The effects of various irrigation protocols on root canal wall adaptation and apical microleakage in primary teeth

Acta Odontol Scand. 2020 Jul;78(5):321-326. doi: 10.1080/00016357.2019.1709890. Epub 2020 Jan 7.

Abstract

Objective: The objective of this study is to evaluate the wall adaptation and apical microleakage values following the application of various irrigation protocols in primary teeth.Material and methods: For the two parts of the study, extracted upper incisor primary teeth were randomly included to the 1% sodium hypochlorite (NaOCl), 10% ethylenediaminetetraacetic acid (EDTA)+1% NaOCl, 6% citric acid (CA)+1% NaOCl and 0.9% physiological saline (PS) groups. Canal wall adaptation and apical microleakage were assessed by scanning electron microscopy (SEM) and stereomicroscope, respectively.Results: 6% CA + 1% NaOCl group was found to be the most successful irrigation protocol in providing strong canal wall adaptation and less apical microleakage, followed by 10% EDTA +1% NaOCl. 6% CA +1% NaOCl was significantly superior regarding apical microleakage (p < .05).Conclusions: Due to the ability to provide appropriate changes in the root canal walls to make a well-adapted and leak-proof canal filling, 6% CA + 1% NaOCl can be recommended as an irrigation protocol in primary teeth.

Keywords: Dental leakage; dental adaptation; primary teeth; root canal irrigants; scanning electron microscopy.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Dental Leakage*
  • Dental Pulp Cavity / drug effects
  • Dental Pulp Cavity / ultrastructure
  • Edetic Acid / administration & dosage*
  • Humans
  • Microscopy, Electron, Scanning / methods*
  • Root Canal Irrigants / administration & dosage
  • Root Canal Irrigants / pharmacology*
  • Root Canal Preparation*
  • Smear Layer*
  • Sodium Hypochlorite / administration & dosage*
  • Time Factors
  • Tooth, Deciduous / diagnostic imaging*

Substances

  • Root Canal Irrigants
  • Edetic Acid
  • Sodium Hypochlorite