* Corresponding Author
Effect of sodium thiosulfate irrigation on push-out bond strength of root canal obturation material
https://doi.org/10.22146/majkedgiind.85125 Leonardo Radito Panjiswastiawan(1*), Ema Mulyawati(2), Yulita Kristanti(3)
(1) Specialist Conservative Dentistry Program, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Department of Conservative Dentistry, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Department of Conservative Dentistry, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author
Abstract
Sodium hypochlorite is used as irrigation solution during root canal preparation because of its antibacterial effect. However, it degrades dentinal collagen and generates oxygen free layer on dentin surfaces that might prevent penetration of sealer. Sodium thiosulfate is an antioxidant and has been reported to neutralize that side effect. The objective of this study was to determine the effect of concentration and application time of sodium thiosulfate irrigation on push-out bond strength of root canal obturation material. This study used extracted human mandibular premolars single root post extraction. The root canals were prepared using crown down technique up to file F3. The samples were divided into four groups. Groups IA and IB were irrigated with sodium thiosulfate 5% for 3 and 5 minutes, while Groups IIA and IIB were irrigated with sodium thiosulfate 10% for 3 and 5 minutes. The control group was irrigated with saline for 3 and 5 minutes. The root canals were obturated with epoxy resin sealer and gutta percha, and were incubated for 7 days. Samples were horizontally sectioned into 2 mm thickness in apical third and were tested with push-out technique using universal testing machine. The adherence failure of samples was observed using stereo microscope. Data were analyzed with two-way ANOVA. There was a significant effect between concentration of sodium thiosulfate on push-out bond strength (p < 0.05), but application time showed the same effect (p > 0.05). The application of antioxidant resulted in an increase in the push-out bond strength of root canal obturation material, with 10% sodium thiosulfate demonstrating the highest push-out bond strength.
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2. LeonardoReferences
1. Garg N, Garg. A. Cleaning and Shaping of Root Canal System. In: Garg N, Garg A. Textbook of Endodontics, 4th ed. New Delhi: Jaypee Brothers Medical Publisher; 2019. 256-258, 277.
2. Gomes BFA, Simao, RA, Prado M. Surface tension of root canal irrigants used in endodontics practice. International Journal of Clinical Dentistry. 2018: 11(2): 137-145. Available at https://www.researchgate.net/publication/329017626_Surface_tension_of_root_canal_irrigants_used_in_endodontics_practice.
3. Ariani TN, Zuabidah N, Mudjiono M. The effectiveness of 2.5% NaOCl irrigation and 17% EDTA against the sealing ability of resin paste. Conservative Dentistry Journal. 2019; 9(2): 105-108. doi: 10.20473/cdj.v9i2.2019.105-108
4. Johnson B, Abedi H, Shabahang S. Endodontic Case Complexity and Working with the Specialist. In: Torabinejad M, Fouad AF, Shabahang S. Endodontics Principles and Practices, 6th ed. Missouri: Elsevier; 2021.107-108
5. Abada H, Farag AM, Alhadainy HA, Darrag AM. Push-out bond strength of different root
canal obturation systems to root canal dentin. Tanta Dental Journal. 2015; 12(3): 185-191.
doi: 10.1016/j.tdj.2015.05.006
6. Johnson W, Kulild JC, Tay F. Obturation of the Cleaned and Shaped Root Canal System.
In: Hargreaves KM, Berman LH. Cohen’s Pathway of the Pulp. 11th ed. Missouri:
Elsevier; 2016. 290-293.
7. Jain G, Rajkumar B, Boruah LC, Bedi RS, Gupta R, Jhunhunwala N. Influence of different endodontic irrigants on the push-out bond strength of an epoxy-resin based sealer and newly introduced bioceramic sealer to root dentin: An in-vitro study. J Dent Specialities. 2019; 7(1): 9-18. doi: 10.18231/j.jds.2019.003
8. Rached-Jr FJA, Sousa-Neto MD, Souza-Gabriel AE, Duarte MAH, Silva SYT. Impact of remaining zinc-oxide eugenol-based sealer on the bond strength of a resinous sealer
to dentine after root canal retreatment. International Endodontic Journal. 2014; 47(5):
463-469. doi: 10.1111/iej.12170
9. Tartari T, Wichnieski C, Silva RM, Letra A, Duarte MAH, Bramante CM. Final irrigation
protocols can be used to promote stable long-term bond strength of AH Plus to dentin.
