Comparative Evaluation of Smear Layer Removal, Calcium Ions Loss and Dentin Microhardness After Different Final Irrigation Solutions

Abdelgawad, Reem Adel; Fayyad, Dalia Mukhtar

doi:10.21608/edj.2017.76277

Cited by 5 publications

(7 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regarding the smear layer removal assay in the current study, It was found that NaOCl/EDTA significantly removed the smear layer exposing the highest percentage of open dentinal tubules, this result coincide with recently published studies (38,39) . All tested vinegars in the current study significantly removed the smear layer compared to the saline group.…”

Section: Natural Vinegars As Endodontic Irrigantssupporting

confidence: 92%

Evaluation of the antimicrobial action and cleaning ability of different naturally based vinegar used as endodontic irrigants

Elsheikh,

Rabie,

Soliman

et al. 2024

Dental Science Updates

View full text Add to dashboard Cite

Introduction: Irrigation of the root canals is an important step during endodontic treatment. Irrigants serve to eradicate microbial infection and to remove the resulting smear layer. NaOCl/EDTA irrigation is the gold standard irrigation protocol. However, it has several side effects. So, it was urgent call to investigate herbal alternatives as potential endodontic irrigants. Aim: To evaluate the antimicrobial action and smear layer removal ability of apple, dates and pomegranate vinegars compared to NaOCl/ EDTA irrigation. Materials &Methods: Sixty-five sterile roots were infected with E.faecalis, incubated for three weeks then grouped into five groups; apple vinegar group, dates vinegar group, pomegranate vinegar group, NaOCl/EDTA group and control group, respectively. Three Microbial samples were obtained from the root canals: before irrigation, immediately after irrigation and one week after irrigation. The reduction% of mean Log10 CFU was calculated. Five roots from each group were split bucco-lingually, scanned with SEM and processed using ImageJ software. Statistical analysis was performed by applying the t-test, ANOVA (one and two way) followed by post hoc Tukey's test at 95% significance level. Results: Dates vinegar group showed high antimicrobial action and smear layer removal ability comparable to NaOCl/EDTA group and the difference was statistically insignificant. Pomegranate and apple vinegar groups showed less antimicrobial action and smear layer removal ability than dates vinegar and NaOCl/EDTA which was statistically significant. Conclusion: Phenolic compounds in dates vinegar are responsible for its antimicrobial action and smear layer removal ability making it potential alternative to NaOCl/EDTA.

show abstract

Section: Natural Vinegars As Endodontic Irrigantssupporting

confidence: 92%

Evaluation of the antimicrobial action and cleaning ability of different naturally based vinegar used as endodontic irrigants

Elsheikh,

Rabie,

Soliman

et al. 2024

Dental Science Updates

View full text Add to dashboard Cite

show abstract

“…Singh R et al 31 has tested the antimicrobial potential and found promising results against various bacteria especially against S. typhimurium and E. aerogens. Fayyad D et al 32 compared the effect of irrigants on dentin microhardness by release of Calcium ion (Ca) from root dentin found EDTA, QMix, and Chitosan recorded the highest Ca ion loss that ultimately leads to lower the microhardness compared to NaOCl (used as control in our study). Our study revealed that the experimental irrigant (ethanolic extract of Sapindus mukorossi) showed no significant decrease in dentin micro hardness in comparison to 17% EDTA which has reduced the dentin micro hardness due to the loss of mineral content.…”

Section: Discussionmentioning

confidence: 54%

Comparison of an Experimental Root Canal Irrigant (Sapindus Mukorossi) and Ethylenediaminetetraacetic Acid on Microhardness of Human Dentin

