sodium-hypochlorite and maleic-acid

The aim of this in vitro study was to evaluate the wettability of AH Plus and ThermaSeal Plus sealers on intraradicular dentine treated with different irrigating solutions.. Fifty anterior teeth were decoronated and split longitudinally. Each root half was divided into 5 groups (n=10). Group I: 5mL of 2.5% NaOCl+QMix. Group II: 5mL of 2.5% NaOCl+17% EDTA. Group III: 5mL of 2.5% NaOCl+7% maleic acid. Group IV: 5mL of 2.5% NaOCl. Group V: 5mL of distilled water. Irrigation regimens were performed for 1min. Each specimen was placed inside a Dynamic Contact Angle Analyser. A controlled-volume droplet of sealer was placed on each specimen and the static contact angle was analysed.. The contact angle made by both sealers with EDTA-irrigated dentine was significantly larger when compared to the other irrigants (P<0.05). For ThermaSeal Plus, contact angles produced on maleic acid-, NaOCl- and distilled water-irrigated dentine were not significantly different, but were all significantly larger than the contact angle produced on QMix-irrigated dentine (P<0.05). For AH Plus, contact angles produced on NaOCl- and distilled water-irrigated dentine were not significantly different, but were significantly larger than those made by maleic acid and QMix.. When used as a final irrigant, QMix favours the wetting of root canal dentine by both AH Plus and ThermaSeal Plus sealers. Maleic acid shows a promising result when compared to EDTA and NaOCl. Wettability of both sealers is the worst on EDTA-irrigated dentine.. The present study highlights the effect of newer endodontic irrigating solutions on the wettability of sealers on to the root canal dentine, which is required for obtaining good obturation seal.

Topics: Biguanides; Dental Pulp Cavity; Dentin; Edetic Acid; Epoxy Resins; Humans; Maleates; Materials Testing; Polymers; Root Canal Filling Materials; Root Canal Irrigants; Sodium Hypochlorite; Therapeutic Irrigation; Time Factors; Water; Wettability

Aim of this study was to evaluate the effect of 7% maleic acid and 17% ethylenediaminetetraacetic acid (EDTA) on the shear bond strength of RealSeal SE sealer to root canal dentin. Twenty incisors were split into coronal, middle and apical third and were treated in the following manner: Group 1: 5 ml of saline (1 minute). Group 2: 2.5% sodium hypochlorite (5 ml/min) followed by 79% maleic acid (5 ml/min). Group 3: 2.5% sodium hypochlorite (5 ml/min) followed by 17% EDTA (5 ml/min). Sealer was the placed on the root dentin and samples were subjected to bond strength measurement. There was no significant difference in bond strength between maleic acid and 17% EDTA in coronal & middle third. However, in apical third, 7% maleic acid showed higher bond strength. Least bond strength was observed with saline. Bond strength was maximum in apical third for both 7% maleic acid and 17% EDTA.

Topics: Adhesiveness; Composite Resins; Dental Bonding; Dental Pulp Cavity; Dentin; Edetic Acid; Humans; Maleates; Materials Testing; Root Canal Irrigants; Shear Strength; Smear Layer; Sodium Chloride; Sodium Hypochlorite; Stress, Mechanical; Tooth Apex

The use of root canal irrigating solutions exerting antimicrobial activity and prolonged residual activity is desirable in order to control dentin infection and delay reinfection of the root canal. The aim of this study was to evaluate the residual antimicrobial activity and the capacity to eradicate Enterococcus faecalis biofilm of different irrigating solutions, alone and in combination, in a dentin-volumetric test.. Solutions of 2.5% sodium hypochlorite (NaOCl), 2% chlorhexidine (CHX), 0.2% cetrimide (CTR), 17% ethylendiaminetetraacetic (EDTA), 7% maleic acid (MA), and regimens of 2.5% NaOCl followed by 17% EDTA or 7% MA and 0.2% CTR or 2% CHX were used to determine their residual activity by exposing treated dentin blocks to E. faecalis for 24 hours. Antimicrobial activity was assayed on 3-week biofilm formed on dentin blocks. Results of residual activity and antimicrobial activity were respectively expressed as the inhibition percentage of biofilm formation and the kill percentage of biofilm.. A 2% CHX and 0.2% CTR solution showed 100% biofilm inhibition; 2.5% NaOCl showed the lowest residual activity (18.10%). The kill percentage of 2.5% NaOCl and 0.2% CTR was 100% followed by 7% MA and 2% CHX, whereas 17% EDTA was the least effective (44%). Solutions of 7% MA or 17% EDTA followed by 0.2% CTR or 2% CHX showed 100% residual and antimicrobial activity.. A 0.2% CTR solution alone and the combinations in which 2% CHX or 0.2% CTR was the final irrigating solution achieved the maximum residual and antimicrobial activity.

