Efectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemática

Antecedentes: El hidróxido de calcio (Ca (OH)2) debe ser removido con la finalidad de acondicionar la superficie dentinaria y propiciar las condiciones físicas y químicas ideales para lograr un sellado óptimo, pero su eliminación total del sistema de conductos es difícil. Si la eliminación no se log...

Full description

Autores:
Moreno Moreno, Lucy Patricia
Ramírez Rodríguez, Mayerly Jhoanna
Rivera Hernández, Felix Ricardo
Tipo de recurso:
Trabajo de grado de pregrado
Fecha de publicación:
2022
Institución:
Universidad Santo Tomás
Repositorio:
Repositorio Institucional USTA
Idioma:
spa
OAI Identifier:
oai:repository.usta.edu.co:11634/45243
Acceso en línea:
http://hdl.handle.net/11634/45243
Palabra clave:
Effectiveness
Irrigation
Calcium hydroxide
Removal
Apical
Natural teeth
Endodontics
Pulpa dental- enfermedades
Apicoestomía
Raíces dentales
Granuloma periapical
Efectividad
Técnicas de irrigación
Hidróxido de calcio
Remoción
Dientes
Tratamientos endodónticos
Rights
openAccess
License
Atribución-NoComercial-SinDerivadas 2.5 Colombia
id SANTTOMAS2_69c2aa0dfd83d822a6bde22a138467d2
oai_identifier_str oai:repository.usta.edu.co:11634/45243
network_acronym_str SANTTOMAS2
network_name_str Repositorio Institucional USTA
repository_id_str
dc.title.spa.fl_str_mv Efectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemática
title Efectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemática
spellingShingle Efectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemática
Effectiveness
Irrigation
Calcium hydroxide
Removal
Apical
Natural teeth
Endodontics
Pulpa dental- enfermedades
Apicoestomía
Raíces dentales
Granuloma periapical
Efectividad
Técnicas de irrigación
Hidróxido de calcio
Remoción
Dientes
Tratamientos endodónticos
title_short Efectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemática
title_full Efectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemática
title_fullStr Efectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemática
title_full_unstemmed Efectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemática
title_sort Efectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemática
dc.creator.fl_str_mv Moreno Moreno, Lucy Patricia
Ramírez Rodríguez, Mayerly Jhoanna
Rivera Hernández, Felix Ricardo
dc.contributor.advisor.none.fl_str_mv Santos Hoyos, Román Andrés
Jiménez Peña, Oscar Mauricio
Parra Galvis, Diana Yecedt
dc.contributor.author.none.fl_str_mv Moreno Moreno, Lucy Patricia
Ramírez Rodríguez, Mayerly Jhoanna
Rivera Hernández, Felix Ricardo
dc.subject.keyword.spa.fl_str_mv Effectiveness
Irrigation
Calcium hydroxide
Removal
Apical
Natural teeth
Endodontics
topic Effectiveness
Irrigation
Calcium hydroxide
Removal
Apical
Natural teeth
Endodontics
Pulpa dental- enfermedades
Apicoestomía
Raíces dentales
Granuloma periapical
Efectividad
Técnicas de irrigación
Hidróxido de calcio
Remoción
Dientes
Tratamientos endodónticos
dc.subject.lemb.spa.fl_str_mv Pulpa dental- enfermedades
Apicoestomía
Raíces dentales
Granuloma periapical
dc.subject.proposal.spa.fl_str_mv Efectividad
Técnicas de irrigación
Hidróxido de calcio
Remoción
Dientes
Tratamientos endodónticos
description Antecedentes: El hidróxido de calcio (Ca (OH)2) debe ser removido con la finalidad de acondicionar la superficie dentinaria y propiciar las condiciones físicas y químicas ideales para lograr un sellado óptimo, pero su eliminación total del sistema de conductos es difícil. Si la eliminación no se logra totalmente, los residuos del mismo pueden afectar algunas propiedades de los selladores endodónticos y, posteriormente, afectar los resultados del tratamiento Objetivo: Evaluar la efectividad de las técnicas de irrigación XP-endo® Finisher y la irrigación activada por láser de Transmisión fotoacústica inducida por fotones (PIPS) comparada con la técnica activada con ultrasonido (PUI) en la remoción del Ca (OH)2 en el tercio apical en dientes naturales durante el tratamiento endodóntico reportados en la literatura. Criterios de selección: Estudios publicados desde el año 2011 hasta el 2021 que traten sobre la remoción del Ca (OH)2, PUI, XP-endo® Finisher y PIPS, estudios donde el irrigante sea el hipoclorito de sodio (NaOCl), estudios experimentales in vitro, metaanálisis y ensayos clínicos aleatorizados. Recopilación y análisis de datos: La evaluación de la calidad metodológica, riesgo de sesgo y la extracción de datos se realizaron de forma independiente y por duplicado. Se utilizó la lista de chequeo Faggion para hacer lectura crítica y evaluación de la calidad metodológica de los artículos in vitro y la guía PRISMA para la revisión sistemática y metaanálisis. Para la evaluación del riesgo de sesgo de los estudios in vitro se usó una herramienta realizada por los autores con base en la guía Faggion y para el otro artículo se usó la herramienta risk-of-bias tool for randomized trials (RoB2) de Cochrane. La unidad estadística de análisis fueron los estudios incluidos. Resultados: De los doce estudios seleccionados once son estudios in vitro y uno es una revisión sistemática y metaanálisis. Tres estudios evaluaron la técnica PUI, cinco la XP-endo® Finisher y los cuatro restantes PIPS Conclusiones: Aunque las tres técnicas de irrigación tuvieron la capacidad de eliminar el hidróxido de calcio intraconducto, ninguna logro retirarlo en su totalidad del tercio apical. Debido a los tamaños de muestra pequeños, el bajo número de estudios incluidos y las limitaciones, se necesitan más investigaciones para confirmar los resultados.
