Antimicrobial Effectiveness of Electro-chemically Activated Water as an Endodontic Irrigation Solution


Book Description

The use of sodium hypochlorite (NaOCI) as an endodontic irrigation solution is effective in eliminating microorganisms from the root canals of human teeth. The purpose of this in vitro study was to evaluate the antimicrobial effectiveness of electro-chemically activated water (ECA) as an endodontic irrigation solution. ECA is a solution comprising many different ions, molecules and radicals. Sixty caries-free, single root, adult, maxillary, anterior human teeth were used. The root canals were instrumented and irrigated with NaGCI in a similar method to that employed for in vivo root canal treatment. The external root surface of each tooth was sealed and the access cavity kept patent so that root canals could be inoculated with a suspension containing four bacterial. The teeth were randomly divided into four groups (n=15). Each group was irrigated ultrasonically, using solutions of distilled water (control), NaOCI (3.5%), and ECA, the latter at pH's 7.0 and 9.0 respectively. Antimicrobial effectiveness was established directly after irrigation and again seven days later, by counting colony forming units on blood agar plates and by spectrophotometric analysis. The surfaces of the root canals were visually examined by means of scanning electron microscopy. Large numbers of bacteria were present in the canals of teeth irrigated with distilled water. No bacteria were observed following irrigation with NaGCI. Neither of the ECA solutions were found to be effective against all the bacteria. Although some reduction in the number of bacteria was evident in the ECA groups, this was not statistically significant (p>0.05). Within the confines of this study ECA did not demonstrate antimicrobial effectiveness.




Endodontic Irrigation


Book Description

This book reviews the available information on bacterial disinfection in endodontics, with emphasis on the chemical treatment of root canals based on current understanding of the process of irrigation. It describes recent advances in knowledge of the chemistry associated with irrigants and delivery systems, which is of vital importance given that chemical intervention is now considered one of the most important measures in eliminating planktonic microbes and biofilms from the infected tooth. Recommendations are made regarding concentrations, exposure times and optimal sequences. Possible complications related to the use of the different solutions are highlighted, with guidance on response. In addition, clinical protocols are suggested on the basis of both clinical experience and the results of past and ongoing research. Throughout, a practical, clinically oriented approach is adopted that will assist the practitioner in ensuring successful endodontic treatment.




Harty's Endodontics in Clinical Practice


Book Description

This is a new edition of the now classic book which has established itself as a standard text for dental students. Practical approach to the subject, taking the reader through every step of endodontic practice from scientific basis to patient assessment and through to clinical techniques Evidence-based approach to ensure safe clinical practice More than 250 illustrations, many in full colour, presenting clinical, diagnostic and practical information in an easy-to-follow manner A logical approach to the subject by building upon a clear explanation of the underlying scientific principles Prepared by international contributors to ensure a wider appeal Written at a level which is ideal for dental student, general and vocational dental practitioners Includes new imaging techniques such as Cone Beam Computed Tomography A new chapter on diagnosis, integral to treatment planning, patient management and care Recent research findings on the pathogenesis of endodontic disease and the management of persistent infection in previously treated teeth A completely rewritten chapter on the restoration of endodontically treated teeth Newer treatment modalities and materials such as regenerative techniques and Mineral Trioxide Aggregate in endodontics The use and development of NiTi instruments, both hand and rotary, which are increasingly popular for preparing root canals Published for the first time in full colour with over 185 new images!




Advanced Endodontics


Book Description

Complex endodontic problems that require further work on the part of the clinician can be time-consuming and problematic. This highly illustrated text, from one of the authors of the very successful Endodontics: Problem-Solving in Clinical Practice, tackles these difficult aspects and guides the practitioner through the problems and procedures invo




The Mechanism of Antimicrobial Action of Electro-chemically Activated (ECA) Water and Its Healthcare Applications


Book Description

The Electrochemical Activation (ECA) of water is introduced as a novel refinement of conventional electrochemical processes and the unique features and attributes are evaluated against the universal principles that have described the electrolytic processes to date. While the novel and patented novel reactor design retains the capacity to generate products common to conventional electrolysis, it also manipulates the properties of the reagent solutions to achieve an anomalous Oxidation-Reduction potential (ORP or REDOX) that cannot be replicated by traditional chemical and physical interventions. As a contemporary development in the field, the technology continues to undergo rigorous assessment and while not all of its theoretical aspects have been exhaustively interrogated, its undisputed biocidal efficacy has been widely established. Microbial vitality has been shown to be directly dependent upon the confluence of a diverse variety of physical and chemical environmental conditions. Fundamentally important in this regard is the electronic balance or REDOX potential of the microbial environment. The intricate balance of metabolic pathways that maintain cellular integrity underwrites the measures of irritability required for sustained viability. Aside from the direct effects of the conventional electrolysis products, overt electronic disruption of the immediate microbial environment initiates a cascade of secondary and largely independent autocidal molecular events which compromise the fundamental integrity of the microbe and leads to cell death. The distinctive capacity to impart unique physicochemical attributes to the ECA derived solutions also facilitates the characterisation of the same outside of the conventional physicochemical and gravimetric measures. These adjunct measures display a substantial relationship with the predictability of antimicrobial effect, and the direct relationship between inactivation of a defined microbial bioload and the titratable measures of REDOX capacity have been shown to describe a repeatable benchmark. The use of ultra-microscopy to investigate the impact of the ECA products on bacterial cell structures has shown this tool to have distinctive merit in the imaging and thus refined description of the consequences of exposure to biocidal solutions. The distinctive differences of the ECA solutions relative to conventional antibacterial compounds would suggest a heightened suitability for application in conditions where the efficacy of conventional biocidal compounds had been limited. Aeroslisation of the ECA solutions for the decontamination of airspaces challenged with tuberculosis pathogens revealed that despite initial success, further refinements to the application model will be required to meet the unresolved challenges. The health care benefits associated with the application of the ECA solutions in a medical environment substantiate the merits for the adoption of the technology as a complementary remedy for the management of nosocomial infections. The relative novelty of the technology in the commercial domain will raise questions regarding the potential for resistance development, and it has been proposed that the distinctive mechanism of biocidal action will not contribute to diminished bacterial susceptibility, as it does not reveal any cross- or co-resistance when assessed against multiple antibiotic resistant strains. These benefits are further reinforced by the capacity to install the technology for both onsite and on-demand availability, and being derived from natural ingredients (salt and water) the ECA solutions are regarded as safe and compatible for general in-contact use. Notwithstanding the multiple benefits that the technology may provide, further assessments into materials compatibility as well as potential by-products formation following environmental exposure are imperative before the unfettered adoption of this technology as a cost-effective, safe and reliable alternative to conventional disinfection can be promoted.