Topics: Anti-Infective Agents; Anti-Infective Agents, Local; Biofilms; Cetrimonium; Cetrimonium Compounds; Chelating Agents; Chlorhexidine; Dentin; Drug Combinations; Edetic Acid; Enterococcus faecalis; Enzyme Inhibitors; Humans; Humidity; Maleates; Materials Testing; Microbial Viability; Root Canal Irrigants; Root Canal Preparation; Sodium Hypochlorite; Temperature; Time Factors

The aim of this study was to assess, by scanning electron microscopic (SEM) analysis, the ability of 17% EDTA and 7% maleic acid in the removal of the smear layer from the human root canal system.. Eighty single-rooted human anterior teeth were subjected to standardized root canal instrumentation (step-back technique) and were irrigated with 2.5% NaOCl after each instrument. Based on the final irrigating solution used, samples were divided randomly into three groups: (1) the EDTA group: 17% EDTA+ 2.5% NaOCl (n = 30), (2) the maleic acid group: 7% maleic acid + 2.5% NaOCl (n = 30), and (3) the control group: 0.9% saline (n = 20). After final irrigation, teeth were prepared for SEM analysis to evaluate the cleaning of the coronal, middle, and apical thirds of radicular dentin by determining the presence or absence of smear layer. The data was statistically analyzed using the Kruskall-Wallis test.. At the coronal and middle thirds, there was no significant difference between EDTA and maleic acid. Both were equally efficient in the removal of smear layer. In the apical third, maleic acid showed significantly better smear layer removing ability than EDTA.. Final irrigation with 7% maleic acid is more efficient than 17%EDTA in the removal of smear layer from the apical third of the root canal system, which is a crucial area for disinfection.

Topics: Dental Disinfectants; Dental Pulp Cavity; Dentin; Edetic Acid; Humans; Maleates; Microscopy, Electron, Scanning; Root Canal Irrigants; Root Canal Preparation; Smear Layer; Sodium Hypochlorite; Tooth Apex; Treatment Outcome

To evaluate if different acid treatments of dentin surface might remove different amount of mineralized dentin, thus exposing and modifying the CF network.. Dentin disks prepared from human third molars with a low-speed diamond saw were etched for 15 seconds with the tested acids: citric acid 10%, maleic acid 10%, 2.5% oxalic acid, 35% phosphoric acid and 24% EDTA gel. Specimens were then submitted to a 5% solution of NaOCl for 2 minutes or 5 minutes, fixed, and observed utilizing a field emission in lens SEM (FEISEM). Control specimens were also prepared by omitting the etching agent and/or the NaOCl solution.. The different acid treatments created specific dentin morphological pattern. CF exposure was in relationship with the acid used. The NaOCl solution greatly affects the acid etched dentin by removing the CF, nevertheless the effect of NaOCl was greatly influenced by the previous acid treatment.

Topics: Acid Etching, Dental; Chelating Agents; Citric Acid; Collagen; Dentin; Drug Synergism; Edetic Acid; Humans; Maleates; Materials Testing; Microscopy, Electron, Scanning; Oxalic Acid; Oxidants; Phosphoric Acids; Reducing Agents; Sodium Hypochlorite; Time Factors

Chemically released growth factors play a vital role in regenerative endodontics. Transforming growth factor beta 1 (TGF-β1) is 1 of the most extensively studied bioactive molecules that promotes cell proliferation, differentiation, and chemotaxis. The goal of the current research was to analyze the effect of 7% maleic acid (MA) root conditioning of an infected root canal on the release of TGF-β1.. Single-rooted human teeth were decoronated, and the canals were enlarged with a Peeso reamer. The samples were divided into biofilm and nonbiofilm groups. Subsequently, all the samples of both groups were flushed with 10 mL of each irrigant, namely, 1.5% sodium hypochlorite (NaOCl), 7% MA, 17% EDTA, and a combination of 1.5% NaOCl with 17% EDTA or 7% MA, for 10 minutes each. TGF-β1 was estimated quantitatively using an enzyme-linked immunosorbent assay kit.. TGF-β1 release was lowest among the biofilm samples compared with nonbiofilm among all the groups. MA 7% with 1.5% NaOCl rendered higher amounts of growth factor release in contrast to the combination of 17% EDTA and 1.5% NaOCl in both the biofilm and nonbiofilm groups (P < .048). The nonbiofilm samples treated with 7% MA alone illustrated higher growth factor release compared with 17% EDTA only (P < .006), but there was no significant difference in growth factor release among the biofilm samples treated with 7% MA and 17% EDTA.. Bacterial biofilms modified the release of TGF-β1. MA 7% was observed to be significantly more efficacious than 17% EDTA in TGF-β1 growth factor release from radicular dentin.

