The major causative role of microorganisms in the pathogenesis of pulp and periapical diseases has clearly been demonstrated, hence the goal of endodontic treatment is to remove all the vital and necrotic tissues, microorganisms and microbial by-products from root canal system. This goal can be achieved through chemical and mechanical debridement of root canals. However, the root canal complexity and the sophistication of the microbial biofilm suggested a shift from the static needle- delivered irrigation method to the dynamic activated irrigation techniques. In the last decades, several methods of irrigant activation was developed, tested and adopted by endodontists all over the world.
In the era of evidence-based dentistry it is important to understand that laboratory studies are required for the development of endodontic instruments, materials and techniques, and when they are designed with the same scientific rigour used for in vivo studies, they provide valid information that can inform the design of clinical research. However, considering the limitations of extrapolating the results of laboratory studies to clinical reality, the biological basis of clinical outcomes, bacterial reduction, etc… has to be evaluated by a clinical trial. Therefore, clinicians have to carefully evaluate available scientific data before adopting irrigant activation techniques.
- Review on root canal disinfection challenges.
- Analyzing the limitation of static irrigation
- Different activation and agitation protocols.
- Evidence synthesis of the efficacy of different activation and agitation protocols.
- Identification of gaps in knowledge, to suggest future research strategies
Dr. Mostafa Elkholy
BDS, MSc, PhD, Lecturer, Department of Endodontics, Faculty of Dentistry, British University, Egypt
- Dr. Mostafa Elkholy graduated from the faculty of oral and dental medicine, Cairo University in 2006. He received his Master degree in endodontics in 2012 from the same university before joining the doctoral program in Ain Shams University in 2014 where he achieved his PhD in 2018.
- Dr. Elkholy serves as an academic instructor in the department of endodontics for both undergraduate and postgraduate programs in The British University in Egypt since 2012. He became a lecturer of endodontics in the same University in 2018. Mostafa’s private practice has been limited to endodontics since 2008.
- From 2012 dr. Elkholy has been lecturing in national and international conferences in the field of endodontics and providing training sessions in endodontics.
- Dr. Mostafa Elkholy has several national and international publication concerning endodontics.
- Dr. Elkholy is Certified Member of the European Society of Endodontology since June 2020 and an Active Member of the Egyptian Association of Endodontics.
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