Soluciones irrigadoras en endodoncia del conducto radicular: Una revisión sistemática de la literatura

Abstract

An inflammatory pulp process is due to the contamination of bacteria and their products causing their degeneration, for the resolution of this event an endodontic treatment is performed, consisting of the debridement of both necrotic and vital tissue of the root canal, through mechanical instrumentation and Irrigation with chemical agents. Therefore effective irrigation is essential to achieve adequate disinfection of the conduit, since the single instrumentation is insufficient to achieve healing and improvement of endodontic pathologies. There are several irrigating solutions, but none of them can fulfill all the needs of cleaning and disinfection of the root canals, so it is indispensable to make combinations between them and follow a logical sequence of clinical management of various solutions. Objective: To perform a systematic literature review to determine the properties, characteristics and management of clinical use of sodium hypochlorite, chlorhexidine and ethylenediaminetetraacetic acid (EDTA) as irrigating agents in endodontics. Type of study: Systematic review of the literature. Methodology: A search of articles in the Science Direct, Dentistry and Oral Sciences Source, Scopus and Pubmed databases was done, the search terms were selected according to the keywords of the studies related to the subject with previous revision of keywords in DeCS and MeSH. Results: We reviewed 78 articles and 37 were selected taking into account author and abstract title, then taking into account the full reading of the text, 24 articles were selected. Conclusions: They are presented through an endodontic irrigation protocol for clinical use.