Irrigants & Intracanal Medicaments: Bioceramic Paste, EDTA Gels & More

In dentistry, endodontics plays a crucial role in saving teeth from diseases and infection, effective management of dental pulp in root canal treatment is pivotal for successful results. This involves the whole process of biomechanical preparation, root canal irrigation and intra-canal medicaments to final obturation, also the specific solution for all. Intra-canal medicaments in endodontics play an important role in the disinfection of canals, removal of organic debris and promoting healing.

Types of Irrigants:

Sodium Hypochlorite:

Sodium hypochlorite (NaOCl) bleach solution is widely used in endodontic practice. It is an effective anti-microbial agent and has tissue-dissolving capabilities. Its low viscosity allows easy introduction into the canal system, affordable and easily available. It helps in the dissolution of pulp remnants within the canal.

Chlorhexidine:

Chlorhexidine is another irrigant used in endodontics for its anti-microbial properties. It is recommended as an alternative to sodium hypochlorite; mainly used in open apex, root resorption. It is a highly biocompatible solution so can be used in root resorption. If the patient is allergic to NaOCl, this is the best alternative.

EDTA:

EDTA (Ethylenediaminetetraacetic acid) is a chemical irrigant having chelating properties. It helps in the removal of the smear layer from the dentinal walls of the canal. Mainly used in narrow and calcified canals, also it aids in better penetration of dental irrigants and other medicaments in the canal. Avue Etch EDTA gel simplifies the process by shortening the time and making significant changes in dentine structure. Avue Prep+ EDTA liquid enhances in unclogging of dentinal tubules.

Types of Intra Canal Medicaments:

Calcium Hydroxide:

Calcium hydroxide is used both in the preservation of vital/ healthy pulp and intra-canal medicaments as disinfection of root canal system. It is particularly useful in the cases of pulpal necrosis and apical periodontitis. It promotes the formation of hard tissue barriers because of the high pH of 12.5. Dental Avenue offers a wide range of calcium products. Avue cal (calcium hydroxide paste with barium sulfate) helps eliminate microorganisms after chemomechanical preparation. Angelus Bio-C temp and Avue Pex stimulate hard tissue formation, have antimicrobial properties and are bacteriostatic. Avue Cal LC promotes secondary dentine formation.

Triple Antibiotic Paste:

It’s a mixture of three antibiotics i.e. metronidazole, ciprofloxacin and minocycline, a successful regime in controlling the pathogens in root canals and in managing non-vital teeth. These intracanal medicaments in endodontics are also used in cases of persistent infections.

Chlorhexidine gel:

It is widely used as an intracanal medicament due to its antimicrobial properties. Due to its disinfecting properties, it can subsequently reduce the microbial load in the root canal system.

Benefits of using Irrigants and Intracanal Medicaments:

Irrigants and intracanal medicaments are used in root canal systems, and offer various benefits:

• Lubrication: it helps in lubricating canals

• Dissolving tissues: dental irrigants help in dissolving necrotic pulp tissues and organic portions of canals and removing debris.

•  Eliminates bacteria and removing biofilm: these are effective in removing microorganisms and biofilm from the canal

• Promotion of healing: A medicament like calcium hydroxide promotes healing and helps in the formation of hard tissue.

How to use Irrigants and Intra canal Medicaments:

A systematic approach needs to follow for irrigants and medicaments:

• Irrigation: Solutions like sodium hypochlorite or chlorhexidine are used as primary irrigants. It can be used either with syringes or with ultrasonic devices for better root canal irrigation.

• Chelation: EDTA can be applied with the help of dental instruments to remove the smear layer after root canal irrigation. These steps enhance the penetration of subsequent medicaments.

• Medicament placement: intermittent dressing can be given in between subsequent sitting of the treatment. Medicaments like calcium hydroxide in the form of gel or powder liquid form, triple antibiotic paste or chlorhexidine gel. The method of application can be with the help of a spreader, syringes or lentulo spirals to ensure complete coverage.

Where to buy Irrigants and Intracanal medicaments online?

Dental Avenue stands out as a leading platform for online dental supplies from leading manufacturers worldwide. One can trust us to procure dental supplies like dental irrigants intra canal medicaments in endodontics and other products. Our wide range of reliable products ensures quality and effectiveness. Dental practitioners can enhance their practice and provide better treatment for patients by keeping up with the latest developments. 

FAQs

What are irrigants in endodontic treatment?

Irritants that are widely used in dentistry are sodium hypochlorite, EDTA solution and chlorhexidine. Irrigants can augment mechanical debridement by flushing out debris, dissolving the tissues and disinfecting the root canal.

What is the best solution for irrigation?

Sodium hypochlorite and EDTA are considered to be the best solutions for root canal irrigation due to their strong antibacterial properties and ability to dissolve organic tissue.

How often should irrigants be used during a root canal?

The goal is to remove all vital and necrotic tissue, and microorganisms from the root canal system typically during every cleaning and shaping step.