4.5 Article

The Comparison of the Effect of Endodontic Irrigation on Cell Adherence to Root Canal Dentin

Journal

JOURNAL OF ENDODONTICS
Volume 34, Issue 12, Pages 1474-1479

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.joen.2008.09.001

Keywords

Biocompatibility; regenerative endodontics; smear layer; stem cells

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The purpose of this study was to compare the effect of 10 different endodontic irrigation and chelating treatments on dental pulp stem cell (DPSC) attachment to root canal surfaces. Thirty-eight extracted human non-diseased single-canal teeth were cleaned and shaped using ProTaper and ProFile rotary instrumentation (Tulsa Dentsply, Tulsa, OK). The irrigation treatments investigated were 6% sodium hypochlorite, 2% chlorhexidine gluconate, Aquatine Endodontic Cleanser, and Morinda citrifolia juice. The irrigation treatments were used in conjunction with EDTA or MTAD. The instrumented teeth were immediately placed in cell culture with confluent DPSCs for 1 week. The number of attached DPSCs appeared to be correlated with the cytotoxicity of the root canal irrigating solution (analysis of variance, p < 0.0001). The presence or absence of the smear layer had little influence on DPSC activity (chi-square, p > 0.05). The results suggest that bio-compatible irrigants are needed to promote (DPSC) attachment to root canal dentin, which is essential to accomplish some regenerative endodontic therapies. (J Endod 2008;34:1474-1479)

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