Palabras clave
Permeabilidad dentinaria, Barro dentinario, Quelantes
Cómo citar
Estudio de la eficacia de diferentes soluciones de EDTA y ácido cítrico en la remoción del barro dentinario. (2012). Odontoestomatología, 14(19), 52-63. https://www.odon.edu.uy/ojs/index.php/ode/article/view/193
Resumen
El uso de quelantes como irrigantes previo a la medicación tópica y a la obturación, es relevante para lograr un correcto saneado y adaptación del material de obturación a las paredes del conducto.
El objetivo de este estudio fue evaluar y comparar in vitro, la capacidad de limpieza y remoción del barrillo dentinario de las paredes del conducto y canalículos, luego de la instrumentación, con diferentes irrigantes. En la irrigación final se utilizó NaOCI, EDTA 17%, Quelant (preparado comercial con EDTA) y ácido cítrico 10% y 25%.
Posteriormente se cortaron las coronas y las raíces fueron seccionadas longitudinalmente y examinadas en el MEB en sus tres tercios. Los resultados mostraron que el NaOCI con un quelante mostraron diferentes grados de limpieza. Con Quelant y ácido cítrico en sus dos concentraciones, se lograron resultados satisfactorios
Referencias
Mc Comb D, Smith DC. A preliminary scanning electron microscopic study of root canalsafter endodontic procedures. J Endod 1975; 1 (7): 238-242. [ Links ]
Pashley DH: Smear layer: physiological considerations. Oper Dent (Suppl) 1984; 3: 13-29 [ Links ]
Mader CL, Baumgartner JC, Peters DD. Scanning Electron Microscopic Investigation of the Smeared Layer on Root Canal Walls. J Endod 1984; 10 (10): 477- 483. [ Links ]
Cameron JA: The use of ultrasonics in the removal of the smear layer: a scanning electron microscope study. J Endod 1983; 9 (7): 289-292 [ Links ]
Yamada RS, Armas A, Goldman M, Lin PS.: A Scanning Electron Microscopic Comparison of a High Volume Final Flush with Several Irrigating Solutions: Part 3. J Endod 1983; 9(4): 137-142 [ Links ]
Gilboe DB, Svare CW, Thayer KE, Drennon DG.: Dentinal smearing: An investigation of the phenomenon. J Prosth Dent 1980; 44(3): 310-316 [ Links ]
Czonstkowsky M, Wilson EG, Holstein FA.: Capa superficial en endodoncia. Clín Odont Nort 1990; 1: 11-23 [ Links ]
Drake DR, Wiemann AH, Rivera EM, Walton RE: Bacteria retention in canal walls in vitro: effect of smear layer. J Endod 1994; 20 (2): 78-82 [ Links ]
Williams S, Goldman M.: Penetrability of the smeared layer by a strain of proteus vulgaris. J Endod 1985; 11(9): 385-388 [ Links ]
Di Lenarda R, Cadenaro M, Sbaizero O.: Effectiveness of 1 mol L-1 citric acid and 15% EDTA irrigation on smear layer removal. Int Endod J 2000; 33: 46-52. [ Links ]
Fogel HM, Pashley DH.: Dentin permeability: effects of endodontic procedures on root slabs. J Endod 1990 16 (9) 442-445 [ Links ]
White RR, Goldman M, Peck Sun Lin. The influence of the smeared layer upon dentinal tubule penetration by plastic filling materials. J Endod 1984 10(12) 558-562 [ Links ]
Hülsmann M, Heckendorff M, lennon A.: Chelanting agents in root canal treatment: mode of action and indications for their use. Int Endod J 2003; 36: 810-830 [ Links ]
Torabinejad M, Cho Y, Khademi AA, Bakland K, Shabahang S.: Efecto de diferentes concentraciones de hipoclorito sódico sobre la capacidad de eliminación del barrillo dentinario del MTAD. Rev Esp Endod 2003; 21(3): 179-190 [ Links ]
Orstavik D, Haapasalo M.: Desinfection by endodontic irrigants and dressings of experimentally infected dentinal tubules. Endod Dent Traumatol 1990; 6: 142-149 [ Links ]
Foster KH, Kulild JC, Weller RN.: Effect of Smear Layer Removal on the Diffusion of Calcium Hydroxide through Radicular Dentin. J Endod 1993; 19(3): 136-140 [ Links ]
Cergneux M, Ciucchi B, Dietschi JM, Holz J.: The influence of the smear layer on the sealing ability of canal obturation. Int Endod J 1987; 20: 228-232 [ Links ]
