20% Citric Acid its effectiveness as a chelator in endodontic treatment of temporary teeth
Keywords:
endodontic, dentistry, temporary teethAbstract
In endodontics, the use of a final irrigant that has properties such as antimicrobial effect, tissue dissolution and biocompatibility is essential, since toxins are the main cause of the development and persistence of a pulp and periapical lesion. Objective: To evaluate the antimicrobial capacity of 20% citric acid as a chelating solution used during the treatment of pulpectomies in temporary dental organs. Materials and methods: The study population included 30 patients from the Pediatric Dentistry Clinical of the Facultad de Estomatologia of the Universidad Autonoma de San Luis Potosí (UASLP). The participants had an age range between 3 to 9 years of age and in terms of gender 15 male and 15 female, after information consent of the minors and signature of the informed consent of the parents. Results: Citric acid at 20% showed a reduction of microorganisms from 2.5 to 6.0 CFU (Colony Forming Units) while oxygenated water, although presenting a reduction for colony forming units, was only 1 to 2 UFC. Conclusion: Citric acid is a good irrigant, but it should continue studies.
References
1. Martinelli S, Strehl A, Mesa M. Estudio de la eficacia de diferentes soluciones de EDTA y ácido cítrico en la remoción de barro dentinario. Odontoestomatologia 2012; 14(19): 52-63
2. Bystrom A, Happonen RP, Sjogren U, Sundqvist G. Healing of periapical lesions of pulpless teeth after endodontic treatment with controlled asepsis. Endod Dent Traumatol 1987; 3: 58–65.
3. Di Lenarda R, Cadenaro M, Sbaizero O. Effectiveness of 1 mol L-1 citric acid and 15% EDTA irrigation on smear layer removal. Int Endod J. 2000; 33(1): 46-52
4. Ahir B, Parekh V, Katyayan PA. Smear layer removal efficacy of different irriganting solutions: A comparative scanning electron microscope evaluation. Indian J Dent Res 2014; 25: 617-622.
5. Perez-Heredia M, Ferrer-Luque CM, Gonzalez-Rodriguez MP, Martin-Peinado FJ, Gonzalez-Lopez S. Decalcifying effect of 15% EDTA, 15% citric acid, 5% phosphoric acid and 2.5% sodium hypochlorite on root canal dentine. Int Endod J 2008; 41: 418-423.
6. Sjögren U, Figdor D, Persson S, Sundqvist G. Influence of infection at the time of root filling on the outcome of endodontic treatment of teeth with apical periodontitis. Int Endod J 1997; 30: 297–306.
7. Zehnder M, Kosicki D, Luder H, et al. Tissue dissolving capacity and antibacterial effect of buffered and unbuffered hypochlorite solutions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 94: 756–762.
8. Torabinejad M, Khademi AA, Babagoli J, Cho Y, Johnson WB, Boxhilov K, et al. A new solution for the removal of the smear layer. J Endod 2003; 29: 170-175.
9. Pozos-Guillen A, García-Flores A, Esparza-Villalpando V, Garrocho-Rangel A. Intracanal irrigants for pulpectomy in primary teeth: a systematic review and meta-analysis. International Journal of Paediatric Dentistry 2016; 26: 412-425
10. Kargul B, Tanboga I, Altinok B. Conventional endodontic treatment of primary molars using Metronidazole as an intra-canal medicament: a pilot study. Eur Arch Paediatr Dent 2010; 11: 196– 200.
11. Kaur R, Singh R, Sethi K, Garg S, Miglani S. Review article irrigating solutions in Pediatric Dentistry: literatura review and update. J Adv Med Dent Sci 2014; 2: 104–115.
12. American Academy of Pedriatric Dentistry. Guideline on pulp therapy for primary and immature permanent teeth. Reference Manual 2011-2012. Pediatr Dent 2011; 33: 212-219
13. National Committee for Clinical Laboratory Standards. Approved standard: M7-A6. Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically, 6th ed. NCCLS 2003, Wayne, PA.
14. National Committee for Clinical Laboratory Standards. MIC testing supplemental tables. Document M100-S10. NCCLS 2000, Wayne, PA.
15. García-Delgado A, Martín-González J, Castellanos-Cosano L, Martín-Jiménez M, Segura-Egea J. Sistemas ultrasónicos para la irrigación del sistema de conductos radiculares. Avances en Odontoestomatolgía. 2014; 30(2): p. 79-95.
16. Farhin K, Viral P, Thejokrishna P, Sajjad M. Reduction in bacterial loading using MTAD as an irrigant in pulpectomized primary teeth. J Clin Pediatr Dent 2015; 38: 100–104.
17. Banode A, Gade V, Patil S, Gade J, Chandhok D, Sinkar R. Comparative Scanning Electron Microscopy Evaluation of Smear Layer Removal with 17% Ethylenediaminetetraacetic Acid, 10% Citric Acid and Newer Irrigant QMix: In Vitro Study. Indian J Oral Health Res 2015; 1(2): 56-61.
18. Fedorowicz Z, Nasser M, Sequeira-Byron P, et al. Irrigants for non-surgical root canal treatment in mature permanent teeth (review). Cochrane Database Syst Rev 2012; 9: 1–55.
19. Gondim JO, Avaca-Crusca JS, Valentini SR, Zanelli CF, Spolidorio DMP, Giro EMA. Effect of a calcium hydroxide/chlorhexidine paste as intracanal dressing in human primary teeth with necrotic pulp against Porphyromonas gingivalis and Enterococcus faecalis. Int J Paediatr Dent 2012; 22: 116–124.
20. Ito IY, Junior FM, Paula-Silva FWG, Da Silva LAB, Leonardo MR, Nelson-Filho P. Microbial culture and checkerboard DNA-DNA hybridization assessment of bacteria in root canals of primary teeth pre- and post-endodontic therapy with a calcium hydroxide/ chlorhexidine paste. Int J Paediatr Dent 2011; 21: 353–360.
21. Agreda M, Jiménez L, Hernández M, Ostos J. Efectividad del ácido etilendiaminotetraacético y ácido cítrico en la remoción del barrillo dentinario del sistema de conductos radiculares. Odous Científica. 2015; 16(2): 18-30
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