The use of chelating agents with passive ultrasonic irrigation enhances root canal filling sealing ability.
El uso de agentes quelantes con irrigación ultrasónica pasiva mejora la capacidad de sellado de la obturación de conducto radicular.
Keywords:
ethylenediaminetetraacetic acid, citric acid, root canal irrigants, root canal obturation, ultrasonics
Abstract
The aim of this study wasto compare the influence of a final rinse with and without passive ultrasonic irrigation (PUI), using 17% ethylenediamine-tetraacetic acid (EDTA) or 10% citric acid (CA), with 2.5% sodium hypochlorite (NaOCl) with PUI, on the sealing ability of root canal fillings. Root canal instru-mentation was performed in single-rooted premolars using NaOCl as the irrigant. Subsequently, the roots were randomly allocated into four experimental groups (n=23): EDTA+PUI, EDTA, CA+PUI, CA and control group: NaOCl+PUI. The spec-imens were root-filled using gutta-percha with a resin-based sealer and inserted into a device to measure glucose leakage at 7 and 30 days. Kruskal-Wallis and Mann-Whitney tests were used to evaluate the differences between the solutions and with or without PUI. Friedman’s ANOVA was used to compare time points (P<0.05). PUI groups showed lower infiltration values (EDTA+PUI 0.74±0.77 and CA+PUI 5.32±1.45) when compared to the groups on which PUI was not performed (EDTA 7.20±2.18 and CA 20.73±4.70), this difference was significant for EDTA (P<0.01) and CA (P=0.000). Also, EDTA showed less glucose infiltration than CA, with or without PUI (P<0.005). NaOCl+PUI showed a higher cumulative glucose infiltra-tion (22.92±9.71). A final rinse using EDTA or CA with PUI enhances the sealing of root canal fillings. EDTA showed less infiltration.
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References
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Savani GM, Sabbah W, Sedgley CM, Whitten B. Current trends in endodontic treatment by general dental practitioners: report of a United States national survey. J Endod 2014;40:618–624.
Dutner J, Mines P, Anderson A. Irrigation trends among American Association of Endodontists members: a Web-based survey. J Endod 2012;38:37-40.
Willerhausen I, Wolf TG, Schmidtmann I, Berger C, Ehlers V, Willerhausen B, Briseño B. Survey of root canal irrigating solutions used in dental practices within Germany. Int Endod J 2015;48:654-660.
Economides N, Liolios E, Kolokuris I. Long term evaluation of the influence of smear layer removal on the sealing ability of different sealers. J Endod 1999;25:123– 125.
Shahravan A, Haghdoost A A, Alireza A, Hessam R, Fahimeh S. Effect of smear layer on sealing ability of canal obturation: a systematic review and meta-analysis. J Endod 2007;33:96–105.
Goldman M, Goldman LB, Cavaleri R, Bogis J, Lin PS. The efficacy of several endodontic irrigating solutions: a scanning electron microscopic study: Part 2. J Endod 1982;8:487–492.
Vivacqua Gomes N, Ferraz CCR, Gomes BPFA, Zaia AA, Teixeira FB, Souza Filho FJ. Influence of irrigants on the coronal micro leakage of laterally condensed gutta-percha root fillings. Int Endod J 2002;35:791–795.
Yamaguchi M, Yoshida K, Suzuki R, Nakamura H. Root canal irrigation with citric acid solution. J Endod 1996;22:27–29.
Kaushai R, Bansai R, Malhan S. A comparative evaluation of smear layer removal by using ethylenediamine tetra acetic acid, citic acid, and maleic acid as root canal irrigants: an in vitro scanning electron microscopic study. J Conserv Dent 2020;23:71-78.
Van der Sluis LWM, Shemesh H, Wu MK, Wesselink PR. An evaluation of the influence of passive ultrasonic irrigation on the seal of root canal fillings. Int Endod J 2007;40:356–361.
Kuah H-G, Lui J-N, Tseng PSK, Chen N-N. The effect of EDTA with and without ultra-sonics on removal of the smear layer. J Endod 2009;35:393–396.
Van der Sluis LWM, Versluis M, Wu M-K, Wesselink PR. Passive ultrasonic irrigation of the root canal: a review of the literature. Int Endod J 2007;40:415–426.
