Document Type
Article
Publication Date
2019
Publisher
Kare Publishing
Source Publication
European Endodontic Journal
Source ISSN
2548-0839
Original Item ID
DOI: 10.14744/eej.2018.06078
Abstract
Objective: This study aimed to investigate the relationship between final apical preparation size and smear layer removal in the apical third using conventional irrigation in mandibular bicuspids.
Methods: A total of 66 extracted human mandibular bicuspids with comparable root canal morphology were equally divided into five experimental groups and a control group (n=11). Based on their experimental group, samples were instrumented up to size 25, 30, 35, 40, or 45 with 0.04 taper using 2.5% sodium hypochlorite (NaOCl) as the irrigant. Final irrigation was performed with 17% EDTA followed by 2.5% NaOCl. The control group was instrumented up to size 45/.04, and was irrigated with distilled water. Samples were sectioned buccolingually, and they were qualitatively evaluated under scanning electron microscope for efficacy in smear layer removal. The Kruskal–Wallis and Mann–Whitney U tests were employed for statistical analysis.
Results: Statistical analysis revealed comparable removal of smear layer in the coronal and middle thirds of all experimental samples regardless of grouping. When using file size larger than 35, removal of smear layer in the apical third significantly improved (p < 0.05). No significant difference was observed between 40.04 and 45/.04.
Conclusion: Under the conditions of this study, using conventional irrigation, apical enlargement more than size 35/.04 is essential to enhance removal of smear layer at the apical third.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
Butcher, Seth; Mansour, Abeer; and Ibrahim, Mohamed, "Influence of Apical Preparation Size on Effective Conventional Irrigation in the Apical Third: A Scanning Electron Microscopic Study" (2019). School of Dentistry Faculty Research and Publications. 548.
https://epublications.marquette.edu/dentistry_fac/548
Comments
Published version. European Endodontic Journal, Vol. 4, No. 1 (2019): 9-14. DOI. © 2019 Kare Publishing. Used with permission.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.