ObjectiveThe purpose of this study was to evaluate by scanning electron microscopy (SEM)
the removal of smear layer from the middle and apical root thirds after use of
different irrigating solutions. Material and MethodsForty roots of permanent human teeth had their canals instrumented and were
randomly assigned to 4 groups (n=10), according to the irrigating solution: apple
vinegar (group A), apple vinegar finished with 17% ethylenediaminetetraacetic acid
(EDTA) (group B), 1% sodium hypochlorite (NaOCl) finished with 17% EDTA (group C)
and saline (group D - control). After chemomechanical preparation, the roots were
cleaved longitudinally and their middle and apical thirds were examined by SEM at
×1,000 magnification. Two calibrated examiners (kappa=0.92) analyzed the SEM
micrographs qualitatively attributing scores that indicated the efficacy of the
solutions in removing the smear layer from the surface of the dentin tubules (1 -
poor, 2 - good and 3 - excellent). Data from the control and experimental groups
were analyzed by the Kruskal-Wallis and Dunn's test, while the Wilcoxon test was
used to compare the middle and apical thirds of the canals within the same group
(α=0.05). ResultsThe middle third presented less amount of smear layer than the apical third,
regardless of the irrigant. There was statistically significant difference
(p=0.0402) among the groups in the middle third. In the apical third, the apple
vinegar/EDTA group showed the greatest removal of smear layer (p=0.0373). ConclusionApple vinegar associated or not with EDTA was effective in removing smear layer
when used as an endodontic irrigant.
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