Cohen's Pathways of the Pulp - E-Book


Book Description

**Selected for Doody's Core Titles® 2024 with "Essential Purchase" designation in Dentistry** Stay up on the latest research and techniques in endodontics with Cohen's Pathways of the Pulp, 12th Edition. Written by a team of internationally renowned experts and trusted for more than 40 years, this definitive guide covers the science, theory, and practice of endodontics. Full color illustrations and detailed radiographs guide readers through each step of endodontic care — from diagnosis and treatment planning to proven techniques for managing pulpal and periapical diseases. This new twelfth edition also boasts the very latest evidence-based research and techniques, reorganized and condensed chapters, plus other features designed to help you locate important information quickly and easily. Complete with access to Expert Consult, it's everything you need to stay ahead in the field of endodontics. - Extensive illustration collection includes over 2,000 full-color photos, line art, and radiographs to clearly demonstrate core concepts and reinforce the essential principles and techniques of endodontics. - Video clips and case studies demonstrate key procedures such as palpation of the masseter muscle, introsseous anesthesia with the X-tip system, dentin hypersensitivity, and more. - Diverse and respected contributor pool includes experts from many national- and international-based dental education programs. - NEW! Updated content and new images incorporate the most recent developments in research and clinical endodontic techniques. - NEW! Additional topics cover pulp biology, pathobiology, diagnosis, treatment planning, pain control, isolation, access, cleaning and shaping, obturation, restoration, assessment of outcomes, emergencies and surgery. Each online topic comes with assigned reading lists, a PowerPoint lecture, written lesson objectives, and example exam questions. - NEW! Compliance with the Commission on Dental Accreditation Curriculum ensures that the needs of all dental programs are met. - NEW! Reorganized sections now divide chapters by those covering clinical endodontics, those covering the biological basis of endodontics, and chapters which detail endodontics in private practice to make content easier for both clinicians and students to navigate. - NEW! Condensed chapters remove unnecessary duplication of content across the text and make the physical text lighter and easier to use.




Disinfection of Root Canal Systems


Book Description

Clean root canal systems are essential for successful endodontic treatment. With contributions from leading endodontists from around the world, Dr. Nestor Cohenca here presents the etiology of endodontic disease caused by the endodontic biofilm and all therapies available to predictably disinfect the root canal system, thus increasing successful endodontic outcomes. Disinfection of Root Canal Systems: The Treatment of Apical Periodontitis is an evidence-based manual that describes root canal anatomy, the endodontic biofilm, and the role of disinfection before presenting the most up-to-date methods of irrigation and disinfection. Individual chapters are devoted to each method, such as positive pressure irrigation, apical negative pressure irrigation, sonic activation, photodynamic therapy, laser technology, and ozonization and electrochemical activation. Clinical photographs throughout show proper irrigation and disinfection techniques.




Ingle's Endodontics


Book Description

Ingle’s Endodontics, 7th edition, is the most recent revision of the text that has been known as the “Bible of Endodontics” for half a century. The new edition, published in two volumes, continues the tradition of including the expertise of international leaders in the field. Eighty-six authors contributed cutting-edge knowledge and updates on topics that have formed the core of this book for years. New chapters reflect the ways in which the field of endodontics has evolved over the 50 years since the pioneer John I. Ingle authored Endodontics. Ingle’s Endodontics will continue to be the standard against which all other endodontic texts will be measured. The 40 chapters are arranged in two volumes under three sections: The Science of Endodontics; The Practice of Endodontics: Diagnosis, Clinical Decision Making, Management, Prognosis; and Interdisciplinary Endodontics. With contributions from the world’s experts in all phases of the specialty, Ingle’s Endodontics, 7th edition promises to be an indispensable dentistry textbook, an essential part of every endodontist’s library.




Cohen's Pathways of the Pulp Expert Consult - E-Book


Book Description

The definitive endodontics reference, Cohen's Pathways of the Pulp is known for its comprehensive coverage of leading-edge information, materials, and techniques. It examines all aspects of endodontic care, from preparing the clinician and patient for endodontic treatment to the role the endodontist can play in the treatment of traumatic injuries and to the procedures used in the treatment of pediatric and older patients. Not only does Hargreaves and Cohen's 10th edition add five chapters on hot new topics, it also includes online access! As an Expert Consult title, Cohen's Pathways of the Pulp lets you search the entire contents of the book on your computer, and includes five online chapters not available in the printed text, plus videos, a searchable image collection, and more. For evidence-based endodontics research and treatment, this is your one-stop resource!