Keywords
Dentin permeability, Smear layer, Chelating
How to Cite
Estudio de la eficacia de diferentes soluciones de EDTA y ácido cítrico en la remoción del barro dentinario. (2012). Odontoestomatología, 14(19), 52-63. https://odon.edu.uy/ojs/index.php/ode/article/view/193
Abstract
The use of chelators as irrigants, previous to the topic medication and obturation, is relevant to achieve a right cleaning and the gutta-percha and cement fitting to the canal's wall. The aim of this research was to evaluate and compare in vitro the smear layer cleaning and removal ability from the canal walls and dentinal tubules, after the instrumentation, using different irrigants. During the final irrigation, NaOCI, EDTA 17%, Quelant (EDTA commercial product) and citric acid 10% and 25% were applied. Next the crowns were cut and the roots were divided up “longitudinally” and examined in their three thirds using a scanning electron microscope. Results showed that NaOCI was not enough to completely eliminate the smear layer. The groups which contained a combination of NaOCI with a chelating agent showed different rates of cleaning. With the Quelant and Citric Acid in both concentrations, the results were satisfactory.
References
Mc Comb D, Smith DC. A preliminary scanning electron microscopic study of root canalsafter endodontic procedures. J Endod 1975; 1 (7): 238-242. [ Links ]
Pashley DH: Smear layer: physiological considerations. Oper Dent (Suppl) 1984; 3: 13-29 [ Links ]
Mader CL, Baumgartner JC, Peters DD. Scanning Electron Microscopic Investigation of the Smeared Layer on Root Canal Walls. J Endod 1984; 10 (10): 477- 483. [ Links ]
Cameron JA: The use of ultrasonics in the removal of the smear layer: a scanning electron microscope study. J Endod 1983; 9 (7): 289-292 [ Links ]
Yamada RS, Armas A, Goldman M, Lin PS.: A Scanning Electron Microscopic Comparison of a High Volume Final Flush with Several Irrigating Solutions: Part 3. J Endod 1983; 9(4): 137-142 [ Links ]
Gilboe DB, Svare CW, Thayer KE, Drennon DG.: Dentinal smearing: An investigation of the phenomenon. J Prosth Dent 1980; 44(3): 310-316 [ Links ]
Czonstkowsky M, Wilson EG, Holstein FA.: Capa superficial en endodoncia. Clín Odont Nort 1990; 1: 11-23 [ Links ]
Drake DR, Wiemann AH, Rivera EM, Walton RE: Bacteria retention in canal walls in vitro: effect of smear layer. J Endod 1994; 20 (2): 78-82 [ Links ]
Williams S, Goldman M.: Penetrability of the smeared layer by a strain of proteus vulgaris. J Endod 1985; 11(9): 385-388 [ Links ]
Di Lenarda R, Cadenaro M, Sbaizero O.: Effectiveness of 1 mol L-1 citric acid and 15% EDTA irrigation on smear layer removal. Int Endod J 2000; 33: 46-52. [ Links ]
Fogel HM, Pashley DH.: Dentin permeability: effects of endodontic procedures on root slabs. J Endod 1990 16 (9) 442-445 [ Links ]
White RR, Goldman M, Peck Sun Lin. The influence of the smeared layer upon dentinal tubule penetration by plastic filling materials. J Endod 1984 10(12) 558-562 [ Links ]
Hülsmann M, Heckendorff M, lennon A.: Chelanting agents in root canal treatment: mode of action and indications for their use. Int Endod J 2003; 36: 810-830 [ Links ]
Torabinejad M, Cho Y, Khademi AA, Bakland K, Shabahang S.: Efecto de diferentes concentraciones de hipoclorito sódico sobre la capacidad de eliminación del barrillo dentinario del MTAD. Rev Esp Endod 2003; 21(3): 179-190 [ Links ]
Orstavik D, Haapasalo M.: Desinfection by endodontic irrigants and dressings of experimentally infected dentinal tubules. Endod Dent Traumatol 1990; 6: 142-149 [ Links ]
Foster KH, Kulild JC, Weller RN.: Effect of Smear Layer Removal on the Diffusion of Calcium Hydroxide through Radicular Dentin. J Endod 1993; 19(3): 136-140 [ Links ]
