Eficacia de diferentes activadores de irrigante, en la terapia endodóntica. Revisión sistemática.

Abstract

Endodontic treatment consists of removing the infected pulp tissue to create a three-dimensional seal. An important part of the treatment is endodontic irrigation, which consists of introducing one or more solutions into the pulp chamber and root canals before, during, and after the biomechanical preparation to clean and disinfect the canal system. The irrigant alone cannot completely cover the system; hence, there is a need for an activator that increases the power of the solution and its temperature, enabling it to reach difficult-to-access areas that debridement could not reach. OBJECTIVE: To analyze the effectiveness of activators to enhance the endodontic irrigant and differentiate them based on their bacterial reduction capacity, antibacterial action against Enterococcus faecalis, and temperature. MATERIALS AND METHODS: A systematic review was conducted by searching scientific articles in databases such as PubMed, Springer Nature Link, and Redalyc, which met the inclusion and exclusion criteria. RESULTS: Ten articles were obtained from different databases for the respective research, where the efficacy of each irrigant activator was analyzed, resulting in the laser method being more effective in bacterial reduction. CONCLUSIONS: The activators analyzed have correct bacterial effectiveness since all of them eliminate microorganisms from the microflora present; however, the active methods, such as sonic, ultrasonic, and laser, present a higher significance than the conventional method, especially laser and ultrasonic. Keywords: ultrasound, irrigation, sonic, laser, conventional.