@article{Zou2024, 
author = {Xiaoying Zou and Xin Zheng and Yuhong Liang and Chengfei Zhang and Bing Fan and Jingping Liang and Junqi Ling and Zhuan Bian and Qing Yu and Benxiang Hou and Zhi Chen and Xi Wei and Lihong Qiu and Wenxia Chen and Wenxi He and Xin Xu and Liuyan Meng and Chen Zhang and Liming Chen and Shuli Deng and Yayan Lei and Xiaoli Xie and Xiaoyan Wang and Jinhua Yu and Jin Zhao and Song Shen and Xuedong Zhou and Lin Yue},
title = {Expert consensus on irrigation and intracanal medication in root canal therapy},
year = {2024},
journal = {International Journal of Oral Science},
volume = {16},
number = {1},
pages = {23},
url = {https://www.sciopen.com/article/10.1038/s41368-024-00280-5},
doi = {10.1038/s41368-024-00280-5},
abstract = {Chemical cleaning and disinfection are crucial steps for eliminating infection in root canal treatment. However, irrigant selection or irrigation procedures are far from clear. The vapor lock effect in the apical region has yet to be solved, impeding irrigation efficacy and resulting in residual infections and compromised treatment outcomes. Additionally, ambiguous clinical indications for root canal medication and non-standardized dressing protocols must be clarified. Inappropriate intracanal medication may present side effects and jeopardize the therapeutic outcomes. Indeed, clinicians have been aware of these concerns for years. Based on the current evidence of studies, this article reviews the properties of various irrigants and intracanal medicaments and elucidates their effectiveness and interactions. The evolution of different kinetic irrigation methods, their effects, limitations, the paradigm shift, current indications, and effective operational procedures regarding intracanal medication are also discussed. This expert consensus aims to establish the clinical operation guidelines for root canal irrigation and a position statement on intracanal medication, thus facilitating a better understanding of infection control, standardizing clinical practice, and ultimately improving the success of endodontic therapy.}
}