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Phytic acid: an alternative root canal chelating agent.
Mohannad Nassar1, Noriko Hiraishi2, Yukihiko Tamura3
1Cariology and Operative Dentistry, Department of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan; Global Center of Excellence (GCOE) Program, International Research Center for Molecular Science in Tooth and Bone Diseases, Tokyo Medical and Dental University, Tokyo, Japan.
Inositol hexakisphosphate (IP6) effectively removes the smear layer from root canals and dentin surfaces. This chelating agent is less cytotoxic than EDTA and supports osteoblast-like cell differentiation.
Area of Science:
- Biomaterials Science
- Dental Research
- Cell Biology
Background:
- Sodium hypochlorite (NaOCl) is a common irrigant in endodontics, but it leaves a smear layer.
- Effective smear layer removal is crucial for successful root canal treatment.
- Investigating alternative chelating agents is important for improving biocompatibility.
Purpose of the Study:
- To assess inositol hexakisphosphate (IP6) as a final rinse for smear layer removal after NaOCl treatment.
- To evaluate the effect of IP6 on dentin surfaces and instrumented root canals.
- To determine the impact of IP6 on osteoblast-like cell viability and alkaline phosphatase activity.
Main Methods:
- Human canine root canals and dentin surfaces were treated with NaOCl, followed by rinses with 17% EDTA, 1% IP6, or distilled water.
- Scanning electron microscopy (SEM) was used to evaluate smear layer removal.
- Cell viability and alkaline phosphatase assays assessed the effects on MC3T3-E1 cells.
Main Results:
- IP6 effectively removed the smear layer from both instrumented root canals and dentin surfaces.
- Compared to EDTA, IP6 exhibited lower cytotoxicity.
- IP6 did not negatively affect the differentiation of MC3T3-E1 cells.
Conclusions:
- Inositol hexakisphosphate (IP6) demonstrates potential as an effective smear layer chelating agent.
- IP6 presents a more biocompatible alternative to EDTA for root canal irrigation.
- Further research into IP6 for endodontic applications is warranted.
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