Cleaning effect of ultrasonic activation as an adjunct to syringe irrigation of root canals：a systematic review
- VernacularTitle:比较注射冲洗与辅助超声荡洗对根管清洁效果的系统评价
- Author:
Yuanyuan CHEN
1
;
Wenhui ZHANG
;
Bin GUO
;
Xiaolong GUO
;
Shilu HUANG
;
Hu LONG
;
Min FU
;
Manxin YANG
;
LYan
Author Information
- Keywords: ultrasonic irrigation; syringe irrigation; Meta-analysis; systematic review
- From: West China Journal of Stomatology 2015;(2):145-152
- CountryChina
- Language:Chinese
- Abstract: Objective?To?investigate?evidence?supporting?whether?ultrasonic?irrigation?as?a?supplement?is?more?effective?than?syringe?irrigation?in?root?canal?cleaning.?Methods???An?electronic?search?was?conducted?in?PubMed,?Embase,?Web?of?Science,?Cochrane?Library,?ProQuest?Dissertation?and?Theses,?Database?for?Chinese?Technical?Periodicals,?China?National?Knowledge?Infrastructure,?Wanfang?Database,?and?Chinese?Biomedical?Literature?Database.?Studies?were?retrieved?from?January?1,?1985?to?March?1,?2014.?The?Chinese?journals?on?stomatology?and?the?bibliography?of?all?relevant?articles?were?manually?searched.?Relevant?clinical?randomized?controlled?trial?(RCT)?and?clinical?controlled?trial?(CCT)?were?selected.?Two?investigators?evaluated?the?risk?of?bias?of?the?included?trials?in?accordance?with?Cochrane?risk?of?bias?assessment?tools?and?collected?data?of?included?studies.?Meta-analysis?was?then?performed?in?RevMan?5.2.?Results???Nine?articles?that?satis-fied?the?eligibility?criteria?were?included?in?this?Meta-analysis.?Seven?studies?showed?low?bias?risk,?and?the?remaining?studies?exhibited?moderate?bias?risk.?Histological?results?showed?that?ultrasonic?irrigation?supplement?could?significantly?improve?canal?and?isthmus?debridement?at?the?apical?area?(P<0.01).?Antibacterial?efficacy?was?evaluated?by?bacterial?culture?(P=0.26)?and?polymerase?chain?reaction?(P=0.99)?methods,??no?sig-nificant?differences?in?antibacterial?efficacy?were?observed.?Conclusion???Ultrasonic?irrigation?supplement?is?more?effec-tive?than?syringe?irrigation?in?root?canal?debridement?at?the?apical?area.?However,?antibacterial?efficacy?is?not?statisti-cally?significant.
