ArticleInternational endodontic journal2010
Canal and isthmus debridement efficacies of two irrigant agitation techniques in a closed system.
Article in International endodontic journal, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
37 citing papers in PubMed, 161 citations in OpenAlex.
- Efficacy of different irrigant activation techniques for cleaning root canal anastomosis.BMC oral health · 2023Trial
- Shaping Efficiency of Heat-Treated Reciprocating Systems in Mandibular Molars: A Micro-CT Analysis.European journal of dentistry · 2026Article
- Article
- Assessment of Root Canal Anatomy of Mandibular Permanent Incisors in a Sample of Yemeni Population.International journal of dentistry · 2025Article
- Outcome of nonsurgical management of large cyst-like periapical lesions using a modified apical negative pressure irrigation system: a case series study.BMC oral health · 2024Observational
- Morphological assessment of the isthmus in mesial root canals of first mandibular molars.Acta odontologica latinoamericana : AOL · 2023Article
- Effect of preparation size on the removal of accumulated hard-tissue debris from the mesial root canal system of mandibular molars using SWEEPS technology.Clinical oral investigations · 2023Article
- Marginal gaps and voids using two warm compaction techniques and different sealers: a micro-CT study.Clinical oral investigations · 2023Article
- Evaluation of Different Agitation Techniques on Smear Layer Formation and Dentine Erosions- An In Vitro Study.European endodontic journal · 2023Article
- Effect of different activations of silver nanoparticle irrigants on the elimination of Enterococcus faecalis.Clinical oral investigations · 2021Article
- Determination of Optimal Separation Times for Dual-Pulse SWEEPS Laser-Assisted Irrigation in Different Endodontic Access Cavities.Lasers in surgery and medicine · 2021Article
- Influence of CBCT-based volumetric distortion and beam hardening artefacts on the assessment of root canal filling quality in isthmus-containing molars.Dento maxillo facial radiology · 2021Article
- An experimental intraradicular biofilm model in the pig for evaluating irrigation techniques.BMC oral health · 2021Article
- Measurement of Simulated Debris Removal Rates in an Artificial Root Canal to Optimize Laser-Activated Irrigation Parameters.Lasers in surgery and medicine · 2021Article
- Article
- Smear layer removal by passive ultrasonic irrigation and 2 new mechanical methods for activation of the chelating solution.Restorative dentistry & endodontics · 2021Article
- Effect of Propolis Nanoparticles againstMolecules (Basel, Switzerland) · 2021Article
- Comparison of Herbal Agents with Sodium Hypochlorite as Root Canal Irrigant: A Systematic Review ofEvidence-based complementary and alternative medicine : eCAM · 2021Review
- Limitation of diagnostic value of cone-beam CT in detecting apical root isthmuses.Journal of applied oral science : revista FOB · 2020Article
- Micro-CT comparison of XP-endo Finisher and passive ultrasonic irrigation as final irrigation protocols on the removal of accumulated hard-tissue debris from oval shaped-canals.Clinical oral investigations · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
Abstract
aimTo compare canal and isthmus debris debridement efficacies of the manual dynamic irrigation (MDI) and apical negative pressure (ANP) techniques in the mesial root of mandibular first molars with narrow isthmi, using a closed canal design. METHODOLOGY: Micro-computed tomography was employed to select 20 teeth, each containing a narrow isthmus. Each root was sealed at the apex with hot glue and embedded in polyvinylsiloxane to simulate a closed canal system. The teeth were submitted to a standardized instrumentation protocol. Final irrigation was performed with either the MDI or the ANP technique using the EndoVac system (N=10). Masson trichrome-stained sections were prepared from completely demineralized roots at 10 canal levels between 1 and 2.8mm of the anatomical apices. Areas occupied by canals and isthmus of each root and debris in the corresponding regions were digitized by the NIH Image J software and statistically analysed using two-way repeated measures anova.
resultsFor the instrumented canals, there were no differences between the two groups (P=0.131) in the area occupied by debris at all canal levels (P=0.343). Conversely, for the isthmus, less debris was found in the ANP group (P<0.001) but no differences were seen in each group with respect to the 10 canal levels (P=0.352).
conclusionNeither technique completely removed debris from the isthmus regions. However, the EndoVac system, which encompasses the ANP concept, removed considerably more debris from narrow isthmi in mandibular mesial roots.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.