Comparison of the Effect of Four Decalcifying Agents Combined with 60°C 3% Sodium Hypochlorite on Smear Layer Removal
The objective of this study was to compare the efficacy on smear layer removal of 4 decalcifying agents: 17% ethylenediaminetetraacetic acid (EDTA), 20% citric acid, BioPure MTAD, and SmearClear. Forty-five single-rooted human teeth were used and prepared up to ProTaper F3. After each instrumentatio...
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| Published in | Journal of endodontics Vol. 38; no. 3; pp. 381 - 384 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
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United States
Elsevier Inc
01.03.2012
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| Abstract | The objective of this study was to compare the efficacy on smear layer removal of 4 decalcifying agents: 17% ethylenediaminetetraacetic acid (EDTA), 20% citric acid, BioPure MTAD, and SmearClear.
Forty-five single-rooted human teeth were used and prepared up to ProTaper F3. After each instrumentation, 1 mL of 3% NaOCl at 60°C was irrigated for 1 minute. All the samples were randomly divided into 5 groups according to the final irrigants: 17% EDTA, 20% citric acid, BioPure MTAD, SmearClear, and 3% NaOCl (control). The smear layer removal of all groups at the apical, middle, and coronal thirds was observed under the thermal field emission scanning electron microscope.
The EDTA group was significantly more effective than the SmearClear and MTAD groups (P < .05). The efficacy of all three thirds in the EDTA, MTAD, and SmearClear groups can be arranged as coronal, middle, and apical thirds (P < .05) from excellent to poor. However, in the citric acid group, the coronal two thirds were significantly better than the apical third (P < .05), and there was no statistical significance between the coronal and middle thirds (P > .05).
The 4 decalcifying agents could effectively, but not completely, remove the smear layer, especially in the apical third. The efficacy of 17% EDTA was better than that of MTAD and SmearClear. |
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| AbstractList | The objective of this study was to compare the efficacy on smear layer removal of 4 decalcifying agents: 17% ethylenediaminetetraacetic acid (EDTA), 20% citric acid, BioPure MTAD, and SmearClear.INTRODUCTIONThe objective of this study was to compare the efficacy on smear layer removal of 4 decalcifying agents: 17% ethylenediaminetetraacetic acid (EDTA), 20% citric acid, BioPure MTAD, and SmearClear.Forty-five single-rooted human teeth were used and prepared up to ProTaper F3. After each instrumentation, 1 mL of 3% NaOCl at 60°C was irrigated for 1 minute. All the samples were randomly divided into 5 groups according to the final irrigants: 17% EDTA, 20% citric acid, BioPure MTAD, SmearClear, and 3% NaOCl (control). The smear layer removal of all groups at the apical, middle, and coronal thirds was observed under the thermal field emission scanning electron microscope.METHODSForty-five single-rooted human teeth were used and prepared up to ProTaper F3. After each instrumentation, 1 mL of 3% NaOCl at 60°C was irrigated for 1 minute. All the samples were randomly divided into 5 groups according to the final irrigants: 17% EDTA, 20% citric acid, BioPure MTAD, SmearClear, and 3% NaOCl (control). The smear layer removal of all groups at the apical, middle, and coronal thirds was observed under the thermal field emission scanning electron microscope.The EDTA group was significantly more effective than the SmearClear and MTAD groups (P < .05). The efficacy of all three thirds in the EDTA, MTAD, and SmearClear groups can be arranged as coronal, middle, and apical thirds (P < .05) from excellent to poor. However, in the citric acid group, the coronal two thirds were significantly better than the apical third (P < .05), and there was no statistical significance between the coronal and middle thirds (P > .05).RESULTSThe EDTA group was significantly more effective than the SmearClear and MTAD groups (P < .05). The efficacy of all three thirds in the EDTA, MTAD, and SmearClear groups can be arranged as coronal, middle, and apical thirds (P < .05) from excellent to poor. However, in the citric acid group, the coronal two thirds were significantly better than the apical third (P < .05), and there was no statistical significance between the coronal and middle thirds (P > .05).The 4 decalcifying agents could effectively, but not completely, remove the smear layer, especially in the apical third. The efficacy of 17% EDTA was better than that of MTAD and SmearClear.CONCLUSIONSThe 4 decalcifying agents could effectively, but not completely, remove the smear layer, especially in the apical third. The efficacy of 17% EDTA was better than that of MTAD and SmearClear. The objective of this study was to compare the efficacy on smear layer removal