Lara Dotto1, Rafael Sarkis Onofre1, Ataís Bacchi1, Gabriel Kalil Rocha Pereira2. 1. MSciD Post-Graduate Program in Dentistry, School of Dentistry, Meridional Faculty - IMED, Passo Fundo, Rio Grande do Sul, Brazil. 2. MSciD and PhD Post-Graduate Program in Oral Sciences, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil. Electronic address: gabrielkrpereira@hotmail.com.
Abstract
INTRODUCTION: The aim of this study was to identify through a scoping review whether root canal irrigants influence the mechanical properties of endodontically treated teeth, and which properties could be affected. The protocol of this study, available online (https://osf.io/yc9nb/), followed the Joana Briggs Institute guidelines. Reporting was based on PRISMA Extension for Scoping Reviews. METHODS: We selected studies written in English that evaluated the effect of at least one irrigant on the mechanical properties of endodontically treated teeth. The search and study screening were performed in PubMed and Scopus databases by 2 independent researchers. A descriptive analysis was performed to consider the study design, the characteristics of the irrigants, and the properties tested. RESULTS: The initial search yielded 608 citations, of which 66 were included. On the basis of the collected data, the most commonly used solutions were 17% EDTA, 2.5% or 5% sodium hypochlorite, and 2% chlorhexidine, and the most common tested properties were hardness and strength. Alterations in the modulus of elasticity, stress and strain concentration during preparation, and roughness were also assessed. CONCLUSIONS: The majority of studies corroborated a negative effect of all solutions on the mechanical properties of endodontically treated teeth. Furthermore, increases in the concentration of the solution and in the time of exposure were found to intensify deleterious effects. However, disinfection of the canal is also a crucial factor in endodontic success. Thus, clinicians should consider these factors to mitigate the effects without interfering with antibacterial properties, customizing the choice of the solution to the case in hand.
INTRODUCTION: The aim of this study was to identify through a scoping review whether root canal irrigants influence the mechanical properties of endodontically treated teeth, and which properties could be affected. The protocol of this study, available online (https://osf.io/yc9nb/), followed the Joana Briggs Institute guidelines. Reporting was based on PRISMA Extension for Scoping Reviews. METHODS: We selected studies written in English that evaluated the effect of at least one irrigant on the mechanical properties of endodontically treated teeth. The search and study screening were performed in PubMed and Scopus databases by 2 independent researchers. A descriptive analysis was performed to consider the study design, the characteristics of the irrigants, and the properties tested. RESULTS: The initial search yielded 608 citations, of which 66 were included. On the basis of the collected data, the most commonly used solutions were 17% EDTA, 2.5% or 5% sodium hypochlorite, and 2% chlorhexidine, and the most common tested properties were hardness and strength. Alterations in the modulus of elasticity, stress and strain concentration during preparation, and roughness were also assessed. CONCLUSIONS: The majority of studies corroborated a negative effect of all solutions on the mechanical properties of endodontically treated teeth. Furthermore, increases in the concentration of the solution and in the time of exposure were found to intensify deleterious effects. However, disinfection of the canal is also a crucial factor in endodontic success. Thus, clinicians should consider these factors to mitigate the effects without interfering with antibacterial properties, customizing the choice of the solution to the case in hand.