publishDate 2022
dc.date.accessioned.none.fl_str_mv 2022-06-21T15:42:24Z
dc.date.available.none.fl_str_mv 2022-06-21T15:42:24Z
dc.date.issued.none.fl_str_mv 2022-06-06
dc.type.none.fl_str_mv bachelor thesis
dc.type.local.spa.fl_str_mv Tesis de pregrado
dc.type.version.none.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.category.spa.fl_str_mv Formación de Recurso Humano para la Ctel: Trabajo de grado de Especialización
dc.type.coar.none.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.drive.none.fl_str_mv info:eu-repo/semantics/bachelorThesis
format http://purl.org/coar/resource_type/c_7a1f
status_str acceptedVersion
dc.identifier.citation.spa.fl_str_mv Santos Hoyos, R. A., Ramírez Rodríguez, M. J., Rivera Hernández, F. R. (2022). Efectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemática. [Trabajo de especialización]. Universidad Santo tomás. Bucaramanga, Colombia
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/11634/45243
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional Universidad Santo Tomás
dc.identifier.instname.spa.fl_str_mv instname:Universidad Santo Tomás
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.usta.edu.co
identifier_str_mv Santos Hoyos, R. A., Ramírez Rodríguez, M. J., Rivera Hernández, F. R. (2022). Efectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemática. [Trabajo de especialización]. Universidad Santo tomás. Bucaramanga, Colombia
reponame:Repositorio Institucional Universidad Santo Tomás
instname:Universidad Santo Tomás
repourl:https://repository.usta.edu.co
url http://hdl.handle.net/11634/45243
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.references.spa.fl_str_mv Ahmetoǧlu, F., ŞImşek, N., Keleş, A., Ocak, M. S., & Er, K. (2013). Efficacy of self-adjusting file and passive ultrasonic irrigation on removing calcium hydroxide from root canals. Dental Materials Journal, 32(6). https://doi.org/10.4012/dmj.2013-106
Aktener, B. O., Cengiz, T., & Pişkin, B. (1989). The penetration of smear material into dentinaltubules during instrumentation with surface-active reagents: A scanning electron microscopic study. Journal of Endodontics, 15(12). https://doi.org/10.1016/S0099-2399(89)80156-6
Alves, F. R. F., Marceliano-Alves, M. F., Sousa, J. C. N., Silveira, S. B., Provenzano, J. C., & Siqueira, J. F. (2016). Removal of root canal fillings in curved canals using either reciprocating single- or rotary multi-instrument systems and a supplementary step with the XP-Endo Finisher. Journal of Endodontics, 42(7)
Arslan, H., Akcay, M., Capar, I. D., Saygili, G., Gok, T., & Ertas, H. (2015). An in vitro comparison of irrigation using photon-initiated photoacoustic streaming, ultrasonic, sonic and needle techniques in removing calcium hydroxide. International Endodontic Journal, 48(3). https://doi.org/10.1111/iej.12306
Balvedi, R. P. A., Versiani, M. A., Manna, F. F., & Biffi, J. C. G. (2010). A comparison of two techniques for the removal of calcium hydroxide from root canals. International Endodontic Journal, 43(9). https://doi.org/10.1111/j.1365-2591.2010.01718.x
Barbizam, J. V. B., Trope, M., Teixeira, É. C. N., Tanomaru-Filho, M., & Teixeira, F. B. (2008). Effect of calcium hydroxide intracanal dressing on the bond strength of a resin-based endodontic sealer. Brazilian Dental Journal, 19(3). https://doi.org/10.1590/s0103-64402008000300009
Barnett, F., & Siqueira, J. F. (2017). Instrumentation and Disinfection of Root Canals. In Endodontic Prognosis. https://doi.org/10.1007/978-3-319-42412-5_8
Blanken, J., de Moor, R. J. G., Meire, M., & Verdaasdonk, R. (2009). Laser induced explosive vapor and cavitation resulting in effective irrigation of the root canal. Part 1: A visualization study. Lasers in Surgery and Medicine, 41(7). https://doi.org/10.1002/lsm.20798
Çalişkan, M. K., Türkün, M., & Türkün, L. Ş. (1998). Effect of calcium hydroxide as an intracanal dressing on apical leakage. International Endodontic Journal, 31(3). https://doi.org/10.1046/j.1365-2591.1998.00145.x
Çalt, S., & Serper, A. (1999). Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. Journal of Endodontics, 25(6). https://doi.org/10.1016/S0099-2399(99)80273-8
Capar, I. D., Ozcan, E., Arslan, H., Ertas, H., & Aydinbelge, H. A. (2014). Effect of different final irrigation methods on the removal of calcium hydroxide from an artificial standardized groove in the apical third of root canals. Journal of Endodontics, 40(3). https://doi.org/10.1016/j.joen.2013.10.019
CERGNEUX, M., CIUCCHI, B., DIETSCHI, J. M., & HOLZ, J. (1987). The influence of the smear layer on the sealing ability of canal obturation. International Endodontic Journal, 20(5). https://doi.org/10.1111/j.1365-2591.1987.tb00619.x
CHONG, B. S., & FORD, T. R. P. (1992). The role of intracanal medication in root canal treatment. International Endodontic Journal, 25(2). https://doi.org/10.1111/j.1365-2591.1992.tb00743.x
da Silva, J. M., Andrade Junior, C. v., Zaia, A. A., & Pessoa, O. F. (2011). Microscopic cleanliness evaluation of the apical root canal after using calcium hydroxide mixed with chlorhexidine, propylene glycol, or antibiotic paste. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, 111(2). https://doi.org/10.1016/j.tripleo.2010.08.016
Dhiman, M., Kumar, S., Duhan, J., Sangwan, P., & Tewari, S. (2015). Effect of Platelet-rich Fibrin on Healing of Apicomarginal Defects: A Randomized Controlled Trial. Journal of Endodontics, 41(7). https://doi.org/10.1016/j.joen.2015.04.004
Dioguardi, M., di Gioia, G., Illuzzi, G., Laneve, E., Cocco, A., & Troiano, G. (2018). Endodontic irrigants: Different methods to improve efficacy and related problems. In European Journal of Dentistry (Vol. 12, Issue 3). https://doi.org/10.4103/ejd.ejd_56_18
Eraso-Martinez, Nancy., & Muñoz-Bolaños, Ivan. (2015). La obturacion endodontica, una vision general. Revista Nacional de Odontologia, 8(15).
Ethem Yaylali, I., Kececi, A. D., & Ureyen Kaya, B. (2015). Ultrasonically activated irrigation to remove calcium hydroxide from apical third of human root canal system: A systematic review of in vitro studies. In Journal of Endodontics (Vol. 41, Issue 10). https://doi.org/10.1016/j.joen.2015.06.006
Evans, M., Davies, J. K., Sundqvist, G., & Figdor, D. (2002). Mechanisms involved in the resistance of Enterococcus faecalis to calcium hydroxide. International Endodontic Journal, 35(3). https://doi.org/10.1046/j.1365-2591.2002.00504.x
Faggion, C. M. (2012). Guidelines for reporting pre-clinical in vitro studies on dental materials. Journal of Evidence-Based Dental Practice, 12(4). https://doi.org/10.1016/j.jebdp.2012.10.001
Farhad, A., & Mohammadi Esfahan, Z. (2005). Calcium hydroxide: a review Chemical characteristics of calcium hydroxide. International Dental Journal, 55
Faria, G., Kuga, M. C., Ruy, A. C., Aranda-Garcia, A. J., Bonettifilho, I., Guerreiro-Tanomaru, J. M., & Leonardo, R. T. (2013). The efficacy of the self-adjusting file and ProTaper for removal of calcium hydroxide from root canals. Journal of Applied Oral Science, 21(4). https://doi.org/10.1590/1678-775720130034
G. Caton, J., Armitage, G., Berglundh, T., Chapple, I. L. C., Jepsen, S., S. Kornman, K., L. Mealey, B., Papapanou, P. N., Sanz, M., & S. Tonetti, M. (2018). A new classification scheme for periodontal and peri-implant diseases and conditions – Introduction and key changes from the 1999 classification. Journal of Clinical Periodontology, 45.
