A Review of Root Canal Irrigants-Their Indications, Uses and Interactions
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Author:
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MOHAMMED ALI SALEM ABUELQOMSAN
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Abstract:
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Root Canal Treatment though largely depends on mechanical instrumentation to remove diseased tissue
would have ended up being a “sweep the dust under the carpet” kind of an endeavor without the role of
chemical irrigation of canals. Removing smear layer and cleaning the inaccessible fins, isthmi, and accessory
canals with the aid of root canal irrigants is considered the Holy Grail of root canal therapy. Chlorination is
the most widely used method for disinfecting water supplies due to its highly satisfactory performance as a
disinfectant and has been considered as a “standard of disinfection against which others are compared. Sodium
hypochlorite fulfils most of the requirements of an ideal endodontic irrigant than any other known compound.
It dissolves necrotic tissue, organic components of the smear layer, kills sessile endodontic pathogens
organized in biofilms within dentinal tubules as efficiently as chlorhexidine or iodine at comparable
concentration. chlorhexidine gluconate has high level of antibacterial activity and low mammalian toxicity, used
as irrigating substance or intracanal medicament alone or in combination with Calcium Hydroxide
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Keyword:
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Irrigants; Root canal; Endodontic; Sodium hypochlorite; Chlorhexidine
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EOI:
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-
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DOI:
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https://doi.org/10.31838/ijpr/2021.13.02.112
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