Effectiveness of Triton Irrigation Solution in Smear Layer Removal: An in-vitro Study

This in vitro study aimed to compare and evaluate the effectiveness of different irrigation solutions, including Triton, 0.5% Chitosan nanoparticles (CNP), and 17% ethylenediaminetetraacetic acid (EDTA), on the smear layer removal of the root canal walls.

Forty extracted sound mandibular premolars were examined; the samples were decoronated to obtain a root length of 14 mm. Each sample was instrumented using ProTaper Next rotary file X4 (40/0.06). The samples were longitudinally sectioned and examined under a scanning electron microscope at 3000x magnification in the coronal, middle, and apical thirds using a four-level scoring system.

Triton demonstrated the lowest mean smear layer removal (p>0.05) compared to the other irrigation solutions at all the levels of the root canal. No significant differences were observed (p>0.05) at the coronal and middle levels of the root canal between the CNP and EDTA groups. CNP demonstrated significantly more smear layer removal at the apical level compared to EDTA.

Smear layer removal was least effective with Triton at all the levels of the root canal compared to the other irrigation solutions tested in this study. CNP demonstrated superior smear layer removal at the apical level compared to the other irrigation solutions.