Ghabraei, S., Bolhari, B., Yaghoobnejad, F., & Meraji, N. (2017). Effect of intra-canal calcium hydroxide remnants on the push-out bond strength of two endodontic sealers. Iranian Endodontic Journal, 12(2). https://doi.org/10.7508/iej.2017.02.008
Gokturk, H., Ozkocak, I., Buyukgebiz, F., & Demir, O. (2017). Effectiveness of various irrigation protocols for the removal of calcium hydroxide from artificial standardized grooves. Journal of Applied Oral Science, 25(3). https://doi.org/10.1590/1678-7757-2016-0414
Göktürk, H., Özkoçak, İ., Büyükgebiz, F., & Demir, O. (2018). Effectiveness of Various Irrigation Protocols in Removing Calcium Hydroxide from Root Canals. Meandros Medical and Dental Journal, 19(1). https://doi.org/10.4274/meandros.04796
Gu, L. sha, Kim, J. R., Ling, J., Choi, K. K., Pashley, D. H., & Tay, F. R. (2009). Review of Contemporary Irrigant Agitation Techniques and Devices. In Journal of Endodontics (Vol. 35, Issue 6). https://doi.org/10.1016/j.joen.2009.03.010
Hamdan, R., Michetti, J., Pinchon, D., Diemer, F., & Georgelin-Gurgel, M. (2017). The XP-Endo Finisher for the removal of calcium hydroxide paste from root canals and from the apical third. Journal of Clinical and Experimental Dentistry, 9(7). https://doi.org/10.4317/jced.53962
Heithersay, G. S. (1975). Calcium Hydroxide in the Treatment of Pulpless Teeth with Associated Pathology. International Endodontic Journal, 8(2). https://doi.org/10.1111/j.1365-2591.1975.tb01000.x
Hülsmann, M., & Hahn, W. (2000). Complications during root canal irrigation - Literature review and case reports. In International Endodontic Journal (Vol. 33, Issue 3). https://doi.org/10.1046/j.1365-2591.2000.00303.x
Kaptan, F., Karapinar-Kazandag, M., Kayahan, M. B., Bora, T., & Bayirli, G. (2012). Potential of an Er:YAG laser in the removal of calcium hydroxide from root canals. Photomedicine and Laser Surgery, 30(5). https://doi.org/10.1089/pho.2011.3093
Kawashima, N., Wadachi, R., Suda, H., Yeng, T., & Parashos, P. (2009). Root canal medicaments. International Dental Journal, 59(1), 5–11. https://doi.org/10.1922/IDJ_2060Kawashima07
Kenee, D. M., Allemang, J. D., Johnson, J. D., Hellstein, J., & Nichol, B. K. (2006). A Quantitative Assessment of Efficacy of Various Calcium Hydroxide Removal Techniques. Journal of Endodontics, 32(6). https://doi.org/10.1016/j.joen.2005.10.065
Kim, S. K., & Kim, Y. O. (2002). Influence of calcium hydroxide intracanal medication on apical seal. International Endodontic Journal, 35(7). https://doi.org/10.1046/j.1365-2591.2002.00539.x
Komabayashi, T., D’souza, R. N., Dechow, P. C., Safavi, K. E., & Spångberg, L. S. W. (2009). Particle Size and Shape of Calcium Hydroxide. Journal of Endodontics, 35(2). https://doi.org/10.1016/j.joen.2008.11.017
Levine, M. (1988). Root-canal therapy: a means of treating oral pain and infection. Canadian Family Physician Medecin de Famille Canadien, 34.
Li, D., Jiang, S., Yin, X., Chang, J. W. W., Ke, J., & Zhang, C. (2015). Efficacy of needle, ultrasonic, and endoactivator irrigation and photon-induced photoacoustic streaming in removing calcium hydroxide from the main canal and isthmus: An in vitro micro-computed tomography and scanning electron microscopy study. Photomedicine and Laser Surgery, 33(6). https://doi.org/10.1089/pho.2015.3903
Lloyd, A., Navarrete, G., Marchesan, M. A., & Clement, D. (2016). Removal of calcium hydroxide from Weine Type II systems using photon-induced photoacoustic streaming, passive ultrasonic, and needle irrigation: A microcomputed tomography study. Journal of Applied Oral Science, 24(6). https://doi.org/10.1590/1678-775720160234
Ma, J. Z., Shen, Y., Al-Ashaw, A. J., Khaleel, H. Y., Yang, Y., Wang, Z. J., Peng, B., & Haapasalo, M. (2015). Micro-computed tomography evaluation of the removal of calcium hydroxide medicament from C-shaped root canals of mandibular second molars. International Endodontic Journal, 48(4). https://doi.org/10.1111/iej.12319
Maalouf, L., Zogheib, C., & Naaman, A. (2013). Removal efficiency of calcium hydroxide dressing from the root canal without chemically active adjuvant. Journal of Contemporary Dental Practice, 14(2). https://doi.org/10.5005/jp-journals-10024-1298
Margelos, J., Eliades, G., Verdelis, C., & Palaghias, G. (1997). Interaction of calcium hydroxide with zinc oxide-eugenol type sealers: A potential clinical problem. Journal of Endodontics, 23(1). https://doi.org/10.1016/S0099-2399(97)80206-3
Messer, H. H., & Chen, R. S. (1984). The duration of effectiveness of root canal medicaments. Journal of Endodontics, 10(6). https://doi.org/10.1016/S0099-2399(84)80055-2
Mustafa, M., Jain, D., Taluka, S., Lecturer, S., Dentistry, C., & Capping, P. (2012). Role of Calcium Hydroxide in Endodontics: a Review. Global Journal of Medicine, 1(1).
Nandini, S., Velmurugan, N., & Kandaswamy, D. (2006). Removal Efficiency of Calcium Hydroxide Intracanal Medicament With Two Calcium Chelators: Volumetric Analysis Using Spiral CT, An In Vitro Study. Journal of Endodontics, 32(11). https://doi.org/10.1016/j.joen.2006.06.005
OKŞAN, T., AKTENER, B. O., ŞEN, B. H., & TEZEL, H. (1993). The penetration of root canal sealers into dentinai tubules. A scanning electron microscopic study. International Endodontic Journal, 26(5). https://doi.org/10.1111/j.1365-2591.1993.tb00575.x
Pashley, D. H., & Livingston, M. J. (1978). Effect of molecular size on permeability coefficients in human dentine. Archives of Oral Biology, 23(5). https://doi.org/10.1016/0003-9969(78)90098-5
Poggio, C., Beltrami, R., Colombo, M., Ceci, M., Dagna, A., & Chiesa, M. (2015). In vitro antibacterial activity of different pulp capping materials. Journal of Clinical and Experimental Dentistry, 7(5). https://doi.org/10.4317/jced.52401
RENEDO, M. J., FERNANDEZ, J., GAREA, A., & IRABIEN, J. A. (2000). INFLUENCE OF PARTICLE SIZE AND STRUCTURAL PROPERTIES OF SORBENTS PREPARED FROM FLY-ASH AND Ca(OH) 2 ON THE SO 2 REMOVAL ABILITY. Chemical Engineering Communications, 182(1), 69–80. https://doi.org/10.1080/00986440008912828
Ricucci, D., & Langeland, K. (1997). Incomplete calcium hydroxide removal from the root canal: A case report. International Endodontic Journal, 30(6). https://doi.org/10.1111/j.1365-2591.1997.tb00734.x
Rödig, T., Hirschleb, M., Zapf, A., & Hülsmann, M. (2011). Comparison of ultrasonic irrigation and RinsEndo for the removal of calcium hydroxide and Ledermix paste from root canals. International Endodontic Journal, 44(12). https://doi.org/10.1111/j.1365-2591.2011.01937.x
Rodríguez, G., Álvarez, M., García, J., Arias, S. R., & Sarabia, M. (2005). El hidróxido de calcio: su uso clínico en la endodoncia actual. Revista Archivo Médico de Camagüey, 9(3).
Safavi, K. E., Spngberg, L. S. W., & Langeland, K. (1990). Root canal dentinal tubule disinfection. Journal of Endodontics, 16(5). https://doi.org/10.1016/S0099-2399(06)81670-5
Salgado, R. J. C., Moura-Netto, C., Yamazaki, A. K., Cardoso, L. N., Maranhão de Moura, A. A., & Prokopowitsch, I. (2009). Comparison of different irrigants on calcium hydroxide medication removal: microscopic cleanliness evaluation. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 107(4), 580–584. https://doi.org/10.1016/j.tripleo.2008.12.008
Salman, M. I., Baumann, M. A., Hellmich, M., Roggendorf, M. J., & Termaat, S. (2010). SEM evaluation of root canal debridement with Sonicare CanalBrush irrigation. International Endodontic Journal, 43(5). https://doi.org/10.1111/j.1365-2591.2009.01675.x
Sathorn, C., Parashos, P., & Messer, H. (2007). Antibacterial efficacy of calcium hydroxide intracanal dressing: A systematic review and meta-analysis. In International Endodontic Journal (Vol. 40, Issue 1). https://doi.org/10.1111/j.1365-2591.2006.01197.x
Schilder, H., & Amsterdam, M. (1959). Inflammatory potential of root canal medicaments. A preliminary report including nonspecific drugs. Oral Surgery, Oral Medicine, Oral Pathology, 12(2). https://doi.org/10.1016/0030-4220(59)90146-X
Scottish Intercollegiate Guidelines Network. (2008). SIGN 50: A guideline developers’ handbook. SIGN Publication.
