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

Mário Rito Pereira, Goncalo Silva, Viriato Semiao, Jorge N.R. Martins, Vania Silverio, Paula Pascoal-Faria, Isabel Duarte, Nuno Alves, António Ginjeira

Research output: Contribution to journalArticlepeer-review

Abstract

This 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.

Original languageEnglish
Pages (from-to)40-51
Number of pages12
JournalAustralian Endodontic Journal
Volume50
Issue number1
DOIs
Publication statusPublished - Apr 2024

Keywords

  • computational fluid dynamics
  • confluent root canals
  • endodontics
  • root canal irrigation
  • syringe irrigation
  • Syringes
  • Hydrodynamics
  • Root Canal Preparation
  • X-Ray Microtomography
  • Dental Pulp Cavity/diagnostic imaging
  • Root Canal Irrigants
  • Therapeutic Irrigation

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