Title-An Overview on Staining Potential of Root Canal Irrigants and Medicaments in Endodontics

Authors

  • Dr. Nitish Mathur Department of Conservative Dentistry and Endodontics, Peoples Dental Academy, Bhopal, India. Author

DOI:

https://doi.org/10.61841/5r2saw45

Keywords:

Disinfection, Intracanal Medicaments, Root Canal Irigants,, , Staining Potential.

Abstract

--- Success of endodontic treatment depends upon eliminating microorganisms from the root canal. Thus, disinfection in endodontics is a critical step which relies on root canal irrigants and intracanal medicaments. This review aims to discuss the intrinsic and internalized staining potential of routinely used root canal irrigants and intracanal medicaments in endodontic practice. Keeping in mind the antimicrobial effect of irrigants and intracanal medicaments, the dentist should also consider their staining potential and measures to prevent the same. Thus, endodontic treatment should not focus only on biological and functional aspects, but also consider aesthetic consequences as well.

 

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References

[1] Machado Andre Wilson. 10 commandments of smile esthetics. Dental Press J. Orthod. [Internet]. 2014 Aug [cited 2020 Mar 30]; 19(4): 136-157.

[2] Afroz, S., Rathi, S., Rajput, G. et al. Dental Esthetics and Its Impact on Psycho-Social Well-Being and Dental Self Confidence: A Campus Based Survey of North Indian University Students. J Indian Prosthodont Soc 13, 455–460 (2013).

[3] Sulieman MA (2008). An overview of tooth-bleaching techniques: chemistry, safety and efficacy.

Periodontology 2000 48, 148–69.

[4] Hattab FN, Qudeimat MA, al-Rimawi HS (1999) Dental discoloration: an overview. Journal of Esthetic Dentistry 11, 291–310

[5] Plotino G, Buono L, Grande NM, Pameijer CH, Somma F (2008) Nonvital tooth bleaching: a review of the literature and clinical procedures. Journal of Endodontics 34, 394–407

[6] Watts A, Addy M (2001) Tooth discolouration and staining: a review of the literature. British Dental Journal 190, 309–16.

[7] Sulieman M (2005) An overview of tooth discoloration: extrinsic, intrinsic and internalized stains. Dental Update 32, 463–4. 466-8, 471.

[8] Kumar A, Tamanna S, Iftekhar H. Intracanal medicaments – Their use in modern endodontics: A narrative review. J Oral Res Rev 2019;11:94-9

[9] Kandaswamy D, Venkateshbabu N. Root canal irrigants. J Conserv Dent. 2010 Oct; 13(4):256-64.

[10] Krastl G, Allgayer N, Lenherr P, Filippi A, Taneja P, Weiger R. Tooth discoloration induced by endodontic materials: a literature review. Dental traumatology. 2013 Feb; 29(1):2-7.

[11] Chahande RK, Patil SS, Gade V, Meshram R, Chandhok DJ, Thakur DA. Spectrophotometric analysis of crown discoloration induced by two different sealers: An In vitro study. Indian J Dent Res 2017;28:71-5

[12] Gutie´rrez JH, Guzma´n M (1968) Tooth discoloration in endodontic procedures. Oral Surgery Oral Medicine Oral Pathology 26, 706–11.

[13] Naenni N, Thoma K, Zehnder M. Soft tissue dissolution capacity of currently used and potential endodontic irrigants. J Endod 2004; 30: 785-787.

[14] Zehnder M, Kosicki D, Luder H, Sener B, Waltimo T. 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

[15] Estrela C, Estrela CRA, Barbin EL, Spanó JCE, Marchesan MA, Pécora JD. Mechanism of action of sodium hypochlorite. Braz Dent J. 2002; 13(2):113-7.

[16] Gutie´rrez JH, Guzma´n M (1968) Tooth discoloration in endodontic procedures. Oral Surgery Oral Medicine Oral Pathology 26, 706–11.

[17] Kuruvilla JP, Kamath P. Antimicrobial activity of 2.5% sodium hypochlorite and 0.2% chlorhexidine gluconate separately and combined, endodontic irrigants. J Endod 1998; 24: 472–6.

[18] Marchesan MA, Pasternak JRB, Afonso MMF, et al. Chemical analysis of the flocculate formed by the association of sodium hypochlorite and chlorhexidine. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:e103–5.

