Evaluation of Push-out Bond Strength of a Resin Sealer to Dentin after a Final Flush of Three Irrigants

Choudhury, Shubha; Shivanand, Sunita; Patil, Anand C; Patil, Suvarna; Doddwad, Preeti K; Patil, C. S.

doi:10.5005/jp-journals-10024-2869

Cited by 9 publications

(4 citation statements)

References 14 publications

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“…Two independent reviewers read to the title of them and removed 138 irrelevant studies. The reviewers read the abstract of the remaining studies and excluded 12 studies because of dentin microhardness, sealer dentin tubules penetration (Antunes et al, 2019; Aydin et al, 2016; Aydın et al, 2019; Bayram et al, 2017; Choudhury et al, 2020; Gokturk & Ozkocak, 2022; Gyulbenkiyan et al, 2020; Kesim et al, 2018; Prasanthi et al, 2019; Ratih, Sari, et al, 2020), has not EDTA group (Silva et al, 2012), and lack of a SEM study (Mathew et al, 2017). Finally, 15 studies for the full‐text assessment were analyzed and only seven studies (Darrag, 2014; İlhan, 2019; Kamble et al, 2017; Kaur et al, 2020; Madhusudhana et al, 2015; Penumaka et al, 2019; Sari et al, 2018) were considered eligible.…”

Section: Resultsmentioning

confidence: 99%

The comparative of chitosan and chitosan nanoparticle versus ethylenediaminetetraacetic acid on the smear layer removal: A systematic review and meta‐analysis of in vitro study

İlhan,

Cakici,

Cakici

2023

Microscopy Res & Technique

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The purpose of this systematic review of meta‐analysis was to compare the effectiveness of removing the smearing layer using EDTA versus Chitosan (Ch) and Chitosan nanoparticles (Ch‐NPs). A search was performed in four electronic databases (Web of Science, PubMed, Scopus, and Cochrane). The included studies were assessed by two reviewers using Joanna Briggs Institute's critical appraisal checklist for the quasi‐experimental studies. Outcomes obtained by scanning electron microscopy (SEM) and conventional methods were presented as standardized mean differences alongside 95% confidence intervals. Seven investigations employed 212 single‐root teeth. In the apical section (p = .317, 95% CI = −0.820 to 0.266, Tau2 = 0.387), middle segment (p = .914, 95% CI = −1.019 to 0.912, Tau2 = 1.027), and coronal segment (p = .277, 95% CI = −1.008 to 0.289, Tau2 = 0.378). This meta‐analysis found no difference between Ch, Ch‐NPs, and EDTA in removing the smear layer in the three segments. This systematic review is designed to show evidence related to the PICO question, in which our outcome is smear layer removal and not the clinical success of such a treatment.Research Highlights The study aimed to compare the effectiveness of chitosan and chitosan nanoparticles with ethylenediaminetetraacetic acid (EDTA) in removing the smear layer, a layer of debris and organic material on the tooth surface, through a systematic review and meta‐analysis. The removal of the smear layer is crucial for successful dental treatments, as it enhances the adhesion of restorative materials and improves the penetration of antimicrobial agents into dentinal tubules. The researchers conducted a systematic review and meta‐analysis, searching various databases of electron microscopy results for relevant in vitro studies comparing the effects of chitosan or chitosan nanoparticles with EDTA on smear layer removal. The results encourage further exploration of chitosan and chitosan nanoparticles for clinical use in dentistry, while considering their specific applications and long‐term effects.

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Section: Resultsmentioning

confidence: 99%

The comparative of chitosan and chitosan nanoparticle versus ethylenediaminetetraacetic acid on the smear layer removal: A systematic review and meta‐analysis of in vitro study

İlhan,

Cakici,

Cakici

2023

Microscopy Res & Technique

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“…The comprehensive sealing of the root canal system is necessary for endodontic therapy to be successful [15]. Obturation is the process of filling the complete root canal system, which requires the use of materials with physicochemical and biological qualities to seal the canal both apically and coronally [16]. Root canal fillings' primary purpose is to prevent leakage into the root canal system from the oral cavity and peri-radicular tissue [16].…”