Topics: Dental Pulp Cavity; Dentin; Edetic Acid; Humans; Maleates; Root Canal Irrigants; Root Canal Preparation; Sodium Hypochlorite; Transforming Growth Factor beta1

Topics: Dental Pulp Cavity; Dentin; Edetic Acid; Humans; Maleates; Microscopy, Electron, Scanning; Root Canal Irrigants; Root Canal Preparation; Smear Layer; Sodium Hypochlorite

To evaluate the smear layer removal and wettability of AH Plus sealer on root canal dentin treated with MA (maleic acid), MA + CTR (cetrimide) and MA + CTR + CHX (chlorhexidine) as final irrigating regimens.. For smear layer removal, 40 teeth were instrumented to size F4 and divided into four groups: (1) 7% MA, (2) 7% MA + 0.2% CTR, (3) 7% MA + 0.2% CTR + 2% CHX, (4) distilled water (control). After irrigation, teeth were subjected to SEM analysis. For contact angle analysis, 20 teeth were split longitudinally and divided into four groups similar to smear layer analysis. AH plus sealer was placed on each specimen and contact angle was analysed.. In both smear layer (p = .393) and contact angle analysis (p = .961), there was no significant difference between the groups MA and MA + CTR. However, MA + CTR + CHX removed smear layer less effectively (p = .023) and increased the contact angle of the sealer (p = .005). In smear layer analysis, specimens in negative control group were heavily smeared. In case of contact angle analysis, samples in the control group had least contact angle.. MA alone or in combination with CTR removed smear layer effectively and increased the wettability of AH plus sealer to root canal dentin.

Topics: Chlorhexidine; Dental Pulp Cavity; Humans; Maleates; Materials Testing; Root Canal Filling Materials; Root Canal Irrigants; Smear Layer; Sodium Hypochlorite; Therapeutic Irrigation; Wettability

The aim of this study was to evaluate the effect of maleic acid (MA) on both the bond strength of fibre post to root dentine and smear layer removal after post space preparation. Sixty, single-canal premolars were endodontically treated and randomly assigned to four groups: group 1 [0.9% saline solution (control]); group 2 [2.5% sodium hypochlorite (NaOCl)]; group 3 [17% ethylenediaminetetraacetic acid (EDTA) followed by 2.5% NaOCl]; and group 4 (7% MA followed by 2.5% NaOCl). Self-adhesive resin cement was used to test the adhesion of a glass-fibre post to the root dentine through a micropush-out test. Scanning electron microscopy was performed to examine and score the treated specimens for smear layer removal, and stereomicroscopy was applied to investigate the failure modes of fibre posts. Maleic acid exhibited the highest mean bond-strength values in the apical regions among all the groups. Most failure modes (31.9%) were adhesive-type failures between the dentine and luting materials. Maleic acid performed statistically significantly better than the other groups regarding smear layer removal, especially in the apical region. Maleic acid is an effective irrigant that can remove the smear layer, open dentinal tubules, and act as a high-efficiency final irrigant in activation protocols.

Topics: Bicuspid; Dental Bonding; Dentin; Edetic Acid; Humans; In Vitro Techniques; Maleates; Microscopy, Electron, Scanning; Post and Core Technique; Random Allocation; Smear Layer; Sodium Chloride; Sodium Hypochlorite; Tooth Root

The objective of the presentin vitro study was to evaluate the canal wall smear layer removal capacity and mineral content distribution of root canal dentine after irrigation with QMix, 7% maleic acid (MA) and 17% ethylenediaminetetraacetic acid(EDTA).. Forty single-rooted teeth were subjected to root canal instrumentation and divided into four groups: [1] 7% MA+2.5% sodium hypochlorite (NaOCl), [2] 17% EDTA+ 2.5% NaOCl, [3] QMix+2.5% NaOCl and [4] 0.9% saline (negative control). After irrigation, the teeth were examined byscanning electron microscopy (SEM) to determine the presence or absence of smear layer. Formineral content assessment, 40 root-halves were divided into four groups and treated with 7% MA, QMix, 17% EDTA and saline. Mineral content was evaluated using SEM-energy dispersive X-ray analysis.. There was no significant difference between QMix, MA and EDTA in removal of smear layer from coronal and middle third of the canal spaces. In the apical third, MA performed better. Calcium was decreased more with QMix with no difference between MA and EDTA. Phosphorous was reduced more with MA and QMix than EDTA with no difference between MA and QMix. Similar result was observed with magnesium level. Carbon was reduced more with EDTA with no difference between QMix and MA. Oxygen was reduced significantly more with MA with no difference between QMix and EDTA.. 7% MA had superior smear layer removal ability compared with QMix and 17% EDTA. Calcium level was decreased more with QMix while phosphorus level was decreased more with 7% MA and QMix respectively.. The present study highlights the effect of newer chelating agentson smear layer removal and decalcification of root canal dentine, which is required for disinfection of the root canal space and maintenance of the structural integrity of the teeth.

