Irrigation  Debridement  Desinfection lroubalikova@gmail.com 1 CANTATORE G. Irrigation Canalaire: avantages potentialisation et sequence operatoire Endo Contact 1999 - 5:13-21 Výplach NaOCl lroubalikova@gmail.com 2 lroubalikova@gmail.com 3 lroubalikova@gmail.com 4 Irrigants Sodium hypochlorite 2 - 6% Desinfection – oxidation Dissolves biofilm, organic tissues Bad smell Hemorrhacic necrosis in soft tissues lroubalikova@gmail.com 5 Irrigants  Chlorhexidin 0,12%, 0,2%, 2% Good antibacterial spectrum Lopng term connection to surfaces Improves biofilm In reaction with calcium hydroxide – parachloranilin Precipitates with chlorhexidin lroubalikova@gmail.com 6 Irrigants  EDTA 17% - 18% No antibacterial effect Dissolves inorganic part of smear layer lroubalikova@gmail.com 7 Irrigants  Citric acid lroubalikova@gmail.com 8 Irrigation protocol – most common  Sodium hypochlorite 2 – 6% Combination with lubrication gel with EDTA posssible lroubalikova@gmail.com 9 Activation od irrigation  Sonic (Endo Activator)  Ultrasonic  Laser (ER:YAG, ER,Cr:YSGG) lroubalikova@gmail.com 10