The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 16 , ISSUE 3 ( March, 2015 ) > List of Articles

RESEARCH ARTICLE

Evaluation of Different Irrigating Solutions on Smear Layer Removal of Primary Root Dentin

Hanan Balto, Fouad Salama, Sultan Al-Mofareh, Faisal Al-Yahya

Citation Information : Balto H, Salama F, Al-Mofareh S, Al-Yahya F. Evaluation of Different Irrigating Solutions on Smear Layer Removal of Primary Root Dentin. J Contemp Dent Pract 2015; 16 (3):187-191.

DOI: 10.5005/jp-journals-10024-1659

Published Online: 00-03-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

To evaluate the efficacy of ethanolic extract of Salvadora persica (S. persica) and BioPure MTAD (a mixture of a tetracycline isomer, an acid, and a detergent) in removing the intracanal smear layer of primary teeth.

Materials and methods

The root canal of 40 extracted human primary anterior teeth were cleaned, shaped and grouped into experimental (n = 30) and control (n = 10). The root canals of the positive (n = 5) and the negative control (n = 5) were irrigated for 3 minutes with 5 ml of 17% ethylenediaminetetraacetic acid (EDTA) or saline respectively. The canals in the experimental groups were irrigated for 3 minutes with 5 ml of 1 mg/ml ethanolic extract of S. persica (n = 15) or BioPure MTAD (n = 15) and then flushed with 2 ml of saline. The presence or absence of smear layer at the coronal and middle portion of each canal were examined under a scanning electron microscope (SEM).

Results

A significant d ifference (p = 0 .004) i n s mear l ayer removal between S. persica and MTAD at the middle third of the canal was observed. MTAD solution was as effective as 17% EDTA in removing the smear layer.

Conclusion

MTAD was significantly more effective in smear layer removal than S. persica solution at the middle third of the canal wall.

Clinical significance

Both tested irrigant solutions have the ability to remove the intracanal smear from primary root dentin following cleaning and shaping of the root canal and could be an alternative to EDTA.

How to cite this article

Balto H, Salama F, Al-Mofareh S, Al-Yahya F. Evaluation of Different Irrigating Solutions on Smear Layer Removal of Primary Root Dentin. J Contemp Dent Pract 2015;16(3):187-191.


PDF Share
  1. A preliminary scanning electron microscopic study of root canals after endodontic procedures. J Endod 1975;1:238-242.
  2. The smear layer in endodontics: a review. Int Endod J 2010;43:2-15.
  3. Long-term outcomes of primary tooth pulpectomy with and without smear layer removal: a randomized split-mouth clinical trial. Pediatr Dent 2011;33:316-320.
  4. The influence of smear layer removal on primary tooth pulpectomy outcome: a 24-month, double-blind, randomized, and controlled clinical trial evaluation. Int J Paediatr Dent 2012;22:369-381.
  5. A scanning electron microscopic evaluation of four root canal irrigation regimens. J Endod 1987;13:147-157.
  6. Six percent citric acid better than hydrogen peroxide in removing smear layer: an in vitro pilot study. Pediatr Dent 1994;16:424-426.
  7. Removal of intracanal smear by doxycycline in vitro. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:420-423.
  8. The effect of various concentrations of sodium hypochlorite on the ability of MTAD to remove the smear layer. J Endod 2003;29:233-239.
  9. Effect of MTAD as a final rinse on removal of smear layer in ten-minute preparation time. J Endod 2012;38:1391-1394.
  10. Antifungal properties of Salvadora persica and Juglansregia L. extracts against oral Candida strains. Eur J Clin Microbiol Infect Dis 2010;29:81-88.
  11. Strong antibacterial effect of miswak against oral microorganisms associated with periodontitis and caries. J Periodontol 2008;79:1474-1479.
  12. The effect of the extract of the miswak (chewing sticks) used in Jordan and the Middle East on oral bacteria. Int Dent J 1995;45:218-222.
  13. Anti-biofilm activity of Salvadora persica on cariogenic isolates of Streptococcus mutans: in vitro and molecular docking studies. Biofouling 2012;28:29-38.
  14. Not Sci Biol 2011;3:22-28.
  15. Cytotoxic effect of Salvadora persica extracts on human gingival fibroblast cells. Saudi Med J 2014;35:810-815.
  16. Effects of extracts of miswak and derum on proliferation of Balb/C 3T3 fibroblasts and viability of cariogenic bacteria. Int J Dent Hyg 2006;4:62-66.
  17. Safety profile of meswak root extract on liver, kidney, sexual hormones and hematological parameters of rats. Not Sci Biol 2012;4:18-23.
  18. The efficacy of Salvadora persica extract in the elimination of intracanal smear layer: SEM study. Saudi Dent J 2012;24:71-77.
  19. Effect of the sodium hypochlorite and citric acid association on smear layer removal of primary molars. Braz Oral Res 2005;19:261-266.
  20. Efficacy of Smear Clear and ethylenediaminetetraacetic acid for smear layer removal in primary teeth. J Dent Child 2009;76:74-77.
  21. The antimicrobial activity of Salvadora persica (Miswak-Siwak) solution as root canal irrigant (A comparative study). J Pure Appl Sci 2007;4:69-91.
  22. Screening for the antimicrobial activity of Salvadora persica extracts against Enterococcus faecalis and Candida albicans. Int phytomed 2013;5:486-92.
  23. A scanning electron microscopic comparison of a high volume final flush with several irrigating solutions: Part 3. J Endod 1983;9:137-142.
  24. Comparison of rotary and manual instrumentation techniques on cleaning capacity and instrumentation time in deciduous molars. J Dent Child 2004;71:45-47.
  25. A comparative study of smear layer removal and erosion in apical intraradicular dentine with three irrigating solutions: a scanning electron microscopy evaluation. J Endod 2009;35:900-903.
  26. Effect of miswak extract on healthy human dentin: an in vitro study. Saudi Dent J 1999;11:46-52.
  27. Root surface texture and early cell and tissue colonization after different etching modalities. Eur J Oral Sci 1995;103:17-24.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.