Kouvas V, LioliosE, Vassiliadis I, Parissis-Messimeris S, Boutsioukis A.: Influence of smear layer on depth of penetration of three endodontic sealers: an SEM study. Endod Dent Traumatol 1998; 14: 191-195 [ Links ]
Gutmann JL.: Adaptation of injected thermoplasticized gutta-percha in the absence of the dentinal smear layer. Int Endod J 1993; 26: 87-92 [ Links ]
Gençoglu N, Samani S, Günday M.: Dentinal Wall Adaptation of Thermoplasticized Guttapercha in the Absence or Presence of Smear Layer: A Scanning Electron Microscopic Study. J Endod 1983; 19(11): 558-582 [ Links ]
Kennedy WA, Walker WA, Gough RW: Smear layer removal effects on apical leakage. J Endod 1986; 12 (1): 21-27 [ Links ]
Baumgartner JC, Mader CL.: A Scanning Electron Microscopic Evaluation of Four Root Canal Irrigation Regimens. J Endod 1987; 13(4): 147-157 [ Links ]
Goldman M, Goldman LB, Cavaleri R, Bogis J, Lin PS.: The efficacy of several endodontic irrigating solutions: a scanning electron microscopic study: part 2. J Endod 1982; 8(11): 487-492 [ Links ]
Yamaguchi M, Yoshida K, Suzuki R, Nakamura H. Root Canal Irrigation with Citric Acid Solution. J Endod 1996; 22(1): 27-29 [ Links ]
Siqueira JF, Batista MMD, Fraga RC, de Uzeda M.: Antibacterial effects of Endodontic Irrigants on Black- Pigmented Gram-Negative Anaerobes and Facultative Bacteria. J Endod 1998; 24(6): 414-416 [ Links ]
Kuah HG, Lui JN, Tseng PSK, Chen NN.: The effect of EDTA with and without Ultrasonics on Removal of the Smear Layer. J Endod 2009; 35(3): 393-396 [ Links ]
Lui JN, Kuah HG, Chen NN.: Effect of EDTA with and without Surfactants or Ultrasonics on Removal of Smear Layer. J Endod 2007; 33(4): 472-475 [ Links ]
Cameron JA.: Factors affecting the clinical efficiency of ultrasonic endodontics: a scanning electron microscopy study. Int Endod J 1995; 28: 47-53 [ Links ]
Ostby NB: Chelation in root canal therapy. Odontol Tidskr 1957; 65: 1-11 [ Links ]
Wayman BE, Kopp WM, Pinero GJ, Lazzari EP.: Citric and lactic acids as root canal irrigants in vitro. J Endod 1979; 5 (9): 258-265 [ Links ]
Ferrer Luque CM, González López S Navajas Rodriguez de Mondelo JM.: Utilización del ácido cítrico en la preparación biomecánica del conducto radicular. Rev Esp Endod 1994; 12(2): 63-69 [ Links ]
Trowbridge HO, Kim S.: Desarrollo de la pulpa, estructura y función. En Cohen S, Burns R.: Vías de la pulpa 7a ed. España: Harcourt, 1999. Cap 10, p 368-369 [ Links ]
Martos J, Rodo Osinaga PW, Paz Borda D.: Evaluación del efecto de hipoclorito de sodio, EDTA y ácido cítrico en la permeabilidad dentinaria. Rev Esp Endod 2003; 21(3): 174-178 [ Links ]
Pérez-Heredia M, Ferrer-Luque C, González-Rodriguez M.: The Effectiveness of Different Acid Irrigating Solutions in Root Canal Clearing Alter Hand and Rotary Instrumentation. J Endod 2006; 32(10): 993- 997 [ Links ]
Serper A, Calt S. The Demineralizing Effects of EDTA at Different Concentrations and pH. J Endod 2002; 28(7): 501-502 [ Links ]
Morgan LA, Baumgartner JC.: Demineralization of resected root-ends with methylene blue dye. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 84(1): 74-78 [ Links ]
Cury JA, Bragotto C, Valdrighi L.: The demineralizing efficiency of EDTA solutions on dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1981; 52 (4): 446-448 [ Links ]
Olmos Fassi J, Del Carril MA, Saguir SN, García Rusco A.: Limpieza de las paredes de los conductos usando una combinación de hipoclorito de sodio 2, 5%-ácido cítrico 10% y clorhexidina 2%-ácido cítrico 10%. Rev Esp Endod 2009; 27(2): 63-67 [ Links ]
Saito K, Webb TD, Imamura GM, Goodell GG.: Effect of Shortened irrigation Times with 17% Ethylene Diamine Tetraacetic Acid on Smear layer Removal after Rotary Canal Instrumentation. J Endod 2008; 34(8): 1011-1013 [ Links ]