Cergneux M, Ciucchi B, Dietschi JM, Holz J.: The influence of the smear layer on the sealing ability of canal obturation. Int Endod J 1987; 20: 228-232 [ Links ]
Kouvas V, LioliosE, Vassiliadis I, Parissis-Messimeris S, Boutsioukis A.: Influence of smear layer on depth of penetration of three endodontic sealers: an SEM study. Endod Dent Traumatol 1998; 14: 191-195 [ Links ]
Gutmann JL.: Adaptation of injected thermoplasticized gutta-percha in the absence of the dentinal smear layer. Int Endod J 1993; 26: 87-92 [ Links ]
Gençoglu N, Samani S, Günday M.: Dentinal Wall Adaptation of Thermoplasticized Guttapercha in the Absence or Presence of Smear Layer: A Scanning Electron Microscopic Study. J Endod 1983; 19(11): 558-582 [ Links ]
Kennedy WA, Walker WA, Gough RW: Smear layer removal effects on apical leakage. J Endod 1986; 12 (1): 21-27 [ Links ]
Baumgartner JC, Mader CL.: A Scanning Electron Microscopic Evaluation of Four Root Canal Irrigation Regimens. J Endod 1987; 13(4): 147-157 [ Links ]
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(11): 487-492 [ Links ]
Yamaguchi M, Yoshida K, Suzuki R, Nakamura H. Root Canal Irrigation with Citric Acid Solution. J Endod 1996; 22(1): 27-29 [ Links ]
Siqueira JF, Batista MMD, Fraga RC, de Uzeda M.: Antibacterial effects of Endodontic Irrigants on Black- Pigmented Gram-Negative Anaerobes and Facultative Bacteria. J Endod 1998; 24(6): 414-416 [ Links ]
Kuah HG, Lui JN, Tseng PSK, Chen NN.: The effect of EDTA with and without Ultrasonics on Removal of the Smear Layer. J Endod 2009; 35(3): 393-396 [ Links ]
Lui JN, Kuah HG, Chen NN.: Effect of EDTA with and without Surfactants or Ultrasonics on Removal of Smear Layer. J Endod 2007; 33(4): 472-475 [ Links ]
Cameron JA.: Factors affecting the clinical efficiency of ultrasonic endodontics: a scanning electron microscopy study. Int Endod J 1995; 28: 47-53 [ Links ]
Ostby NB: Chelation in root canal therapy. Odontol Tidskr 1957; 65: 1-11 [ Links ]
Wayman BE, Kopp WM, Pinero GJ, Lazzari EP.: Citric and lactic acids as root canal irrigants in vitro. J Endod 1979; 5 (9): 258-265 [ Links ]
Ferrer Luque CM, González López S Navajas Rodriguez de Mondelo JM.: Utilización del ácido cítrico en la preparación biomecánica del conducto radicular. Rev Esp Endod 1994; 12(2): 63-69 [ Links ]
Trowbridge HO, Kim S.: Desarrollo de la pulpa, estructura y función. En Cohen S, Burns R.: Vías de la pulpa 7a ed. España: Harcourt, 1999. Cap 10, p 368-369 [ Links ]
Martos J, Rodo Osinaga PW, Paz Borda D.: Evaluación del efecto de hipoclorito de sodio, EDTA y ácido cítrico en la permeabilidad dentinaria. Rev Esp Endod 2003; 21(3): 174-178 [ Links ]
Pérez-Heredia M, Ferrer-Luque C, González-Rodriguez M.: The Effectiveness of Different Acid Irrigating Solutions in Root Canal Clearing Alter Hand and Rotary Instrumentation. J Endod 2006; 32(10): 993- 997 [ Links ]
Serper A, Calt S. The Demineralizing Effects of EDTA at Different Concentrations and pH. J Endod 2002; 28(7): 501-502 [ Links ]
Morgan LA, Baumgartner JC.: Demineralization of resected root-ends with methylene blue dye. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 84(1): 74-78 [ Links ]
Cury JA, Bragotto C, Valdrighi L.: The demineralizing efficiency of EDTA solutions on dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1981; 52 (4): 446-448 [ Links ]
Olmos Fassi J, Del Carril MA, Saguir SN, García Rusco A.: Limpieza de las paredes de los conductos usando una combinación de hipoclorito de sodio 2, 5%-ácido cítrico 10% y clorhexidina 2%-ácido cítrico 10%. Rev Esp Endod 2009; 27(2): 63-67 [ Links ]
Saito K, Webb TD, Imamura GM, Goodell GG.: Effect of Shortened irrigation Times with 17% Ethylene Diamine Tetraacetic Acid on Smear layer Removal after Rotary Canal Instrumentation. J Endod 2008; 34(8): 1011-1013 [ Links ]
