SynthesisClinical oral investigations2018
Effectiveness of ultrasonically activated irrigation on root canal disinfection: a systematic review of in vitro studies.
Synthesis in Clinical oral investigations, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 6 of them syntheses that pooled it.
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
51 citing papers in PubMed, 6 syntheses or guidelines pooled it, 107 citations in OpenAlex.
- Mapping risk of bias criteria in systematic reviews of in vitro endodontic studies: an umbrella review.Evidence-based dentistry · 2025Pooled it
- Impact of passive ultrasonic irrigation on the outcome of non-surgical root canal treatment: a systematic review and meta-analysis of randomized clinical trials.Evidence-based dentistry · 2024Pooled it
- Comparative Efficacy of Different Irrigant Activation Techniques for Irrigant Delivery Up to the Working Length of Mature Permanent Teeth: A Systematic Review and Meta-Analysis.European endodontic journal · 2023Pooled it
- Pooled it
- Irrigating Solutions and Activation Methods Used in Clinical Endodontics: A Systematic Review.Frontiers in oral health · 2022Pooled it
- Passive Ultrasonic Irrigation Efficacy in the Vapor Lock Removal: Systematic Review and Meta-Analysis.TheScientificWorldJournal · 2019Pooled it
- Histological evaluation of the debris removal efficiency of activation of sodium hypochlorite solution at different concentrations.BMC oral health · 2023Trial
- Comparative in vitro evaluation of sonic, passive ultrasonic, and Er: YAG laser-activated irrigation on Enterococcus faecalis reduction and smear layer/debris removal in root canals.BMC oral health · 2026Article
- Influence of repeated cycles of full-strength sodium hypochlorite activation on the mechanical behavior of root canal-treated teeth: a laboratory study.BMC oral health · 2026Article
- Effect of laser-activated and passive ultrasonic irrigation on apical sealing and dentinal tubule penetration of a bioceramic sealer: AnJournal of conservative dentistry and endodontics · 2026Article
- Buccal cervical access preparation in single-rooted mandibular premolars - A case series with 24-month follow-up.Journal of conservative dentistry and endodontics · 2026Article
- In vitro experimental study comparing continuous and intermittent irrigation protocols: influence of sodium hypochlorite volume and contact time on tissue dissolution.Restorative dentistry & endodontics · 2025Article
- Influence of Ultrasonic Activation of Endodontic Irrigants on Microbial Reduction and Postoperative Pain: A Scoping Review of In Vivo Studies.Dentistry journal · 2025Review
- Antimicrobial efficacy of methylene blue-functionalized graphene oxide-mediated photodynamic therapy againstJournal of Taibah University Medical Sciences · 2025Review
- Debris Removal from Mandibular Molars Using Different Irrigation Volumes and Ultrasonic Tips: Micro-CT Study.Journal of clinical and experimental dentistry · 2025Article
- Antimicrobial efficacy of methylene blue-functionalized graphene oxide-mediated photodynamic therapy againstJournal of Taibah University Medical Sciences · 2025Article
- Temperature Changes of NaOCl after Irrigation Using Passive Ultrasonic Irrigation, Easy Clean, and XP-Endo Finisher: A Randomized Crossover Clinical Trial.European journal of dentistry · 2025Article
- Do the apical limit and diameter of the instrumentation influence the extrusion of sodium hypochlorite solution? A micro-CT study.Odontology · 2025Article
- Evaluation of bacterial biofilm, smear layer, and debris removal efficacy of a hydro-dynamic cavitation system with physiological saline using a new ex vivo model: a CLSM and SEM study.BMC oral health · 2025Article
- Impact of laser irrigation systems on root canal disinfection: A comparativeBioinformation · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesReduction of microbial load from the root canal systems is a pre-requisite for healing of lesions of endodontic origin. Such microbial reduction is influenced by the method of irrigant delivery and activation. The aim of this systematic review was to compare the effect of ultrasonically activated irrigation (UAI) with other irrigation techniques on the reduction of microorganisms during root canal disinfection. MATERIALS AND
methodsThe research question was created based on the PICO strategy. Two reviewers independently performed a comprehensive literature search in electronic databases. Following application of inclusion and exclusion criteria to the selected articles, a systematic data extraction sheet was constructed. The selected articles were assessed using methodological quality scoring protocol. The risk of bias in selected studies was critically assessed by two reviewers.
resultsA total of 15 articles were included for the systematic review. The included studies were heterogeneous in study design; hence, meta-analysis was not performed. The overall risk of bias for the selected studies was moderate. Overall, UAI showed superior reduction of microbial counts, resulting in better disinfection compared to other irrigation systems chosen for comparison in this review.
conclusionThe use of UAI can bring about superior microbial reduction within the root canal system compared to other irrigant activation techniques. CLINICAL RELEVANCE: Activation of irrigants with ultrasonic brings about significant bacterial reduction from the root canal systems compared to other methods of irrigant activation and conventional syringe irrigation. This might help in improving the outcome of root canal treatment.
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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.