Decalcifying effects of antimicrobial irrigating solutions on root canal dentin

Med Oral Patol Oral Cir Bucal. 2013 Jan 1;18(1):e158-61. doi: 10.4317/medoral.18207.

Abstract

Objective: The aim of this study was to determine the decalcifying efficacy of 7% maleic acid (MA), 2% chlorhexidine (CHX), and combinations of 7% MA + 0.2% cetrimide (CTR) and 2% CHX + 0.2% CTR, in four time periods.

Study design: Four specimens per tooth were obtained from a 2-mm thick slice of the cervical third of the root of ten human incisors. At 1, 2, 3 and 5 minutes of immersion, the concentrations of Ca2+ were measured by atomic absorption spectrophotometry. The results were analyzed using the Mann-Whitney U-test.

Results: Statistically significant differences were seen for the extracted calcium in all time periods. The amount of calcium extracted by 7% MA was the highest at all four immersion times, followed by 7% MA + 0.2% CTR. Two percent CHX and its combination with 0.2% CTR extracted virtually no calcium.

Conclusions: The decalcifying capacity of 7% MA and 2% CHX diminished when combined with 0.2% CTR.

MeSH terms

  • Anti-Infective Agents, Local / pharmacology*
  • Cetrimonium
  • Cetrimonium Compounds / pharmacology*
  • Chlorhexidine / pharmacology*
  • Dentin / drug effects*
  • Humans
  • In Vitro Techniques
  • Maleates / pharmacology*
  • Root Canal Irrigants / pharmacology*

Substances

  • Anti-Infective Agents, Local
  • Cetrimonium Compounds
  • Maleates
  • Root Canal Irrigants
  • maleic acid
  • Chlorhexidine
  • Cetrimonium