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Despite scientific evidence that root canal debridement is the cornerstone for successful treatment, the effectiveness of a combination of delivery and activation systems in cleaning root canals remains unknown. This study is the first to demonstrate the remaining pulp tissue in root canals after irrigation with various techniques such as positive pressure syringe-and-needle irrigation, ultrasonic activation, negative pressure irrigation and ultrasonic activation after negative pressure irrigation. The results showed that negative pressure irrigation alone and its combination with ultrasonic activation resulted in significantly superior effectiveness than positive pressure irrigation and ultrasonic activation alone in the apical-third of root canals.

Root canal debridement by negative pressure irrigation, ultrasonically activated irrigation and their combination