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VOLUME 13 , ISSUE 4 ( July-August, 2012 ) > List of Articles

RESEARCH ARTICLE

Effects of Citric Acid and EDTA on Periodontally Involved Root Surfaces: A SEM Study

Sunkara Shree Ramalinga Prasad, Chitturi Radharani, Siddhartha Varma, SV Kiran Kumar, Soumya Sinha, Bijle Mohammed Nadeem Ahmed

Citation Information : Prasad SS, Radharani C, Varma S, Kumar SK, Sinha S, Ahmed BM. Effects of Citric Acid and EDTA on Periodontally Involved Root Surfaces: A SEM Study. J Contemp Dent Pract 2012; 13 (4):446-451.

DOI: 10.5005/jp-journals-10024-1166

Published Online: 01-08-2012

Copyright Statement:  Copyright © 2012; The Author(s).


Abstract

Aim

Root debridement by scaling and root planing may not completely remove contaminated cementum particularly in more apical areas. The smear layer formed during root planing inhibits cell migration and attachment leading to impaired marginal periodontal healing. The present study was done to compare the morphological effects of root surface demineralization using citric acid and EDTA as root-conditioning agents.

Materials and methods

Thirty fragments of human dental roots previously exposed to periodontal disease were scaled and randomly divided into the following groups of treatment: Group I: Hand instrumentation and conditioning with normal saline for 5 minutes as control; group II: Hand instrumentation and conditioning with citric acid (pH 1) for 5 minutes and group III: Hand instrumentation and conditioning with EDTA (pH-7.4) for 5 minutes. Scanning electron microscopy was used to check for the presence of residual smear layer and for measuring the number and area of exposed dentin tubules.

Results

The mean efficacy of smear layer removal was compared between groups I and II, groups I and III and groups II and III, it was found to be statistically significant at 5%. When the mean diameter of the dentinal tubules and mean total surface area occupied by the dentinal tubule orifices was compared between groups II and III it was found to be statistically significant at 1% level of significance.

Conclusion

Citric acid causes greater degree of morphological alterations than EDTA and is considered to be a better rootconditioning agent. However, the use of EDTA cannot be ruled out.

Clinical significance

This study supports the hypothesis that demineralizing agents can be used as an adjunct to the periodontal treatment aiming at restoring the biocompatibility of roots and helps in choosing an appropriate agent for root conditioning.

How to cite this article

Prasad SSR, Radharani C, Varma S, Kumar SVK, Sinha S, Bijle MNA. Effects of Citric Acid and EDTA on Periodontally Involved Root Surfaces: A SEM study. J Contemp Dent Pract 2012;13(4):446-451.


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