Comparison of decalcifying agents and techniques for human dental tissues

Teeth are among the hardest animal tissues, because they are composed of large amounts of inorganic compounds. Consequently, teeth are difficult to prepare for microscopic examination. Acids and chelating agents traditionally have been used to remove calcium ions. We compared decalcifying agents including strong acids, weak acids, chelating agents, techniques using electric current, agitation and heat. Freshly extracted teeth were fixed and decalcified using formic acid-formalin, formal-nitric acid, formalin-EDTA, Von Ebner's fluid and Perenyi's fluid. Three additional techniques including formic acid with agitation, formic acid with heat and formic acid with electric current also were evaluated. Decalcified teeth were evaluated histologically for tissue preservation and staining characteristics. Formic acid with gentle agitation produced the best decalcification overall based on time required for decalcification, ease of sectioning, hard and soft tissue staining and tissue preservation. Our findings support the use of agitation with formic acid decalcification, because it reduces significantly both the time required and the deleterious effects of prolonged immersion.