Syringe irrigation in confluent canals: A sequential computational fluid dynamics assessment

Author:

Rito Pereira Mário12ORCID,Silva Goncalo3ORCID,Semiao Viriato4ORCID,Martins Jorge N. R.1ORCID,Silverio Vania56ORCID,Pascoal‐Faria Paula7ORCID,Duarte Isabel89,Alves Nuno10ORCID,Ginjeira António1ORCID

Affiliation:

1. Department of Endodontics, Faculdade de Medicina Dentária Universidade de Lisboa Lisboa Portugal

2. Egas Moniz Center for Interdisciplinary Research (CiiEM) Almada Portugal

3. IDMEC, Department of Mechatronics Universidade de Évora Évora Portugal

4. IDMEC, Instituto Superior Técnico, Departamento de Engenharia Mecânica Universidade de Lisboa Lisboa Portugal

5. Instituto de Engenharia de Sistemas e Computadores – Microsistemas e Nanotecnologias, INESC MN Lisboa Portugal

6. Department of Physics, Instituto Superior Técnico Universidade de Lisboa Lisboa Portugal

7. Mathematics Department of the School of Technology and Management (ESTG) and Centre for Rapid and Sustainable Product Development (CDRSP) from the Polytechnic of Leiria Marinha Grande Portugal

8. Department of Mechanical Engineering, Centre for Mechanical Technology and Automation (TEMA) University of Aveiro Aveiro Portugal

9. LASI – Intelligent Systems Associate Laboratory Guimarâes Portugal

10. Centre for Rapid and Sustainable Product Development Instituto Politécnico de Leiria Marinha Grande Portugal

Abstract

AbstractThis study aims to assess the influence of root canal preparation, irrigation needle design and its placement depth in the irrigation flow of confluent canals during syringe irrigation. A mandibular molar presenting two confluent canals in its mesial root was sequentially prepared and scanned by micro‐computed tomography after mechanical preparation up to ProTaper Next system sizes X2 (25/.06v), X3 (30/.07v) and X4 (40/.06v). In each of the root canal preparation models, a side‐vented and an open‐ended needle at 5, 3 and 2 mm from the working length were included, and irrigation flow was assessed by a validated computational fluid dynamics model. The results revealed that the irrigant flowed out of the confluent canals mainly through the canal that did not have the needle. Apical penetration and renewal of the irrigant were most efficiently achieved with the use of a 30G open‐ended needle and a 30/.07v preparation.

Publisher

Wiley

Subject

General Dentistry

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