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SYSTEMATIC REVIEW
Year : 2022  |  Volume : 17  |  Issue : 1  |  Page : 196-202

Machine-Assisted irrigation systems for smear layer removal in root canal treatment: A systematic review


Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College and Hospital, DMIMSDU, Wardha, Maharashtra, India

Correspondence Address:
Dr. Kajol Relan
Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College and Hospital, DMIMSDU, Sawangi, Wardha, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_453_21

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Objectives: The objective was to evaluate the efficacy of three machine-assisted irrigation systems in smear layer removal from apical one-third of the root canal system. Data Source: A comprehensive search of last 10 years was performed in the following systematic electronic database: PubMed/Medline and Scopus. Data Selection: We included in-vitro studies that compared Endoactivator, Endovac, and Passive ultrasonic irrigation system's clinical success of smear layer removal in apical one-third of the root canal systems. Data Synthesis: A total of 72 nonduplicated studies were retrieved in the systematic search. Seven studies included in the study assessed the success rate of smear layer removal in the apical third of the root canal system of three irrigation systems through scanning electron microscopic evaluation. These studies were classified as low risk of bias. The studies evaluating the scanning electronic microscopy of smear layer removal in the apical one-third of the root canal comparing the Endoactivator and Passive ultrasonic irrigation showed no statistical difference (P < 0.05). The studies evaluating the scanning electronic microscopy of smear layer removal in the apical one-third of the root canal comparing the Endoactivator and Endovac showed statistical difference (P > 0.05). Conclusion: Based on the findings, Endovac irrigation system was found to be effective in smear layer removal from apical one-third of the root canal system. Further in-vivo studies and clinical trials are required for more conclusive results.


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