COMPARATIVE EVALUATION OF THE EFFICACY OF THREE ANTI-OXIDANTS VS NAOCL AND EDTA: USED FOR ROOT CANAL IRRIGATION IN SMEAR LAYER REMOVAL–SEM STUDY
Keywords:
Anti oxidants, Smear layer Neem, Triphala, AmlaAbstract
Objective: The aim of this study was to compare the efficacy of 3 Anti-Oxidants versus NaOCl and EDTA: used for root canal irrigation in smear layer removal by SEM analysis.
Methods: Root canal treatment was performed on 100 single rooted teeth and the smear layer removing abilities of Neem, Triphala, Amla EDTA and Saline were checked by using them as the last irrigant.
Results: EDTA and Amla showed the best smear layer removing ability followed by Neem and Triphala.
Conclusion: Neem, Triphala and Amla showed the potential to remove the smear layer. EDTA showed the maximum efficacy in removing the smear layer.
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References
Hales JJ, Jackson CR, Everett AP, Moore SH. Treatment protocol for the management of a sodium hypochlorite accident during endodontic therapy. Gen Dent 2001;49:278–81.
Gernhardt CR, Eppendorf K, Kozlowski A, Brandt M. Toxicity of concentrated sodium hypochlorite used as an endodontic irrigant. Int Endodontic J 2004;37:272–80.
Brannstrom M, Johnson G. Effects of various conditioners and cleaning agents on prepared dentin surfaces: a scanning electron microscopic investigation. J Prosthet Dent 1974;31:422–30.
McComb D, Smith DC. A preliminary scanning electron microscopic study of root canals after endodontic procedures. J Endodontics 1975;1:238–42.
Lumley PJ, Walmsley AD, Walton RE, Rippin JW. Effect of precurving endosonic files on the amount of debris and smear layer remaining in curved root canals. J Endodontics 1992;18:616–9.
Cengiz T, Aktener BO, Piskin B. Effect of dentinal tubule orientation on the removal of smear layer by root canal irrigants. A scanning electron microscopic study. Int J Endodontics 1990;23:163–71.
Aktener BO, Cengiz T, Piskin B. The penetration of smear material into dentinal tubules during instrumentation with surface active reagents: a scanning electron microscopic study. J Endodontics 1989;15:588–90.
Pashley EL, Homer JA, Liu M, Kim S, Pashley DH. Effects of CO2 laser energy on dentine permeability. J Endodontics 1992;18:257-62.
Yamada RS, Armas A, Goldman M, Lin PS. A scanning electron microscopic comparison of high volume final flush with several irrigating solutions: Part 3. J Endodontics 1983;9:137-242.
Prati C, Selighini M, Ferrieri P, Mongiorgi R. Scanning electron microscopic evaluation of different endodontic procedures on dentine morphology of human teeth. J Endodontics 1994;20:174-9.
Sen Bh, Wesselink PR, Turkun M. The smear layer: a phenomenon in root canal therapy. Int J Endodontics 1995;2S:141-8.
Dubey S, Chaudhary M, Gupta P. Comparative study of the antimicrobial efficiency of Neem leaf extract, Sodium hypochlorite and Biopure MTAD-An in vitro study. Indian J Dent Adv 2012;4(1):740-3.
Prabhakar J, Senthilkumar M, Priya M, Mahalakshmi K, Sehgal P, Sukumaran V. Evaluation of Antimicrobial efficacy of herbal alternatives (Triphala and Green tea polyphenols), MTAD, and 5% sodium hypochlorite against Enterococcus faecalis biofilm formed on the tooth substrate: An in vitro study. J Endodontics 2010;36(11):83-6.
Hayashi M, Takahashi Y, Hirai M, Iwami Y, Imazato S, Ebisu S. Effect of endodontic irrigation on bonding of resin cement to radicular dentin. Eur J Oral Sci 2005;113(1):70-6.
Torabinejad M, Khademi AA. A new solution for the removal of the smear layer. J Endodontics 2003;29;3;170-5.
Jagetia GC, Malagi KJ, Baliga MS, Venkatesh P, Veruva RR. Triphala, an ayurvedic rasayana drug, protects mice against radiation-induced lethality by free-radical scavenging. J Alternative Complementary Med 2003;10:971–8.
Prakash S, Shelke A. Role of Triphala in dentistry. J Ind Soc Period 2012;18;2;132-5.
Pujara M, Makandar S. Herbal usage in endodontics: A review. Int J Contemporary Dentistry 2011;2;1;34-7.
Andelin WE, Browning DF, Hsu GR, Roland DD, Torabinejad M. A comparative study of the rates of separation for.04 nickel-titanium rotary files utilizing two different instrumentation techniques. J Endodontics 2001;27:217-21.
Heard F, Walton RE. Scanning electron microscope study comparing four root canal preparation techniques in small curved canals. Int Endodontics J 1997;30:323–31.
Khademi A, Yazdizadeh M. Determination of the minimum instrumentation size for penetration of irrigants to the apical third of root canal systems. J Endodontics 2006;32:417–20.
Sim TPC, Knowles JC, Ng Y-L, Shelton J, Gulabivala K. Effect of sodium hypochlorite on mechanical properties of dentine and tooth surface strain. Int Endodontics J 2001;34:120–32.
Nair PNR, Henry S, Cano V, Vera J. Microbial status of apical root canal system of human mandibular first molars with primary apical periodontitis after ‘‘one-visit’’ endodontic treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:231–52.
Calt S, Serper A. Smear layer removal by EGTA. J Endodontics 2000;26(8):459-61.
Rosaline H, Kandaswamy D, Gogulnath D, Rubin M. Influence of various herbal irrigants as a final rinse on the adherence of Enterococcus faecalis by fluorescence confocal laser scanning microscope. J Conservative Dent 2013;16(4):352-5.
Vinothkumar TS, Rubin MI, Balaji L, Kandaswamy D. In vitro evaluation of five different herbal extracts as an antimicrobial endodontic irrigant using real time quantitative polymerase chain reaction. J Conservative Dent 2013;16(2):167-70.
Sadr Lahijani MS, Raoof Kateb HR, Heady R, Yazdani D. The effect of German chamomile (Marticaria recutita L.) extract and tea tree (Melaleuca alternifolia L.) oil used as irrigants on removal of smear layer: a scanning electron microscopy study. Int Endodontics J 2006;39(3):190–5.