SP-29 - Simplify Your Clinical Irrigation Protocol by Using the Continuous Chelation

Effective irrigants, irrigant delivery and agitation are pre-requisites to promote root canal disinfection and debris removal and improve successful endodontic treatment. Antagonistic interactions between irrigants dictate that multiple endodontic irrigation solutions must be used in a specific, carefully prescribed sequence with intermediate flushes to avoid dangerous chemical reactions and that they cannot be mixed together.
A novel root canal irrigation protocol, the continuous chelation, was introduced, whereby gentle, soft chelators combined with NaOCl are administered during the whole course of root canal therapy for simultaneous antimicrobial action, tissue dissolution and smear layer and debris removal. Continuous chelation is simpler than standard irrigation and some authors have also reported an improved antimicrobial effectiveness, enhanced smear layer and dentinal debris removal, effective tissue dissolution and improved bonding of endodontic materials to dentin.
This oral presentation aims to present how the continuous chelation protocol may provide advantages compared to standard irrigation protocols to improve cleaning and disinfection of the endodontic space. The integration of new technologies, coupled with enhanced techniques and solutions, may help everyday clinical practice.