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Establishment and maintenance of asepsis in endodontics – a review of the literature

Journal article
Authors L. Malmberg
Annika E. Björkner
Gunnar Bergenholtz
Published in Acta Odontologica Scandinavica
Volume 74
Issue 6
Pages 431-435
ISSN 0001-6357
Publication year 2016
Published at Institute of Odontology
Pages 431-435
Language en
Keywords Antiseptics, aseptic, in-vivo, operation field, root canal treatment
Subject categories Water Engineering, Reliability and Maintenance, Infectious Medicine


Abstract: Objectives: Successful endodontic treatment depends on effective measures to eliminate and prevent infection of root canals. Initially treatment should start with isolation and disinfection of the operating field. This review makes an inventory of the available knowledge regarding its establishment and maintenance. Materials and methods: A literature search was conducted in the PubMed database in order to identify clinical trials examining disinfection or unintentional contamination of the endodontic operative field. A list of 115 articles was obtained and screened. Five relevant articles were identified. These articles were read in full text. The reference lists from these articles were checked manually for additional studies and three studies were obtained. A total of eight articles met the inclusion criteria. Results: There was a great variety in terms of aim, method, and material of the included studies. None could prove a totally reliable aseptic operative field and not one chemical, or combination of chemicals, were found in more than one study. Conclusions: No study documented complete asepsis following initial disinfection, and no study could document predictable maintenance of an established bacteria-free surface. Critical appraisal and standardization of the disinfection and aseptic procedures in endodontics are needed. © 2016 Acta Odontologica Scandinavica Society.

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