Antimicrobial effectiveness of ultrasonic irrigation in root canal treatment: a systematic review of randomized clinical trials and meta-analysis

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dc.contributor.authorChalub, Lucas Orbolato [UNESP]
dc.contributor.authorNunes, Gabriel Pereira [UNESP]
dc.contributor.authorStrazzi-Sahyon, Henrico Badaoui [UNESP]
dc.contributor.authorFerrisse, Túlio Morandin [UNESP]
dc.contributor.authordos Santos, Paulo Henrique [UNESP]
dc.contributor.authorGomes-Filho, João Eduardo [UNESP]
dc.contributor.authorCintra, Luciano Tavares Angelo [UNESP]
dc.contributor.authorSivieri-Araujo, Gustavo [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2023-07-29T13:41:00Z
dc.date.available2023-07-29T13:41:00Z
dc.date.issued2023-04-01
dc.description.abstractObjective: The objective of this systematic review and meta-analysis (SRM) was to answer the question as to whether the use of ultrasonic irrigation (UI) results in better antimicrobial activity in root canal disinfection compared to conventional irrigation (CI). Methods: A literature search was performed in the main scientific databases, carried out until October 2021. The eligibility criteria were randomized clinical trials (RCTs). Two meta-analyses were conducted using R software with the “META” package. The mean difference (MD) and odds ratio (OR) measure of effect were calculated. The fixed effect model was applied with a 95% confidence interval. The Cochrane collaboration scale was used to assess risk of bias and the GRADE tool to assess the quality of evidence. Results: A total of 1782 records were screened, and 12 studies meeting the criteria were included in this review. A low risk of bias was observed for most domains, except allocation concealment that was considered unclear. The certainty of evidence was classified as moderate in the OR meta-analyses and low in the MD meta-analyses. Ultrasonic irrigation resulted in a better antimicrobial effect in both meta-analyses, MD 1.42 [1.60; 1.23] p < 0.0001, I2 = 80%; and OR 3.86 [1.98; 7.53] p< 0.0001, I2 = 28.7%. Conclusion: Within the limitations of this SRM, UI presented better antimicrobial efficacy than CI. Clinical Relevance: UI should be used by clinicians as it promotes better antimicrobial efficacy in patients undergoing endodontic treatment.en
dc.description.affiliationDepartment of Preventive and Restorative Dentistry Araçatuba School of Dentistry São Paulo State University – UNESP, 1193 José Bonifácio Street, SP
dc.description.affiliationDepartment of Dental Materials and Prosthodontics Araçatuba School of Dentistry São Paulo State University – UNESP, 1193 José Bonifácio Street, SP
dc.description.affiliationOral Medicine Department of Diagnosis and Surgery Araraquara School of Dentistry São Paulo State University – UNESP, 1680 Humaitá Street, SP
dc.description.affiliationUnespDepartment of Preventive and Restorative Dentistry Araçatuba School of Dentistry São Paulo State University – UNESP, 1193 José Bonifácio Street, SP
dc.description.affiliationUnespDepartment of Dental Materials and Prosthodontics Araçatuba School of Dentistry São Paulo State University – UNESP, 1193 José Bonifácio Street, SP
dc.description.affiliationUnespOral Medicine Department of Diagnosis and Surgery Araraquara School of Dentistry São Paulo State University – UNESP, 1680 Humaitá Street, SP
dc.format.extent1343-1361
dc.identifierhttp://dx.doi.org/10.1007/s00784-023-04897-4
dc.identifier.citationClinical Oral Investigations, v. 27, n. 4, p. 1343-1361, 2023.
dc.identifier.doi10.1007/s00784-023-04897-4
dc.identifier.issn1436-3771
dc.identifier.issn1432-6981
dc.identifier.scopus2-s2.0-85147772367
dc.identifier.urihttp://hdl.handle.net/11449/248331
dc.language.isoeng
dc.relation.ispartofClinical Oral Investigations
dc.sourceScopus
dc.subjectDisinfection
dc.subjectMeta-analysis
dc.subjectRoot canal irrigants
dc.subjectRoot canal therapy
dc.subjectSystematic review
dc.subjectUltrasonics
dc.titleAntimicrobial effectiveness of ultrasonic irrigation in root canal treatment: a systematic review of randomized clinical trials and meta-analysisen
dc.typeResenha

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Artigos - Odontologia Restauradora - FOA
Artigos - Diagnóstico e Cirurgia - FOAR
Artigos - Materiais Odontológicos e Prótese - FOA