Citric acid on coronary smear layer removal of primary teeth
G. GOTZE1, L.S.S. PRIMO2, L.C. MAIA2, and C. CUNHA2, 1Federal University of Rio De Janeiro, Federal University of Rio de Janeiro, Brazil, 2Federal University of Rio De Janeiro, Brazil

Objectives:This study evaluated the smear layer (SL) removal capacity on 28 pulp chambers of deciduous molars, using as irrigating agents 1% sodium hipochlorite (NaOCl) followed by citric acid at different concentrations. Methods:Roots were removed with diamond discs, chambers were accessed by the occlusal face and the SL was produced on dentin walls with a #1013 diamond bur under refrigeration. The 28 enamel and dentin discs left were randomly divided in four groups, which were irrigated with: 1 ml of NaOCl (10 s), followed by 10 ml of citric acid (30 s) at 4% (G1), 6% (G2), 8% (G3) and 10% (G4) concentrations. Next, they were cleaved longitudinally and the 56 fragments were prepared for SEM observations and evaluated by 3 previously trained examiners (kappa=0,864), according to the criteria: 0 – no SL present; 1 – moderate SL; 2 – dense SL; 3 – dense SL, with no visible dentin tubules. Data were analyzed through Mann-Whitney tests at 5% significance. Results:Results showed predominance of the following scores: G1 – score 0 (50%); G2 – scores 0 and 1 (42,9%); G3 – score 1 (55%); G4 – score 0 (55%). Besides, it was observed that in G4 there was greater peritubular dentin removal. Nevertheless, there was no significant statistical difference between groups (p=0,158). Conclusion: Based on the applied method, it was concluded that lower concentrations of citric acid seem to be effective for removing SL of primary teeth, promoting fewer damages to peritubular dentin.

Pulp Biology

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