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Journals / Meandros Medical And Dental Journal / 2020 / Volume: 21 Issue: 3

The Effect of Different Chelating Agents on the Fracture Resistance of Endodontically Treated Teeth

Hicran Dönmez Özkan(ADNAN MENDERES UNIVERSITY)
Konul Naghıyeva(ERCIYES UNIVERSITY)
Pınar Açkurt Okutan(ADNAN MENDERES UNIVERSITY)
Tuğrul Aslan(ERCIYES UNIVERSITY)
Pages
—
Publication Date
2020-12-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Within the limitations of this study, all tested chelating agents can be safely selected to avoid vertical root fracture.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: This study aimed to determine the effect of three different chelating agents on the fracture resistance of endodontically treated teeth with or without passive ultrasonic irrigation (PUI).
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Key Findings & Data:Materials and Methods: The crowns of 70 extracted human mandibular premolars were decoronated to obtain a standard root length.
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Conclusion & Impact:Conclusion: Within the limitations of this study, all tested chelating agents can be safely selected to avoid vertical root fracture.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Citric acid · chelating agent · ethylenediaminetetraacetic acid

Abstract

Objective: This study aimed to determine the effect of three different chelating agents on the fracture resistance of endodontically treated teeth with or without passive ultrasonic irrigation (PUI). Materials and Methods: The crowns of 70 extracted human mandibular premolars were decoronated to obtain a standard root length. Then, root canals were instrumented with ProTaper Next rotary file up to size X4. According to the final irrigation procedures, seven groups (n=10) were formed: Group 1 (control group), 6-mL distilled water with conventional irrigation technique (CIT); group 2, 3-mL 2.5% sodium hypochlorite (NaOCl) +3-mL 17% ethylenediaminetetraacetic acid (EDTA) with CIT; group 3, 3-mL 2.5% NaOCl +3-mL 10% citric acid (CA) with CIT; group 4, 3-mL 2.5% NaOCl +3-mL 1% peracetic acid (PAA) with CIT; group 5, 3-mL 2.5% NaOCl +3-mL 17% EDTA with PUI; group 6, 3-mL 2.5% NaOCl +3-mL 10% CA with PUI; group 7, 3-mL 2.5% NaOCl +3-mL 1% PAA with PUI. Finally, root canals were obturated with X4 gutta-percha cones and epoxy resin-based root canal sealer. Samples were embedded into acrylic resin blocks, and vertical loading was performed on a universal testing machine until the fracture occurred. Values were recorded in Newtons. Data were statistically evaluated using the One-Way ANOVA. Results: No significant differences were observed among the tested groups (p>0.05). Additionally, the activation of the tested chelating agents with PUI does not have any positive or negative effect on the fracture resistance of endodontically treated teeth. Conclusion: Within the limitations of this study, all tested chelating agents can be safely selected to avoid vertical root fracture.

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Cite This Article

Özkan, H. D., Naghıyeva, K., Okutan, P. A., Aslan, T. (2020). The Effect of Different Chelating Agents on the Fracture Resistance of Endodontically Treated Teeth. Meandros Medical And Dental Journal, Volume: 21 Issue: 3. https://doi.org/10.4274/meandros.galenos.2020.48568

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References (37)