Crumpton BJ, Goodell GG, McClanahan SB.: Effects on Smear layer and Debris Removal with Varyng Volumes of 17% REDTA after Rotary Instrumentation. J Endod 2005; 31(7): 536-538 [ Links ]
Calt S, Serper A.: Efectos del EDTA en las estructuras dentarias en función del tiempo. Rev Esp Endod 2002; 20(2): 121-125. [ Links ]
Niu W, Yoshioka C, Kobayashi C, Suda H.: A scanning electron microscopic study of dentinal erosion by final irrigation with EDTA and NaOCl solutions. Int Endod J 2002; 35: 934-939 [ Links ]
Scelza MFZ, Antoniazzi JH, Scelza P.: Eficacia de la irrigación final. Evaluación con microscopía electrónica de barrido. Rev Esp Endod 2000; 18(3): 166-171 [ Links ]
Pashley DH: Smear layer: physiological considerations. Oper Dent (Suppl) 1984; 3: 13-29 [ Links ]
Mader CL, Baumgartner JC, Peters DD. Scanning Electron Microscopic Investigation of the Smeared Layer on Root Canal Walls. J Endod 1984; 10 (10): 477- 483. [ Links ]
Cameron JA: The use of ultrasonics in the removal of the smear layer: a scanning electron microscope study. J Endod 1983; 9 (7): 289-292 [ Links ]
Yamada RS, Armas A, Goldman M, Lin PS.: A Scanning Electron Microscopic Comparison of a High Volume Final Flush with Several Irrigating Solutions: Part 3. J Endod 1983; 9(4): 137-142 [ Links ]
Gilboe DB, Svare CW, Thayer KE, Drennon DG.: Dentinal smearing: An investigation of the phenomenon. J Prosth Dent 1980; 44(3): 310-316 [ Links ]
Czonstkowsky M, Wilson EG, Holstein FA.: Capa superficial en endodoncia. Clín Odont Nort 1990; 1: 11-23 [ Links ]
Drake DR, Wiemann AH, Rivera EM, Walton RE: Bacteria retention in canal walls in vitro: effect of smear layer. J Endod 1994; 20 (2): 78-82 [ Links ]
Williams S, Goldman M.: Penetrability of the smeared layer by a strain of proteus vulgaris. J Endod 1985; 11(9): 385-388 [ Links ]
Di Lenarda R, Cadenaro M, Sbaizero O.: Effectiveness of 1 mol L-1 citric acid and 15% EDTA irrigation on smear layer removal. Int Endod J 2000; 33: 46-52. [ Links ]
Fogel HM, Pashley DH.: Dentin permeability: effects of endodontic procedures on root slabs. J Endod 1990 16 (9) 442-445 [ Links ]
White RR, Goldman M, Peck Sun Lin. The influence of the smeared layer upon dentinal tubule penetration by plastic filling materials. J Endod 1984 10(12) 558-562 [ Links ]
Hülsmann M, Heckendorff M, lennon A.: Chelanting agents in root canal treatment: mode of action and indications for their use. Int Endod J 2003; 36: 810-830 [ Links ]
Torabinejad M, Cho Y, Khademi AA, Bakland K, Shabahang S.: Efecto de diferentes concentraciones de hipoclorito sódico sobre la capacidad de eliminación del barrillo dentinario del MTAD. Rev Esp Endod 2003; 21(3): 179-190 [ Links ]
Orstavik D, Haapasalo M.: Desinfection by endodontic irrigants and dressings of experimentally infected dentinal tubules. Endod Dent Traumatol 1990; 6: 142-149 [ Links ]
Foster KH, Kulild JC, Weller RN.: Effect of Smear Layer Removal on the Diffusion of Calcium Hydroxide through Radicular Dentin. J Endod 1993; 19(3): 136-140 [ Links ]
Cergneux M, Ciucchi B, Dietschi JM, Holz J.: The influence of the smear layer on the sealing ability of canal obturation. Int Endod J 1987; 20: 228-232 [ Links ]
Kouvas V, LioliosE, Vassiliadis I, Parissis-Messimeris S, Boutsioukis A.: Influence of smear layer on depth of penetration of three endodontic sealers: an SEM study. Endod Dent Traumatol 1998; 14: 191-195 [ Links ]
Gutmann JL.: Adaptation of injected thermoplasticized gutta-percha in the absence of the dentinal smear layer. Int Endod J 1993; 26: 87-92 [ Links ]
Gençoglu N, Samani S, Günday M.: Dentinal Wall Adaptation of Thermoplasticized Guttapercha in the Absence or Presence of Smear Layer: A Scanning Electron Microscopic Study. J Endod 1983; 19(11): 558-582 [ Links ]
