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Effect of intracanal medicaments used in endodontic regeneration procedures on microhardness and chemical structure of dentin

Author: 
Shalu Krishan, Anurag Aggarwal and Saloni Gupta
Subject Area: 
Health Sciences
Abstract: 

Objectives: This study was performed to investigate the effects of different intracanalmedicaments on chemical structure and microhardness of dentin. Materials and Methods: Twenty Four human dentin discs were obtained from intact third molars and randomly assigned into three treatment groups. The threetreatment groups were irrigated with NaOCl, treated for four weeks with either 1 g/mL triple antibiotic paste (TAP), 1 g/mL - modified triple antibiotic paste (MTAP), or calcium hydroxide [Ca(OH)2] and finally irrigated with EDTA. Aftertreatment, one half of each dentin disc was subjected to Vickers microhardness (n = 10per group) and the other half was used to evaluate the chemical structure (phosphate/amide I ratio) of treated dentin utilizing attenuated total reflection Fourier transforminfrared spectroscopy (n = 4 per group). One-way ANOVA followed by Fisher's leastsignificant difference were used for statistical analyses. Results: Dentin discs treatedwith different intracanal medicaments showedsignificant reduction in microhardness (p < 0.0001) and phosphate/amide I ratio (p< 0.05). Furthermore, dentin discs treatedwith TAP had significantly lower microhardness (p < 0.0001) and phosphate/amideI ratio (p < 0.0001) compared to all other groups. Conclusions: Within the limitations of this study, the use of TAP in ER caused significantly higher dentin demineralization and reduction in dentin microhardness compared to MTAP or Ca(OH)2.The use of MTAP or Ca(OH)2 rather than TAP as intracanalmedicaments during ER may minimize the reduction in dentin microhardness and the change in chemical structure of superficial dentin.

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