  1. Zehnder M. Root canal irrigants. J Endod 2006; 32: 389-98.
  2. Koskinen KP, Meurman JH, Stenvall H. Apparence of chemically treated root canal walls in the scanning electron microscope. Scand J Dent Res 1980; 88: 505-12.
  3. Vianna ME, Horz HP, Gomes BP, Conrads G. In vitro evaluation of microbial reduction after chemo-mechanical preparation of human root canals containing necrotic pulp tissue. Int Endod J 2006; 39: 484-92.
  4. Aranda-Garcia AJ, Kuga MC, Vitorino KR, Chávez-Andrade GM, Duarte MA, Bonetti-Filho I, et al. Effect of the root canal final rinse protocols on the debris and smear layer removal and on the push-out strength of an epoxy-based sealer. Microsc Res Tech 2013; 76: 533-7.
  5. Ballal NV, Jain H, Rao S, Johnson AD, Baeten J, Wolcott JF. Evaluation of SmearOFF, maleic acid and two EDTA preparations in smear layer removal from root canal dentin. Acta Odontol Scand 2018; 2: 1-5.
  6. Arslan H, Barutcigil C, Karatas E, Topcuoglu HS, Yeter KY, Ersoy I, et al. Effect of citric acid irrigation on the fracture resistance of endodontically treated roots. Eur Dent J 2014; 8: 74-8.
  7. Lottanti S, Gautschi H, Sener B, Zehnder M. Effects of ethylenediaminetetraacetic, etidronic and peracetic acid irrigation on human root dentine and the smear layer. Int Endod J 2009; 42: 335-43.
  8. De-Deus G, Souza EM, Marins JR, Reis C, Paciornik S, Zehnder M. Smear layer dissolution by peracetic acid of low concentration. Int Endod J 2011; 44: 485-90.
  9. Prado M, Gusman H, Gomes BP, Simão RA. Scanning electron microscopic investigation of the effectiveness of phosphoric acid in smear layer removal when compared with EDTA and citric acid. J Endod 2011; 37: 255-8.
  10. Scelza MF, PierroV, Scelza P, Pereira M. Effect of three different time periods of irrigation with EDTA-T, EDTA, and citric acid on smear layer removal. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98: 499-503.
  11. Zehnder M, Schmidlin P, Sener B, Waltimo T. Chelation in root canal therapy reconsidered. J Endod 2005; 31: 817-20.
  12. McDonnell G, Russell AD. Antiseptics and disinfectants: activity, action, and resistance. Clinical Microbiology Rev 1999; 12: 147-79.
  13. Hartmann RC, Neuvald L, Barth V Jr, de Figueiredo JAP, de Oliveira SD, Scarparo RK, et al. 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.
  14. Lee S-J, Wu MK, Wesselink PR. The effectiveness of syringe irrigation and ultrasonics to remove debris from simulated irregularities within prepared root canal walls. Int Endod J 2004; 37: 672-8.
  15. Van der Sluis LW, Verluis M, Wu MK, Wesselink PR. Passive ultrasonic irrigation of the root canal; a review of literature. Int Endod J 2007; 40: 415-26.
  16. Koçak S, Bağcı N, Çiçek E, Türker SA, Sağlam BC, Koçak MM. Influence of passive ultrasonic irrigation on the efficiency of various irrigation solutions in removing smear layer: a scanning electron microscope study. Microsc Res Tech 2017; 80: 537-42.
  17. Turk T, Kaval ME, Sarikanat M, Hülsmann M. Effect of final irrigation procedures on fracture resistance of root filled teeth: an ex vivo study. Int Endod J 2017; 50: 799-804.
  18. Schneider SW. A comparison of canal preparations in straight and curved root canals. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1971; 32: 271-5.
  19. Nygaard‐Østby B. Chelation in root canal therapy: ethylenediaminetetraacetic acid for cleansing and widening of root canals. Odontologisk Tidskrift 1957; 65: 3-11.
  20. Loel DA. Use of acid cleanser in endodontic therapy. J Am Dent Assoc 1975; 90: 148-51.
  21. De-Deus G, Paciornik S, Pinho Mauricio MH, Prioli R. Real‐time atomic force microscopy of root dentine during demineralization when subjected to chelating agents. Int Endod J 2006; 39: 683-92.
  22. Baumgartner JC, Mader CL. A scanning electron microscopic evaluation of four root canal irrigation regimens. J Endod 1987; 13: 147-57.
  23. Sayin TC, Serper A, Cehreli ZC, Otlu HG. The effect of EDTA, EGTA, EDTAC and tetracycline-HCl with and without subsequent NaOCl treatment on the microhardness of root canal dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104: 418-24.
  24. Ballal NV, Mala K, Bhat KS. Evaluation of the effect of maleic acid and ethylenediaminetetraacetic acid on the microhardness and surface roughness of human root canal dentin. J Endod 2010; 36: 1385-8.
  25. Cruz-Filho AM, Sousa-Neto MD, Savioli RN, Silva RG, Vansan LP, Pécora JD. Effect of chelating solutions on the microhardness of root canal lumen dentin. J Endod 2011; 37: 358-62.
  26. Uzunoglu E, Aktemur S, Uyanik MO, Durmaz V, Nagas E. Effect of Ethylenediaminetetraacetic Acid on Root Fracture with Respect to Concentration at Different Time Exposures. J Endod 2012; 38: 1110-3.
  27. Meryon SD, Tobias RS, Jakeman KJ. Smear removal agents: A quantitative study in vivo and in vitro. J Prosthet Dent 1987; 57: 174-9.
  28. Jhamb S, Nikhil V, Singh V. Effect of sealers on fracture resistance of endodontically treated teeth with and without smear layer removal: An in vitro study. J Conserv Dent 2009; 12: 114-7.
  29. Vilanova WV, Carvalho-Junior JR, Alfredo E, Sousa-Neto MD, Silva-Sousa YT. Effect of intracanal irrigants on the bond strength of epoxy resin‐based and methacrylate resin‐based sealers to root canal walls. Int Endod J 2012; 45: 42-8.
  30. do Prado M, de Assis DF, Gomes BP, Simão RA. Adhesion of resin‐based sealers to dentine: an atomic force microscopy study. Int Endod J 2004; 47: 1052-7.
  31. Teixeira FB, Teixeira EC, Thompson JY, Trope M. Fracture resistance of roots endodontically treated with a new resin filling material. J Am Dent Assoc 2004; 135: 646-52.
  32. Schäfer E, Zandbiglari T, Schäfer J. Influence of resin-based adhesive root canal fillings on the resistance to fracture of endodontically treated roots: an in vitro preliminary study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103: 274-9.
  33. Gokturk H, Aydin U, Ozkocak I, Aydemir ME. Effect of different chelating agents on dentinal crack formation. J Oral Sci 2019; 61: 294-9.
  34. Ayad MF, Bahannan SA, Rosenstiel SF. Influence of irrigant, dowel type, and root‐reinforcing material on fracture resistance of thin‐walled endodontically treated teeth. J Prosthodont 2011; 20: 180-9.
  35. Keine KC, Kuga MC, Tormin FBC, Venção AC, Duarte MAH, Chávez-Andrade GM, et al. Effect of peracetic acid used as single irrigant on the smear layer, adhesion, and penetrability of AH Plus. Braz Oral Res 2019; 29; 33: e057.
  36. Baechtold M, da Cunha L, Souza E, Gabardo M, de Oliveira K, Baratto-Filho F, et al. Effect of Endodontic Irrigation Protocols on Crown Fracture Resistance. J Contemp Dent Pract 2018; 19: 768-72.
  37. Tamse A. Vertical root fractures in endodontically treated teeth: Diagnostic signs and clinical management. Endod Topics 2006; 13: 84-94.