Kennedy WA, Walker WA, Gough RW: Smear layer removal effects on apical leakage. J Endod 1986; 12 (1): 21-27 [ Links ]
Baumgartner JC, Mader CL.: A Scanning Electron Microscopic Evaluation of Four Root Canal Irrigation Regimens. J Endod 1987; 13(4): 147-157 [ Links ]
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(11): 487-492 [ Links ]
Yamaguchi M, Yoshida K, Suzuki R, Nakamura H. Root Canal Irrigation with Citric Acid Solution. J Endod 1996; 22(1): 27-29 [ Links ]
Siqueira JF, Batista MMD, Fraga RC, de Uzeda M.: Antibacterial effects of Endodontic Irrigants on Black- Pigmented Gram-Negative Anaerobes and Facultative Bacteria. J Endod 1998; 24(6): 414-416 [ Links ]
Kuah HG, Lui JN, Tseng PSK, Chen NN.: The effect of EDTA with and without Ultrasonics on Removal of the Smear Layer. J Endod 2009; 35(3): 393-396 [ Links ]
Lui JN, Kuah HG, Chen NN.: Effect of EDTA with and without Surfactants or Ultrasonics on Removal of Smear Layer. J Endod 2007; 33(4): 472-475 [ Links ]
Cameron JA.: Factors affecting the clinical efficiency of ultrasonic endodontics: a scanning electron microscopy study. Int Endod J 1995; 28: 47-53 [ Links ]
Ostby NB: Chelation in root canal therapy. Odontol Tidskr 1957; 65: 1-11 [ Links ]
Wayman BE, Kopp WM, Pinero GJ, Lazzari EP.: Citric and lactic acids as root canal irrigants in vitro. J Endod 1979; 5 (9): 258-265 [ Links ]
Ferrer Luque CM, González López S Navajas Rodriguez de Mondelo JM.: Utilización del ácido cítrico en la preparación biomecánica del conducto radicular. Rev Esp Endod 1994; 12(2): 63-69 [ Links ]
Trowbridge HO, Kim S.: Desarrollo de la pulpa, estructura y función. En Cohen S, Burns R.: Vías de la pulpa 7a ed. España: Harcourt, 1999. Cap 10, p 368-369 [ Links ]
Martos J, Rodo Osinaga PW, Paz Borda D.: Evaluación del efecto de hipoclorito de sodio, EDTA y ácido cítrico en la permeabilidad dentinaria. Rev Esp Endod 2003; 21(3): 174-178 [ Links ]
Pérez-Heredia M, Ferrer-Luque C, González-Rodriguez M.: The Effectiveness of Different Acid Irrigating Solutions in Root Canal Clearing Alter Hand and Rotary Instrumentation. J Endod 2006; 32(10): 993- 997 [ Links ]
Serper A, Calt S. The Demineralizing Effects of EDTA at Different Concentrations and pH. J Endod 2002; 28(7): 501-502 [ Links ]
Morgan LA, Baumgartner JC.: Demineralization of resected root-ends with methylene blue dye. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 84(1): 74-78 [ Links ]
Cury JA, Bragotto C, Valdrighi L.: The demineralizing efficiency of EDTA solutions on dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1981; 52 (4): 446-448 [ Links ]
Olmos Fassi J, Del Carril MA, Saguir SN, García Rusco A.: Limpieza de las paredes de los conductos usando una combinación de hipoclorito de sodio 2, 5%-ácido cítrico 10% y clorhexidina 2%-ácido cítrico 10%. Rev Esp Endod 2009; 27(2): 63-67 [ Links ]
Saito K, Webb TD, Imamura GM, Goodell GG.: Effect of Shortened irrigation Times with 17% Ethylene Diamine Tetraacetic Acid on Smear layer Removal after Rotary Canal Instrumentation. J Endod 2008; 34(8): 1011-1013 [ Links ]
Crumpton BJ, Goodell GG, McClanahan SB.: Effects on Smear layer and Debris Removal with Varyng Volumes of 17% REDTA after Rotary Instrumentation. J Endod 2005; 31(7): 536-538 [ Links ]
Calt S, Serper A.: Efectos del EDTA en las estructuras dentarias en función del tiempo. Rev Esp Endod 2002; 20(2): 121-125. [ Links ]
Niu W, Yoshioka C, Kobayashi C, Suda H.: A scanning electron microscopic study of dentinal erosion by final irrigation with EDTA and NaOCl solutions. Int Endod J 2002; 35: 934-939 [ Links ]
Scelza MFZ, Antoniazzi JH, Scelza P.: Eficacia de la irrigación final. Evaluación con microscopía electrónica de barrido. Rev Esp Endod 2000; 18(3): 166-171 [ Links ]