Apical extrusion of sodium hypochlorite irrigation during root canal treatment using monoject or hypodermic irrigation needle

Ahmad Fahmi Ariffin, Mohd Hafizal Harudin, Shalini Kanagasingam, Md. Mostafizur Rahman, Wan Noorina Wan Ahmad

Research output: Contribution to journalArticle

Abstract

Objective: Sodium hypochlorite has been routinely delivered into the pulp canal via irrigation needle. The study aimed at to determine the advantage and disadvantage of apical extrusion of sodium hypochloride using monoject or hypodermic irrigation needle in root canal treatment. Materials and Methods: Eighty single rooted teeth with closed apices were used in this in vitro study to determine apical extrusion of sodium hypochlorite using the gel diffusion technique. Extracted human anterior teeth were used as study samples. Monoject (size 27G) and hypodermic (27G× ½, 0.40×13mm, Terumo Needle) irrigation needle were used. The highest concentration of 5.25% hypochlorite solution was used for irrigation. To standardize the time diffusion of the dye, the gel was photographed at exactly 20 minutes after the initial irrigation with sodium hypochlorite. Results: A total of 36 out of 40 (90%) teeth in the hypodermic needle group showed positive apical extrusion compared to 14 of 40 teeth (35%) in the monoject group regardless of apical size. The discoloration of agar was clearly obtained after the sample tooth had been irrigated with sodium hypochlorite indicating the sign of apical extrusion. It is therefore; recommend that monoject irrigation needle should be used by students regardless of costs during root canal treatment in the polyclinic or dental clinic due to its safety in order to prevent sodium hypochlorite accident. Conclusion: Monoject needle showed significantly less sodium hypochlorite extrusion compared to hypodermic needle.

Original languageEnglish
Pages (from-to)575-578
Number of pages4
JournalBangladesh Journal of Medical Science
Volume15
Issue number4
DOIs
Publication statusPublished - 2016

Fingerprint

Sodium Hypochlorite
Dental Pulp Cavity
Needles
Tooth
Therapeutics
Gels
Dental Clinics
Hypochlorous Acid
Agar
Accidents
Coloring Agents
Sodium
Students
Safety
Costs and Cost Analysis

Keywords

  • Apical extrusion
  • Irrigation needle
  • Root canal
  • Sodium hypochlorite

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Apical extrusion of sodium hypochlorite irrigation during root canal treatment using monoject or hypodermic irrigation needle",
abstract = "Objective: Sodium hypochlorite has been routinely delivered into the pulp canal via irrigation needle. The study aimed at to determine the advantage and disadvantage of apical extrusion of sodium hypochloride using monoject or hypodermic irrigation needle in root canal treatment. Materials and Methods: Eighty single rooted teeth with closed apices were used in this in vitro study to determine apical extrusion of sodium hypochlorite using the gel diffusion technique. Extracted human anterior teeth were used as study samples. Monoject (size 27G) and hypodermic (27G× ½, 0.40×13mm, Terumo Needle) irrigation needle were used. The highest concentration of 5.25{\%} hypochlorite solution was used for irrigation. To standardize the time diffusion of the dye, the gel was photographed at exactly 20 minutes after the initial irrigation with sodium hypochlorite. Results: A total of 36 out of 40 (90{\%}) teeth in the hypodermic needle group showed positive apical extrusion compared to 14 of 40 teeth (35{\%}) in the monoject group regardless of apical size. The discoloration of agar was clearly obtained after the sample tooth had been irrigated with sodium hypochlorite indicating the sign of apical extrusion. It is therefore; recommend that monoject irrigation needle should be used by students regardless of costs during root canal treatment in the polyclinic or dental clinic due to its safety in order to prevent sodium hypochlorite accident. Conclusion: Monoject needle showed significantly less sodium hypochlorite extrusion compared to hypodermic needle.",
keywords = "Apical extrusion, Irrigation needle, Root canal, Sodium hypochlorite",
author = "Ariffin, {Ahmad Fahmi} and Harudin, {Mohd Hafizal} and Shalini Kanagasingam and Rahman, {Md. Mostafizur} and {Wan Ahmad}, {Wan Noorina}",
year = "2016",
doi = "10.3329/bjms.v15i4.30717",
language = "English",
volume = "15",
pages = "575--578",
journal = "Bangladesh Journal of Medical Science",
issn = "2223-4721",
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}

