title: Scanning electron microscopic preliminary study of the efficacy of SmearClear and EDTA for smear layer removal after root canal instrumentation in permanent teeth.
abstract: This study aimed to evaluate the efficacy of SmearClear (SybronEndo, Orange, CA) and EDTA for smear layer removal from root canals of permanent teeth after instrumentation. Thirty extracted human permanent teeth (n = 10) were randomly assigned to the following groups: group 1 = 14.3% EDTA, group 2 = SmearClear, and group 3 = no smear layer removal procedure was undertaken (control). The specimens were submitted to scanning electron microscopy analysis. Magnifications of 200x and 750x were used to evaluate cleaning at the apical, middle, and cervical thirds according to a three-point scoring system. Data were analyzed statistically by the Mann-Whitney U test (5% significance level). Groups 1 and 2 differed significantly from group 3 (p < 0.01). However, there was no statistically significant difference (p > 0.05) between groups 1 and 2. In conclusion, SmearClear was able to remove the smear layer from the root canals of permanent teeth similarly as 14.3% EDTA, suggesting that both solutions may be indicated for such purpose.
authors.affiliation: Department of Pediatric Dentistry, Preventive and Community Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil. lea@forp.usp.br
authors.forename: Lea Assed Bezerra
authors.initials: LA
authors.lastname: da Silva
authors.forename: Ana Carolina Meng
authors.initials: AC
authors.lastname: Sanguino
authors.forename: Cristiane Tomaz
authors.initials: CT
authors.lastname: Rocha
authors.forename: Mario Roberto
authors.initials: MR
authors.lastname: Leonardo
authors.forename: Raquel Assed Bezerra
authors.initials: RA
authors.lastname: Silva
mesh_terms: D002614:Chelating Agents / Q000627:therapeutic use*; D003786:Dental Pulp Cavity / Q000187:drug effects* / Q000648:ultrastructure; D003804:Dentin / Q000187:drug effects / Q000648:ultrastructure; D004492:Edetic Acid / Q000627:therapeutic use*; D006801:Humans; D008422:Materials Testing; D008855:Microscopy, Electron, Scanning; D012388:Root Canal Irrigants / Q000627:therapeutic use*; D018915:Root Canal Preparation / Q000295:instrumentation* / Q000379:methods; D016369:Smear Layer; D013501:Surface-Active Agents / Q000627:therapeutic use; D019227:Tooth Apex / Q000187:drug effects / Q000648:ultrastructure
chemical_list: D002614:Chelating Agents; D012388:Root Canal Irrigants; C521331:Smear Clear; D013501:Surface-Active Agents; D004492:Edetic Acid