Burleson A, Nusstein J, Reader A, Beck M. The in vivo evaluation of hand/rotary/ultra-sound instrumentation in necrotic, human mandibular molars. J Endod 2007;33:782– 787.
Singh CV, Rao SA, Chandrashekar V. An in vitro comparison of penetration depth of two root canal sealers: An SEM study. J Conserv Dent 2012;15:261–264.
Hartmann RC, Fensterseifer M, Peters OA, Figueredo JAP, Gomes MS, Rossi Fedele G. Methods for the measurement of root canal curvature: a systematic and critical review. Int Endo J 2019;52:169-180.
Wu MK, R’oris A, Barkis D, Wesselink PR. Prevalence and extent of long oval canals in the apical third. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:739-743.
Xu Q, Fan M, Fan B, Cheung GSP, Hu H. A new quantitative method using glucose for analysis of endodontic leakage. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:107–111.
Shemesh H, van den Bos M, Wu M-K, Wesselink PR. Glucose penetration and fluid transport through coronal root structure and filled root canals. Int Endod J 2007;40:866–172.
De-Deus G, Soares J, Leal F, Luna AS, Fidel S, Fidel RAS. Similar glucose leakage pattern on smear-covered, EDTA-treated and BioPure MTAD-treated dentin. J Endod 2008;34:459–462.
El Sayed MA, Taleb AA, Balbahaith MS. Sealing ability of three single-cone obturation systems: an invitro glucose leakage system. J Conserv Dent 2013;16:489-493.
Shemesh H, Souza EM, Wu M-K, Wesselink PR. Glucose reactivity with filling materials as a limitation for using the glucose leakage model. Int Endod J 2008;41:869–872.
Torabinejad M, Handysides R, Khademi AA, Bakland LK. Clinical implications of the smear layer in endodontics: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:658–666.
Violich DR, Chandler NP. The smear layer in endodontics a review. Int Endod J 2010;43:2–15.
Wu L, Mu Y, Deng X, Zhang S, Zhou D. Comparison of the effect of four decalcifying agents combined with 60°C 3% sodium hypochlorite on smear layer removal. J Endod 2012;38:381–384.
Calt S, Serper A. Time-dependent effects of EDTA on dentin structures. J Endod 2002;28:17–19.
Ghisi AC, Kopper PM, Baldasso FE, Stürmer CP, Rossi-Fedele G, Steier L, Figueiredo JA, Morgental RD, Vier-Pelisser FV. Effect of superoxidized water and sodium hypochlorite, associated or not with EDTA, on organic and inorganic component of bovine root dentin. J Endo 2015;41:925-930.
Hartmann R, Neuvald L, Barth V, de Figueiredo JAP, Dias de Oliveira S, Rossi Fedele G. Antimicrobial efficacy of 0.5% peracetic acid and EDTA with passive ultrasonic or manual agitation in an Enterococcus faecalis biofilm model. Aust Endod J 2019;45:57-63.
Lotfi M, Vosoughhosseini S, Saghiri MA, Zand V, Ranjkesh B, Ghasemi N. Effect of MTAD as a final rinse on removal of smear layer in ten minute preparation time. J Endod 2012;38:1391–1394.
Arslan H, Capar ID, Saygili G, Uysal B, Gok T, Ertas H, Topcuoglu HS. Efficacy of various irrigation protocols on the removal of triple antibiotic paste. Int Endod J 2014;47:594–599.
De Deus G. Research that matters-root canal filling and leakage studies. Int Endod J 2012;45:1063–1064.
Published
2021-06-10
How to Cite
Jung Franciscatto, G., Rossi-Fedele, G., Favarin Santini, M., De Carlo Bello, M., Weber Blattes, M., & Souza Bier, C. A. (2021). The use of chelating agents with passive ultrasonic irrigation enhances root canal filling sealing ability.: El uso de agentes quelantes con irrigación ultrasónica pasiva mejora la capacidad de sellado de la obturación de conducto radicular. Investigación Clínica, 62(2), 132-139. https://doi.org/10.22209/IC.v62n2a04
Section
Original Works
