377765

effectiveness of Smear Layer Removal Using Different Activated Irrigating Solutions and Techniques: An in-Vitro Study

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Endodontology

Abstract

 Introduction: Successful endodontic therapy focuses on completely eliminating microorganisms, which is the main etiology for pulpitis and apical periodontitis. The ideal endodontic irrigant should be strong enough to dissolve intracanal necrotic/vital tissue and to eliminate bacteria and gentle enough on the extra radicular tissues; it also should be non-toxic, non-antigenic and non-carcinogenic. Aim: This study aimed to compare the smear layer removal using saline, sodium hypo chlorite (NaOCl) + Saline + ethylenediaminetetraacetic acid (EDTA), and quaternary ammonium silane irrigants (QAS). Material and methods: This study was conducted on 63 freshly extracted maxillary canines. Specimens were randomly divided into 3 main groups, A1, A2, and A3 (n=42), according to the type of irrigant used (saline group, 2.25%, saline, + EDTA 17%, and quaternary ammonium silane QAS group, respectively). Each main group was further sub-divided into three subgroups according to the method of activation B0, B1, B2 (n=14) (no activation group, Manual Dynamic Activation (MDA) group. Each group was evaluated by Scanning electron microscopy (SEM). ANOVA was followed by Duncan multiple range tests (DMRTs) to compare between treatment groups or corresponding post hoc for nonparametric Results showed significant differences between different groups. The difference between the activation methods was statistically significant (in the cervical third, middle third, and apical third). The highest mean value was recorded in sodium hypochlorite (NOCl), followed by QAS, with the lowest value recorded in saline. The difference between groups wasstatistically significant in the cervical, middle and apical root thirds. There is a statistically significant difference between groups using no activation, MDA and overall (regardless of the activation technique)

DOI

10.21608/dsu.2024.253956.1211

Keywords

EDTA Irrigation, Quaternary ammonium silane, Smear layer, Sodium Hypochlorite, Scanning Electron Microscopy

Authors

First Name

Aya

Last Name

Mohamed

MiddleName

AbdElsamei

Affiliation

Endodontics Department suiz Canal University

Email

ayaabdelsamei@gmail.com

City

-

Orcid

0009-0008-6752-8586

First Name

Sherouk

Last Name

Adam

MiddleName

Hussien

Affiliation

Faculty of Dentistry, Suez Canal University

Email

dentist993@hotmail.com

City

ismailia

Orcid

-

First Name

mohamed

Last Name

rabie

MiddleName

ibrahim

Affiliation

associate professor of Suez canal university

Email

mirabie77@gmail.com

City

cairo

Orcid

-

Volume

5

Article Issue

2

Related Issue

50136

Issue Date

2024-09-01

Receive Date

2023-12-07

Publish Date

2024-09-01

Page Start

351

Page End

364

Print ISSN

2636-3836

Online ISSN

2636-3844

Link

https://dsu.journals.ekb.eg/article_377765.html

Detail API

https://dsu.journals.ekb.eg/service?article_code=377765

Order

15

Type

Original Article

Type Code

772

Publication Type

Journal

Publication Title

Dental Science Updates

Publication Link

https://dsu.journals.ekb.eg/

MainTitle

effectiveness of Smear Layer Removal Using Different Activated Irrigating Solutions and Techniques: An in-Vitro Study

Details

Type

Article

Created At

24 Dec 2024