Skip to main content
Log in

Irrigant flow characteristics in the root canal with internal root resorption: a computational fluid dynamics evaluation

  • Original Article
  • Published:
Odontology Aims and scope Submit manuscript

Abstract

Irrigation dynamics of syringe irrigation with different needle designs (side-vented, double side-vented, notched) and ultrasonic irrigation in the root canal with internal root resorption were evaluated using a computational fluid dynamics model. A micro-CT scanned mandibular premolar was used for modeling internal root resorption. The needles and the ultrasonic tip were positioned at 2, 4, and 5 mm from the working length. The insertion depth and the irrigation model were found influential on the shear stress and the irrigant extension. The extension of the irrigant increased toward 2–5 mm from the working length. Ultrasonic irrigation revealed the highest shear stress values regardless of the insertion depth. The shear stress distribution on the resorption cavity walls gradually increased when the needles were positioned coronally. The residence time of the irrigant in the canal was affected by the needle position relative to the internal root resorption cavity and the needle type.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Haapasalo M, Shen Y, Qian W, et al. Irrigation in endodontics. Dent Clin North Am. 2010;54:291–312.

    Article  Google Scholar 

  2. de Gregorio C, Estevez R, Cisneros R, et al. Effect of EDTA, sonic, and ultrasonic activation on the penetration of sodium hypochlorite into simulated lateral canals: an in vitro study. J Endod. 2009;35:891–5.

    Article  Google Scholar 

  3. Wang R, Shen Y, Ma J, et al. Evaluation of the effect of needle position on irrigant flow in the C-shaped root canal using a computational fluid dynamics model. J Endod. 2015;41:931–6.

    Article  Google Scholar 

  4. Lecrivain G, Slaouti A, Payton C, et al. Using reverse engineering and computational fluid dynamics to investigate a lower arm amputee swimmer’s performance. J Biomech. 2008;41:2855–9.

    Article  Google Scholar 

  5. Gao Y, Haapasalo M, Shen Y, et al. Development and validation of a three-dimensional computational fluid dynamics model of root canal irrigation. J Endod. 2009;35:1282–7.

    Article  Google Scholar 

  6. Boutsioukis C, Verhaagen B, Versluis M, et al. Irrigant flow in the root canal: experimental validation of an unsteady computational fluid dynamics model using high-speed imaging. Int Endod J. 2010;43:393–403.

    Article  Google Scholar 

  7. Boutsioukis C, Lambrianidis T, Kastrinakis E. Irrigant flow within a prepared root canal using various flow rates: a computational fluid dynamics study. Int Endod J. 2009;42:144–55.

    Article  Google Scholar 

  8. Boutsioukis C, Lambrianidis T, Verhaagen B, et al. The effect of needle-insertion depth on the irrigant flow in the root canal: evaluation using an unsteady computational fluid dynamics model. J Endod. 2010;36:1664–8.

    Article  Google Scholar 

  9. Boutsioukis C, Verhaagen B, Versluis M, et al. Evaluation of irrigant flow in the root canal using different needle types by an unsteady computational fluid dynamics model. J Endod. 2010;36:875–9.

    Article  Google Scholar 

  10. Boutsioukis C, Gogos C, Verhaagen B, et al. The effect of apical preparation size on irrigant flow in root canals evaluated using an unsteady computational fluid dynamics model. Int Endod J. 2010;43:874–81.

    Article  Google Scholar 

  11. Boutsioukis C, Gogos C, Verhaagen B, et al. The effect of root canal taper on the irrigant flow: evaluation using an unsteady computational fluid dynamics model. Int Endod J. 2010;43:909–16.

    Article  Google Scholar 

  12. Hu S, Duan L, Wan Q, et al. Evaluation of needle movement effect on root canal irrigation using a computational fluid dynamics model. Biomed Eng Online. 2019;18:1–15.

    Article  Google Scholar 

  13. Chen JE, Nurbakhsh B, Layton G, et al. Irrigation dynamics associated with positive pressure, apical negative pressure and passive ultrasonic irrigations: a computational fluid dynamics analysis. Aust Endod J. 2014;40:54–60.

    Article  Google Scholar 

  14. Patel S, Ford TP. Is the resorption external or internal? Dent Update. 2007;34:218–29.

    Article  Google Scholar 

  15. Patel S, Ricucci D, Durak C, et al. Internal root resorption: a review. J Endod. 2010;36:1107–21.

    Article  Google Scholar 

  16. Lee SJ, Wu MK, Wesselink PR. The effectiveness of syringe irrigation and ultrasonics to remove debris from simulated irregularities within prepared root canal walls. Int Endod J. 2004;37:672–8.

    Article  Google Scholar 

  17. Jiang LM, Lak B, Eijsvogels LM, et al. Comparison of the cleaning efficacy of different final irrigation techniques. J Endod. 2012;38:838–41.

    Article  Google Scholar 

  18. Neelakantan P, Devaraj S, Jagannathan N. Histologic assessment of debridement of the root canal isthmus of mandibular molars by irrigant activation techniques ex vivo. J Endod. 2016;42:1268–72.