Topics: Dental Pulp Cavity; Dentin; Edetic Acid; Maleates; Microscopy, Electron, Scanning; Root Canal Irrigants; Root Canal Preparation; Smear Layer; Sodium Hypochlorite

The aim of this study was to evaluate the effects of QMix, EDTA + CHX, EDTA + NaOCl and maleic acid on the microhardness of root canal dentine.. Forty recently extracted human maxillary canine teeth were longitudinally sectioned into 80 segments and then embedded in an autopolymerizing acrylic resin. The microhardness of the dentine in the specimen was measured with a Vickers diamond indenter at the coronal, middle and apical thirds of the roots. Finally, the specimens were divided randomly into four groups: 17% EDTA + 2.5% NaOCl; 17% EDTA + 2% CHX; QMix; and 7% maleic acid. Post-treatment microhardness values were obtained and the decrease in microhardness was calculated as a percentage. Microhardness values were statistically analysed using the Kruskal-Wallis and Mann-Whitney U tests.. Maleic acid significantly decreased microhardness in all regions, compared to the other groups. In the coronal and middle regions, there was no significant difference among the other groups. In the apical region, there was no significant difference between QMix and 17% EDTA + 2% CHX but these groups presented significant dentine microhardness reduction compared to the 17% EDTA + 2.5% NaOCl group.. While maleic acid showed the greatest reduction in dentine microhardness, it was found that QMix, 17% EDTA + 2% CHX and 17% EDTA + 2.5% NaOCl cause the same reduction in the microhardness of root canal dentine in the coronal and middle regions.

Topics: Cuspid; Dental Pulp Cavity; Dentin; Edetic Acid; Humans; Maleates; Root Canal Irrigants; Root Canal Therapy; Sodium Hypochlorite

The aim of this study was to evaluate the effect of chlorine dioxide and various other more common irrigation solutions on the microhardness and surface roughness of root canal dentin. Fifty human maxillary central incisors were sectioned longitudinally and treated for 1 minute with 5 ml of the following aqueous solutions (v/v%): Group 1:13.8% chlorine dioxide, Group 2:17% ethylene diamine tetraacetic acid (EDTA). Group 3: 7% maleic acid, Group 4: 2.5% sodium hypochlorite (5ml/min), Group 5: Saline (control). Specimens were subjected to microhardness and surface roughness testing. Chlorine dioxide and sodium hypochlorite reduced the microhardness more than other test agents. The highest surface roughness was produced with maleic acid. Chlorine dioxide should be used cautiously during chemomechanical preparation of the root canal system in order to prevent untoward damage to the teeth.

Topics: Chlorine Compounds; Dental Pulp Cavity; Dentin; Edetic Acid; Hardness; Humans; Incisor; Maleates; Materials Testing; Microscopy, Atomic Force; Oxides; Root Canal Irrigants; Sodium Chloride; Sodium Hypochlorite; Time Factors

The aim of this study was to evaluate the effect of chlorine dioxide and various other more common irrigation solutions on the microhardness and surface roughness of root canal dentin. Fifty human maxillary central incisors were sectioned longitudinally and treated for 1 minute with 5 ml of the following aqueous solutions (v/v%): Group 1: 13.8% chlorine dioxide, Group 2: 17% ethylene diamine tetraacetic acid (EDTA). Group 3: 7% maleic acid, Group 4: 2.5% sodium hypochlorite (5 ml/min), Group 5: Saline (control). Specimens were subjected to microhardness and surface roughness testing. Chlorine dioxide and sodium hypochlorite reduced the microhardness more than other test agents. The highest surface roughness was produced with maleic acid. Chlorine dioxide should be used cautiously during chemomechanical preparation of the root canal system in order to prevent untoward damage to the teeth.

