Comparative evaluation of efficacy of ethylenediaminetetraacetic acid, maleic acid, and dimercaptosuccinic acid against the combination of these with sodium hypochlorite for removal of smear layer: An in vitro scanning electron microscope study
Rishikesh Meshram1, Nikhil Sathawane2, Roshan Samuel3, Narayan Gunaji Jibhkate4, Hitesh Gyanani1, Sanjay Patil1
1 Department of Conservative Dentistry and Endodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, Maharashtra, India
2 Department of Conservative Dentistry and Endodontics, Yogita Dental College, Khed, Ratnagiri, Maharashtra, India
3 Department of Conservative Dentistry and Endodontics, Mahatma Gandhi Vidyamandir's KBH Dental College and Hospital, Nashik, Maharashtra, India
4 Department of Conservative Dentistry and Endodontics, VYWS Dental College, Amravati, Maharashtra, India
Indora Ambedkar Chowk, Kamptee Mohalla, Post Bezonbagh, Nagpur - 440 004, Maharashtra
Source of Support: None, Conflict of Interest: None
Context: The effect of dimercaptosuccinic acid (DMSA) and maleic acid (MA) when used alone on smear layer has been evaluated with mixed results, but their effect when combined with sodium hypochlorite (NaOCl) has not been studied.
Aim: To compare the effectiveness of ethylenediaminetetraacetic acid, MA, and DMSA against the combination of these with NaOCl in the removal of smear layer.
Settings and Design:
n = 4pq/L2
Methods: One hundred and forty extracted, anterior teeth were radiovisiographically assessed. Access preparation was done; apical patency was established. Cleaning and shaping was accomplished using step-back technique. The specimens were randomly allocated as per the final irrigation protocol. After final irrigation, teeth were prepared for scanning electron microscope analysis, and the middle and apical thirds of radicular dentin were evaluated at ×1000 for evaluation of severity of occlusion of dentinal tubules with smear layer. Statistical Analysis: The data were statistically analyzed using the Student's t-test and kappa test. Results: For combined irrigation, 10% DMSA * NaOCl was significantly better than all other groups both in the middle third and the apical third. It was more effective in the middle third than at apical third. Conclusion: Ten percent DMSA in combination with NaOCl removes the smear layer more effectively at both the middle and apical third.
- q = 1 − p
- p = Incident rate
- L = Allowable error.