of 4 decalcifying agents: 17% ethylenediaminetetraacetic acid (EDTA), 20% citric acid, BioPure MTAD, and SmearClear. Forty-five single-rooted human teeth were used and prepared up to ProTaper F3. After each instrumentation, 1 mL of 3% NaOCl at 60°C was irrigated for 1 minute. All the samples were randomly divided into 5 groups according to the final irrigants: 17% EDTA, 20% citric acid, BioPure MTAD, SmearClear, and 3% NaOCl (control). The smear layer removal of all groups at the apical, middle, and coronal thirds was observed under the thermal field emission scanning electron microscope. The EDTA group was significantly more effective than the SmearClear and MTAD groups (P < .05). The efficacy of all three thirds in the EDTA, MTAD, and SmearClear groups can be arranged as coronal, middle, and apical thirds (P < .05) from excellent to poor. However, in the citric acid group, the coronal two thirds were significantly better than the apical third (P < .05), and there was no statistical significance between the coronal and middle thirds (P > .05). The 4 decalcifying agents could effectively, but not completely, remove the smear layer, especially in the apical third. The efficacy of 17% EDTA was better than that of MTAD and SmearClear. Abstract Introduction The objective of this study was to compare the efficacy on smear layer removal of 4 decalcifying agents: 17% ethylenediaminetetraacetic acid (EDTA), 20% citric acid, BioPure MTAD, and SmearClear. Methods Forty-five single-rooted human teeth were used and prepared up to ProTaper F3. After each instrumentation, 1 mL of 3% NaOCl at 60°C was irrigated for 1 minute. All the samples were randomly divided into 5 groups according to the final irrigants: 17% EDTA, 20% citric acid, BioPure MTAD, SmearClear, and 3% NaOCl (control). The smear layer removal of all groups at the apical, middle, and coronal thirds was observed under the thermal field emission scanning electron microscope. Results The EDTA group was significantly more effective than the SmearClear and MTAD groups ( P < .05). The efficacy of all three thirds in the EDTA, MTAD, and SmearClear groups can be arranged as coronal, middle, and apical thirds ( P < .05) from excellent to poor. However, in the citric acid group, the coronal two thirds were significantly better than the apical third ( P < .05), and there was no statistical significance between the coronal and middle thirds ( P > .05). Conclusions The 4 decalcifying agents could effectively, but not completely, remove the smear layer, especially in the apical third. The efficacy of 17% EDTA was better than that of MTAD and SmearClear. |
| Author | Mu, Ying Wu, Ligeng Deng, Xiuli Zhou, Dongyan Zhang, Shasha |
| Author_xml | – sequence: 1 givenname: Ligeng surname: Wu fullname: Wu, Ligeng email: dengxiuli1986@yahoo.com organization: Department of Endodontics, School of Stomatology, Tianjin Medical University, Tianjin, China – sequence: 2 givenname: Ying surname: Mu fullname: Mu, Ying organization: Department of Stomatology, Nankai Hospital, Tianjin, China – sequence: 3 givenname: Xiuli surname: Deng fullname: Deng, Xiuli organization: Department of Stomatology, Beichen Chinese Medicine Hospital, Tianjin, China – sequence: 4 givenname: Shasha surname: Zhang fullname: Zhang, Shasha organization: Department of Endodontics, School of Stomatology, Tianjin Medical University, Tianjin, China – sequence: 5 givenname: Dongyan surname: Zhou fullname: Zhou, Dongyan organization: Department of Endodontics, School of Stomatology, Tianjin Medical University, Tianjin, China |
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| Keywords | SmearClear citric acid smear layer irrigation EDTA BioPure MTAD |
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| Snippet | The objective of this study was to compare the efficacy on smear layer removal of 4 decalcifying agents: 17% ethylenediaminetetraacetic acid (EDTA), 20% citric... Abstract Introduction The objective of this study was to compare the efficacy on smear layer removal of 4 decalcifying agents: 17% ethylenediaminetetraacetic... |
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| SubjectTerms | BioPure MTAD citric acid Citric Acid - pharmacology Dental Pulp Cavity - drug effects Dental Pulp Cavity - ultrastructure Dentin - drug effects Dentin - ultrastructure Dentistry Double-Blind Method Doxycycline - pharmacology Edetic Acid - pharmacology EDTA Endocrinology & Metabolism Humans irrigation Materials Testing Microscopy, Electron, Scanning Polysorbates - pharmacology Root Canal Irrigants - pharmacology Root Canal Preparation - instrumentation Smear Layer SmearClear Sodium Hypochlorite - pharmacology Tooth Apex - drug effects Tooth Apex - ultrastructure |
| Title | Comparison of the Effect of Four Decalcifying Agents Combined with 60°C 3% Sodium Hypochlorite on Smear Layer Removal |
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