Scanning Electron Microscopic Evaluation of Smear Layer Removal and Estimation of Dentin Microhardness Using TRITON Endodontic Irrigant: An In Vitro Study

Background and objectives: Irrigation is essential in endodontic therapy, and traditional irrigation was done with NAOCl and EDTA to remove the smear layer and clean the canal, but it had several difficulties. Many solutions, such as Smearoff, Qmix and MTAD, are available as a single irrigant solut...

Full description

Saved in:
Bibliographic Details
Main Authors: Nawfal A. Zakaria, Mohammed Khudair
Format: Article
Language:English
Published: College Of Dentistry Hawler Medical University 2024-12-01
Series:Erbil Dental Journal
Subjects:
Online Access:https://edj.hmu.edu.krd/index.php/journal/article/view/291
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823857419548098560
author Nawfal A. Zakaria
Mohammed Khudair
author_facet Nawfal A. Zakaria
Mohammed Khudair
author_sort Nawfal A. Zakaria
collection DOAJ
description Background and objectives: Irrigation is essential in endodontic therapy, and traditional irrigation was done with NAOCl and EDTA to remove the smear layer and clean the canal, but it had several difficulties. Many solutions, such as Smearoff, Qmix and MTAD, are available as a single irrigant solution to disinfect and remove the smear layer. TRITON is a revolutionary two-in-one irrigant that can both remove smear layer and disinfect the canal. This study aims to evaluate the effect of Triton on smear layer removal and compare it with Qmix and conventional NaOCl and EDTA irrigation protocols. Methods: Thirty extracted single canal teeth were divided into three groups; Group 1 was irrigated with NaOCl and EDTA. Group 2 received Triton treatment, but Group 3 received Qmix irrigation. Each tooth was then cut in half and subjected to Scanning electron microscope. Results: There was no significant difference between the groups investigated, however, there was a significant difference between the middle and apical thirds in Group 2 (P=0.009). Conclusion: Triton intracanal irrigant revealed effectual capability to eradicate smear layer from radicular dentin as conventional root canal irrigating solutions (NaOCl/EDTA). Triton can be used as an alternative to NaOCl+EDTA and Qmix as an irrigant.
format Article
id doaj-art-57e70780d494424dba169bc0e537d103
institution Kabale University
issn 2523-6172
2616-4795
language English
publishDate 2024-12-01
publisher College Of Dentistry Hawler Medical University
record_format Article
series Erbil Dental Journal
spelling doaj-art-57e70780d494424dba169bc0e537d1032025-02-11T20:55:40ZengCollege Of Dentistry Hawler Medical UniversityErbil Dental Journal2523-61722616-47952024-12-017210.15218/edj.2024.25278Scanning Electron Microscopic Evaluation of Smear Layer Removal and Estimation of Dentin Microhardness Using TRITON Endodontic Irrigant: An In Vitro StudyNawfal A. Zakaria0Mohammed Khudair1 College of Dentistry, Tishk International University, Erbil, Kurdistan Region, Iraq. College of Dentistry, Tishk International University, Erbil, Kurdistan Region, Iraq. Background and objectives: Irrigation is essential in endodontic therapy, and traditional irrigation was done with NAOCl and EDTA to remove the smear layer and clean the canal, but it had several difficulties. Many solutions, such as Smearoff, Qmix and MTAD, are available as a single irrigant solution to disinfect and remove the smear layer. TRITON is a revolutionary two-in-one irrigant that can both remove smear layer and disinfect the canal. This study aims to evaluate the effect of Triton on smear layer removal and compare it with Qmix and conventional NaOCl and EDTA irrigation protocols. Methods: Thirty extracted single canal teeth were divided into three groups; Group 1 was irrigated with NaOCl and EDTA. Group 2 received Triton treatment, but Group 3 received Qmix irrigation. Each tooth was then cut in half and subjected to Scanning electron microscope. Results: There was no significant difference between the groups investigated, however, there was a significant difference between the middle and apical thirds in Group 2 (P=0.009). Conclusion: Triton intracanal irrigant revealed effectual capability to eradicate smear layer from radicular dentin as conventional root canal irrigating solutions (NaOCl/EDTA). Triton can be used as an alternative to NaOCl+EDTA and Qmix as an irrigant. https://edj.hmu.edu.krd/index.php/journal/article/view/291TRITONNaOCLEDTASEMIrrigation
spellingShingle Nawfal A. Zakaria
Mohammed Khudair
Scanning Electron Microscopic Evaluation of Smear Layer Removal and Estimation of Dentin Microhardness Using TRITON Endodontic Irrigant: An In Vitro Study
Erbil Dental Journal
TRITON
NaOCL
EDTA
SEM
Irrigation
title Scanning Electron Microscopic Evaluation of Smear Layer Removal and Estimation of Dentin Microhardness Using TRITON Endodontic Irrigant: An In Vitro Study
title_full Scanning Electron Microscopic Evaluation of Smear Layer Removal and Estimation of Dentin Microhardness Using TRITON Endodontic Irrigant: An In Vitro Study
title_fullStr Scanning Electron Microscopic Evaluation of Smear Layer Removal and Estimation of Dentin Microhardness Using TRITON Endodontic Irrigant: An In Vitro Study
title_full_unstemmed Scanning Electron Microscopic Evaluation of Smear Layer Removal and Estimation of Dentin Microhardness Using TRITON Endodontic Irrigant: An In Vitro Study
title_short Scanning Electron Microscopic Evaluation of Smear Layer Removal and Estimation of Dentin Microhardness Using TRITON Endodontic Irrigant: An In Vitro Study
title_sort scanning electron microscopic evaluation of smear layer removal and estimation of dentin microhardness using triton endodontic irrigant an in vitro study
topic TRITON
NaOCL
EDTA
SEM
Irrigation
url https://edj.hmu.edu.krd/index.php/journal/article/view/291
work_keys_str_mv AT nawfalazakaria scanningelectronmicroscopicevaluationofsmearlayerremovalandestimationofdentinmicrohardnessusingtritonendodonticirrigantaninvitrostudy
AT mohammedkhudair scanningelectronmicroscopicevaluationofsmearlayerremovalandestimationofdentinmicrohardnessusingtritonendodonticirrigantaninvitrostudy