Crumpton BJ, Goodell GG, McClanahan SB.: Effects on Smear layer and Debris Removal with Varyng Volumes of 17% REDTA after Rotary Instrumentation. J Endod 2005; 31(7): 536-538 [ Links ]
Calt S, Serper A.: Efectos del EDTA en las estructuras dentarias en función del tiempo. Rev Esp Endod 2002; 20(2): 121-125. [ Links ]
Niu W, Yoshioka C, Kobayashi C, Suda H.: A scanning electron microscopic study of dentinal erosion by final irrigation with EDTA and NaOCl solutions. Int Endod J 2002; 35: 934-939 [ Links ]
Scelza MFZ, Antoniazzi JH, Scelza P.: Eficacia de la irrigación final. Evaluación con microscopía electrónica de barrido. Rev Esp Endod 2000; 18(3): 166-171 [ Links ]
Pashley DH: Smear layer: physiological considerations. Oper Dent (Suppl) 1984; 3: 13-29 [ Links ]
Mader CL, Baumgartner JC, Peters DD. Scanning Electron Microscopic Investigation of the Smeared Layer on Root Canal Walls. J Endod 1984; 10 (10): 477- 483. [ Links ]
Cameron JA: The use of ultrasonics in the removal of the smear layer: a scanning electron microscope study. J Endod 1983; 9 (7): 289-292 [ Links ]
Yamada RS, Armas A, Goldman M, Lin PS.: A Scanning Electron Microscopic Comparison of a High Volume Final Flush with Several Irrigating Solutions: Part 3. J Endod 1983; 9(4): 137-142 [ Links ]
Gilboe DB, Svare CW, Thayer KE, Drennon DG.: Dentinal smearing: An investigation of the phenomenon. J Prosth Dent 1980; 44(3): 310-316 [ Links ]
Czonstkowsky M, Wilson EG, Holstein FA.: Capa superficial en endodoncia. Clín Odont Nort 1990; 1: 11-23 [ Links ]
Drake DR, Wiemann AH, Rivera EM, Walton RE: Bacteria retention in canal walls in vitro: effect of smear layer. J Endod 1994; 20 (2): 78-82 [ Links ]
Williams S, Goldman M.: Penetrability of the smeared layer by a strain of proteus vulgaris. J Endod 1985; 11(9): 385-388 [ Links ]
Di Lenarda R, Cadenaro M, Sbaizero O.: Effectiveness of 1 mol L-1 citric acid and 15% EDTA irrigation on smear layer removal. Int Endod J 2000; 33: 46-52. [ Links ]
Fogel HM, Pashley DH.: Dentin permeability: effects of endodontic procedures on root slabs. J Endod 1990 16 (9) 442-445 [ Links ]
White RR, Goldman M, Peck Sun Lin. The influence of the smeared layer upon dentinal tubule penetration by plastic filling materials. J Endod 1984 10(12) 558-562 [ Links ]
Hülsmann M, Heckendorff M, lennon A.: Chelanting agents in root canal treatment: mode of action and indications for their use. Int Endod J 2003; 36: 810-830 [ Links ]
Torabinejad M, Cho Y, Khademi AA, Bakland K, Shabahang S.: Efecto de diferentes concentraciones de hipoclorito sódico sobre la capacidad de eliminación del barrillo dentinario del MTAD. Rev Esp Endod 2003; 21(3): 179-190 [ Links ]
Orstavik D, Haapasalo M.: Desinfection by endodontic irrigants and dressings of experimentally infected dentinal tubules. Endod Dent Traumatol 1990; 6: 142-149 [ Links ]
Foster KH, Kulild JC, Weller RN.: Effect of Smear Layer Removal on the Diffusion of Calcium Hydroxide through Radicular Dentin. J Endod 1993; 19(3): 136-140 [ Links ]
Cergneux M, Ciucchi B, Dietschi JM, Holz J.: The influence of the smear layer on the sealing ability of canal obturation. Int Endod J 1987; 20: 228-232 [ Links ]
Kouvas V, LioliosE, Vassiliadis I, Parissis-Messimeris S, Boutsioukis A.: Influence of smear layer on depth of penetration of three endodontic sealers: an SEM study. Endod Dent Traumatol 1998; 14: 191-195 [ Links ]
Gutmann JL.: Adaptation of injected thermoplasticized gutta-percha in the absence of the dentinal smear layer. Int Endod J 1993; 26: 87-92 [ Links ]
Gençoglu N, Samani S, Günday M.: Dentinal Wall Adaptation of Thermoplasticized Guttapercha in the Absence or Presence of Smear Layer: A Scanning Electron Microscopic Study. J Endod 1983; 19(11): 558-582 [ Links ]
Kennedy WA, Walker WA, Gough RW: Smear layer removal effects on apical leakage. J Endod 1986; 12 (1): 21-27 [ Links ]
