Current trends in irrigation among Brazilian endodontists

V08N03 | 2018 | Original Article | Pages 34 to 40

Maíra do Prado, Felipe Alencastro, Leonardo Athias, Carolina Oliveira de Lima, Jefferson J. C. Marion, Renata Antoun Simão, Celso Neiva Campos

Endodontics, Therapeutic Irrigation, Dental Pulp Cavity

Introduction: Different irrigants have been studied, proposed and used during the endodontic therapy. The purpose of this study was to determine current trends in irrigation among Brazilian endodontists. Methods: A total of 398 Brazilian endodontists answered a web-based survey questionnaire with 15 multiple choice questions, multiple selections and numeric rankings about their irrigant selection, concentration, smear layer removal, and use of adjuncts to irrigation. Results: Sodium hypochlorite was the irrigant most primarily used at a concentration inferior to 5.0%. Chlorhexidine (CHX) was the second primarily irrigant used and 2% CHX gel was the most prevalent presentation form. Regarding smear layer removal, 88.4% of respondents declared to remove, while EDTA was the irrigant most used (93.7%). More than 70% of endodontists use an adjunct to irrigation, with 39.9% using ultrasonic activation, 24.4% using plastic file and 1.0% using sonic activation. The use of EndoVac was not reported. Conclusions: Most of the respondents used sodium hypochlorite, are routinely remove the smear layer during endodontic treatment using EDTA. Brazilian endodontists are using an adjunct to aid their irrigation technique.

Prado M, Alencastro F, Athias L, Lima CO, Marion JJC, Simão RA, Campos CN. Current trends in irrigation among Brazilian endodontists. Dental Press Endod. 2018 Sept-Dec;8(3):34-40. DOI: