Literature DB >> 27888349

Final irrigation protocols may affect intraradicular dentin ultrastructure.

Márcia Helena Wagner1, Ricardo Abreu da Rosa1, José Antonio Poli de Figueiredo2, Marco Antonio Húngaro Duarte3, Jefferson Ricardo Pereira4, Marcus Vinicius Reis Só1.   

Abstract

OBJECTIVES: The aim of this study was to evaluate the effect of different irrigation protocols on the root dentin structure using scanning electron microscopy (SEM) and transmission electron microscopy (TEM).
MATERIALS AND METHODS: Thirty-nine lower bovine incisors were hemisected longitudinally and randomly divided into 13 groups (n = 3). After the root halves were reassembled, it was applied a specific irrigation protocol for each group, as following: G1, distilled water (control); G2, 0.9% saline; G3, saline + 17% EDTA; G4, saline + PUI; G5, saline + PUI + EDTA; G6 to G9 received the same protocol as above replacing 0.9% saline by 2.5% NaOCl; and G10 to G13 by 2% CHX. One-half of each sample was prepared and evaluated using SEM and the other one by TEM observations.
RESULTS: TEM descriptive analysis showed modifications in dentin organic ultrastructure, characterized by the thinning of dentin collagen fibrils, caused by NaOCl, enhanced by EDTA and/or PUI. SEM analysis showed that NaOCl with PUI caused significantly larger erosion of the peritubular dentin than in all the other groups (P < 0.05), followed by NaOCl + EDTA and NaOCl + EDTA + PUI.
CONCLUSIONS: NaOCl caused ultrastructural alterations in the dentin collagen, and enhanced by EDTA and/or PUI, promoted peritubular and intertubular erosion. CLINICAL RELEVANCE: The effect of irrigating solutions on dentin ultrastructure was still unclear. The acknowledgment about the kind of solution, concentrations, application time, and sequence of use was important to achieve the right sanitization without jeopardizing the dentin ultrastructure quality.

Entities:  

Keywords:  Chlorhexidine; Dentine; EDTA; Endodontics; Sodium hypochlorite

Mesh:

Substances:

Year:  2016        PMID: 27888349     DOI: 10.1007/s00784-016-2006-x

Source DB:  PubMed          Journal:  Clin Oral Investig        ISSN: 1432-6981            Impact factor:   3.573


  34 in total

1.  Time-dependent effects of EDTA on dentin structures.

Authors:  Semra Calt; Ahmet Serper
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2.  An evaluation of the effect of pulsed ultrasound on the cleaning efficacy of passive ultrasonic irrigation.

Authors:  Lei-Meng Jiang; Bram Verhaagen; Michel Versluis; Chiara Zangrillo; Doris Cuckovic; Lucas W M van der Sluis
Journal:  J Endod       Date:  2010-09-19       Impact factor: 4.171

3.  A comparison between a smooth wire and a K-file in removing artificially placed dentine debris from root canals in resin blocks during ultrasonic irrigation.

Authors:  L W M van der Sluis; M-K Wu; P R Wesselink
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Review 4.  Root canal irrigants.

Authors:  Matthias Zehnder
Journal:  J Endod       Date:  2006-05       Impact factor: 4.171

5.  Effect of agitation of EDTA with 808-nanometer diode laser on removal of smear layer.

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Journal:  J Endod       Date:  2013-08-31       Impact factor: 4.171

6.  A scanning electron microscopic evaluation of four root canal irrigation regimens.

Authors:  J C Baumgartner; C L Mader
Journal:  J Endod       Date:  1987-04       Impact factor: 4.171

7.  Evaluation of push-out bond strength of four luting agents and SEM observation of the dentine/fibreglass bond interface.

Authors:  J R Pereira; A L Valle; J S Ghizoni; M V R Só; M B Ramos; F C Lorenzoni
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8.  Quantitative analysis of the effect of irrigant solution sequences on dentin erosion.

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Journal:  J Endod       Date:  2011-08-05       Impact factor: 4.171

Review 9.  On the causes of persistent apical periodontitis: a review.

Authors:  P N R Nair
Journal:  Int Endod J       Date:  2006-04       Impact factor: 5.264

10.  Effect of ethylenediaminetetraacetic acid on root fracture with respect to concentration at different time exposures.

Authors:  Emel Uzunoglu; Sevinc Aktemur; M Ozgur Uyanik; Veli Durmaz; Emre Nagas
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4.  Scanning electron microscopy evaluation of dentin ultrastructure after surface demineralization.

Authors:  Morgane Marion Kuntze; Beatriz Dulcineia Mendes Souza; Tamer Ferreira Schmidt; Josiane de Almeida; Eduardo Antunes Bortoluzzi; Wilson Tadeu Felippe
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5.  Irrigating Solutions and Activation Methods Used in Clinical Endodontics: A Systematic Review.

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6.  Experimental Solution of Chitosan and Nanochitosan on Wettability in Root Dentine: In Vitro Model Prior Regenerative Endodontics.

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7.  Effects of concentration of sodium hypochlorite as an endodontic irrigant on the mechanical and structural properties of root dentine: A laboratory study.

Authors:  Haiping Xu; Zhou Ye; Anqi Zhang; Fei Lin; Jing Fu; Alex S L Fok
Journal:  Int Endod J       Date:  2022-07-25       Impact factor: 5.165

8.  In Vitro Evaluation of Antibacterial Properties and Smear Layer Removal/Sealer Penetration of a Novel Silver-Citrate Root Canal Irrigant.

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