Faus Llácer, VicenteSauro, SalvatoreLuna Roa, MauricioFaus Matoses, IgnacioRuiz Sánchez, CeliaZubizarreta Macho, ÁlvaroFaus Matoses, VicenteProducción Científica UCH 2020UCH. Departamento de Odontología2021-05-062021-05-062020-10-10Faus-Llácer, V., Luna-Roa, M., Faus-Matoses, I., Ruiz-Sánchez, C., Zubizarreta-Macho, Á., Sauro, S. et al. (2020). Comparative analysis of the smear layer removal capability between EndoVac and Endoactivator endodontic irrigation systems at the root canal system and isthmus: a micro-computed tomography analysis. Applied Sciences, vol. 10, i. 20 (10 oct.), art. 7033. DOI: https://doi.org/10.3390/app102070332076-3417 (Electrónico).http://hdl.handle.net/10637/12557Este artículo se encuentra disponible en la siguiente URL: https://www.mdpi.com/2076-3417/10/20/7033Este artículo pertenece al número especial "Applied simulation and experiment research in dentistry".The aim of this comparative study is to analyze the e cacy of EndoVac and Endoactivator endodontic irrigation systems for removing the endodontic smear layer present in the coronal, middle, and apical root third of the root canal system (RCS) and the isthmus from mesial roots from the first lower molar teeth using micro-computed tomography (micro-CT) analysis. The study was performed on 40 mesial roots that were randomly assigned to the following groups: Group A, EndoVac endodontic irrigation system (EV) (n = 10); Group B, Endoactivator endodontic irrigation system (EA) (n = 10); Group C, Root canal systems performed with F2 ProTaper Gold endodontic rotary system but not irrigated (Positive control) (n = 10); Group D, Root canal systems not performed or irrigated (Negative control) (n = 10). The samples were exposed to micro-CT analysis and the mesial roots were segmented using an advanced image segmentation technique based on partial di erential equations (ROI: 10 10 10 mm) and the root canal systems and isthmus were reconstructed at a resolution of 25 microns per voxel. The EA study group showed statistically significant di erent residual endodontic smear layer volume (0.48 0.24 mm3) compared to the EV study group (0.18 0.15 mm3) (p = 0.016). The EV endodontic irrigation system performed a higher smear layer removal at coronal and middle root thirds, compared to the EA endodontic irrigation system; however, the EA endodontic irrigation system performed a higher smear layer removal at the apical root third, compared to the EV endodontic irrigation system.application/pdfenopen accessTeeth - Tomography.Endodoncia.Endodontics.Dental therapeutics - Equipment and supplies.Teeth - Roots - Planing.Dientes - Tomografía.Terapéutica dental - Aparatos y material.Dientes - Cavidades - Preparación.Artículohttps://doi.org/10.3390/app10207033https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es