Shahravan, A., Haghdoost, A. A., Adl, A., Rahimi, H., & Shadifar, F. (2007). Effect of Smear Layer on Sealing Ability of Canal Obturation: A Systematic Review and Meta-analysis. Journal of Endodontics, 33(2). https://doi.org/10.1016/j.joen.2006.10.007
Sireesha, A., Jayasree, R., Vidhya, S., Mahalaxmi, S., Sujatha, V., & Kumar, T. S. S. (2017). Comparative evaluation of micron- and nano-sized intracanal medicaments on penetration and fracture resistance of root dentin – An in vitro study. International Journal of Biological Macromolecules, 104. https://doi.org/10.1016/j.ijbiomac.2017.05.126
Soares, I. J., & Goldberg, F. (2002). Procedimientos químicos auxiliares de la preparación quirúrgica (I. J. Soares & F. Goldberg, Eds.).
Taşdemir, T., Çelik, D., Er, K., Yildirim, T., Ceyhanli, K. T., & Yeşilyurt, C. (2011). Efficacy of several techniques for the removal of calcium hydroxide medicament from root canals. International Endodontic Journal, 44(6). https://doi.org/10.1111/j.1365-2591.2011.01854.x
Tavella e Silva, N. C., Gibin, J. T., Rivera, I. C. M. M., Rached Junior, F. J. A., Leoni, G. B., & Raucci-Neto, W. (2021). Calcium hydroxide paste removal strategies and bond strengths of epoxy- and silicate-based sealers. Australian Endodontic Journal, 47(2). https://doi.org/10.1111/aej.12460
Urrútia, G., & Bonfill, X. (2010). Declaración PRISMA: una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis. Medicina Clínica, 135(11). https://doi.org/10.1016/j.medcli.2010.01.015
van der Sluis, L. W. M., Wu, M. K., & Wesselink, P. R. (2007). The evaluation of removal of calcium hydroxide paste from an artificial standardized groove in the apical root canal using different irrigation methodologies. International Endodontic Journal, 40(1), 52–57. https://doi.org/10.1111/j.1365-2591.2006.01182.x
Veintimilla Lozada, V. N., Guillén Guillén, R., Caballero Flores, H. V., & Eduardo de Lima Machado, M. (2019). Influence of intracanal medication with calcium hydroxide paste in the penetration of the shutter cement. Revista Odontología Universidad Central de Ecuador, 5–18.
WANG, J. ‐D, & HUME, W. R. (1988). Diffusion of hydrogen ion and hydroxyl ion from various sources through dentine. International Endodontic Journal, 21(1). https://doi.org/10.1111/j.1365-2591.1988.tb00949.x
Wang, Y., Guo, L. Y., Fang, H. Z., Zou, W. L., Yang, Y. M., Gao, Y., Yang, H., & Hu, T. (2017). An in vitro study on the efficacy of removing calcium hydroxide from curved root canal systems in root canal therapy. International Journal of Oral Science, 9(2). https://doi.org/10.1038/ijos.2017.14
White, R. R., Goldman, M., & Lin, P. S. (1984). The influence of the smeared layer upon dentinal tubule penetration by plastic filling materials. Journal of Endodontics, 10(12). https://doi.org/10.1016/S0099-2399(84)80100-4
Wigler, R., Dvir, R., Weisman, A., Matalon, S., & Kfir, A. (2017). Efficacy of XP-endo finisher files in the removal of calcium hydroxide paste from artificial standardized grooves in the apical third of oval root canals. International Endodontic Journal, 50(7). https://doi.org/10.1111/iej.12668
Wiseman, A., Cox, T. C., Paranjpe, A., Flake, N. M., Cohenca, N., & Johnson, J. D. (2011). Efficacy of sonic and ultrasonic activation for removal of calcium hydroxide from mesial canals of mandibular molars: A microtomographic study. Journal of Endodontics, 37(2). https://doi.org/10.1016/j.joen.2010.11.019
Zhou, J., Liu, T., & Guo, L. (2021). Effectiveness of XP-Endo Finisher and passive ultrasonic irrigation on intracanal medicament removal from root canals: a systematic review and meta-analysis. BMC Oral Health, 21(1). https://doi.org/10.1186/s12903-021-01644-7
Betancourt, P., Arnabat-Domínguez, J., & Viñas, M. (2021). Avances en la Desinfección Endodóntica Irrigación Activada por Láser. Canal Abierto. Revista Científica, 43, 4–7
Hosoya, N., Kurayama, H., Iino, F., & Arai, T. (2004). Effects of calcium hydroxide on physical and sealing properties of canal sealers. International Endodontic Journal, 37(3). https://doi.org/10.1111/j.0143-2885.2004.00781.x
Jiménez, L., Gómez, J., & Matos, M. (2014). IRRIGACIÓN ULTRASÓNICA PASIVA COMPARADA CON IRRIGACIÓN MANUAL EN LA ELIMINACIÓN DEL ENTEROCOCCUS FAECALIS DEL SISTEMA DE CONDUCTOS (ESTUDIO IN VITRO) PASSIVE ULTRASONIC IRRIGATION COMPARED WITH CONVENTIONAL MANUAL IRRIGATION IN THE ELIMINATION OF ENTEROCOCCUS FAECALIS OF DUCT RADICULAR SYSTEM (IN VITRO STUDY). Acta Odont. Venez, 52
Paredes Vieyra, J., Gradilla Martínez, I., Mondaca, J. M., Jiménez Enriquez, Fco. J., & Manriquez Quintana, M. I. (2009). Sistema Endovac en endodoncia por medio de presión apical negativa.
