Electrochemical dissolution and retrieval of broken NiTi endodontic files from root canal using chloride based isotonic fluids as electrolytes − An in vitro study

Author:

Hariprasad R.1,Joy Basil2,Kuriakose Feby2,Sudhakar Aswathy S.3,Soumya T. S.4,Pathrose Sonia P.2

Affiliation:

1. Consultant Endodontist and Restorative Dentist, Department of Conservative Dentistry and Endodontics, Karunya Multispeciality Dental Clinic, Pulincunnoo, Alappuzha, Kerala, India

2. Department of Conservative Dentistry and Endodontics, Mar Baselios Dental College, Kothamangalam, Affiliated to Kerala University of Health Sciences, Ernakulam District, Kerala, India

3. Department of Periodontics and Oral Implantology, Azeezia College of Dental Science and Research, Affiliated to KUHS (Kerala University of Health Sciences), Kollam, Kerala, India

4. Department of Endodontics, Soumya’s Dental Speciality Centre, Peeceeyen Complex, Parasaran, Thiruvananthapuram, Kerala, India

Abstract

ABSTRACT Objective: The electrochemical dissolution method of instrument retrieval emphasizes on the dissolution of the instrument rather than sacrificing dentine. Most of the studies conducted for electrochemical dissolution used fluoride-containing electrolytes and were performed inside a beaker. In this study, we used chloride-based fluids as electrolytes. Materials and Methods: Fifty extracted mandibular first premolars were divided into five groups based on the electrolytes used. Canals were enlarged to ProTaper Universal F2, and files were intentionally broken inside the canal. These specimens were subjected to electrochemical characterization by applying the potential of 9V for 20 min. Optical images were taken to assess the change in surface topography. The results were analyzed statistically by one-way analysis of variance (analysis of variance [ANOVA]). Results: The rate of dissolution based on the electrolyte used decreased in the following order, viz. Tyrode’s solution>artificial saliva>normal saline>Ringer’s lactate/physiological serum. Conclusion: Apart from fluoride, chloride-based electrolytes could be an efficient alternative.

Publisher

Medknow

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