The Effect of a Novel Silver-Citrate Root Canal Irrigation Solution (BioAkt), Ethylenediamine Tetraacetic Acid (EDTA), and Citric Acid on the Microhardness of Root Canal Dentin: A Comparative In Vitro Study.

Autor:	Alyahya AA; Department of Endodontics, Damascus University, Damascus, SYR., Rekab MS; Department of Endodontics, Damascus University, Damascus, SYR., Al-Ostwani AEO; Department of Pediatric Dentistry, International University for Science and Technology, Damascus, SYR.; Department of Pediatric Dentistry, Madina Dental Centre, Doha, QAT., Abdo A; Department of Endodontics, Damascus University, Damascus, SYR., Kayed K; Department of Physics, Damascus University, Damascus, SYR.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Nov 08; Vol. 14 (11), pp. e31255. Date of Electronic Publication: 2022 Nov 08 (Print Publication: 2022).
DOI:	10.7759/cureus.31255
Abstrakt:	Background and objective The use of a chelating agent as an adjunct to disinfectant irrigation is very necessary to remove the smear layer formed during root canal treatment. However, the decalcifying solutions have a negative impact on dentin microhardness, which might affect the result of endodontic therapy. The aim of this study is to evaluate the effect of 17% ethylenediamine tetraacetic acid (EDTA), a novel silver-citrate root canal irrigation solution (BioAkt), 10% citric acid, and 40% citric acid on the microhardness of root canal dentin. Materials and methods Forty-five single-root teeth were distributed equally into five groups A, B, C, D, and E treated with distilled water as a control, 17% EDTA, BioAkt, 10% citric acid, and 40% citric acid, respectively. The dentin microhardness was measured before and after the experiment, and the collected data were analyzed using paired sample T-test, One-way ANOVA test, and least significant difference (LSD) test (multiple comparisons), (P < 0.05). Result The results showed that the averages of dentin microhardness values before the experiment were 62.83 kg/mm², 65.34 kg/mm², 64.79 kg/mm², 62.95 kg/mm², and 56.47 kg/mm² for groups A, B, C, D, and E, respectively, while the averages after the experiment were 62.60 kg/mm², 54.92 kg/mm², 54.50 kg/mm², 51.31 kg/mm², and 49.37kg/mm² accordingly. Statistical analysis revealed that 17% EDTA, BioAkt, 10% citric acid, and 40% citric acid decreased the dentin microhardness significantly comparing with the negative control group, without statistical differences among them. Conclusion The chelating agents 17% EDTA, BioAkt, 10% citric acid, and 40% citric acid declined the microhardness of root canal dentin similarly, which might have possible effects on endodontic treatment and the properties of root canal filling materials as well. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Alyahya et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu