Evidence map›Paper›PMID 35976101›Full record

ArticleInternational endodontic journal2022

Multispecies biofilm removal by a multisonic irrigation system in mandibular molars.

Hernán Coaguila-Llerena, Ronald Ordinola-Zapata, Christopher Staley, Matthew Dietz, Ruoqiong Chen, Gisele Faria

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in International endodontic journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06959602 (Antibacterial Efficacy and Outcomes of Root Canal Irrigation Methods), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT06959602 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Antibacterial Efficacy and Outcomes of Root Canal Irrigation Methods

TypeinterventionalSponsorNational and Kapodistrian University of AthensRan2025 to 2025Enrolled66ConditionsPulp Necrosis, Apical Periodontitis, Endodontic TreatmentArmsFinal Irrigation with 2.5% Sodium Hypochlorite, Passive Ultrasonic Irrigation (PUI) with Sodium Hypochlorite, XP-Endo Finisher Activation with Sodium Hypochlorite
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  12. Bioceramics in Endodontics: Updates and Future Perspectives.Bioengineering (Basel, Switzerland) · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Hernán Coaguila-LlerenaDepartment of Restorative Dentistry, Araraquara School of Dentistry, São Paulo State University -UNESP, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-9991-718X
Ronald Ordinola-ZapataDivision of Endodontics, University of Minnesota School of Dentistry, Minneapolis, Minnesota, USA.ORCID https://orcid.org/0000-0001-9738-0828
Christopher StaleyDivision of Basic & Translational Research, Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA.ORCID https://orcid.org/0000-0002-2309-0083
Matthew DietzDivision of Basic & Translational Research, Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
Ruoqiong ChenDepartment of Diagnostic and Biological Sciences, School of Dentistry, University of Minnesota, Minneapolis, Minnesota, USA.
Gisele FariaDepartment of Restorative Dentistry, Araraquara School of Dentistry, São Paulo State University -UNESP, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-7030-3718
University of Minnesota · USUniversidade Estadual Paulista (Unesp) · BR

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
Brazilian Federal Agency for Support and Evaluation of Graduate Education (CAPES), in the scope of the Program CAPES-PrInt 88887.310463/2018-00Brazilian Federal Agency for Support and Evaluation of Graduate Education (CAPES), in the scope of the Program CAPES-PrInt 88887.570038/2020-00NCATS NIH HHS UL1 TR002494NCATS NIH HHS UL1-TR002494
6 · The paper itself

Abstract

aimThe aim of the study was to assess biofilm removal efficacy of GentleWave System and passive ultrasonic irrigation (PUI). METHODOLOGY: Twenty-two human mandibular molars with Vertucci's type II configuration in the mesial root were selected. Teeth were autoclaved, inoculated with dental plaque and incubated in a CDC biofilm reactor for two weeks. The mesial roots were instrumented up to 20.06 file (V-Taper) for the GentleWave group and up to 35.04 file (Vortex Blue) for PUI group. Irrigation was performed using GentleWave and PUI irrigation protocols (n = 11). Dentine debris on paper points samples were obtained for quantitative real-time polymerase chain reaction (qPCR) and 16S ribosomal RNA gene sequencing (next-generation aequencing-NGS). For qPCR, a non-parametric test (α = 0.05) was used. Next-generation sequencing data were analysed using mothur, with alpha diversity calculated as the Shannon and Chao1 indices and Bray-Curtis dissimilarities were used for beta diversity. Differences in alpha diversity and abundances of genera were evaluated using Kruskal-Wallis test. Differences in community composition were evaluated using analysis of similarity with Bonferroni correction for multiple comparisons.

resultsQuantitative real-time polymerase chain reaction results showed that the reduction estimated in percentages for both groups was equivalent (p > .05). NGS analysis showed that both techniques promoted a significant reduction in reads and OTUs number (p < .05). Shannon alpha diversity and Chao1 index showed no differences between pre- or post-treatment samples for both groups (p > .05). Additionally, pre-treatment communities differed from post-treatment samples in both groups regarding bacterial taxa reduction (ANOSIM R = 0.50 and 0.55, p < .001).

conclusionsBacterial reduction in mesial roots of mandibular molars prepared to 35.04 with PUI was similar to those prepared to 20.06 with a multisonic irrigant activation system.

Indexed as

Dental Pulp CavityRoot Canal PreparationBiofilmsHumansMolarRoot Canal IrrigantsTherapeutic IrrigationUltrasonicsRoot Canal IrrigantsbiofilmsGentleWavemicrobiomenext-generation sequencingultrasonic irrigation

Identifiers

PMID35976101
PMCPMC9561058
OpenAlexW4292089154

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.