Topics: Chlorine Compounds; Dental Pulp Cavity; Dentin; Edetic Acid; Hardness; Humans; Maleates; Materials Testing; Microscopy, Atomic Force; Oxides; Root Canal Irrigants; Sodium Chloride; Sodium Hypochlorite; Tooth Apex

The aims of the present study were to evaluate the effect of various irrigating solutions on the removal of calcium hydroxide mixed with 2% chlorhexidine gel from an artificial groove created in a root canal and the generation of orange-brown precipitate in the remaining calcium hydroxide mixed with 2% chlorhexidine gel after irrigation with the various irrigating solutions.. The root canals of 48 mandibular premolars were prepared using ProTaper Universal Rotary instruments (Dentsply Maillefer, Ballaigues, Switzerland) up to size F4. The roots were split longitudinally, and a standardized groove was prepared in the apical part of 1 segment. The root halves were reassembled, and calcium hydroxide mixed with 2% chlorhexidine gel medicament was placed into the grooves. The roots were randomly divided into 4 experimental groups specified by the irrigation solution used: 1% NaOCl, 17% EDTA, 7% maleic acid, and 10% citric acid (n = 12). The amount of remaining medicament was evaluated under a stereomicroscope using a 4-grade scoring system. After irrigation, the specimens were also evaluated for the presence/absence of orange-brown precipitate. The effects of the different irrigation solutions on medicament removal were statistically evaluated using the Kruskal-Wallis and Mann-Whitney U tests with Bonferroni correction at a 95% confidence level (P = .0083).. Solutions of 7% maleic acid and 10% citric acid were superior to solutions of 1% NaOCl and 17% EDTA in removing calcium hydroxide mixed with 2% chlorhexidine gel (P < .0083). There were no significant differences among the other groups (P > .0083). Orange-brown precipitate was observed in all specimens of the NaOCl group but in no specimens in the other groups.. Irrigation solutions of 7% maleic acid and 10% citric acid were more effective in the removal of calcium hydroxide mixed with 2% chlorhexidine gel than those of 1% NaOCl and 17% EDTA. Orange-brown precipitate was found in all specimens of the NaOCl-irrigated groups. However, the precipitate was not observed in specimens in the groups irrigated with 17% EDTA, 7% maleic acid, and 10% citric acid.

Topics: Calcium Hydroxide; Chemical Precipitation; Chlorhexidine; Citric Acid; Coloring Agents; Dental Disinfectants; Dental Pulp Cavity; Edetic Acid; Gels; Humans; Maleates; Materials Testing; Random Allocation; Root Canal Irrigants; Sodium Hypochlorite; Surface Properties; Tooth Apex

To evaluate ex vivo the effectiveness of single-file instrumentation techniques compared with serial Ni-Ti rotary instrumentation with several irrigation regimens in reducing E. faecalis within root canals.. A total of 81 extracted human mandibular premolar teeth with a single root canal were infected with E. faecalis before and after canal preparation. Samples were divided randomly into 9 groups, as follows: group 1-A: sterile phosphate-buffered saline + Self-adjusting file, group 1-B: 5% sodium hypochlorite + 15% EDTA + Self-adjusting file, group 1-C: 5% sodium hypochlorite + 7% maleic acid + Self-adjusting file, group 2-A: sterile phosphate-buffered saline + Reciproc (R25), group 2-B: 5% sodium hypochlorite + 15% EDTA + Reciproc (R25), group 2-C: 5% sodium hypochlorite + 7% maleic acid + Reciproc (R25), group 3-A: sterile phosphate-buffered saline + ProTaper, group 3-B: 5% sodium hypochlorite + 15% EDTA + ProTaper, group 3-C: 5% sodium hypochlorite + 7% maleic acid + ProTaper. anova was used to analyse statistically the differences in terms of reduction in colony counts between the groups, and Dunn's post hoc test was used for multiple comparisons.. All techniques and irrigation regimens significantly reduced the number of bacterial cells in the root canal (P < 0.001). Comparisons amongst the groups revealed significant differences between group 1A (sterile phosphate-buffered saline + Self-adjusting file)/group 1B (5% sodium hypochlorite + 15% EDTA + Self-adjusting file) (P = 0.031), group 1A (sterile phosphate-buffered saline + Self-adjusting file)/group 2C (5% sodium hypochlorite + 7% maleic acid + Reciproc) (P = 0.003), group 2A (sterile phosphate-buffered saline + Reciproc)/group 3B (5% sodium hypochlorite + 15% EDTA + ProTaper) (P = 0.036), group 3B (5% sodium hypochlorite + 15% EDTA + ProTaper)/group 1A (sterile phosphate-buffered saline + Self-adjusting file) (P < 0.001), and group 3C (5% sodium hypochlorite + 7% maleic acid + ProTaper)/group 1A (sterile phosphate-buffered saline + Self-adjusting file) (P = 0.033).. No significant differences in terms of reduction in microbial counts were observed between single-file techniques (SAF and Reciproc) and serial Ni-Ti instrumentation technique (ProTaper) in combination with irrigants.

