Effects of three final irrigation solutions with chelation properties on the erosion and mineral content of root canal dentin
Abstract
Purpose
This study aimed to evaluate the effects of three final irrigation solutions with chelation properties [ethylenediaminetetraacetic acid (EDTA), novel silver citrate (NSC), and nanochitosan] on root canal dentin erosion and mineral content (calcium-to-phosphorus ratio (Ca/P ratio).
Materials and Methods
A total of 28 premolars were used and assigned to four groups (n = 7): Group 1: 17% EDTA; Group 2: NSC; Group 3: 0.2% nanochitosan; Group 4: saline (control). Each group was finally irrigated with a volume of 1 ml/min until the total final irrigation was performed for 5 min using a 30-gauge side vented needle, and the needle was inserted 1 mm shorter than the working length. Irrigation solution pH was netral. Each tooth was then divided into two parts: mesial and distal. The mesial section was evaluated for root canal dentin erosion, whereas the distal section was analyzed for the Ca/P ratio. Each section was evaluated at three levels (coronal, middle, and apical) of the root canal. Data on root canal erosion were analyzed using the Kruskal-Wallis and Mann-Whitney U tests, whereas the Ca/P ratio was analyzed using one-way ANOVA and Tukey’s test.
Results
The EDTA-treated group exhibited the highest erosion, whereas the nanochitosan-treated group exhibited the lowest erosion of the root canal dentin (p<0.05). The nanochitosan-treated group exhibited the highest Ca/P ratio, whereas the EDTA-treated group exhibited the lowest ratio (p<0.05). The apical level had the highest Ca/P ratio but the lowest erosion compared with the other levels (p<0.05).
Conclusion
Nanochitosan demonstrated the lowest erosion and highest Ca/P ratio at all root canal dentin levels. Therefore, nanochitosan can potentially be used as a final irrigation solution.
Keywords
References
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Details
Primary Language
English
Subjects
Endodontics
Journal Section
Research Article
Authors
Diatri Nari Ratih
*
0000-0001-5584-1403
Indonesia
Henytaria Fajrianti
0000-0002-2912-6745
Indonesia
Nunuk Purwanti
0009-0001-4360-6358
Indonesia
Silva Eliana Aspriyanti
0000-0002-1425-5755
Indonesia
Publication Date
April 29, 2026
Submission Date
October 29, 2024
Acceptance Date
February 25, 2025
Published in Issue
Year 2026 Number: 1