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Effect of different chelating agents on dentinal crack formation
Hakan Gokturk1, Ugur Aydin2, Ismail Ozkocak1
1Department of Endodontics, Faculty of Dentistry, Bolu Abant İzzet Baysal University.
Using chelating agents during root canal preparation with reciprocating files may reduce tooth cracks. This study evaluated various irrigation solutions and found chelating agents beneficial for minimizing crack formation in incisor teeth.
Area of Science:
- Endodontics
- Dental Materials Science
Background:
- Root canal preparation using reciprocating instruments can induce cracks.
- Understanding the influence of irrigants on crack formation is crucial for endodontic treatment success.
Purpose of the Study:
- To evaluate crack formation during root canal preparation with reciprocating files.
- To compare the effects of various irrigation solutions and chelating agents on crack incidence.
Main Methods:
- 120 incisor teeth were divided into eight groups, including a control.
- Root canals were prepared using reciprocating instruments with different irrigants: distilled water, sodium hypochlorite, citric acid, maleic acid, peracetic acid, EDTA gel, and EDTA liquid.
- Roots were sectioned at 3, 6, and 9 mm from the apex, and crack numbers were recorded.
Main Results:
- Chelating agents (citric acid, maleic acid, EDTA) showed similar numbers of cracked sections.
- No significant difference in crack formation was observed between the tested chelating agents.
- The use of chelating agents during preparation with reciprocating instruments appeared beneficial in reducing crack formation compared to some other solutions.
Conclusions:
- Chelating agents used during reciprocating root canal preparation may help minimize crack formation.
- The choice of irrigant, particularly chelating agents, can influence the structural integrity of the tooth during endodontic procedures.
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