[19] Vivacqua-Gomes N, Ferraz CC, Gomes BP, Zaia AA, Teixeira FB, Souza-Filho FJ (2002) Influence of irrigants on the coronal microleakage of laterally condensed gutta-percha root fillings. International Endodontic Journal 35, 791–5.

[20] Akisue E, Tomita VS, Gavini G, Poli de Figueiredo JA (2010) Effect of the combination of sodium hypochlorite and chlorhexidine on dentinal permeability and scanning electron microscopy precipitate observation. Journal of Endodontics 36, 847–50.

[21] Basrani BR, Manek S, Sodhi RN, Fillery E, Manzur A (2007) Interaction between sodium hypochlorite and chlorhexidine gluconate. Journal of Endodontics 33, 966–9.

[22] Krishnamurthy S, Sudhakaran S (2010) Evaluation and prevention of the precipitate formed on interaction between sodium hypochlorite and chlorhexidine. Journal of Endodontics 36, 1154–7.

[23] Torabinejad M, Khademi AA, Babagoli J, et al. A new solution for the removal of the smear layer. J Endod

2003; 29: 170 –5.

[24] Torabinejad M, Cho Y, Khademi AA, Bakland LK, Shabahang S. The effect of various concentrations of sodium hypochlorite on the ability of MTAD to remove the smear layer. J Endod 2003; 29: 233–9.

[25] Weyman J. The clinical appearances of tetracycline staining of the teeth. Br Dent J 1965:289-91.

[26] Beltz RE, Torabinejad M, Pouresmail M. Quantitative analysis of the solubilizing action of MTAD, sodium hypochlorite, and EDTA on bovine pulp and dentin. J Endod 2003;29:334 –7

[27] Park DS, Torabinejad M, Shabahang S. The effect of MTAD on the coronal leakage of obturated root canals. J Endod 2004;30:890 –2.

[28] Torabinejad M, Cho Y, Khademi AA, Bakland LK, Shabahang S. The effect of various concentrations of sodium hypochlorite on the ability of MTAD to remove the smear layer. J Endod 2003; 29: 233–9.

[29] Tay FR, Mazzoni A, Pashley DH, Day TE, Ngoh EC, Breschi L (2006a) Potential iatrogenic tetracycline staining of endodontically treated teeth via NaOCl/MTAD irrigation: a preliminary report. Journal of Endodontics 32, 354–8

[30] Nassar M, Awawdeh L, Jamleh A, Sadr A, Tagami J (2011) Adhesion of Epiphany self-etch sealer to dentin treated with intracanal irrigating solutions. Journal of Endodontics 37, 228–30

[31] Sayin TC, Serper A, Cehreli ZC, Otlu HG. The effect of EDTA, EGTA, EDTAC, and tetracycline-HCl with and without subsequent NaOCl treatment on the microhardness of root canal dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104:418 –24

[32] Khedmat S, Shokouhinejad N. Comparison of the efficacy of three chelating agents in smear layer removal.

J Endod 2008;34:599 – 602

[33] Gonza´lez-Lo´pez S, Camejo-Aguilar D, Sanchez-Sanchez P, Bolanos-Carmona V (2006) Effect of CHX on the decalcifying effect of 10% citric acid, 20% citric acid, or 17% EDTA. Journal of Endodontics 32, 781–4

[34] Rasimick BJ, Nekich M, Hladek MM, Musikant BL, Deutsch AS (2008) Interaction between chlorhexidine digluconate and EDTA. Journal of Endodontics 34, 1521–3.

[35] Ballal NV, Moorkoth S, Mala K, Bhat KS, Hussen SS, Pathak S (2011) Evaluation of chemical interactions of maleic acid with sodium hypochlorite and chlorhexidine gluconate. Journal of Endodontics 37, 1402–5.

[36] Hiraishi N, Yiu CK, King NM, Tagami J, Tay FR. Antimicrobial Efficacy of 3.8% silver diamine fluoride and its effect on root dentin. J Endod. 2010; 36:1026–9.

[37] Patel J, Anthonappa RP, King NM. Evaluation of the staining potential of silver diamine fluoride: in vitro.

International journal of paediatric dentistry. 2018 Sep; 28(5):514-22.

[38] Duangthip D, Wong MCM, Chu CH, Lo ECM. Caries arrest by topical fluorides in preschool children: 30- month results. J Dent 2018; 70: 74–79.

