AI Article Synopsis

  • The study used necrotic bovine pulp and dentin as model tissues to evaluate how different endodontic irrigants dissolve elements of the smear layer in root canals.
  • Various concentrations of sodium hypochlorite (NaOCl) effectively removed organic components from the tissues, with 5.25% NaOCl almost fully dissolving the organic part of dentin.
  • EDTA was found to be effective in solubilizing both inorganic and organic materials, whereas MTAD had similar effects but with a unique feature of doxycycline that binds strongly to dentin.

Article Abstract

Necrotic bovine pulp and dentin were used in this study as model tissues to represent the organic and inorganic components of the smear layer present in instrumented root canals. The capabilities of endodontic irrigants to dissolve pulverized forms of these tissues were compared. Lyophilized tissue samples were mixed for 2 h at 37 degrees C with MTAD, three concentrations of sodium hypochlorite (NaOCl), 17% EDTA, or isotonic saline. Undissolved tissues were rinsed with water and lyophilized. The change in tissue weight after exposure to an irrigant was measured to quantify solubilization. The results showed that various concentrations of NaOCl removed organic components of pulp and dentin effectively. As pulp solubilizers 5.25% and 2.60% NaOCl were equal (>90%), and 5.25% NaOCl was capable of dissolving virtually the entire organic component of dentin. EDTA was capable of solubilizing inorganic material in dentin and organic material in pulp and likely also in dentin. It dissolved >70% of the dentin and >51% of the pulp. The solubilizing effects of MTAD on pulp and dentin were somewhat similar to those of EDTA. The major difference between the actions of these solutions was a high binding affinity of doxycycline present in MTAD for the dentin.

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http://dx.doi.org/10.1097/00004770-200305000-00004DOI Listing

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