Comparison of Various Irrigation Techniques for the Removal of Silicone Oil-Based Calcium Hydroxide Intracanal Medicament from the Apical Third: An SEM Study

Shalin Ann Saji; Chitharanjan Shetty; Gurmeen Kaur; Sunheri Bajpe; Chandraprabha Chandraprabha; Rashi Shroff; Shazeena Qaiser; Surabhi Gupta

doi:10.1055/s-0044-1788066

Journal of Health and Allied Sciences NU, Table of Contents

CC BY 4.0 · Journal of Health and Allied Sciences NU 2025; 15(01): 103-108
DOI: 10.1055/s-0044-1788066

Original Article

Comparison of Various Irrigation Techniques for the Removal of Silicone Oil-Based Calcium Hydroxide Intracanal Medicament from the Apical Third: An SEM Study

Shalin Ann Saji

¹Department of Conservative Dentistry & Endodontics, AB Shetty Memorial Institute of Dental Sciences, Nitte (Deemed to be University), Mangaluru, Karnataka, India

,

Chitharanjan Shetty

¹Department of Conservative Dentistry & Endodontics, AB Shetty Memorial Institute of Dental Sciences, Nitte (Deemed to be University), Mangaluru, Karnataka, India

,

Gurmeen Kaur

²Department of Conservative Dentistry & Endodontics, Dr. D. Y. Patil Dental College & Hospital, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India

,

Sunheri Bajpe

¹Department of Conservative Dentistry & Endodontics, AB Shetty Memorial Institute of Dental Sciences, Nitte (Deemed to be University), Mangaluru, Karnataka, India

,

Chandraprabha Chandraprabha

¹Department of Conservative Dentistry & Endodontics, AB Shetty Memorial Institute of Dental Sciences, Nitte (Deemed to be University), Mangaluru, Karnataka, India

,

Rashi Shroff

¹Department of Conservative Dentistry & Endodontics, AB Shetty Memorial Institute of Dental Sciences, Nitte (Deemed to be University), Mangaluru, Karnataka, India

,

Shazeena Qaiser

³Department of Conservative Dentistry & Endodontics, Government Dental College & Hospital, Srinagar, Jammu and Kasmir, India

,

Surabhi Gupta

⁴Department of Pediatric and Preventive Dentistry, ITS Dental College and Research Centre, Chaudhary Charan Singh University, Merrut, Uttar Pradesh, India

› Author Affiliations

Abstract

Objective To evaluate the efficacy of various irrigants (5.25% sodium hypochlorite [NaOCl] followed by 17% ethylenediaminetetraacetic acid [EDTA] and 0.2% chitosan nanoparticle [NP]) and different irrigation techniques (conventional and EndoVac) for the removal of Metapex from the apical third of the root canal by scanning electron microscopy (SEM) analysis.

Materials and Methods Forty extracted single-rooted human premolars were instrumented using a rotary ProTaper file system up to F3. The canals were dried and Metapex was placed inside the root canal. The access cavity was sealed with a cotton pellet and Cavit followed by the storage of specimens at 37°C at 100% humidity for 1 week. Cavit was removed and the samples were divided into: Group 1 (conventional irrigation using 5.25% NaOCl and 17% EDTA, n = 10), Group 2 (conventional irrigation using 0.2% chitosan NP, n = 10), Group 3 (EndoVac using 5.25% NaOCl and 17% EDTA, n = 10), and Group 4 (EndoVac using 0.2% chitosan NP, n = 10). After irrigant activation, the roots were divided in half, and the apical third of one-half of each tooth was subjected to SEM analysis. A five-graded scoring scale was used to evaluate dentinal wall cleanliness. Data were statistically analyzed using one-way analysis of variance.

Results There were statistically significant differences in mean canal cleanliness scores observed between the four groups. Chitosan NPs showed lower mean canal cleanliness scores at the apical one-third of the root canal indicating better cleanliness when compared with the other irrigants and techniques.

Conclusion None of the irrigation techniques was successful in entirely removing the calcium hydroxide intracanal medicament from the apical third.

Keywords

calcium hydroxide - cetrimide - chitosan - EndoVac - intracanal medicament

Full Text

References

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