Topics: Bacterial Load; Dental Alloys; Dental Pulp Cavity; Edetic Acid; Enterococcus faecalis; Equipment Design; Humans; Maleates; Materials Testing; Needles; Nickel; Root Canal Irrigants; Root Canal Preparation; Rotation; Sodium Chloride; Sodium Hypochlorite; Syringes; Therapeutic Irrigation; Titanium; Torque; Vibration

This study aimed to compare the effects of different irrigants on root dentine microhardness, erosion and smear layer removal. A total of 72 root dentine slices were divided into six groups, according to the final irrigants used: Group 1: 17% ethylenediamine tetra-acetic acid (EDTA) + 2.5% NaOCl, Group 2: 7% maleic acid (MA) + 2.5% sodium hypochloride (NaOCl), Group 3: 1.3% NaOCl + mixture of tetracycline, acid and detergent (MTAD), Group 4: Smear Clear + 2.5% NaOCl, Group 5: 5% NaOCl, Group 6: saline. Vickers microhardness values were measured before and after treatment. In total, 42 root-halves were prepared for scanning electron microscope to evaluate the amount of smear and erosion in the coronal, middle and apical thirds. Data were analysed using two-way anova, Duncan and two-proportion z-tests. Maleic acid showed the greatest reduction in dentine microhardness (P < 0.05), followed by EDTA and MTAD. EDTA, maleic acid, MTAD and Smear Clear removed smear layer efficiently in the coronal and middle thirds of root canal. However, in the apical region, maleic acid showed more efficient removal of the smear layer than the other irrigants (P < 0.05).

Topics: Citric Acid; Dental Pulp Cavity; Dentin; Doxycycline; Drug Combinations; Edetic Acid; Hardness; Humans; Maleates; Materials Testing; Microscopy, Electron, Scanning; Polysorbates; Root Canal Irrigants; Smear Layer; Sodium Chloride; Sodium Hypochlorite; Tooth Apex; Tooth Erosion

The purpose of this study was to evaluate the effects of different solutions used for final irrigation on sealer penetration into dentinal tubules.. Thirty-two recently extracted human mandibular premolar teeth were treated with sodium hypochlorite (NaOCl) irrigation. The samples were divided into 4 groups according to the final irrigation solution used: (1) the EDTA group: 17% EDTA + 2.5% NaOCl, (2) the maleic acid (MA) group: 7% MA + 2.5% NaOCl, (3) the citric acid (CA) group: 10% CA + 2.5% NaOCl, and (4) the control group: 2.5% NaOCl. All teeth were obturated using the cold lateral condensation technique with gutta-percha and AH 26 sealer (Dentsply; DeTrey, Konstanz, Germany) labeled with fluorescent dye. The teeth were sectioned at distances of 2, 5, and 8 mm from the root apex. Total percentage and maximum depth of sealer penetration were measured using confocal laser scanning microscopy.. The Kruskal-Wallis analysis results showed that there was a significant difference in the percentage and maximum depth of sealer penetration among all groups in all sections (P < .05).The coronal sections in each group showed a significantly higher percentage and maximum depth of sealer penetration than did the apical and middle sections (P < .05).. Final irrigation with EDTA, MA, and CA after the use of NaOCl affected sealer penetration. However, there was no significant difference between these experimental groups (EDTA, MA, and CA) in all sections.

Topics: Bicuspid; Citric Acid; Dentin Permeability; Edetic Acid; Humans; Maleates; Root Canal Filling Materials; Root Canal Irrigants; Root Canal Obturation; Root Canal Preparation; Sodium Hypochlorite; Statistics, Nonparametric

To compare in vitro, the tissue-dissolution capacity of 7% maleic acid (MA), 17% ethylenediaminetetraacetic acid (EDTA), 2.5% sodium hypochlorite (NaOCl) (positive control) and 0.9% saline (NaCl) (negative control) on human pulp tissue.. Forty pieces of human pulp tissue, each weighing 0.026 g, were divided randomly into four groups (n = 10): (i) 7% MA solution, (ii) 17% EDTA solution, (iii) 2.5% NaOCl solution and (iv) 0.9% NaCl solution. The pulp tissue was placed in beakers containing the test solutions and then placed on a vibrator. Pulp tissue from the four experimental solutions was blotted dry and weighed after 30, 60, 90 and 120 min. The percentage of weight loss was calculated, and the data were statistically analysed using Kruskal-Wallis and Mann-Whitney U-test.. At all time intervals, 2.5% NaOCl dissolved pulp tissue significantly more than the other solutions (P < 0.001). There was no significant difference in the pulp-dissolution capacity between 7% MA and 17% EDTA at any of the time intervals. NaCl (0.9%) did not have any effect on pulp tissue.. Seven percentage of MA and 17% EDTA had minimal tissue-dissolution capacity when compared to NaOCl.

