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Evaluation of different irrigation protocols concerning the formation of chemical smear layer
Authors:Maíra Do Prado  Renata A Simão  Brenda PFA Gomes
Affiliation:1. Department of Restorative Dentistry, Endodontics Division, State University of Campinas‐UNICAMP, Piracicaba, SP, Brazil;2. Department of Metallurgic and Materials Engineering, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
Abstract:The aim of this work was to evaluate, by means of scanning electron microscopy (SEM) and electron dispersive spectroscopy (EDS), the different irrigation protocols concerning the formation of chemical smear layer (CSL). Fifty‐five teeth were instrumented by using distilled water (DW) as irrigant. Next, the teeth were submitted to a protocol for removal of the mechanical smear layer produced. The teeth were divided into 11 groups, according to irrigation regimen. Then, the teeth were prepared and analyzed with SEM and EDS. Only in Group 1 1 mL sodium hypochlorite (NaOCl) + 10 mL DW + 1 mL chlorhexidine (CHX) solution], Group 2 1 mL NaOCl + 10 mL DW + 1 mL ethylenediaminetetraacetic acid (EDTA) + 10 mL DW + 1 mL CHX solution], and Group 3 1 mL NaOCl + 10 mL DW + 1 mL citric acid (CA) + 10 mL DW + 1 mL CHX solution], the formation of CSL was observed. In the groups where CHX gel was used alone or in association with EDTA, CA, phosphoric acid (PA), and CHX solution, no formation of CSL was observed. According to the results found in the cases in which one wants to associate NaOCl with CHX, the protocol using PA (1 mL NaOCl + 10 mL DW + 1 mL PA + 10 mL DW + 1 mL CHX solution) did not induce formation of CSL. Microsc. Res. Tech., 2013. © 2012 Wiley Periodicals, Inc.
Keywords:chlorhexidine  citric acid  EDTA  phosphoric acid  smear layer  sodium hypochlorite
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