TY - JOUR

T1 - Apical extrusion of sodium hypochlorite irrigation during root canal treatment using monoject or hypodermic irrigation needle

AU - Ariffin, Ahmad Fahmi

AU - Harudin, Mohd Hafizal

AU - Kanagasingam, Shalini

AU - Rahman, Md. Mostafizur

AU - Wan Ahmad, Wan Noorina

PY - 2016

Y1 - 2016

N2 - Objective: Sodium hypochlorite has been routinely delivered into the pulp canal via irrigation needle. The study aimed at to determine the advantage and disadvantage of apical extrusion of sodium hypochloride using monoject or hypodermic irrigation needle in root canal treatment. Materials and Methods: Eighty single rooted teeth with closed apices were used in this in vitro study to determine apical extrusion of sodium hypochlorite using the gel diffusion technique. Extracted human anterior teeth were used as study samples. Monoject (size 27G) and hypodermic (27G× ½, 0.40×13mm, Terumo Needle) irrigation needle were used. The highest concentration of 5.25% hypochlorite solution was used for irrigation. To standardize the time diffusion of the dye, the gel was photographed at exactly 20 minutes after the initial irrigation with sodium hypochlorite. Results: A total of 36 out of 40 (90%) teeth in the hypodermic needle group showed positive apical extrusion compared to 14 of 40 teeth (35%) in the monoject group regardless of apical size. The discoloration of agar was clearly obtained after the sample tooth had been irrigated with sodium hypochlorite indicating the sign of apical extrusion. It is therefore; recommend that monoject irrigation needle should be used by students regardless of costs during root canal treatment in the polyclinic or dental clinic due to its safety in order to prevent sodium hypochlorite accident. Conclusion: Monoject needle showed significantly less sodium hypochlorite extrusion compared to hypodermic needle.

AB - Objective: Sodium hypochlorite has been routinely delivered into the pulp canal via irrigation needle. The study aimed at to determine the advantage and disadvantage of apical extrusion of sodium hypochloride using monoject or hypodermic irrigation needle in root canal treatment. Materials and Methods: Eighty single rooted teeth with closed apices were used in this in vitro study to determine apical extrusion of sodium hypochlorite using the gel diffusion technique. Extracted human anterior teeth were used as study samples. Monoject (size 27G) and hypodermic (27G× ½, 0.40×13mm, Terumo Needle) irrigation needle were used. The highest concentration of 5.25% hypochlorite solution was used for irrigation. To standardize the time diffusion of the dye, the gel was photographed at exactly 20 minutes after the initial irrigation with sodium hypochlorite. Results: A total of 36 out of 40 (90%) teeth in the hypodermic needle group showed positive apical extrusion compared to 14 of 40 teeth (35%) in the monoject group regardless of apical size. The discoloration of agar was clearly obtained after the sample tooth had been irrigated with sodium hypochlorite indicating the sign of apical extrusion. It is therefore; recommend that monoject irrigation needle should be used by students regardless of costs during root canal treatment in the polyclinic or dental clinic due to its safety in order to prevent sodium hypochlorite accident. Conclusion: Monoject needle showed significantly less sodium hypochlorite extrusion compared to hypodermic needle.

KW - Apical extrusion

KW - Irrigation needle

KW - Root canal

KW - Sodium hypochlorite

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JO - Bangladesh Journal of Medical Science

JF - Bangladesh Journal of Medical Science

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