Current Trends in Root Canal Irrigation

Chemical and mechanical root canal debridement are the primary methods used in endodontic therapy to remove all dead tissue, bacteria, and microbial byproducts from the canal. Sodium hypochlorite, is the gold standard and powerful organic tissue dissolver with a broad spectrum of antibacterial properties, is also an excellent choice for disinfecting surfaces. Chelating agents, used to remove the smear layer inorganic component. This irrigation method is capable of removing the smear layer; however, it is less effective in the apical third. While using irrigant activation devices, irrigating solutions need to be in direct contact with the whole root canal wall surfaces, especially in the apical portions of tiny root canals. The role of irrigants is extremely important because they help not only to clean the canal but also to allow the seepage of the medicaments into the canal system. Thus, the canal needs to be healthy and clean before obturation done. Nowadays, many irrigants have been studied and hence compilation of the various available sources and their effect has to be studied both in vivo and in vitro. The correlation between the irrigants and the canal cleanliness is of utmost importance, as the success of endodontic root canal treatment depends on its proper activation and characteristics. Hence, this review incorporates the current use of various irrigating solutions and their advantages and disadvantages. In the future, endodontists may employ the novel irrigants and irrigant activation devices that were discovered in this study.

Keywords: endodontics, activation, irrigation devices, irrigants, root canal irrigation

Objectives

What’s the factors that influencing intracanal irrigation activity?
Different types of irrigation solutions used nowadays.
How we do different techniques of mechanical agitation.