dc.rights.*.fl_str_mv Atribución-NoComercial-SinDerivadas 2.5 Colombia
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.rights.local.spa.fl_str_mv Abierto (Texto Completo)
dc.rights.accessrights.none.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.coar.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv Atribución-NoComercial-SinDerivadas 2.5 Colombia
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Abierto (Texto Completo)
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.coverage.campus.spa.fl_str_mv CRAI-USTA Bucaramanga
dc.publisher.spa.fl_str_mv Universidad Santo Tomás
dc.publisher.program.spa.fl_str_mv Especialización Endodoncia
dc.publisher.faculty.spa.fl_str_mv Facultad de Odontología
institution Universidad Santo Tomás
bitstream.url.fl_str_mv https://repository.usta.edu.co/bitstream/11634/45243/7/2022RamirezMayerly.pdf
https://repository.usta.edu.co/bitstream/11634/45243/2/2022RamirezMayerly1.pdf
https://repository.usta.edu.co/bitstream/11634/45243/3/2022RamirezMayerly2.pdf
https://repository.usta.edu.co/bitstream/11634/45243/4/2022RamirezMayerly3.pdf
https://repository.usta.edu.co/bitstream/11634/45243/5/license_rdf
https://repository.usta.edu.co/bitstream/11634/45243/6/license.txt
https://repository.usta.edu.co/bitstream/11634/45243/8/2022RamirezMayerly.pdf.jpg
https://repository.usta.edu.co/bitstream/11634/45243/9/2022RamirezMayerly1.pdf.jpg
https://repository.usta.edu.co/bitstream/11634/45243/10/2022RamirezMayerly2.pdf.jpg
https://repository.usta.edu.co/bitstream/11634/45243/11/2022RamirezMayerly3.pdf.jpg
bitstream.checksum.fl_str_mv 0b8f504552f675c11fc8b0cbb5541969
f2cd0844e96c92bd67764b603fd2d850
e8e4e8347537166c81a4e8b21eac9032
2d293f946ae117195cd64af2e9c68bf5
217700a34da79ed616c2feb68d4c5e06
aedeaf396fcd827b537c73d23464fc27
b5ec945ae3b58d55ddd04fb3c8ad432e
b71fe77991dceb1a3c270cb4e9ebff2a
5fc40f7109fc7c89748ea7a440324eae
7977b46bf40792cbf0983da82220f87d
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
MD5
MD5
MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositorio Universidad Santo Tomás
repository.mail.fl_str_mv noreply@usta.edu.co
_version_ 1782026092448579584
spelling Santos Hoyos, Román AndrésJiménez Peña, Oscar MauricioParra Galvis, Diana YecedtMoreno Moreno, Lucy PatriciaRamírez Rodríguez, Mayerly JhoannaRivera Hernández, Felix Ricardo2022-06-21T15:42:24Z2022-06-21T15:42:24Z2022-06-06Santos Hoyos, R. A., Ramírez Rodríguez, M. J., Rivera Hernández, F. R. (2022). Efectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemática. [Trabajo de especialización]. Universidad Santo tomás. Bucaramanga, Colombiahttp://hdl.handle.net/11634/45243reponame:Repositorio Institucional Universidad Santo Tomásinstname:Universidad Santo Tomásrepourl:https://repository.usta.edu.coAntecedentes: El hidróxido de calcio (Ca (OH)2) debe ser removido con la finalidad de acondicionar la superficie dentinaria y propiciar las condiciones físicas y químicas ideales para lograr un sellado óptimo, pero su eliminación total del sistema de conductos es difícil. Si la eliminación no se logra totalmente, los residuos del mismo pueden afectar algunas propiedades de los selladores endodónticos y, posteriormente, afectar los resultados del tratamiento Objetivo: Evaluar la efectividad de las técnicas de irrigación XP-endo® Finisher y la irrigación activada por láser de Transmisión fotoacústica inducida por fotones (PIPS) comparada con la técnica activada con ultrasonido (PUI) en la remoción del Ca (OH)2 en el tercio apical en dientes naturales durante el tratamiento endodóntico reportados en la literatura. Criterios de selección: Estudios publicados desde el año 2011 hasta el 2021 que traten sobre la remoción del Ca (OH)2, PUI, XP-endo® Finisher y PIPS, estudios donde el irrigante sea el hipoclorito de sodio (NaOCl), estudios experimentales in vitro, metaanálisis y ensayos clínicos aleatorizados. Recopilación y análisis de datos: La evaluación de la calidad metodológica, riesgo de sesgo y la extracción de datos se realizaron de forma independiente y por duplicado. Se utilizó la lista de chequeo Faggion para hacer lectura crítica y evaluación de la calidad metodológica de los artículos in vitro y la guía PRISMA para la revisión sistemática y metaanálisis. Para la evaluación del riesgo de sesgo de los estudios in vitro se usó una herramienta realizada por los autores con base en la guía Faggion y para el otro artículo se usó la herramienta risk-of-bias tool for randomized trials (RoB2) de Cochrane. La unidad estadística de análisis fueron los estudios incluidos. Resultados: De los doce estudios seleccionados once son estudios in vitro y uno es una revisión sistemática y metaanálisis. Tres estudios evaluaron la técnica PUI, cinco la XP-endo® Finisher y los cuatro restantes PIPS Conclusiones: Aunque las tres técnicas de irrigación tuvieron la capacidad de eliminar el hidróxido de calcio intraconducto, ninguna logro retirarlo en su totalidad del tercio apical. Debido a los tamaños de muestra pequeños, el bajo número de estudios incluidos y las limitaciones, se necesitan más investigaciones para confirmar los resultados.Background: Calcium hydroxide Ca (OH)2 must be removed in order to condition the dentin surface and provide the ideal physical and chemical conditions to achieve an optimal seal, but its total elimination from the canal system is tough. If the removal is not fully achieved, residues may affect some properties of endodontic sealers and subsequently affect treatment outcomes Objective: To assess the effectiveness of XP-endo® Finisher and Photon-Induced Photoacoustic Transmission Laser Activated Irrigation (PIPS) compared with the technique activated with ultrasound (PUI) in the removal of calcium hydroxide in the apical third in natural teeth during endodontic treatment reported in the literature. Selection criteria: Studies published from 2011 to 2021 dealing with the removal of calcium hydroxide PUI, XP-endo® Finisher and PIPS, studies where the irrigant is sodium hypochlorite, in vitro experimental studies, meta-analyses and randomized clinical trials. Data collection and analysis: Assessment of methodological quality, risk of bias, and data extraction were performed independently and in duplicate. The Faggion checklist was extracted for critical reading and evaluation of the methodological quality of in vitro articles and the PRISMA guide for systematic review and meta-analysis. For the evaluation of the risk of bias of the in vitro studies, a tool made by the authors based on the Faggion guide was used and for the other article, the Cochrane risk-of-bias tool for Random Trials (RoB2) was used. The statistical unit of analysis was the included studies. Results: Of the twelve studies selected, one is in vitro studies and one is a systematic review and meta-analysis. Three studies evaluated the PUI technique, five the Xp-endo® Finisher and the remaining four PIPS Conclusions: Although the three irrigation techniques had the capacity to eliminate intracanal calcium hydroxide, none of them completely remove it from the apical third. Due to the small sample sizes, low number of included studies, and limitations, more