Endodontic irrigants from a comprehensive perspective  

作　　者：Rayana Duarte Khoury Lara Steffany de Carvalho Mauro Felipe Rios do Nascimento Fadi Alhussain AmjadAbu Hasna 

机构地区：[1]Department of Restorative Dentistry,Endodontics Division,Institute of Science and Technology,São Paulo State University,São Josédos Campos 12245000,SP,Brazil [2]Department of Biosciences and Oral Diagnosis,Institute of Science and Technology,São Paulo State University,São Josédos Campos 12245000,SP,Brazil [3]School of Dentistry,The National Institute of Higher Education and Postgraduate Studies Padre Gervásio-INAPÓS,Pouso Alegre 37550-121,MG,Brazil [4]School of Dentistry,Syrian Private University,Al Kiswah 877C+P2,Damascus,Syria [5]School of Dentistry,Universidad Espíritu Santo,Samborondón 092301,Ecuador

出　　处：《World Journal of Clinical Cases》2024年第21期4460-4468,共9页世界临床病例杂志

摘　　要：This review article explores the fundamental principles of modern endodontics with a focus on root canal cleaning and shaping.It reviews commonly used endodontic irrigant,namely sodium hypochlorite(NaOCl),herbal extracts,chlorhexidine(CHX),and chelating agents,highlighting their properties,applications,and potential drawbacks.NaOCl,a key antimicrobial agent,demonstrates effectiveness against various microorganisms but poses challenges such as high cytotoxicity.Herbal extracts,gaining recognition in endodontics,present an alternative with potential advantages in preserving dentin integrity.CHX,known for its broad-spectrum antimicrobial activity,is discussed in both liquid and gel formulations,emphasizing its role in reducing smear layer formation and preserving hybrid layer durability.Chelating agents,specifically ethylenediaminetetraacetic acid and citric acid,play a vital role in removing the smear layer,enhancing dentin permeability,and facilitating the penetration of antimicrobial agents.The review article underscores the importance of careful application and consideration of each irrigant's properties to ensure safe and effective endodontic procedures.It serves as a valuable guide for clinicians in selecting appropriate irrigants based on specific treatment requirements.

关 键 词：Root canal irrigants Sodium hypochlorite CHLORHEXIDINE Chelating agents Plant extracts 

分 类 号：R781.4[医药卫生—口腔医学]