• Niger J Clin Pract · Mar 2022

    Atomic force microscopy study on the effect of different irrigation regimens on the surface roughness of human root canal dentin.

    • I Tsenova-Ilieva, S Simeonova, and E Karova.
    • Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University of Sofia, Sofia, Bulgaria.
    • Niger J Clin Pract. 2022 Mar 1; 25 (3): 261-266.

    BackgroundEndodontic irrigants could alter the mechanical properties of root canal dentin, such as its roughness.AimTo compare the effect of various irrigation protocols on root canal dentin roughness with respect to their application time, concentration, and additional ultrasonic activation.Materials And MethodsForty single-rooted, non-endodontically treated upper incisors were decoronated and further sectioned longitudinally in a buccolingual direction. The surfaces of all eighty samples were polished and randomly segregated to eight equal groups (n = 10): Group A: 2% NaOCl/2 min followed by 17% EDTA/2 min; Group B: 2% NaOCl/5 min followed by 17% EDTA/5 min; Group C: 5.25% NaOCl/2 min followed by 17% EDTA/2 min; Group D: 5.25% NaOCl/5 min followed by 17% EDTA/5 min; Group E: 2% NaOCl solution, ultrasonically activated for 2 min; Group F: 5.25% NaOCl, ultrasonically activated for 2 min; Group G: 2% NaOCl/2 min followed by 17% EDTA/2 min, both ultrasonically activated; Group H: Control group (distilled water).ResultsAll irrigation regimens increased root dentin surface roughness in comparison with the control group. The analysis of the values revealed significant differences between the arithmetical average roughness values (Ra) in the groups (p < 0.001). A statistically significant increase in the Ra parameter was observed in groups E, F, G, and D. The irrigation protocol in Group A showed a significantly smoother dentin surface than those with the ultrasonic activation.ConclusionAll tested irrigants increased root canal dentin roughness and the effect was time and concentration-dependent. The ultrasonic activation of the disinfection solutions roughened the root dentin surface significantly.

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