>Patients</topic><topic>periapical healing</topic><topic>Periapical Periodontitis - diagnostic imaging</topic><topic>Periapical Periodontitis - drug therapy</topic><topic>Periapical Tissue - diagnostic imaging</topic><topic>Periodontitis</topic><topic>Powder</topic><topic>Prospective Studies</topic><topic>Radiography, Dental</topic><topic>Root Canal Filling Materials</topic><topic>Root Canal Irrigants - therapeutic use</topic><topic>Root Canal Obturation</topic><topic>Root Canal Therapy - methods</topic><topic>Root canals</topic><topic>Sodium hypochlorite</topic><topic>Teeth</topic><topic>Therapeutic Irrigation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kurt, S Miçooğulları</creatorcontrib><creatorcontrib>Çalışkan, M K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International endodontic journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kurt, S Miçooğulları</au><au>Çalışkan, M K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of chlorhexidine as a final irrigant in one‐visit root canal treatment: a prospective comparative study</atitle><jtitle>International endodontic journal</jtitle><addtitle>Int Endod J</addtitle><date>2018-10</date><risdate>2018</risdate><volume>51</volume><issue>10</issue><spage>1069</spage><epage>1076</epage><pages>1069-1076</pages><issn>0143-2885</issn><eissn>1365-2591</eissn><abstract>Aim
To evaluate postoperative pain and radiographic evidence of periapical healing in teeth with apical periodontitis treated in one visit with an additional final irrigation using 2% chlorhexidine (CHX) and to compare the results with conventional two‐visit root canal treatment (RCT) with an intracanal calcium hydroxide (CH) dressing as a control group.
Methodology
Ninety asymptomatic maxillary anterior teeth with periapical lesions were treated by a single operator. Root canals were prepared using the step‐back technique with manual instrumentation with 2.5% NaOCl and 5% EDTA as irrigants. Half of the teeth were randomly assigned to the one‐visit (OV) group and received an additional final rinse with 2% CHX before canal filling. The other teeth were treated in two visits (TV) with a CH paste made by mixing CH powder and distilled water as an interappointment dressing. All patients were recalled and investigated clinically and radiographically for 24 months. Postoperative pain at 24–48 h and changes in apical bone density indicating radiographic healing were evaluated statistically using the Mann–Whitney U‐test followed by the Friedman and the Wilcoxon tests (α = 0.05).
Results
There were no significant differences between two groups regarding the incidence of postoperative pain at 24 h (OV group 50% no pain, 47.6% mild, 2.4% moderate pain/TV group 55% no pain, 42.5% mild, 2.5% moderate pain) and at 48 h (OV group 95% no pain, 5% mild pain/TV group 98% no pain, 2% mild pain). None of the patients reported severe postoperative pain, swelling and/or flare‐ups during the follow‐up period. There was no significant difference in the radiographic healing rates (OV group 97.6% PAI 1 and/or PAI 2 and 2.4% PAI 3/TV group 95% PAI 1 and/or PAI 2 and 5% PAI 3; P > 0.05).
Conclusion
Both groups provided favourable and similar postoperative pain and periapical healing rates at 24 months. Thus, one‐visit RCT with a final rinse with 2% CHX is an acceptable alternative to two‐visit RCT with CH as temporary dressing in maxillary anterior teeth.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29603299</pmid><doi>10.1111/iej.12931</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6714-4282</orcidid><orcidid>https://orcid.org/0000-0001-7843-5686</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult apical periodontitis Bone density Bone healing Calcium hydroxide Chlorhexidine Chlorhexidine - therapeutic use Dentistry Endodontics Female Gum disease Humans Incidence Lavage Male Maxilla one‐visit root canal treatment Pain Pain Measurement Pain, Postoperative - epidemiology Patients periapical healing Periapical Periodontitis - diagnostic imaging Periapical Periodontitis - drug therapy Periapical Tissue - diagnostic imaging Periodontitis Powder Prospective Studies Radiography, Dental Root Canal Filling Materials Root Canal Irrigants - therapeutic use Root Canal Obturation Root Canal Therapy - methods Root canals Sodium hypochlorite Teeth Therapeutic Irrigation |
| title | Efficacy of chlorhexidine as a final irrigant in one‐visit root canal treatment: a prospective comparative study |
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