research is needed to confirm the results.Especialista en Endodonciahttp://www.ustabuca.edu.co/ustabmanga/presentacionEspecializaciónapplication/pdfspaUniversidad Santo TomásEspecialización EndodonciaFacultad de OdontologíaAtribución-NoComercial-SinDerivadas 2.5 Colombiahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Efectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemáticabachelor thesisTesis de pregradoinfo:eu-repo/semantics/acceptedVersionFormación de Recurso Humano para la Ctel: Trabajo de grado de Especializaciónhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesisEffectivenessIrrigationCalcium hydroxideRemovalApicalNatural teethEndodonticsPulpa dental- enfermedadesApicoestomíaRaíces dentalesGranuloma periapicalEfectividadTécnicas de irrigaciónHidróxido de calcioRemociónDientesTratamientos endodónticosCRAI-USTA BucaramangaAhmetoǧlu, F., ŞImşek, N., Keleş, A., Ocak, M. S., & Er, K. (2013). Efficacy of self-adjusting file and passive ultrasonic irrigation on removing calcium hydroxide from root canals. Dental Materials Journal, 32(6). https://doi.org/10.4012/dmj.2013-106Aktener, B. O., Cengiz, T., & Pişkin, B. (1989). The penetration of smear material into dentinaltubules during instrumentation with surface-active reagents: A scanning electron microscopic study. Journal of Endodontics, 15(12). https://doi.org/10.1016/S0099-2399(89)80156-6Alves, F. R. F., Marceliano-Alves, M. F., Sousa, J. C. N., Silveira, S. B., Provenzano, J. C., & Siqueira, J. F. (2016). Removal of root canal fillings in curved canals using either reciprocating single- or rotary multi-instrument systems and a supplementary step with the XP-Endo Finisher. Journal of Endodontics, 42(7)Arslan, H., Akcay, M., Capar, I. D., Saygili, G., Gok, T., & Ertas, H. (2015). An in vitro comparison of irrigation using photon-initiated photoacoustic streaming, ultrasonic, sonic and needle techniques in removing calcium hydroxide. International Endodontic Journal, 48(3). https://doi.org/10.1111/iej.12306Balvedi, R. P. A., Versiani, M. A., Manna, F. F., & Biffi, J. C. G. (2010). A comparison of two techniques for the removal of calcium hydroxide from root canals. International Endodontic Journal, 43(9). https://doi.org/10.1111/j.1365-2591.2010.01718.xBarbizam, J. V. B., Trope, M., Teixeira, É. C. N., Tanomaru-Filho, M., & Teixeira, F. B. (2008). Effect of calcium hydroxide intracanal dressing on the bond strength of a resin-based endodontic sealer. Brazilian Dental Journal, 19(3). https://doi.org/10.1590/s0103-64402008000300009Barnett, F., & Siqueira, J. F. (2017). Instrumentation and Disinfection of Root Canals. In Endodontic Prognosis. https://doi.org/10.1007/978-3-319-42412-5_8Blanken, J., de Moor, R. J. G., Meire, M., & Verdaasdonk, R. (2009). Laser induced explosive vapor and cavitation resulting in effective irrigation of the root canal. Part 1: A visualization study. Lasers in Surgery and Medicine, 41(7). https://doi.org/10.1002/lsm.20798Çalişkan, M. K., Türkün, M., & Türkün, L. Ş. (1998). Effect of calcium hydroxide as an intracanal dressing on apical leakage. International Endodontic Journal, 31(3). https://doi.org/10.1046/j.1365-2591.1998.00145.xÇalt, S., & Serper, A. (1999). Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. Journal of Endodontics, 25(6). https://doi.org/10.1016/S0099-2399(99)80273-8Capar, I. D., Ozcan, E., Arslan, H., Ertas, H., & Aydinbelge, H. A. (2014). Effect of different final irrigation methods on the removal of calcium hydroxide from an artificial standardized groove in the apical third of root canals. Journal of Endodontics, 40(3). https://doi.org/10.1016/j.joen.2013.10.019CERGNEUX, M., CIUCCHI, B., DIETSCHI, J. M., & HOLZ, J. (1987). The influence of the smear layer on the sealing ability of canal obturation. International Endodontic Journal, 20(5). https://doi.org/10.1111/j.1365-2591.1987.tb00619.xCHONG, B. S., & FORD, T. R. P. (1992). The role of intracanal medication in root canal treatment. International Endodontic Journal, 25(2). https://doi.org/10.1111/j.1365-2591.1992.tb00743.xda Silva, J. M., Andrade Junior, C. v., Zaia, A. A., & Pessoa, O. F. (2011). Microscopic cleanliness evaluation of the apical root canal after using calcium hydroxide mixed with chlorhexidine, propylene glycol, or antibiotic paste. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, 111(2). https://doi.org/10.1016/j.tripleo.2010.08.016Dhiman, M., Kumar, S., Duhan, J., Sangwan, P., & Tewari, S. (2015). Effect of Platelet-rich Fibrin on Healing of Apicomarginal Defects: A Randomized Controlled Trial. Journal of Endodontics, 41(7). https://doi.org/10.1016/j.joen.2015.04.004Dioguardi, M., di Gioia, G., Illuzzi, G., Laneve, E., Cocco, A., & Troiano, G. (2018). Endodontic irrigants: Different methods to improve efficacy and related problems. In European Journal of Dentistry (Vol. 12, Issue 3). https://doi.org/10.4103/ejd.ejd_56_18Eraso-Martinez, Nancy., & Muñoz-Bolaños, Ivan. (2015). La obturacion endodontica, una vision general. Revista Nacional de Odontologia, 8(15).Ethem Yaylali, I., Kececi, A. D., & Ureyen Kaya, B. (2015). Ultrasonically activated irrigation to remove calcium hydroxide from apical third of human root canal system: A systematic review of in vitro studies. In Journal of Endodontics (Vol. 41, Issue 10). https://doi.org/10.1016/j.joen.2015.06.006Evans, M., Davies, J. K., Sundqvist, G., & Figdor, D. (2002). Mechanisms involved in the resistance of Enterococcus faecalis to calcium hydroxide. International Endodontic Journal, 35(3). https://doi.org/10.1046/j.1365-2591.2002.00504.xFaggion, C. M. (2012). Guidelines for reporting pre-clinical in vitro studies on dental materials. Journal of Evidence-Based Dental Practice, 12(4). https://doi.org/10.1016/j.jebdp.2012.10.001Farhad, A., & Mohammadi Esfahan, Z. (2005). Calcium hydroxide: a review Chemical characteristics of calcium hydroxide. International Dental Journal, 55Faria, G., Kuga, M. C., Ruy, A. C., Aranda-Garcia, A. J., Bonettifilho, I., Guerreiro-Tanomaru, J. M., & Leonardo, R. T. (2013). The efficacy of the self-adjusting file and ProTaper for removal of calcium hydroxide from root canals. Journal of Applied Oral Science, 21(4). https://doi.org/10.1590/1678-775720130034G. Caton, J., Armitage, G., Berglundh, T., Chapple, I. L. C., Jepsen, S., S. Kornman, K., L. Mealey, B., Papapanou, P. N., Sanz, M., & S. Tonetti, M. (2018). A new classification scheme for periodontal and peri-implant diseases and conditions – Introduction and key changes from the 1999 classification. Journal of Clinical Periodontology, 45.Ghabraei, S., Bolhari, B., Yaghoobnejad, F., & Meraji, N. (2017). Effect of intra-canal calcium hydroxide remnants on the push-out bond strength of two endodontic sealers. Iranian Endodontic Journal, 12(2). https://doi.org/10.7508/iej.2017.02.008Gokturk, H., Ozkocak, I., Buyukgebiz, F., & Demir, O. (2017). Effectiveness of various irrigation protocols for the removal of calcium hydroxide from artificial standardized grooves. Journal of Applied Oral Science, 25(3). https://doi.org/10.1590/1678-7757-2016-0414Göktürk, H., Özkoçak, İ., Büyükgebiz, F., & Demir, O. (2018). Effectiveness