A Comparative Evaluation of Contact Angle and Depth of Penetration of Sodium Hypochlorite With Various Surfactants: An In Vitro Study

TL;DR

This study evaluates how adding surfactants to sodium hypochlorite improves its ability to penetrate root canals in teeth.

Contribution

The study introduces a novel comparison of cetrimide and propylene glycol as surfactants to enhance sodium hypochlorite's performance in root canal irrigation.

Findings

0.2% cetrimide reduced the contact angle of 2.5% NaOCl to 35.20°, improving its penetration.

The depth of penetration was highest (752.409 µm) with cetrimide compared to other groups.

Penetration depth decreased significantly from the coronal to apical thirds of the root canals.

Abstract

Objective: Sodium hypochlorite (NaOCl) is regarded as the most frequently used root canal irrigant. Its high surface tension prevents its penetration into complex canal anatomies. The present study assesses the contact angle and penetration depth of 2.5% NaOCl with 0.2% cetrimide and propylene glycol.

Material and methods: Sixty recently extracted mandibular premolars with a single root were obtained. Thirty were sectioned longitudinally, and the remaining 30 teeth were sectioned transversely. Acrylic blocks were used to mount the parts, and 5 µL of each of the following solutions was placed on the dentin surface: Group 1: 2.5% NaOCl (control), Group 2: 0.2% cetrimide + 2.5% NaOCl, and Group 3: propylene glycol + 2.5% NaOCl. Following this, contact angle analysis was made using a contact angle goniometer. We prepared and instrumented access cavities in 30 teeth to work up to the size of the ProTaper Gold F2 (Dentsply Tulsa Dental Specialties, Tulsa, OK). Samples were allocated to the three groups, and irrigation was done accordingly. They were sectioned at the coronal, middle, and apical thirds and then subjected to confocal laser scanning microscopy. The data were analyzed using a one-way ANOVA and a Tukey multiple comparison test.

Results: Group 2 had the least contact angle (35.20°) and the highest depth of penetration (DOP; 752.409 µm) when compared to Groups 1 and 3. The DOP decreased significantly from the coronal, middle, and apical thirds. No discernible variation in the contact angle was found between the radicular and coronal portions.

Conclusion: 0.2% cetrimide improved the efficiency of 2.5% NaOCl as an irrigant by lowering its contact angle and increasing its DOP.

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