Topics: Dental Pulp; Edetic Acid; Humans; Maleates; Root Canal Irrigants; Sodium Hypochlorite; Statistics, Nonparametric

The elimination of microorganisms from the root canal system necessitates the use of combination of irrigating solutions to enhance their antimicrobial property. The combination of irrigants and their interaction sometimes could be detrimental to the outcome of the root canal therapy. The purposes of this study were (1) to evaluate the interaction between 7% maleic acid (MA) and 2% chlorhexidine gluconate solution (CHX) and to find out the availability of individual irrigant and (2) to determine the free available chlorine content when 7% MA was mixed with 2.5% sodium hypochlorite (NaOCl) solution.. Interaction between MA and CHX was assessed by high-performance liquid chromatography. Available chlorine content in NaOCl was evaluated by the standard iodine/thiosulfate titration method.. It was observed that more than 90% free MA and CHX were available when MA was combined with CHX. It was also observed that there was no precipitate formation when 7% MA was mixed with 2% CHX. Available chlorine content decreased significantly in the MA/NaOCl mixture.. There were no adverse interactions or precipitate formation observed when MA was combined with CHX, but the available chlorine content was reduced when NaOCl was mixed with MA.

Topics: Chemical Precipitation; Chlorhexidine; Chlorine; Chromatography, High Pressure Liquid; Drug Combinations; Drug Interactions; Maleates; Root Canal Irrigants; Sodium Hypochlorite

The aim of the study was to evaluate the postobturation apical seal following irrigation with 7% maleic acid (MA) or 17% EDTA using dye leakage under vacuum method.. Seventy single-rooted human anterior teeth were subjected to root canal instrumentation. Based on the final irrigating solution used, samples were divided into 3 groups: (1) 17% EDTA + 2.5% NaOCl, (2) 7% MA + 2.5% NaOCl, (3) 0.9% saline. Then samples were obturated and placed in 2% rhodamine B dye solution under vacuum pressure for 30 minutes and allowed to remain in the dye for 7 days. Samples were then longitudinally split and examined for dye leakage under stereomicroscope. Data were analyzed using the Kruskal-Wallis test.. MA showed the least apical leakage compared with EDTA and saline. Saline showed maximum leakage.. Final irrigation with 7% MA improved the postobturation apical seal compared with 17% EDTA.

Topics: Dental Bonding; Dental Leakage; Dental Marginal Adaptation; Dental Pulp Cavity; Drug Combinations; Edetic Acid; Humans; Maleates; Root Canal Filling Materials; Root Canal Irrigants; Root Canal Obturation; Sodium Hypochlorite; Tooth Apex

The effect of experimental dentin primers containing N-methylolacrylamide (MEAA) or N-methylolmethacrylamide (MEMA) on bond durability of a resin composite (Photo Clearfil A) with a bonding agent (Clearfil Photo Bond) to bovine dentin was investigated.. The etching agents were 10% maleic acid (10% MA), 10% phosphoric acid (10% PA) and 10% citric acid-3% ferric chloride (10-3 solution). Water solutions of 35% hydroxyethyl methacrylate (HEMA), 50% MEAA or 30% MEMA were used as dentin primers. The etched dentin was pre-treated with the dentin primers for 30s. The resin composite systems were applied in a Teflon tube positioned onto pre-treated dentin surfaces. After water immersion for 1 day and 5 years, the shear bond strengths were measured. The amounts of calcium dissolved with etching agents were measured using atomic absorption spectrometry. The thicknesses of hybrid layers at the dentin-resin interfaces treated with 6 mol/l HCl and 1% NaOCl were measured using scanning electron microscopy.. The bond strengths of the specimens (Controls) without primers to dentin etched with 10% MA and 10-3 solution significantly decreased after immersion in water for 5 years (p<0.05) while other bond strengths did not decrease. The bond strengths of the composites to MEMA- and MEAA-primed dentin were significantly higher than that of the control after 1 day, regardless of the types of etching agents (p<0.05). The 5 year bond strengths of the composites to HEMA-, MEMA- and MEAA-primed dentin were significantly higher than that of the control, regardless of the types of etching agents (p<0.05). The 1 day and 5 year bond strengths of the composite to MEAA-primed dentin were significantly higher than those of the composites to HEMA-primed dentin, regardless of the types of etching agents (p<0.05). The highest amount (182.3+/-8.0 microg/cm(2)) of dissolved calcium was determined for the pre-treatment with 10% PA, followed by that (152.0+/-6.9 microg/cm(2)) with 10% MA and that (140.1+/-2.8 microg/cm(2)) with 10-3 solution (p<0.05). The hybrid layer thicknesses (approximately 1 microm) for 10-3 solution were thinner than those (approximately 2 microm) for others after HCl immersion. For the controls, the hybrid layers after NaOCl immersion become narrower or disappeared. The main fracture pattern of specimens was a mixture of resin-dentin interface failure and dentin cohesive fracture after the bond test.. MEAA solution was more effective in improving the bond strength of the controls to etched dentin than was HEMA after 1 day and 5 years. Clearfil Photo Bond created good hybrid dentin layers which could resist NaOCl-attack and showed good dentin bond durability when dentin primers were used, regardless of the type of etching agent.

