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http://dx.doi.org/10.5395/rde.2020.45.e28

Effect of QMix irrigant in removal of smear layer in root canal system: a systematic review of in vitro studies  

Chia, Margaret Soo Yee (School of Dentistry, International Medical University)
Parolia, Abhishek (Division of Clinical Dentistry, School of Dentistry, International Medical University)
Lim, Benjamin Syek Hur (School of Dentistry, International Medical University)
Jayaraman, Jayakumar (Department of Developmental Dentistry, University of Texas Health School of Dentistry)
de Moraes Porto, Isabel Cristina Celerino (Department of Restorative Dentistry, Faculty of Dentistry, Federal University of Alagoas)
Publication Information
Restorative Dentistry and Endodontics / v.45, no.3, 2020 , pp. 28.1-28.13 More about this Journal
Abstract
Objectives: To evaluate the outcome of in vitro studies comparing the effectiveness of QMix irrigant in removing the smear layer in the root canal system compared with other irrigants. Materials and Methods: The research question was developed by using Population, Intervention, Comparison, Outcome and Study design framework. Literature search was performed using 3 electronic databases PubMed, Scopus, and EBSCOhost until October 2019. Two reviewers were independently involved in the selection of the articles and data extraction process. Risk of bias of the studies was independently appraised using revised Cochrane Risk of Bias tool (RoB 2.0) based on 5 domains. Results: Thirteen studies fulfilled the selection criteria. The overall risk of bias was moderate. QMix was found to have better smear layer removal ability than mixture of tetracycline isonomer, an acid and a detergent (MTAD), sodium hypochlorite (NaOCl), and phytic acid. The efficacy was less effective than 7% maleic acid and 10% citric acid. No conclusive results could be drawn between QMix and 17% ethylenediaminetetraacetic acid due to conflicting results. QMix was more effective when used for 3 minutes than 1 minute. Conclusions: QMix has better smear layer removal ability compared to MTAD, NaOCl, Tubulicid Plus, and Phytic acid. In order to remove the smear layer more effectively with QMix, it is recommended to use it for a longer duration.
Keywords
QMix; Root canal treatment; Smear layer; Systematic review;
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