Is the presence of the smear layer a limiting factor for root dentin permeability in primary teeth?

J Dent Child (Chic). 2007 Sep-Dec;74(3):182-8.

Abstract

Purpose: The purpose of this study was to correlate the dye permeability to the morphological aspect (presence or absence of a smear layer) of the primary root dentin wall, using scanning electron microscopy, regarding the endodontic preparation and irrigation methods. The hypothesis evaluated was that there was a correlation between the dye permeability and the morphological aspect of the primary root dentin.

Methods: A total of 112 extracted primary roots were distributed into the following groups: Dakin's liquid, Dakin+hydrogen peroxide; 2% chlorhexidine gel; and saline solution. Manual (MI) or Ultrasonic irrigation (UI) was performed. The roots were made impermeable, filled with dye (2% methylene blue), and longitudinally sectioned. The halves were divided in cervical, middle, and apical thirds for dye penetration measurement. The samples were observed under a scanning electron microscope. The data were submitted to linear regression analysis with a dummy variable (P<.05).

Results: The data revealed a relationship between decreasing permeability and the presence of a smear layer on root canal dentin walls for MI in the middle third (P=.0147). Regarding UI, no statistically significant relation was observed (P>.05).

Conclusions: The presence of a smear layer on root canal dentin walls was not a limiting factor to dye penetration in all groups except the middle third for manual irrigation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chlorhexidine
  • Coloring Agents
  • Dental Pulp Cavity / anatomy & histology*
  • Dentin Permeability*
  • Drug Combinations
  • Humans
  • Hydrogen Peroxide
  • Linear Models
  • Methylene Blue
  • Microscopy, Electron, Scanning
  • Root Canal Irrigants
  • Root Canal Preparation / methods
  • Smear Layer*
  • Sodium Bicarbonate
  • Sodium Hypochlorite
  • Tooth, Deciduous / anatomy & histology*
  • Ultrasonics

Substances

  • Coloring Agents
  • Drug Combinations
  • Root Canal Irrigants
  • modified Dakin's solution
  • Sodium Bicarbonate
  • Hydrogen Peroxide
  • Sodium Hypochlorite
  • Chlorhexidine
  • Methylene Blue