Section: Discussionmentioning

confidence: 99%

“…Obturation is the process of filling the complete root canal system, which requires the use of materials with physicochemical and biological qualities to seal the canal both apically and coronally [16]. Root canal fillings' primary purpose is to prevent leakage into the root canal system from the oral cavity and peri-radicular tissue [16]. While sealer is necessary to aggregate the filling material, maintain compact mass without voids, bind it to the canal wall, and give single unit configuration, guttapercha is a biocompatible substance that is used to fill radicular space [17].…”

Section: Discussionmentioning

confidence: 99%

“…According to research by Al Azzawi et al, [35] the midroot dentin samples treated with herbal extracts (green tea and Salvadora persica) revealed dentin samples with a bond strength that was considerably higher than the waterlase group. However, Choudhury et al [16] found that Morinda citrifolia juice (MCJ) and chitosan might boost sealer penetration and reduce the dislocation of obturating materials, even if EDTA was more effective in removing smear layers. Results of this investigation revealed that, when compared to MCJ and chitosan solution, EDTA had the highest pushout bond strength.…”

Section: Discussionmentioning

confidence: 99%

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Pushout Bond Strength of Root Fillings after Irrigation of Root Canals Utilizing Sodium Hypochlorite, Chlorhexidine, and Homeopathic Mother Tincture (Arnica Montana)

Khanvilkar

Patil

Bandekar

et al. 2023

Clinics and Practice

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The pushout bond strength of root fillings at radicular dentin was investigated employing NaOCl, CHX, and homoeopathic mother tincture (Arnica montana) as an irrigant. Sixty human permanent single-rooted extracted teeth were decoronated. The root canals were instrumented using Pro taper universal rotary system (Dentsply Tulsa Dental; Tulsa, Oklahoma) and were prepared up to F3 apical size. The roots were then randomly divided into three groups according to irrigation solution (n = 20) according to the final irrigation regimen: Group I: 3 mL 5.25% NaOCl followed by 3 mL Saline (control); Group II: 3 mL Arnica montana (10%, w/v) followed by 3 mL Saline; Group III: 3 mL CHX followed by 3 mL Saline. The canals were dried using paper points. The canals were coated with AH Plus sealer (Dentsply DeTey, Konstaz, Germany) with the aid of a Lentulo spiral (Dentsply DeTey, Konstaz, Germany) and obturated with #F3 gutta-percha. Each root was then horizontally sliced into three slices, labelled coronal, middle, and apical, each measuring 2 mm thick. Furthermore, at a crosshead speed of 2 mm/min, the test was carried out using the universal testing apparatus. The 5.25% NaOCl significantly decreased the bond strength of AH Plus to dentin. Both CHX and Arnica montana were capable of reversing the compromised pushout of AH Plus to NaOCl-treated dentin. After using NaOCl as an irrigant, the danger of diminished binding capacity of AH Plus to root canal walls arises. Final irrigation with Arnica montana and CHX reduces this risk.

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Canal pretreatment using cold atmospheric argon plasma, chitosan and Chlorine p6 activated by photodynamic therapy with EDTA as a final irrigant on the pushout bond strength of fiber post

Abdulwahed

2023

Photodiagnosis and Photodynamic Therapy

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Evaluation of Push-out Bond Strength of a Resin Sealer to Dentin after a Final Flush of Three Irrigants

Cited by 9 publications

References 14 publications

The comparative of chitosan and chitosan nanoparticle versus ethylenediaminetetraacetic acid on the smear layer removal: A systematic review and meta‐analysis of in vitro study

The comparative of chitosan and chitosan nanoparticle versus ethylenediaminetetraacetic acid on the smear layer removal: A systematic review and meta‐analysis of in vitro study

Pushout Bond Strength of Root Fillings after Irrigation of Root Canals Utilizing Sodium Hypochlorite, Chlorhexidine, and Homeopathic Mother Tincture (Arnica Montana)

Canal pretreatment using cold atmospheric argon plasma, chitosan and Chlorine p6 activated by photodynamic therapy with EDTA as a final irrigant on the pushout bond strength of fiber post

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