of Various Irrigation Protocols in Removing Calcium Hydroxide from Root Canals. Meandros Medical and Dental Journal, 19(1). https://doi.org/10.4274/meandros.04796Gu, L. sha, Kim, J. R., Ling, J., Choi, K. K., Pashley, D. H., & Tay, F. R. (2009). Review of Contemporary Irrigant Agitation Techniques and Devices. In Journal of Endodontics (Vol. 35, Issue 6). https://doi.org/10.1016/j.joen.2009.03.010Hamdan, R., Michetti, J., Pinchon, D., Diemer, F., & Georgelin-Gurgel, M. (2017). The XP-Endo Finisher for the removal of calcium hydroxide paste from root canals and from the apical third. Journal of Clinical and Experimental Dentistry, 9(7). https://doi.org/10.4317/jced.53962Heithersay, G. S. (1975). Calcium Hydroxide in the Treatment of Pulpless Teeth with Associated Pathology. International Endodontic Journal, 8(2). https://doi.org/10.1111/j.1365-2591.1975.tb01000.xHülsmann, M., & Hahn, W. (2000). Complications during root canal irrigation - Literature review and case reports. In International Endodontic Journal (Vol. 33, Issue 3). https://doi.org/10.1046/j.1365-2591.2000.00303.xKaptan, F., Karapinar-Kazandag, M., Kayahan, M. B., Bora, T., & Bayirli, G. (2012). Potential of an Er:YAG laser in the removal of calcium hydroxide from root canals. Photomedicine and Laser Surgery, 30(5). https://doi.org/10.1089/pho.2011.3093Kawashima, N., Wadachi, R., Suda, H., Yeng, T., & Parashos, P. (2009). Root canal medicaments. International Dental Journal, 59(1), 5–11. https://doi.org/10.1922/IDJ_2060Kawashima07Kenee, D. M., Allemang, J. D., Johnson, J. D., Hellstein, J., & Nichol, B. K. (2006). A Quantitative Assessment of Efficacy of Various Calcium Hydroxide Removal Techniques. Journal of Endodontics, 32(6). https://doi.org/10.1016/j.joen.2005.10.065Kim, S. K., & Kim, Y. O. (2002). Influence of calcium hydroxide intracanal medication on apical seal. International Endodontic Journal, 35(7). https://doi.org/10.1046/j.1365-2591.2002.00539.xKomabayashi, T., D’souza, R. N., Dechow, P. C., Safavi, K. E., & Spångberg, L. S. W. (2009). Particle Size and Shape of Calcium Hydroxide. Journal of Endodontics, 35(2). https://doi.org/10.1016/j.joen.2008.11.017Levine, M. (1988). Root-canal therapy: a means of treating oral pain and infection. Canadian Family Physician Medecin de Famille Canadien, 34.Li, D., Jiang, S., Yin, X., Chang, J. W. W., Ke, J., & Zhang, C. (2015). Efficacy of needle, ultrasonic, and endoactivator irrigation and photon-induced photoacoustic streaming in removing calcium hydroxide from the main canal and isthmus: An in vitro micro-computed tomography and scanning electron microscopy study. Photomedicine and Laser Surgery, 33(6). https://doi.org/10.1089/pho.2015.3903Lloyd, A., Navarrete, G., Marchesan, M. A., & Clement, D. (2016). Removal of calcium hydroxide from Weine Type II systems using photon-induced photoacoustic streaming, passive ultrasonic, and needle irrigation: A microcomputed tomography study. Journal of Applied Oral Science, 24(6). https://doi.org/10.1590/1678-775720160234Ma, J. Z., Shen, Y., Al-Ashaw, A. J., Khaleel, H. Y., Yang, Y., Wang, Z. J., Peng, B., & Haapasalo, M. (2015). Micro-computed tomography evaluation of the removal of calcium hydroxide medicament from C-shaped root canals of mandibular second molars. International Endodontic Journal, 48(4). https://doi.org/10.1111/iej.12319Maalouf, L., Zogheib, C., & Naaman, A. (2013). Removal efficiency of calcium hydroxide dressing from the root canal without chemically active adjuvant. Journal of Contemporary Dental Practice, 14(2). https://doi.org/10.5005/jp-journals-10024-1298Margelos, J., Eliades, G., Verdelis, C., & Palaghias, G. (1997). Interaction of calcium hydroxide with zinc oxide-eugenol type sealers: A potential clinical problem. Journal of Endodontics, 23(1). https://doi.org/10.1016/S0099-2399(97)80206-3Messer, H. H., & Chen, R. S. (1984). The duration of effectiveness of root canal medicaments. Journal of Endodontics, 10(6). https://doi.org/10.1016/S0099-2399(84)80055-2Mustafa, M., Jain, D., Taluka, S., Lecturer, S., Dentistry, C., & Capping, P. (2012). Role of Calcium Hydroxide in Endodontics: a Review. Global Journal of Medicine, 1(1).Nandini, S., Velmurugan, N., & Kandaswamy, D. (2006). Removal Efficiency of Calcium Hydroxide Intracanal Medicament With Two Calcium Chelators: Volumetric Analysis Using Spiral CT, An In Vitro Study. Journal of Endodontics, 32(11). https://doi.org/10.1016/j.joen.2006.06.005OKŞAN, T., AKTENER, B. O., ŞEN, B. H., & TEZEL, H. (1993). The penetration of root canal sealers into dentinai tubules. A scanning electron microscopic study. International Endodontic Journal, 26(5). https://doi.org/10.1111/j.1365-2591.1993.tb00575.xPashley, D. H., & Livingston, M. J. (1978). Effect of molecular size on permeability coefficients in human dentine. Archives of Oral Biology, 23(5). https://doi.org/10.1016/0003-9969(78)90098-5Poggio, C., Beltrami, R., Colombo, M., Ceci, M., Dagna, A., & Chiesa, M. (2015). In vitro antibacterial activity of different pulp capping materials. Journal of Clinical and Experimental Dentistry, 7(5). https://doi.org/10.4317/jced.52401RENEDO, M. J., FERNANDEZ, J., GAREA, A., & IRABIEN, J. A. (2000). INFLUENCE OF PARTICLE SIZE AND STRUCTURAL PROPERTIES OF SORBENTS PREPARED FROM FLY-ASH AND Ca(OH) 2 ON THE SO 2 REMOVAL ABILITY. Chemical Engineering Communications, 182(1), 69–80. https://doi.org/10.1080/00986440008912828Ricucci, D., & Langeland, K. (1997). Incomplete calcium hydroxide removal from the root canal: A case report. International Endodontic Journal, 30(6). https://doi.org/10.1111/j.1365-2591.1997.tb00734.xRödig, T., Hirschleb, M., Zapf, A., & Hülsmann, M. (2011). Comparison of ultrasonic irrigation and RinsEndo for the removal of calcium hydroxide and Ledermix paste from root canals. International Endodontic Journal, 44(12). https://doi.org/10.1111/j.1365-2591.2011.01937.xRodríguez, G., Álvarez, M., García, J., Arias, S. R., & Sarabia, M. (2005). El hidróxido de calcio: su uso clínico en la endodoncia actual. Revista Archivo Médico de Camagüey, 9(3).Safavi, K. E., Spngberg, L. S. W., & Langeland, K. (1990). Root canal dentinal tubule disinfection. Journal of Endodontics, 16(5). https://doi.org/10.1016/S0099-2399(06)81670-5Salgado, R. J. C., Moura-Netto, C., Yamazaki, A. K., Cardoso, L. N., Maranhão de Moura, A. A., & Prokopowitsch, I. (2009). Comparison of different irrigants on calcium hydroxide medication removal: microscopic cleanliness evaluation. