Effect of EDTA, sonic, and ultrasonic activation on the penetration of sodium hypochlorite into simulated lateral canals: an in vitro study.
BACKGROUND
The purpose of this study was to evaluate the penetration of 5.25% sodium hypochlorite alone or in combination with 17% EDTA in simulated lateral canals using sonic and ultrasonic activation.


METHODS
Four hundred and eighty simulated lateral canals were created in 80 single rooted cleared teeth by inserting 06 K-files at 2, 4.5 and 6 mm of working length. Samples were mounted on clear silicon to simulate the presence of surrounding periodontal tissues and its effects on fluid dynamics and then randomly assigned to four experimental groups: 1 (n = 20) 5.25% NaOCl + sonic activation; 2 (n = 20) 5.25% NaOCl + ultrasonic activation; 3 (n = 20) 5.25% NaOCl + 17% EDTA + sonic activation and 4 (n = 20) 5.25% NaOCl + 17% EDTA + ultrasonic activation. Sonic activation was delivered using the Endoactivator inserted 2 mm short of working length and activated for 1 minute. Ultrasonic activation was performed with a stainless steel ultrasonic file inserted 2 mm short of working length and passively activated for 3 cycles of 20 seconds each. Samples were evaluated by direct observation of the images recorded under the operating microscope and by radiographic evaluation after irrigation with a contrast solution.


RESULTS
Sonic and ultrasonic activation resulted in a better irrigation of the lateral canals at 4.5 and 2 mm from working length compared to traditional needle irrigation alone. Traditional needle irrigation alone demonstrated significantly less penetration of irrigant into the lateral canals and was limited to the level of penetration of the needle.


CONCLUSIONS
The addition of EDTA did not result in better penetration of irrigants into the lateral canals.
de Gregorio
Cesar
C
Department of Endodontics, Universidad Europea de Madrid, Madrid, Spain.
Estevez
Roberto
R
Cisneros
Rafael
R
Heilborn
Carlos
C
Cohenca
Nestor
N
D002614:Chelating Agents / Q000008:administration & dosage; D003287:Contrast Media; D003786:Dental Pulp Cavity / Q000033:anatomy & histology* / Q000000981:diagnostic imaging; D004492:Edetic Acid / Q000008:administration & dosage; D006801:Humans; D011859:Radiography; D012388:Root Canal Irrigants / Q000008:administration & dosage*; D018915:Root Canal Preparation / Q000295:instrumentation / Q000379:methods*; D012973:Sodium Hypochlorite / Q000008:administration & dosage*; D007507:Therapeutic Irrigation / Q000379:methods; D014465:Ultrasonics
D002614:Chelating Agents; D003287:Contrast Media; D012388:Root Canal Irrigants; D004492:Edetic Acid; D012973:Sodium Hypochlorite