Dunăreanu Elisabeta
Title: Irrigation in endodontics – a new concept of all-in-one solution
An essential requirement for a successful endodontic treatment is the removal of pulp tissue remnants and micro-organisms lodged in the endodontic space, through an appropriate mechanical-chemical treatment. The most commonly used irrigants for root canal cleaning and disinfection are: sodium hypochlorite (NaOCl), corhexidine (CHX), ethylenediaminetetraacetic acid (EDTA) and citric acid. Sodium hypochlorite is most commonly used for root canal irrigation and is used in dilutions ranging from 0.5% to 5.25%. Advantages of NaOCl include its ability and accessibility to dissolve organic matter present in the endodontic system. The major disadvantages of this irrigant are its cytotoxicity to remove the smear layer. Through the study in this work, we wanted to test a new concept of ‘All-in-One’ solution, which appeared in the desire to shorten and make the irrigation in the endodontic treatment more efficient, starting from the classic irrigators, based on the technological evolution. Unlike traditional irrigation solutions or other mixed solutions, ‘TRITON’ works differently, avoiding the use of EDTA and CHX altogether. According to studies, it has been proven to have the most effective ability to remove the smear layer and dentinal debris. From my personal experience, I can conclude that Triton is easy and practical to use, the working time is shorter, it has no smell and does not irritate. Regarding the result of the study, the NaOCl solution dissolved the pulp tissue faster than the Triton, which leads to the conclusion that there is still no effective irrigant from all points of view.