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 107(4), 580–584. https://doi.org/10.1016/j.tripleo.2008.12.008Salman, M. I., Baumann, M. A., Hellmich, M., Roggendorf, M. J., & Termaat, S. (2010). SEM evaluation of root canal debridement with Sonicare CanalBrush irrigation. International Endodontic Journal, 43(5). https://doi.org/10.1111/j.1365-2591.2009.01675.xSathorn, C., Parashos, P., & Messer, H. (2007). Antibacterial efficacy of calcium hydroxide intracanal dressing: A systematic review and meta-analysis. In International Endodontic Journal (Vol. 40, Issue 1). https://doi.org/10.1111/j.1365-2591.2006.01197.xSchilder, H., & Amsterdam, M. (1959). Inflammatory potential of root canal medicaments. A preliminary report including nonspecific drugs. Oral Surgery, Oral Medicine, Oral Pathology, 12(2). https://doi.org/10.1016/0030-4220(59)90146-XScottish Intercollegiate Guidelines Network. (2008). SIGN 50: A guideline developers’ handbook. SIGN Publication.Shahravan, A., Haghdoost, A. A., Adl, A., Rahimi, H., & Shadifar, F. (2007). Effect of Smear Layer on Sealing Ability of Canal Obturation: A Systematic Review and Meta-analysis. Journal of Endodontics, 33(2). https://doi.org/10.1016/j.joen.2006.10.007Sireesha, A., Jayasree, R., Vidhya, S., Mahalaxmi, S., Sujatha, V., & Kumar, T. S. S. (2017). Comparative evaluation of micron- and nano-sized intracanal medicaments on penetration and fracture resistance of root dentin – An in vitro study. International Journal of Biological Macromolecules, 104. https://doi.org/10.1016/j.ijbiomac.2017.05.126Soares, I. J., & Goldberg, F. (2002). Procedimientos químicos auxiliares de la preparación quirúrgica (I. J. Soares & F. Goldberg, Eds.).Taşdemir, T., Çelik, D., Er, K., Yildirim, T., Ceyhanli, K. T., & Yeşilyurt, C. (2011). Efficacy of several techniques for the removal of calcium hydroxide medicament from root canals. International Endodontic Journal, 44(6). https://doi.org/10.1111/j.1365-2591.2011.01854.xTavella e Silva, N. C., Gibin, J. T., Rivera, I. C. M. M., Rached Junior, F. J. A., Leoni, G. B., & Raucci-Neto, W. (2021). Calcium hydroxide paste removal strategies and bond strengths of epoxy- and silicate-based sealers. Australian Endodontic Journal, 47(2). https://doi.org/10.1111/aej.12460Urrútia, G., & Bonfill, X. (2010). Declaración PRISMA: una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis. Medicina Clínica, 135(11). https://doi.org/10.1016/j.medcli.2010.01.015van der Sluis, L. W. M., Wu, M. K., & Wesselink, P. R. (2007). The evaluation of removal of calcium hydroxide paste from an artificial standardized groove in the apical root canal using different irrigation methodologies. International Endodontic Journal, 40(1), 52–57. https://doi.org/10.1111/j.1365-2591.2006.01182.xVeintimilla Lozada, V. N., Guillén Guillén, R., Caballero Flores, H. V., & Eduardo de Lima Machado, M. (2019). Influence of intracanal medication with calcium hydroxide paste in the penetration of the shutter cement. Revista Odontología Universidad Central de Ecuador, 5–18.WANG, J. ‐D, & HUME, W. R. (1988). Diffusion of hydrogen ion and hydroxyl ion from various sources through dentine. International Endodontic Journal, 21(1). https://doi.org/10.1111/j.1365-2591.1988.tb00949.xWang, Y., Guo, L. Y., Fang, H. Z., Zou, W. L., Yang, Y. M., Gao, Y., Yang, H., & Hu, T. (2017). An in vitro study on the efficacy of removing calcium hydroxide from curved root canal systems in root canal therapy. International Journal of Oral Science, 9(2). https://doi.org/10.1038/ijos.2017.14White, R. R., Goldman, M., & Lin, P. S. (1984). The influence of the smeared layer upon dentinal tubule penetration by plastic filling materials. Journal of Endodontics, 10(12). https://doi.org/10.1016/S0099-2399(84)80100-4Wigler, R., Dvir, R., Weisman, A., Matalon, S., & Kfir, A. (2017). Efficacy of XP-endo finisher files in the removal of calcium hydroxide paste from artificial standardized grooves in the apical third of oval root canals. International Endodontic Journal, 50(7). https://doi.org/10.1111/iej.12668Wiseman, A., Cox, T. C., Paranjpe, A., Flake, N. M., Cohenca, N., & Johnson, J. D. (2011). Efficacy of sonic and ultrasonic activation for removal of calcium hydroxide from mesial canals of mandibular molars: A microtomographic study. Journal of Endodontics, 37(2). https://doi.org/10.1016/j.joen.2010.11.019Zhou, J., Liu, T., & Guo, L. (2021). Effectiveness of XP-Endo Finisher and passive ultrasonic irrigation on intracanal medicament removal from root canals: a systematic review and meta-analysis. BMC Oral Health, 21(1). https://doi.org/10.1186/s12903-021-01644-7Betancourt, P., Arnabat-Domínguez, J., & Viñas, M. (2021). Avances en la Desinfección Endodóntica Irrigación Activada por Láser. Canal Abierto. Revista Científica, 43, 4–7Hosoya, N., Kurayama, H., Iino, F., & Arai, T. (2004). Effects of calcium hydroxide on physical and sealing properties of canal sealers. International Endodontic Journal, 37(3). https://doi.org/10.1111/j.0143-2885.2004.00781.xJiménez, L., Gómez, J., & Matos, M. (2014). IRRIGACIÓN ULTRASÓNICA PASIVA COMPARADA CON IRRIGACIÓN MANUAL EN LA ELIMINACIÓN DEL ENTEROCOCCUS FAECALIS DEL SISTEMA DE CONDUCTOS (ESTUDIO IN VITRO) PASSIVE ULTRASONIC IRRIGATION COMPARED WITH CONVENTIONAL MANUAL IRRIGATION IN THE ELIMINATION OF ENTEROCOCCUS FAECALIS OF DUCT RADICULAR SYSTEM (IN VITRO STUDY). Acta Odont. Venez, 52Paredes Vieyra, J., Gradilla Martínez, I., Mondaca, J. M., Jiménez Enriquez, Fco. J., & Manriquez Quintana, M. I. (2009). Sistema Endovac en endodoncia por medio de presión apical negativa.ORIGINAL2022RamirezMayerly.pdf2022RamirezMayerly.pdfTrabajo de gradoapplication/pdf924987https://repository.usta.edu.co/bitstream/11634/45243/7/2022RamirezMayerly.pdf0b8f504552f675c11fc8b0cbb5541969MD57open access2022RamirezMayerly1.pdf2022RamirezMayerly1.pdfAprobación de facultadapplication/pdf125095https://repository.usta.edu.co/bitstream/11634/45243/2/2022RamirezMayerly1.pdff2cd0844e96c92bd67764b603fd2d850MD52metadata only access2022RamirezMayerly2.pdf2022RamirezMayerly2.pdfAcuerdo de publicaciónapplication/pdf117013https://repository.usta.edu.co/bitstream/11634/45243/3/2022RamirezMayerly2.pdfe8e4e8347537166c81a4e8b21eac9032MD53metadata only access2022RamirezMayerly3.pdf2022RamirezMayerly3.pdfApéndiceapplication/pdf507423https://repository.usta.edu.co/bitstream/11634/45243/4/2022RamirezMayerly3.pdf2d293f946ae117195cd64af2e9c68bf5MD54open accessCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8811https://repository.usta.edu.co/bitstream/11634/45243/5/license_rdf217700a34da79ed616c2feb68d4c5e06MD55open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-8807https://repository.usta.edu.co/bitstream/11634/45243/6/license.txtaedeaf396fcd827b537c73d23464fc27MD56open accessTHUMBNAIL2022RamirezMayerly.pdf.jpg2022RamirezMayerly.pdf.jpgIM Thumbnailimage/jpeg5866https://repository.usta.edu.co/bitstream/11634/45243/8/2022RamirezMayerly.pdf.jpgb5ec945ae3b58d55ddd04fb3c8ad432eMD58open access2022RamirezMayerly1.pdf.jpg2022RamirezMayerly1.pdf.jpgIM Thumbnailimage/jpeg8725https://repository.usta.edu.co/bitstream/11634/45243/9/2022RamirezMayerly1.pdf.jpgb71fe77991dceb1a3c270cb4e9ebff2aMD59open access2022RamirezMayerly2.pdf.jpg2022RamirezMayerly2.pdf.jpgIM Thumbnailimage/jpeg8248https://repository.usta.edu.co/bitstream/11634/45243/10/2022RamirezMayerly2.pdf.jpg5fc40f7109fc7c89748ea7a440324eaeMD510open access2022RamirezMayerly3.pdf.jpg2022RamirezMayerly3.pdf.jpgIM Thumbnailimage/jpeg7837https://repository.usta.edu.co/bitstream/11634/45243/11/2022RamirezMayerly3.pdf.jpg7977b46bf40792cbf0983da82220f87dMD511open access11634/45243oai:repository.usta.edu.co:11634/452432023-07-19 17:17:13.101open accessRepositorio Universidad Santo Tomásnoreply@usta.edu.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