Baumgartner JC, Mader CL.: A Scanning Electron Microscopic Evaluation of Four Root Canal Irrigation Regimens. J Endod 1987; 13(4): 147-157 [ Links ]
Goldman M, Goldman LB, Cavaleri R, Bogis J, Lin PS.: The efficacy of several endodontic irrigating solutions: a scanning electron microscopic study: part 2. J Endod 1982; 8(11): 487-492 [ Links ]
Yamaguchi M, Yoshida K, Suzuki R, Nakamura H. Root Canal Irrigation with Citric Acid Solution. J Endod 1996; 22(1): 27-29 [ Links ]
Siqueira JF, Batista MMD, Fraga RC, de Uzeda M.: Antibacterial effects of Endodontic Irrigants on Black- Pigmented Gram-Negative Anaerobes and Facultative Bacteria. J Endod 1998; 24(6): 414-416 [ Links ]
Kuah HG, Lui JN, Tseng PSK, Chen NN.: The effect of EDTA with and without Ultrasonics on Removal of the Smear Layer. J Endod 2009; 35(3): 393-396 [ Links ]
Lui JN, Kuah HG, Chen NN.: Effect of EDTA with and without Surfactants or Ultrasonics on Removal of Smear Layer. J Endod 2007; 33(4): 472-475 [ Links ]
Cameron JA.: Factors affecting the clinical efficiency of ultrasonic endodontics: a scanning electron microscopy study. Int Endod J 1995; 28: 47-53 [ Links ]
Ostby NB: Chelation in root canal therapy. Odontol Tidskr 1957; 65: 1-11 [ Links ]
Wayman BE, Kopp WM, Pinero GJ, Lazzari EP.: Citric and lactic acids as root canal irrigants in vitro. J Endod 1979; 5 (9): 258-265 [ Links ]
Ferrer Luque CM, González López S Navajas Rodriguez de Mondelo JM.: Utilización del ácido cítrico en la preparación biomecánica del conducto radicular. Rev Esp Endod 1994; 12(2): 63-69 [ Links ]
Trowbridge HO, Kim S.: Desarrollo de la pulpa, estructura y función. En Cohen S, Burns R.: Vías de la pulpa 7a ed. España: Harcourt, 1999. Cap 10, p 368-369 [ Links ]
Martos J, Rodo Osinaga PW, Paz Borda D.: Evaluación del efecto de hipoclorito de sodio, EDTA y ácido cítrico en la permeabilidad dentinaria. Rev Esp Endod 2003; 21(3): 174-178 [ Links ]
Pérez-Heredia M, Ferrer-Luque C, González-Rodriguez M.: The Effectiveness of Different Acid Irrigating Solutions in Root Canal Clearing Alter Hand and Rotary Instrumentation. J Endod 2006; 32(10): 993- 997 [ Links ]
Serper A, Calt S. The Demineralizing Effects of EDTA at Different Concentrations and pH. J Endod 2002; 28(7): 501-502 [ Links ]
Morgan LA, Baumgartner JC.: Demineralization of resected root-ends with methylene blue dye. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 84(1): 74-78 [ Links ]
Cury JA, Bragotto C, Valdrighi L.: The demineralizing efficiency of EDTA solutions on dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1981; 52 (4): 446-448 [ Links ]
Olmos Fassi J, Del Carril MA, Saguir SN, García Rusco A.: Limpieza de las paredes de los conductos usando una combinación de hipoclorito de sodio 2, 5%-ácido cítrico 10% y clorhexidina 2%-ácido cítrico 10%. Rev Esp Endod 2009; 27(2): 63-67 [ Links ]
Saito K, Webb TD, Imamura GM, Goodell GG.: Effect of Shortened irrigation Times with 17% Ethylene Diamine Tetraacetic Acid on Smear layer Removal after Rotary Canal Instrumentation. J Endod 2008; 34(8): 1011-1013 [ Links ]
Crumpton BJ, Goodell GG, McClanahan SB.: Effects on Smear layer and Debris Removal with Varyng Volumes of 17% REDTA after Rotary Instrumentation. J Endod 2005; 31(7): 536-538 [ Links ]
Calt S, Serper A.: Efectos del EDTA en las estructuras dentarias en función del tiempo. Rev Esp Endod 2002; 20(2): 121-125. [ Links ]
Niu W, Yoshioka C, Kobayashi C, Suda H.: A scanning electron microscopic study of dentinal erosion by final irrigation with EDTA and NaOCl solutions. Int Endod J 2002; 35: 934-939 [ Links ]
Scelza MFZ, Antoniazzi JH, Scelza P.: Eficacia de la irrigación final. Evaluación con microscopía electrónica de barrido. Rev Esp Endod 2000; 18(3): 166-171 [ Links ]