Journal of Applied Oral Science. 2023; 31(2): 1-9. doi: 10.1590/1678-7757-2023-0005
10. Abuhaimed TS, Neel EAA. Sodium hypochlorite irrigation and its effect on bond strength to dentin. Biomed Res Int. 2017; 2017: 1–8. doi: 10.1155/2017/1930360
11. Tartari T, Bachmann L, Maliza AG, Andrade FB, Duarte MA, Bramante CM. Tissue
dissolution and modifications in dentin composition by different sodium hypochlorite
concentrations. J Appl Oral Sci. 2016; 24(3): 291-298. doi: 10.1590/1678-775720150524
12. Farag HA, Etman WM, Alhadainy HA, Darrag AM. Effect of different irrigating protocols on
push out bond strength of Resilon/Epiphany obturation system. Tanta Dental Journal. 2015; 12(4): 241-248. doi: 10.1016/j.tdj.2015.06.002
13. Sahebi S, Fereshteh S. Fariborz M, Mohammadhasan N. Assesment of sodium thiosulfate neutralizing effect on microhardness of dentin treated with sodium hypochlorite. BMC Oral Health. 2020; 20: 326. doi: 10.1186/s12903-020-01320-2
14. Correa ACP, Jose FAA, Brenda PFAG, Alexandre AZ. Sodium thiosulfate for recovery
of bond strength to dentin treated with sodium hypochlorite. Journal of Endodontics.
2016; 42(2): 284-288. doi: 10.1016/j.joen.2015.11.010.
15. Philip PM, Sindu J, Nainan MT. Efficacy of antioxidants when used for distinctive time to
re-establish bond strength. Indian Journal of Conservative and Endodontics. 2018; 3(1):
14-18. doi: 10.18231/2456-8953.2018.0004
16. Mali SR, Shaikh S, Phase A. In vitro comparison of three different antioxidants to endodontic sealer infiltration. International Journal of Advaced Science and Technology. 2020; 29(8): 3184-3190.
17. Sirisha K, Tankoda R, Shankar YR, Ravikumar P. Validity of bond strength: a critical review:
Part I. Journal of Conservative Dentistry. 2014; 7(4): 306-311. doi: 10.4103/0972-0707.136340.
18. Widhihapsari S, Ratih DN, Nugraheni T. Perbedaan bahan irigasi akhir saluran akar terhadap kekuatan pelekatan push-out bahan pengisi saluran akar berbahan dasar resin pada dinding saluran akar. Jurnal Kedokteran Gigi. 2016; 7(2); 171-178.
19. Cakici F, Cakici EB, Ceyhanli KT, Celik E, Kucukekenci FF, Gunseren AO. Evaluation of bond strength of various epoxy resin based sealers in oval shaped root canals. BMC Oral Health. 2016; 16: 106-110. doi: 10.1186/s12903-016-0301-1
20. Rahmatillah, Erlita I, Maglenda B. Effect of different final irrigation solutions on push-out
bond strength of root canal filling material. Dental Journal. 2020; 53(4); 181–6.
doi : 10.20473/j.djmkg.v53.i4.p181-186
21. Gurgel-Filho ED, Leite FM, de Lima JB, Montenegro JPC, Saavedra F, Silva EJNL. Comparative evaluation of pushout bond strength of a MTA-based root canal sealer. Braz J Oral Sci. 2014; 13(2); 114-117. doi: 10.1590/1677-3225v13n2a07
22. Madhuri GV, Varri S, Bolla N, Mandava P, Akkala LS, Shaik J. Comparison of bond strength of different endodontic sealers to root dentin: An in vitro push-out test. J Conserv
Dent. 2016; 19(5); 461–4. doi : 10.4103/0972-0707.190012
23. Junior LCLD, de Castro RF, Melo JSS, Silva ENL, Brandao JMS. Effect of sodium thiosulfate on interfacial adaptation and penetration of an epox-resin-based root canal sealer. Iranian Endodontic Journal. 2021; 16(1); 33-37. doi: 10.22037/iej.v16i1.27566.
24. Boal AK, Patsalis FI. Use of sodium thiosulfat to quench hypochlorite solutions prior to
chlorate analysis. Journal American Water Works Association. 2017; 109(10): 410-415.
doi: 10.5942/jawwa.2017.109.0097.
25. Pal M, Misra K, Dhillon G, Brar SK, Verma, M. Antioxidants. In: Brar SK, Dhillon GS, Soccol
CR. Biotransformation of Waste Biomass into High Value Biochemicals. New York: Springer
Science; 2014. 117-138.
26. Generali JA, Cada DJ. Sodium Thiosulfate: Calciphylaxis. Hospital Pharmacy Journal.
2015; 50(11): 975–977. doi: 10.1310/hpj5011-975
27. Virdee SS, Farnell JJ, Silva MA, Camilleri J, Cooper PR, Tomson PL. The influence of
irrigant activation, concentration and contact time on sodium hypochlorite penetration
into root dentine: an ex vivo experiment. International Endodontic Journal. 2020; 53:
986-997. doi : 10.1111/iej.13
28. Kumar PS, Meganathan A, Shriram S, Sampath V, Sekar M. Effect of proanthocyanidin and
bamboo salt on the push out bond strength of an epoxy resin sealer to sodium hypochlorite
treated root dentin: An in vitro study. Journal of Conservative Dentistry. 2019; 22(2): 144-
148. doi: 10.4103/JCD.JCD_377_18
DOI: https://doi.org/10.22146/majkedgiind.85125
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