Topics: Acid Etching, Dental; Acrylamides; Analysis of Variance; Animals; Calcium; Cattle; Chlorides; Citric Acid; Composite Resins; Dental Bonding; Dentin; Dentin-Bonding Agents; Ferric Compounds; Hydrochloric Acid; Immersion; Maleates; Methacrylates; Microscopy, Electron, Scanning; Oxidants; Phosphoric Acids; Resin Cements; Sodium Hypochlorite; Spectrophotometry, Atomic; Stress, Mechanical; Surface Properties; Time Factors; Water

The purpose of this study was to evaluate the influence of six treatments on the dispersive, acid, and base components of the free surface energy of dentin.. Occlusal dentin surfaces were polished with 4000 grit abrasive paper, washed and air dried. Characteristics of the surface energy were calculated by measuring contact angles of the four following liquids:alpha-bromonaphtalene, glycerol, ethylene glycol, and water. The dentin was then treated with aqueous solutions containing: (1) oxalic acid and glycine (OX/GLY),(2) oxalic acid, glycine, and HEMA (OX/GLY/HEMA), (3) phosphoric acid (PA), (4) maleic acid (MA),(5) EDTA, or (6) NaCIO. After treatment, washing and air drying, the energy characteristics of the samples were evaluated again.. Three kinds of wetting behavior were observed: an increase (OX/GLY/HEMA), a stabilization (PA, NaCIO) or a decrease (OX/GLY, MA, EDTA) of the wettability of the dentin surface. The calculations demonstrated that dentin surfaces are basic.. This study of the evolution of the surface energy components gave information on adhesion mechanisms involving hydrophilic and hydrophobic interactions. The results may be helpful in the formulation of conditioners and primers.

Topics: Acid Etching, Dental; Analysis of Variance; Chemical Phenomena; Chemistry, Physical; Dentin; Edetic Acid; Glycine; Hydrogen-Ion Concentration; Maleates; Matched-Pair Analysis; Methacrylates; Oxalates; Oxalic Acid; Phosphoric Acids; Smear Layer; Sodium Hypochlorite; Statistics, Nonparametric; Surface Properties; Surface Tension; Thermodynamics; Wettability

To measure the shear bond strength of resin composite to dentin using three fourth generation bonding agents in combination with three different acid treatments. One such treatment was followed by sodium hypochlorite. The purpose was to determine the contribution which the collagen rich, demineralized zone made to bond strength.. Three groups, representing (1) All Bond 2/BisFil, (2) Optibond Dual Cure/XRV and (3) Scotchbond Multi-Purpose/Z100, contained four sub-groups each comprised of 10 caries-free molar teeth whose dentin was exposed in a transverse mid-coronal plane. Dressed with 320 grit, wet silicon carbide paper, the dentin surface in each sub-group was conditioned with 10% maleic acid (15 seconds), 10% phosphoric acid (20 seconds), 2.5% nitric acid (60 seconds) and 10% phosphoric acid (20 seconds) followed by 5% sodium hypochlorite (120 seconds). The bonded resin composite assemblies were stored in water at 37 degrees C for 24 hours and then subjected to shear force at a crosshead speed of 5 mm/minute until failure.. The mean and standard deviation values derived for the groups were not statistically different from each other (P < 0.05). It was concluded that the type of conditioning agent was not a factor in achieving optimal bond strength for the system tested. Furthermore, it was tentatively concluded that the collagen-rich zone offered no direct, quantitative contribution to the interfacial bond strength which is probably derived from complete resin diffusion into the porous, partially demineralized dentin below.

Topics: Acid Etching, Dental; Analysis of Variance; Bisphenol A-Glycidyl Methacrylate; Collagen; Composite Resins; Dental Bonding; Dentin; Dentin Permeability; Dentin-Bonding Agents; Humans; Maleates; Materials Testing; Methacrylates; Microscopy, Electron, Scanning; Nitric Acid; Phosphoric Acids; Resin Cements; Silicon Dioxide; Sodium Hypochlorite; Surface Properties; Tensile Strength; Zirconium