The Efficacy of QMix on the Root Canal Dentin After Different Exposure Time Periods: A SEM and an EDS Analysis

Yıl 2015, , 20 - 24, 01.01.2015

Mustafa Murat Koçak Ersan Çiçek Sibel Koçak Baran Can Saglam

https://doi.org/10.21306/jids.2015.1.04

Cited By: 1

Öz

Aim: The irrigation solutions and chelating agents are able to change the chemical composition of dentin. This study aimed to evaluate the efficacy of QMix on the removal of smear layer and the Ca/P ratio of root canal dentine after different exposure time periods.Material and Method: Sixty extracted teeth were prepared and divided into 5 groups according to the application time of the solution n=12 . In group 1, no irrigation was performed control . The other groups were defined as follows consecutively; QMix solution were used for 1, 3, 5 and 10 minutes. Smear layer scores, erosion scores and Ca/P ratios of each group were evaluated by SEM and EDS. Results: In apical and middle regions, smear layer scores of 10 minute group, was significantly lower than 1 minute group P0.05 . Conclusion: QMix is able to remove smear layer effectively in 10 minutes without causing any erosion in dentinal tubules or alteration in the Ca/P ratio

Anahtar Kelimeler

QMix, Scanning electron microscope, Irrigation

Qmix’in Farklı Uygulama Süreleri Sonrası Kök Kanal Dentini Üzerine Etkisi: SEM ve EDS Analizi

Öz

Amaç: İrrigasyon solüsyonları ve şelasyon ajanları dentinin kimyasal kompozisyonunu değiştirebilmektedir. Bu çalışmanın amacı, farklı uygulama süreleri sonrası QMix’in smear tabakasını uzaklaştırma etkinliği ve kök kanal dentininde Ca/P oranına etkisini değerlendirmektir.Gereç ve Yöntem: Atmış adet çekilmiş diş şekillendirildi ve solüsyonun uyguşama sürelerine göre 5 gruba ayrıldı n=12 . Grup 1’de irrigasyon uygulanmadı kontrol . Diğer gruplar sırasıyla şu şekilde tanımlandı; QMix solüsyonu 1, 3, 5 ve 10 dakika süre ile uygulandı. Smear tabakası skorları, erozyon skorları ve Ca/P oranı SEM ve EDS ile değerlendirildi. bulgular: Apikal ve orta bölgede smear tabakası skorları 10 dakika grubunda 1 dakika grubuna göre anlamlı derecede düşük çıktı P0.05 .Sonuç: QMix dentin tübüllerinde herhangi bir erozyona yol açmadan ve Ca/P oranınada değişikliğe neden olmadan 10 dakika içerisinde smear tabakayı uzaklaştırabilmektedir

Anahtar Kelimeler

QMix, Tarama elektron mikroskobu, İrrigasyon

Kaynakça

• 1. Kakehashi S, Stanley Hr, Fitzgerald Rj. The Effects Of Surgical Exposures Of Dental Pulps In Germ-Free And Conventional Laboratory Rats. Oral Surg Oral Med Oral Pathol 1965; 20: 340-349.
• 2. Violich DR, Chandler NP. The smear layer in endodontics - a review. Int Endod J 2010; 43: 2-15.
• 3. Andrabi SM, Kumar A, Mishra SK, Tewari RK, Alam S, Siddiqui S. Effect of manual dynamic activation on smear layer removal efficacy of ethylenediaminetetraacetic acid and SmearClear: an in vitro scanning electron microscopic study. Aust Endod J 2013; 39: 131-136.
• 4. Rome WJ, Doran JE, Walker WA 3rd. The effectiveness of Gly-Oxide and sodium hypochlorite in preventing smear layer formation. J Endod 1985; 11: 281-288.
• 5. Ulusoy Öİ, Görgül G. Effects of different irrigation solutions on root dentine microhardness, smear layer removal and erosion. Aust Endod J 2013 ;39: 66-72.
• 6. De-Deus G, Paciornik S, Mauricio MH. Evaluation of the effect of EDTA, EDTAC and citric acid on the microhardness of root dentine. Int Endod J 2006; 39: 401- 407.
• 7. Dai L, Khechen K, Khan S, et al. The effect of QMix, an experimental antibacterial root canal irrigant, on removal of canal wall smear layer and debris. J Endod 2011; 37: 80- 84.
• 8. Stojicic S, Shen Y, Qian W, Johnson B, Haapasalo M. Antibacterial and smear layer removal ability of a novel irrigant, QMix. Int Endod J 2012; 45: 363-371
• 9. Doğan H, Qalt S. Effects of chelating agents and sodium hypochlorite on mineral content of root dentin. J Endod 2001; 27: 578-580.
• 10. Ari H, Erdemir A. Effects of endodontic irrigation solutions on mineral content of root canal dentin using ICP-AES technique. J Endod 2005; 31: 187-189.
• 11. Torabinejad M, Khademi AA, Babagoli J et al. A new solution for the removal of the smear layer. J Endod 2003; 29: 170-175.
• 12. Pashley DH, Michelich V, Kehl T. Dentin permeability: effects of smear layer removal. J Prosthet Dent 1981; 46: 531-537.
• 13. Safavi KE, Spangberg LS, Langeland K. Root canal dentinal tubule disinfection. J Endod 1990; 16: 207-210.
• 14. Ma J, Wang Z, Shen Y, Haapasalo M. A new noninvasive model to study the effectiveness of dentin disinfection by using confocal laser scanning microscopy. J Endod 2011; 37: 1380-1385.
• 15. Wang Z, Shen Y, Haapasalo M.Effectiveness of endodontic disinfecting solutions against young and old Enterococcus faecalis biofilms in dentin canals. J Endod 2012; 38: 1376- 1379.
• 16. Aranda-Garcia AJ, Kuga MC, Vitorino KR et al. Effect of the root canal final rinse protocols on the debris and smear layer removal and on the push-out strength of an epoxybased sealer. Microsc Res Tech 2013; 76: 533-537.
• 17. Eliot C, Hatton JF, Stewart GP, Hildebolt CF, Jane Gillespie M, Gutmann JL. The effect of the irrigant QMix on removal of canal wall smear layer: an ex vivo study.Odontology. 2014; 102: 232-240.
• 18. Guerreiro-Tanomaru JM, Nascimento CA, FariaJúnior NB, Graeff MS, Watanabe E, Tanomaru-Filho M. Antibiofilm activity of irrigating solutions associated with cetrimide. Confocal laser scanning microscopy. Int Endod J 2014; 47: 1058-1063.
• 19. Taneja S, Kumari M, Anand S. Effect of QMix, peracetic acid and ethylenediaminetetraacetic acid on calcium loss and microhardness of root dentine. J Conserv Dent 2014; 17: 155-158.
• 20. Aranda-Garcia AJ, Kuga MC, Chavéz-Andrade GM et al. Effect of final irrigation protocols on microhardness and erosion of root canal dentin. Microsc Res Tech.2013; 76: 1079-1083.
• 21. Capar ID, Aydinbelge HA. Surface change of root canal dentin after the use of irrigation activation protocols: electron microscopy and an energy-dispersive X-ray microanalysis.Microsc Res Tech 2013; 76: 893-896.
• 22. Ruse ND, Smith DC. Adhesion to bovine dentin--surface characterization. J Dent Res 1991; 70: 1002-1008.
• 23. Sayin TC, Cehreli ZC, Deniz D, Akcay A, Tuncel B, Dagli F, Gozukara H, Kalayci S. Time-dependent decalcifying effects of endodontic irrigants with antibacterial properties. J Endod 2009; 35: 280-283.