    Article  Google Scholar 

  19. Căpută PE, Retsas A, Kuijk L, et al. Ultrasonic irrigant activation during root canal treatment: a systematic review. J Endod. 2019;45:31–44.

    Article  Google Scholar 

  20. Topçuoğlu HS, Akti A, Düzgün S, et al. Effectiveness of different irrigation procedures for removal of dentin debris from a simulated internal resorption cavity. Int J Artif Organs. 2015;38:165–9.

    Article  Google Scholar 

  21. Topçuoğlu HS, Düzgün S, Ceyhanlı KT, et al. Efficacy of different irrigation techniques in the removal of calcium hydroxide from a simulated internal root resorption cavity. Int Endod J. 2015;48:309–16.

    Article  Google Scholar 

  22. Keskin C, Sariyilmaz E, Sariyilmaz Ö. Efficacy of XP-endo Finisher file in removing calcium hydroxide from simulated internal resorption cavity. J Endod. 2017;43:126–30.

    Article  Google Scholar 

  23. Ulusoy ÖI, Savur IG, Alaçam T, et al. The effectiveness of various irrigation protocols on organic tissue removal from simulated internal resorption defects. Int Endod J. 2018;51:1030–6.

    Article  Google Scholar 

  24. Keskin C, Keleş A, Sarıyılmaz Ö. Efficacy of glycolic acid for the removal of calcium hydroxide from simulated internal resorption cavities. Clin Oral Investig. 2021. https://doi.org/10.1007/s00784-020-03753-z.

    Article  PubMed  Google Scholar 

  25. Boutsioukis C, Lambrianidis T, Vasiliadis L. Clinical relevance of standardization of endodontic irrigation needle dimensions according to the ISO 9626: 1991 and 9626: 1991/Amd 1: 2001 specification. Int Endod J. 2007;40:700–6.

    Article  Google Scholar 

  26. Oh YR, Ku HM, Kim D, Shin SJ, Jung IY. Efficacy of a nickel-titanium ultrasonic instrument for biofilm removal in a simulated complex root canal. Materials. 2020;13:4914.

    Article  Google Scholar 

  27. Liu L, Shen C, Ye W, et al. Investigation of an improved side-vented needle and corresponding irrigation strategy for root canal therapy with CFD Method. Comput Methods Programs Biomed. 2020;195:105547.

    Article  Google Scholar 

  28. Yu M, Huang Z, Zhou N, et al. Effect of inflow temperature on root canal irrigation: a computational fluid dynamics study. Phys Fluids. 2020;32:081903.

    Article  Google Scholar 

  29. Lea SC, Walmsley AD, Lumley PJ. Analyzing endosonic root canal file oscillations: an in vitro evaluation. J Endod. 2010;36:880–3.

    Article  Google Scholar 

  30. Verhaagen B, Lea SC, De Bruin GJ, et al. Oscillation characteristics of endodontic files: numerical model and its validation. IEEE Trans Ultrason Ferroelectr Freq Control. 2012;59:2448–59.

    Article  Google Scholar 

  31. Haapasalo M, Endal U. Internal inflammatory root resorption: the unknown resorption of the tooth. Endod Topics. 2006;14:60–79.

    Article  Google Scholar 

  32. Gabor C, Tam E, Shen Y, et al. Prevalence of internal inflammatory root resorption. J Endod. 2012;38:24–7.

    Article  Google Scholar 

  33. Boutsioukis C, Lambrianidis T, Kastrinakis E, et al. Measurement of pressure and flow rates during irrigation of a root canal ex vivo with three endodontic needles. Int Endod J. 2007;40:504–13.

    Article  Google Scholar 

  34. Shen Y, Gao Y, Qian W, et al. Three-dimensional numeric simulation of root canal irrigant flow with different irrigation needles. J Endod. 2010;36:884–9.

    Article  Google Scholar 

  35. Loroño G, Zaldivar JR, Arias A, et al. Positive and negative pressure irrigation in oval root canals with apical ramifications: a computational fluid dynamics evaluation in micro-CT scanned real teeth. Int Endod J. 2020;53:671–9.

    Article  Google Scholar 

  36. Haapasalo M, Shen Y, Wang Z, et al. Irrigation in endodontics. Br Dent J. 2014;216:299–303.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

The authors confirm contribution to the paper as follows: EÇ designed the study and prepared the draft manuscript. ÖY: performed CFD simulations and analyzed the results. VI: collected data and contributed to manuscript’s writing. AK: provided micro-CT scanning and contributed to writing the manuscript. MBK: revised the manuscript. All authors reviewed the results and approved the final version of the manuscript.

Corresponding author

Correspondence to Elif Çiftçioğlu.

Ethics declarations

Conflict of interest

The authors confirm that there are no known conflicts of interest associated with this publication. The authors received no financial support for the research, authorship, and/or publication of this article.

Ethical approval

The study proposal was approved by the İstanbul Okan University Ethics Committee (2020/132).

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Çiftçioğlu, E., Yücel, Ö., Işık, V. et al. Irrigant flow characteristics in the root canal with internal root resorption: a computational fluid dynamics evaluation. Odontology 110, 769–776 (2022). https://doi.org/10.1007/s10266-022-00698-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10266-022-00698-5

Keywords

Navigation