ABSTRACT: To compare in vitro, the tissue-dissolution capacity of 7% maleic acid (MA), 17% ethylenediaminetetraacetic acid (EDTA), 2.5% sodium hypochlorite (NaOCl) (positive control) and 0.9% saline (NaCl) (negative control) on human pulp tissue.
Forty pieces of human pulp tissue, each weighing 0.026 g, were divided randomly into four groups (n = 10): (i) 7% MA solution, (ii) 17% EDTA solution, (iii) 2.5% NaOCl solution and (iv) 0.9% NaCl solution. The pulp tissue was placed in beakers containing the test solutions and then placed on a vibrator. Pulp tissue from the four experimental solutions was blotted dry and weighed after 30, 60, 90 and 120 min. The percentage of weight loss was calculated, and the data were statistically analysed using Kruskal-Wallis and Mann-Whitney U-test.
At all time intervals, 2.5% NaOCl dissolved pulp tissue significantly more than the other solutions (P < 0.001). There was no significant difference in the pulp-dissolution capacity between 7% MA and 17% EDTA at any of the time intervals. NaCl (0.9%) did not have any effect on pulp tissue.
Seven percentage of MA and 17% EDTA had minimal tissue-dissolution capacity when compared to NaOCl.
International Endodontic Journal 01/2011; 44(4):353-6. · 2.18 Impact Factor
ABSTRACT: The aim of the present study was to analyse the sustain release of Chlorhexidine with Chitosan and to investigate the antimicrobial activity of 2% Chlorhexidine gel, 2% Chitosan gel and their combination against Candida albicans and Enterococcus faecalis. Sustain release of Chlorhexidine with Chitosan was determined using UV spectrophotometer. Then the inoculae of these organisms were used to make the lawn culture on sabouraud's dextrose agar and blood agar plates. Wells were prepared in these lawn cultures and filled with 2% Chlorhexidine gel, 2% Chitosan gel and their combination. The agar plates were incubated overnight at 37 degrees C and the zone of inhibition was examined after 48 h. Release of Chlorhexidine with Chitosan was better than plain Chlorhexidine release. Combination of Chlorhexidine and Chitosan showed maximum inhibitory zone for C. albicans (25.2 mm) and E. faecalis (26.0 mm). Plain Chlorhexidine gel showed intermediate inhibitory zone for C. albicans (20.6 mm) and E. faecalis (21.4 mm) and plain Chitosan gel showed minimum inhibitory zone for C. albicans (16.6 mm) and E. faecalis (11.0 mm). Carbopol which served as control did not have any antimicrobial effect. The present study suggests that 2% Chlorhexidine gel in combination with 2% Chitosan gel has the highest antimicrobial effect against C. albicans and E. faecalis compared with 2% Chlorhexidine gel or 2% Chitosan gel alone.
Australian Endodontic Journal 05/2009; 35(1):29-33. · 0.96 Impact Factor
ABSTRACT: To describe the diagnosis and management of tooth 22 with a necrotic pulp and severe periodontal destruction associated with a deep palatogingival groove extending to the root apex.
Palatogingival grooves are uncommon in maxillary lateral incisors, but when present may contribute to the pathogenesis of periodontal and endodontic lesions. In the present case, the prognosis was considered poor, as the patient presented with a deep probing defect, advanced bone loss and grade III mobility of tooth 22. Root canal treatment was performed, followed by periodontal surgery, during which the groove was conditioned and sealed with conventional glass-ionomer cement and the osseous defect filled with indigenously prepared hydroxyapatite. The 18 month post-operative follow up showed substantial resolution of the osseous defect with gain in attachment and decreased tooth mobility.
Teeth with deep palatogingival grooves may be significantly compromised with severe periodontal and periapical bone loss. Following thorough evaluation, the careful application of endodontic and periodontal surgical procedures may restore satisfactory function.
International Endodontic Journal 11/2007; 40(10):808-17. · 2.18 Impact Factor