[39] Prabhakar J, Senthilkumar M, Priya MS, Mahalakshmi K, Sehgal PK, Sukumaran VG. Evaluation of antimicrobial efficacy of herbal alternatives (Triphala and Green Tea Polyphenols), MTAD, and 5% sodium hypochlorite against Enterococcus faecalis Biofilm Formed on Tooth Substrate: An In vitro Study. J Endod. 2010;36:83–6

[40] George J, Mathews T A. Spectrophotometric Analysis of Tooth Discoloration after Bracket Debonding Induced by Coffee and Tea Grown in South India: An In vitro Study. J Interdiscip Dentistry 2018;8:1-4

[41] Jagetia GC, Baliga MS, Malagi KJ, Kamath SM. The evaluation of the radioprotective effect of Triphala (an Ayurvedic rejuvenating drug) in the mice exposed to radiation. Phytomedicine. 2002; 9: 99–108.

[42] Choudhary E, Indushekar KR, Saraf BG, Sheoran N, Sardana D, Shekhar A. Exploring the role of Morinda citrifolia and Triphala juice in root canal irrigation: An ex vivo study. Journal of conservative dentistry: JCD. 2018 Jul; 21(4):443.

[43] Thomson AD, Athanassiadis B, Kahler B, Walsh L. Tooth discolouration: staining effects of various sealers and medicaments. Aust Endod J. 2012; 38:2–9.

[44] Kim ST, Abbott PV, McGinley P. The effects of Ledermix paste on discolouration of immature teeth. Int Endod J. 2000; 33:233–237.

[45] Lenherr P, Allgayer N, Weiger R, Filippi A, Attin T, Krastl G. Tooth discoloration induced by endodontic materials: a laboratory study. Int Endod J. 2012; 45: 942–949.

[46] Ordinola-Zapata R, Bramante CM, Minotti PG, Cavenago BC, Garcia RB, Bernardineli N, Jaramillo DE, Hungaro Duarte MA. Antimicrobial activity of triantibiotic paste, 2% chlorhexidine gel, and calcium hydroxide on an intraoral-infected dentin biofilm model. J Endod. 2013; 39: 115–118.

[47] Rahimi S, Janani M, Lotfi M, Shahi S, Aghbali A, Vahid Pakdel M, Salem Milani A, Ghasemi N. A review of antibacterial agents in endodontic treatment. Iran Endod J. 2014; 9: 161–168.

[48] Almyroudi A, Mackenzie D, McHugh S, Saunders WP. The effectiveness of various disinfectants used as endodontic intracanal medications: an in vitro study. J Endod. 2002; 28: 163–167.

[49] Kim JH, Kim Y, Shin SJ, Park JW, Jung IY (2010a) Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. Journal of Endodontics 36, 1086–91

[50] Athanassiadis B, Abbott P.V., Walsh LJ, The Use Of Calcium Hydroxide, Antibiotics And Biocides As Antimicrobial Medicaments In Endodontics, Australian Dental Journal, (52), 2007, 64-82.

[51] Chen BK, George R, Walsh LJ. Root discolouration following short-term application of steroid medicaments containing clindamycin, doxycycline or demeclocycline. Aust Endod J. 2012; 38(3):124–8.

[52] Bowles WH. Protection against minocycline pigment formation by ascorbic acid (vitamin C) J Esthet Dent. 1998; 10(4):182–6.

[53] Ari Kupietzky, William F. Waggoner, Jon Galea. The clinical and radiographic success of bonded resin composite strip crowns for primary incisors. Pediatric dentistry. 25: 6.2003. 577-581

[54] Dankert J, Gravenmade EJ, Wemes JC (1976) Diffusion of formocresol and glutaraldehyde through dentin and cementum. Journal of Endodontics 2, 42–6

[55] Cambruzzi JV, Greenfeld RS (1983) Necrosis of crestal bone related to the use of excessive formocresol medication during endodontic treatment. Journal of Endodontics.

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Published

30.06.2020

How to Cite

Mathur, D. N. (2020). Title-An Overview on Staining Potential of Root Canal Irrigants and Medicaments in Endodontics. International Journal of Psychosocial Rehabilitation, 24(4), 6997-7003. https://doi.org/10.61841/5r2saw45