Removal effi ciency of calcium hydroxide intracanal medicament with RinsEndo system in comparison with passive ultrasonic irrigation, an in vitro study

Abstract

Background: Different techniques have been introduced to improve removing the calcium hydroxide

intra-canal dressing. The purpose of this study was to compare the effi ciency of passive ultrasonic

irrigation (PUI) and RinsEndo system in the removal of calcium hydroxide from root canal system.

Materials and Methods: Access cavities were prepared in 50 single-rooted anterior teeth.

Cleaning and shaping were done using the Flexmaster rotary system up to size no. 30, 6%. The

canals were fi lled with injectable calcium hydroxide (calcipex). After 7 days, the calcium hydroxide

were retrieved using RinsEndo system in Group 1 (n = 20), with PUI system in Group 2 (n = 20).

In positive control group (n = 5), no irrigation was performed. In negative control group (n = 5),

root canals were not fi lled with any medicament. Following the removal of the calcium hydroxide

with these two systems, teeth were split buccolingually into two sections and every third of the

root canals was evaluated under stereomicroscope (×30) to analyze the residual medicament in

each segment. Data were analyzed using the Kruskal-Wallis and Mann-Whitney tests (P < 0.05).

Results: There was no signifi cant difference in the removal of calcium hydroxide between RinsEndo

and PUI at cervical (P = 0.67), middle (P = 0.51) and apical (P = 0.75) part of the root canals.

Conclusion: None of the irrigation techniques was able to completely remove calcium hydroxide

from the root canal system.

Key Words: Calcium hydroxide, irrigation system, passive ultrasonic irrigation, RinsEndo