Comparison of the Efficacy of Maleic Acid and Ethylenediaminetetraacetic Acid in Smear Layer Removal from Instrumented Human Root Canal: A Scanning Electron Microscopic Study

Ballal, Vasudev; Kandian, Sreenesh; Kundabala, M; Bhat, Kadengodlu Seetharama; Acharya, Shashirashmi

doi:10.1016/j.joen.2009.07.021

Cited by 146 publications

(185 citation statements)

References 28 publications

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“…MA is a mild organic acid used to roughen enamel and dentin surfaces in adhesive dentistry (57). It removes the smear layer effectively at concentrations of 5% and 7%.…”

Section: Maleic Acid (Ma)mentioning

confidence: 99%

“…In addition, when used at concentrations of 10% or higher, it causes demineralization and erosion of the root canal wall. Ballal et al reported that 1 min application of 7% MA as the final irrigation agent removed the smear layer more effectively than did 1 min irrigation with 17% EDTA, especially in the apical third of the root canal system (57).…”

Section: Maleic Acid (Ma)mentioning

confidence: 99%

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Endodontic Irrigation Solutions: A Review

Topbaş

Adıgüzel

2017

Int Dent Res

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The goal of endodontic treatment is to remove all the vital and necrotic tissues, microorganisms and microbial byproducts from root canal system. This goal can be achieved through chemical and mechanical debridement of root canals. This article narrates the specifics and requirements of the irrigation solutions. Sodium hypochlorite is proposed as the primary irrigant by virtue of its organic tissue dissolution capacity and broad antimicrobial properties. On the other hand, chelation solutions are recommended as auxiliary solutions to remove the smear layer or to hinder its formation on dentin surface. Thus, it's hoped that sealers and root canal fillers can penetrate to dentin tubules and obturate the canals hermetically. There are new studies on traditional irrigants especially on some irrigants that can replace sodium hypoclorite. This article reviews the new irrigants which can be used in future endodontic practice, and their advantages and limitations. Moreover, actions and interactions of recently used irrigants are adverted.

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“…MA is a mild organic acid used to roughen enamel and dentin surfaces in adhesive dentistry (57). It removes the smear layer effectively at concentrations of 5% and 7%.…”

Section: Maleic Acid (Ma)mentioning

confidence: 99%

Section: Maleic Acid (Ma)mentioning

confidence: 99%

Endodontic Irrigation Solutions: A Review

Topbaş

Adıgüzel

2017

Int Dent Res

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“…Nedavno su objavljeni podaci da se ova kiselina može koristiti kao endodontski irigans koji u koncentraciji od 7% značajno bolje uklanja razmazni sloj u apeksnoj trećini od 17% EDTA 18 . Takođe je ustanovljeno da 7% MA pokazuje manji citotoksični efekat u poređenju sa 17% EDTA 19 .…”

Section: Irrigating Solutions In Endodonticsunclassified

“…Ustanovljeno je da je maleinska kiselina manje toksična, a efikasnija u uklanjanju razmaznog sloja od EDTA 18,19 i može biti korišćena kao zamena za EDTA, dok kombinacija MA i CHX nije pokazala formiranje precipitata i diskoloraciju 38,39 .…”

Section: Basrani Et Al (2007) Have Proven That There Was a Reaction unclassified

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Corrections of the root canal irrigation protocol: Primum non nocere

Gasic¹,

Popović²,

Barac³

et al. 2013

Acta stomatologica Naissi

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SažetakEndodontski irigansi imaju važnu ulogu u eliminaciji mikroorganizama iz kanalnog sistema zuba, rastvaranju organskih tkiva, uklanjanju debrisa i razmaznog sloja. Natrijum hipohlorit (NaOCl) UvodEndodontski irigansi imaju važnu ulogu u eliminaciji mikroorganizama iz kanalnog sistema zuba, rastvaranju organskih tkiva, uklanjanju debrisa i razmaznog sloja [1][2][3][4] .Mnoga istraživanja su pokazala da između pojedinih iriganasa postoje interakcije koje su nepoželjne i mogu kompromitovati endodontsku terapiju 5,6 .Cilj ovog istraživanja bio je razmatranje podataka iz literature o interakcijama koje nastaju kada se natrijum hipohlorit, hlorheksidin, etilen-diamin-tetra-acetat i limunska (ili maleinska) kiselina koriste zajedno u toku endodontske terapije.Za dobijanje informacija o interakcijama između endodontskih iriganasa urađeno je pretraživanje literature preko PubMed baze podataka i ključnih reči: interakcija i endodontski irigansi, natrijum hipohlorit i hlorheksidin, natrijum hipohlorit i EDTA, hlorheksidin i EDTA, NaOCl i limunska (ili maleinska kiselina), helatni agens i hlorheksidin". Pretraživanje literature urađeno je u junu 2013. godine. Irigansi u endodoncijiNajčešće korišćen irigans je natrijum hipohlorit (NaOCl), koji predstavlja snažno antiseptično sredstvo sa sposobnošću rastvaranja organskog dela dentina, razgradnje vitalnog i nekrotičnog tkiva, neutralizacije toksičnih produkata i lubrikacije 1,2 . Uklanjajući debris, ovaj irigans sprečava "zatrpavanje" apeksnog dela kanala strugotinama dentina i ostacima mekih tkiva, kao i istiskivanje inficiranog materijala u periapeksni prostor 13 .Svoje antimikrobno dejstvo NaOCl ostvaruje preko hipohlorne kiseline, koja rastvara organsko tkivo i oslobađa hlor. Reakcijom između hlora i amino-grupa formiraju se hloramini koji remete ćelijski metabolizam. Hlor ispoljava antimikrobno dejstvo tako što dovodi do ireverzibilne oksidacije SH grupa esencijalnih bakterijskih enzima 4,7 .Iako se u literaturi sreću podaci da se NaOCl u endodontskoj terapiji može koristiti u koncentracijama od 0,5%, 1%, 1,25%, 2,6% i 5,25%, još uvek ne postoji usaglašeno mišljenje u vezi sa ovom temom. Činjenica je da antibakterijski efekat ovog irigansa raste sa

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Irrigating Solutions, Devices, and Techniques

Boutsioukis

Arias-Moliz

2021

Endodontic Materials in Clinical Practice

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Comparison of the Efficacy of Maleic Acid and Ethylenediaminetetraacetic Acid in Smear Layer Removal from Instrumented Human Root Canal: A Scanning Electron Microscopic Study

Cited by 146 publications

References 28 publications

Endodontic Irrigation Solutions: A Review

Endodontic Irrigation Solutions: A Review

Corrections of the root canal irrigation protocol: Primum non nocere

Irrigating Solutions, Devices, and Techniques

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