Influence of final irrigation with titanium dioxide and silver nanoparticles on the fracture resistance of endodontically treated roots

Background: Titanium dioxide (TiO2NP) and silver nanoparticles (AgNPs) have been recognized for their ability to enhance the structural integrity of dental materials. This study aimed to compare the influence of these nanoparticles on the structural resilience of treated root canals. Materials and M...

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Main Authors: Mohamed I. Ebrahim, Fahd M. Hadhoud, Ali A. Alqarni, Shaimaa M. Al Harthi, Hassan T. Shawli
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Saudi Dental Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S101390522400289X
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author Mohamed I. Ebrahim
Fahd M. Hadhoud
Ali A. Alqarni
Shaimaa M. Al Harthi
Hassan T. Shawli
author_facet Mohamed I. Ebrahim
Fahd M. Hadhoud
Ali A. Alqarni
Shaimaa M. Al Harthi
Hassan T. Shawli
author_sort Mohamed I. Ebrahim
collection DOAJ
description Background: Titanium dioxide (TiO2NP) and silver nanoparticles (AgNPs) have been recognized for their ability to enhance the structural integrity of dental materials. This study aimed to compare the influence of these nanoparticles on the structural resilience of treated root canals. Materials and Methods: The crowns of 75 undamaged central incisors were sectioned below the cemento-enamel junction to achieve a consistent root length of 16 mm. The root canals were prepared using K3 files up to size 40 with a 6 % taper. The specimens were then divided into five groups (n = 15), each subjected to a final irrigation protocol with one of the following solutions: normal saline, 2 % chlorhexidine (CHX), 17 % EDTA combined with 2.5 % sodium hypochlorite (NaOCl), 17 % EDTA with 0.1 % silver nanoparticles (AgNPs), and 17 % EDTA with 0.1 % titanium dioxide nanoparticles (TNPs). After obturation with gutta-percha and sealer, fracture resistance (FR) was evaluated. The data were analyzed using one-way ANOVA and Tamhane’s post hoc test (p < 0.050). Results: The lowest fracture resistance (FR) was observed in the group treated with ethylenediaminetetraacetic acid (EDTA) combined with sodium hypochlorite (NaOCl), followed by the groups irrigated with normal saline and chlorhexidine (CHX), with no statistically significant difference between the latter two groups (p > 0.05). There was also no significant difference in FR between the CHX and saline groups (p > 0.05). In contrast, irrigation with silver nanoparticles (AgNPs) and titanium dioxide nanoparticles (TNPs) resulted in significantly higher fracture resistance compared to the other solutions tested (p < 0.050). Conclusion: The fracture resistance of endodontically treated roots was significantly improved when the final irrigation sequence included AgNPs and TNPs nanoparticles. In contrast, sodium hypochlorite (NaOCl) yielded the lowest fracture resistance value.
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series Saudi Dental Journal
spelling doaj-art-9f9a7ffc6db448a5b85782f9d836925c2024-12-18T08:47:08ZengElsevierSaudi Dental Journal1013-90522024-12-01361215491552Influence of final irrigation with titanium dioxide and silver nanoparticles on the fracture resistance of endodontically treated rootsMohamed I. Ebrahim0Fahd M. Hadhoud1Ali A. Alqarni2Shaimaa M. Al Harthi3Hassan T. Shawli4Dental Biomaterials, Faculty of Dental Medicine, Al Azhar University, Cairo, Egypt; Department of Restorative Dental Science, Faculty of Dentistry, Taif University, Taif, Saudi ArabiaDepartment of Restorative Dental Science, Faculty of Dentistry, Taif University, Taif, Saudi Arabia; Endodontic Department, Faculty of Dental Medicine Assiut Branch, Al Azhar University, Assiut Egypt; Corresponding author at: Restorative and Dental Materials Department, Faculty of Dentistry, Taif University, P. O Box 11099, Taif 21944, Saudi Arabia.Department of Oral &amp; Maxillofacial Surgery and Diagnostic Sciences, Faculty of Dentistry, Taif University, Taif 21944, Saudi ArabiaDepartment of Oral &amp; Maxillofacial Surgery and Diagnostic Sciences, Faculty of Dentistry, Taif University, Taif 21944, Saudi ArabiaDepartment of Restorative Dental Science, Faculty of Dentistry, Taif University, Taif, Saudi ArabiaBackground: Titanium dioxide (TiO2NP) and silver nanoparticles (AgNPs) have been recognized for their ability to enhance the structural integrity of dental materials. This study aimed to compare the influence of these nanoparticles on the structural resilience of treated root canals. Materials and Methods: The crowns of 75 undamaged central incisors were sectioned below the cemento-enamel junction to achieve a consistent root length of 16 mm. The root canals were prepared using K3 files up to size 40 with a 6 % taper. The specimens were then divided into five groups (n = 15), each subjected to a final irrigation protocol with one of the following solutions: normal saline, 2 % chlorhexidine (CHX), 17 % EDTA combined with 2.5 % sodium hypochlorite (NaOCl), 17 % EDTA with 0.1 % silver nanoparticles (AgNPs), and 17 % EDTA with 0.1 % titanium dioxide nanoparticles (TNPs). After obturation with gutta-percha and sealer, fracture resistance (FR) was evaluated. The data were analyzed using one-way ANOVA and Tamhane’s post hoc test (p < 0.050). Results: The lowest fracture resistance (FR) was observed in the group treated with ethylenediaminetetraacetic acid (EDTA) combined with sodium hypochlorite (NaOCl), followed by the groups irrigated with normal saline and chlorhexidine (CHX), with no statistically significant difference between the latter two groups (p > 0.05). There was also no significant difference in FR between the CHX and saline groups (p > 0.05). In contrast, irrigation with silver nanoparticles (AgNPs) and titanium dioxide nanoparticles (TNPs) resulted in significantly higher fracture resistance compared to the other solutions tested (p < 0.050). Conclusion: The fracture resistance of endodontically treated roots was significantly improved when the final irrigation sequence included AgNPs and TNPs nanoparticles. In contrast, sodium hypochlorite (NaOCl) yielded the lowest fracture resistance value.http://www.sciencedirect.com/science/article/pii/S101390522400289XRoot canal therapySilverZinc oxideFracture resistanceNanoparticlesRoot canal irrigant
spellingShingle Mohamed I. Ebrahim
Fahd M. Hadhoud
Ali A. Alqarni
Shaimaa M. Al Harthi
Hassan T. Shawli
Influence of final irrigation with titanium dioxide and silver nanoparticles on the fracture resistance of endodontically treated roots
Saudi Dental Journal
Root canal therapy
Silver
Zinc oxide
Fracture resistance
Nanoparticles
Root canal irrigant
title Influence of final irrigation with titanium dioxide and silver nanoparticles on the fracture resistance of endodontically treated roots
title_full Influence of final irrigation with titanium dioxide and silver nanoparticles on the fracture resistance of endodontically treated roots
title_fullStr Influence of final irrigation with titanium dioxide and silver nanoparticles on the fracture resistance of endodontically treated roots
title_full_unstemmed Influence of final irrigation with titanium dioxide and silver nanoparticles on the fracture resistance of endodontically treated roots
title_short Influence of final irrigation with titanium dioxide and silver nanoparticles on the fracture resistance of endodontically treated roots
title_sort influence of final irrigation with titanium dioxide and silver nanoparticles on the fracture resistance of endodontically treated roots
topic Root canal therapy
Silver
Zinc oxide
Fracture resistance
Nanoparticles
Root canal irrigant
url http://www.sciencedirect.com/science/article/pii/S101390522400289X
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