Abstract
Introduction: Injection of sodium hypochlorite (NaOCl) from the root canal into periapical tissues may result in a NaOCl incident. The purpose of this study was to examine the fluid pressure generated by canal cleansing devices at the apical interface, when the tip of the irrigation device was not binding to the canal walls. Methods: Apical pressure was monitored in a closed-system root canal model, with NaOCl delivered by a syringe pump at 0.5-8 mL/min. Devices tested were VPro EndoSafe, Max-i-Probe, NaviTip, VPro StreamClean, and EndoVac Microcannula. Apical fluid pressure was recorded with a digital manometer (N = 20). The relationships between apical fluid pressure and fluid flow rate were modeled with polynomial regression and analyzed by using the Wald test. Results: EndoVac Microcannula was the only device that was capable of delivering negative apical fluid pressures, in the range of -35 mm Hg, at all fluid flow rates. All other devices generated positive apical pressures that increased nonlinearly with increasing fluid flow rates. These 4 positive pressure delivery devices were capable of generating pressures that exceeded the human central venous pressure (5.88 mm Hg). VPro EndoSafe differed from the other positive pressure delivery devices in that it generated significantly higher positive pressures at all flow rates (P <.0083). Conclusions: Positive apical irrigation pressures in excess of the central venous pressure may be generated by some canal cleansing devices when irrigants are delivered at flow rates higher than 1 mL/min, even when the irrigation needle is not wedged into the canal walls.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 529-533 |
| Number of pages | 5 |
| Journal | Journal of Endodontics |
| Volume | 39 |
| Issue number | 4 |
| DOIs | |
| State | Published - Apr 1 2013 |
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Keywords
- Apical fluid pressure
- fluid flow rate
- sodium hypochlorite
- venous pressure
ASJC Scopus subject areas
- Dentistry(all)
Cite this
Periapical pressures developed by nonbinding irrigation needles at various irrigation delivery rates. / Khan, Sara; Niu, Li Na; Eid, Ashraf A.; Looney, Stephen Warwick; Didato, Anthony; Roberts, Steven; Pashley, David Henry; Tay, Franklin Chi Meng.
In: Journal of Endodontics, Vol. 39, No. 4, 01.04.2013, p. 529-533.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Periapical pressures developed by nonbinding irrigation needles at various irrigation delivery rates
AU - Khan, Sara
AU - Niu, Li Na
AU - Eid, Ashraf A.
AU - Looney, Stephen Warwick
AU - Didato, Anthony
AU - Roberts, Steven
AU - Pashley, David Henry
AU - Tay, Franklin Chi Meng
PY - 2013/4/1
Y1 - 2013/4/1
N2 - Introduction: Injection of sodium hypochlorite (NaOCl) from the root canal into periapical tissues may result in a NaOCl incident. The purpose of this study was to examine the fluid pressure generated by canal cleansing devices at the apical interface, when the tip of the irrigation device was not binding to the canal walls. Methods: Apical pressure was monitored in a closed-system root canal model, with NaOCl delivered by a syringe pump at 0.5-8 mL/min. Devices tested were VPro EndoSafe, Max-i-Probe, NaviTip, VPro StreamClean, and EndoVac Microcannula. Apical fluid pressure was recorded with a digital manometer (N = 20). The relationships between apical fluid pressure and fluid flow rate were modeled with polynomial regression and analyzed by using the Wald test. Results: EndoVac Microcannula was the only device that was capable of delivering negative apical fluid pressures, in the range of -35 mm Hg, at all fluid flow rates. All other devices generated positive apical pressures that increased nonlinearly with increasing fluid flow rates. These 4 positive pressure delivery devices were capable of generating pressures that exceeded the human central venous pressure (5.88 mm Hg). VPro EndoSafe differed from the other positive pressure delivery devices in that it generated significantly higher positive pressures at all flow rates (P <.0083). Conclusions: Positive apical irrigation pressures in excess of the central venous pressure may be generated by some canal cleansing devices when irrigants are delivered at flow rates higher than 1 mL/min, even when the irrigation needle is not wedged into the canal walls.
AB - Introduction: Injection of sodium hypochlorite (NaOCl) from the root canal into periapical tissues may result in a NaOCl incident. The purpose of this study was to examine the fluid pressure generated by canal cleansing devices at the apical interface, when the tip of the irrigation device was not binding to the canal walls. Methods: Apical pressure was monitored in a closed-system root canal model, with NaOCl delivered by a syringe pump at 0.5-8 mL/min. Devices tested were VPro EndoSafe, Max-i-Probe, NaviTip, VPro StreamClean, and EndoVac Microcannula. Apical fluid pressure was recorded with a digital manometer (N = 20). The relationships between apical fluid pressure and fluid flow rate were modeled with polynomial regression and analyzed by using the Wald test. Results: EndoVac Microcannula was the only device that was capable of delivering negative apical fluid pressures, in the range of -35 mm Hg, at all fluid flow rates. All other devices generated positive apical pressures that increased nonlinearly with increasing fluid flow rates. These 4 positive pressure delivery devices were capable of generating pressures that exceeded the human central venous pressure (5.88 mm Hg). VPro EndoSafe differed from the other positive pressure delivery devices in that it generated significantly higher positive pressures at all flow rates (P <.0083). Conclusions: Positive apical irrigation pressures in excess of the central venous pressure may be generated by some canal cleansing devices when irrigants are delivered at flow rates higher than 1 mL/min, even when the irrigation needle is not wedged into the canal walls.
KW - Apical fluid pressure
KW - fluid flow rate
KW - sodium hypochlorite
KW - venous pressure
UR - http://www.scopus.com/inward/record.url?scp=84875260909&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84875260909&partnerID=8YFLogxK
U2 - 10.1016/j.joen.2013.01.001
DO - 10.1016/j.joen.2013.01.001
M3 - Article
C2 - 23522551
AN - SCOPUS:84875260909
VL - 39
SP - 529
EP - 533
JO - Journal of Endodontics
JF - Journal of Endodontics
SN - 0099-2399
IS - 4
ER -