Document Type: Review Article
*Department of Endodontics, Stomatological Hospital, College of Medicine, Xi'an Jiaotong University, Shaanxi 710004, China
Department of Endodontics, Faculty of Dentistry, Marmara University, Istanbul, Turkey
Department of Conservative and Endodontics, Vananchal Dental College and Hospital, Pharatiya, Garhwa, Jharkhand, India
Department of Orthodontics, School of Dentistry of Araraquara, State University of São Paulo (UNESP), Araraquara, Brazil
Background and aim: Residues may remain in canal extensions and irregularities after removing the medication from root canals with a file. These residues can only have removed with irrigation. The present systematic review and meta-analysis investigated the effect of various irrigation methods on eliminating calcium hydroxide from root canals.
Material and methods: A preliminary analysis included 225 articles. Two reviewers investigated all the available abstracts and titles and determined whether they were associated with the cleaning effectiveness of a variety of irrigation systems in removing calcium hydroxide. The conducted search involved the years between 2013-18.
Results: The studies investigated lacked standardization concerning the irrigation method used or the measurement of outcomes; for instance, the volume or the concentration of the irrigation solution.
Conclusion: Although none of the methods examined could eliminate the calcium hydroxide dressing, activation methods resulted in better calcium hydroxide dressing removal compared to using a master apical file or syringe irrigation only.