Farooq

Qazi

Siddiqui

et al. 2022

J Ayub Med Coll Abbottabad

View full text Add to dashboard Cite

Background: The treatment of infected root canals is one of the most essential areas in dentistry. The endodontic therapy comprises of a sequence of steps that includes the purging of disease and infectious tissues from the root canal system. The objective of the study is to compare the effect of an experimental herbal root canal irrigant (Sapindus mukorossi) and Ethylenediaminetetraacetic acid, on the micro hardness of human dentin. Methods: Ninety single rooted teeth were collected displayed intact external morphology the selected teeth were than divided randomly into 3 groups (n=30); 1 control and 2 experimental groups: Group A consisted of specimen treated with Ethanolic extract of Sapindus mukorossi. Group B consisted of specimen treated with 17% Ethylenediaminetetraacetic acid and Group C (control group) consisted of specimen of roots were sectioned immersed in distilled water. After the removal of crowns, the roots were sectioned embedded in the polymer resin leaving the root dentine exposed, the micro hardness was determined. Then, the samples from each group were treated with respective irrigant solution for 15 minutes and then observation regarding the micro hardness were noted again by using Vickers micro hardness tester. Analysis of data were obtained by application of Wilcoxon signed rank test. Results: The study revealed that there was no significant difference noted in dentin microhardness of group “A” sample after dipping in experimental irrigant solution (Sapindus mukorossi). However, the study found significant difference in context of decrease in dentin microhardness after dipping a sample in a group “B” irrigant solution (17% Ethylenediaminetetraacetic acid). Conclusion: In order to preserve the strength of dentin that will ultimately be beneficial for increase in survival of teeth in function, probably the herbal extract of Sapindus mukorossi would be better candidate for future endeavour and presented as an economic and effective alternative amongst root canal irrigants.

show abstract

“…(Table 3) For instance, 15 min of contact with 0.2% chitosan resulted in a reduction in microhardness to 44.65 ± 3.19 VHN from the initial 57.87 ± 1.60 VHN [12]. Also, a comparison between 17% EDTA and 0.2% chitosan showed that EDTA had a significantly larger effect, decreasing microhardness to 59.68 ± 0.30 VHN as opposed to 65.00 ± 0.49 VHN for chitosan [45].…”

Section: Other Irrigantsmentioning

confidence: 97%

“…The quality assessment of the studies included in this systematic review was performed using the QUIN tool, a checklist of items for reporting in vitro studies specifically for dental related studies. Twelve studies [12,17,22,33,36,[40][41][42][43][44][45]51] were categorized as having a low risk, with the rest positioned within the medium risk category [1,8,11,15,16,[18][19][20][21][23][24][25][26][27][28][29]31,33,35,38,43,46,[48][49][50]52,53] as detailed in Figure 3.…”

Section: Study Quality and Risk Of Biasmentioning

confidence: 99%

Effect of Different Irrigating Solutions on Root Canal Dentin Microhardness—A Systematic Review with Meta-Analysis

Agarwal,

Mishra,

Singh

et al. 2024

JFB

View full text Add to dashboard Cite

The aim of this study was to evaluate the effect of different irrigating solutions as well as their combination and activation modes on root canal dentin microhardness. The protocol was registered in PROSPERO and PRISMA guidelines were followed. The structured question was as follows: “Which type of irrigating solution used in endodontic treatment causes more change in dentin microhardness?” The literature was screened via PubMed, Google Scholar, Scopus, and Science Direct. The last search was carried out in February 2023 with English language restriction. Two reviewers independently performed screening and evaluation of articles. A total of 470 articles were retrieved from all the databases, whereas only 114 articles were selected for full-text analysis. After applying eligibility criteria, 44 studies were evaluated and included in this review. The results showed that with increased contact time with irrigants, dentin microhardness decreases. Increased contact time with sodium hypochlorite (NaOCl) was associated with more reduction in dentin microhardness compared with other irrigants. Other irrigants, with the exception of distilled water, including EDTA, citric acid, herbal irrigants, glycolic acid, phytic acid, etc., in this study significantly decreased dentin microhardness. The maximum reduction in dentin microhardness was seen with 2.5% NaOCl after 15 min of contact time. The use of irrigating solutions alters the chemical composition of dentin, thereby decreasing its microhardness, which affects the clinical performance of endodontically treated teeth.

show abstract

Comparative Evaluation of Smear Layer Removal, Calcium Ions Loss and Dentin Microhardness After Different Final Irrigation Solutions

Abstract: Nonsurgical root canal treatment is a prospective procedure for saving teeth that otherwise would be extracted. Adequate cleaning and shaping of the root canal system is the golden key for establishing best possible results of the treatment 1. Endodontic

Cited by 5 publications

References 57 publications

Evaluation of the antimicrobial action and cleaning ability of different naturally based vinegar used as endodontic irrigants

Evaluation of the antimicrobial action and cleaning ability of different naturally based vinegar used as endodontic irrigants

Comparison of an Experimental Root Canal Irrigant (Sapindus Mukorossi) and Ethylenediaminetetraacetic Acid on Microhardness of Human Dentin

Effect of Different Irrigating Solutions on Root Canal Dentin Microhardness—A Systematic Review with Meta-Analysis

Contact Info

Product

Resources

About