Endodontics Materials Flashcards
Name the 8 functions of endodontic irrigants?
Lubricate files to facilitate passage into canalWet canal walls and flush debrisContain any dentinal shavings in suspension so facilitating their removal from canals (prevents apical impaction of debris)Facilitate dissolution of organic materRemove smear layerAid cleaning of area inaccessible to mechanical cleansing methodsDisinfect RCSNeutralise endotoxins
Name the 2 groups of endodontic irrigants?
Clean and expose bacterial contaminatesUsed to disinfect RCS
Name 2 irrigants for cleaning?
EDTACitric acid
What is the definition of citric acid?
Chelating agentRemoves calcified tissue and detach biofilms from root canal walls10-50%
What is the definition of EDTA?
Synthetic aa or Na salt of EDTAethylenediamine tetra-acetic acidDemineralise and soften root canal wall dentine by 20-50umNeither cidal or staticKill bacteria by starving from metal ions (chelates metal ions)Non-toxicNon-corrosiveNot effective against smear layer alone15-17%Never mix with NaOCl
Name a commercial product of EDTA?
ENdo-Solution EDTA Cerkamed dental-medical
What is the function of EDTA gel?
Coat endodontic filesLubricate and removes smear layer making canal prep easier and fasterIncreased viscosity is better for holding debris in suspension
What is the definition of EDTA gel?
Contains carbamide or urea peroxide causing effervesceElevator action helps to remove debrisBubbles when in contact with NaOClOxygen kills anaerobic bacteria
Name a commercially available EDTA gel?
Glyde File PrepDentsply MailleferEDTA + carbamide peroxide
When should you not use chelating materials?
Initially to negotiate canals as a false can may be cut iatrogenically
How should you use chelating materials within the root canals?
Thoroughly washed from RCS as retention will continue softening the dentineAre self-limitingChelating + disinfecting irrigantProvides a cleaner surface
Name 4 types of irrigants for disinfection?
NaOClIodine potassium iodineChlorhexidineOther potent phenolic disinfecting agentsHigh bactericidal concentrations close to toxic dose
What is the definition of NaOCl?
Potent organic tissue solvent that is proteolytic and dissolves necrotic organic materialReleases free CL which has bactericidal effectsCl breaks peptide bonds dissolving proteins into aasAas degraded by hydrolysis by chloramine molChloramines are antibacterialOxidising and hydrolysing agentpH> 11No effect on smear layer (Ca)High pH denatures proteinsHydroxyl ions damage bacterial lipid and membranes + DNA
Explain how to use NaOCl?
Breaks down components during useMust be replaced as i loses its efficacyDwell time of at least 30 minsBiofilm must be disrupted to reach bacteriaCanal must be flushed long after canal prep has ceased for this disinfectant to be effective
What are the components of the NaOCl solution?
No diff between 0.5-5% solutions for antibacterial effectsBut efficiency of weak solutions decreases rapidlyHigh conc disinfecting process is faster, untoward damage can occur, as it is more toxicMore effective if solution is warmed, as more Cl is released
What are the characteristics of NaOCl?
High surface tension than water, so does not wet canal wellWalls are not fully covered and the full biofilm may not by disruptedHigher conc = thicker solNot effective at killing all microorganismsEnterococcus faecalis can’t be killed
When using NaOCl, what should you be wary about?
Bleaching clothesUnpleasant tasteIrritant to eyes, skin and oral mucosaBleaching will lighten any stained tooth tissue
Name 2 commercially available NaOCl?
Parcan Sol (Septodont) 3%Chlorax (CerKamed Dental-Medical) 2% or 5.25%
Why is Chlorhexidine digluconate better than NaOCl?
Kills microorganisms that NAOCl can’tSafer
Explain how chlorhexidine digluconate works?
Binds to hydroxyapatite on the root canal wallsUsed as final soakGood substantivity of about 12 hrs after application
What reaction occurs between Chlorhexidine digluconate and NaOCl?
Acid-base reaction seen with NaOCl forming an insoluble precipitate 4-chloroanilineStains dentineCarcinogenicDifficult to remove (can block canals)Can be overcome by irrigating with sterile waterCHX breaks down when heated to form PCA
Name 2 commercially alleviable chlorhexidine digluconate products?
R4 (Septodont) 20% in denatured alcoholGluco-Chex 2.0% (Cerkamed Dental-Medical)
Name 2 forms a chlorhexidine digluconate gel?
Hibiscrub (Regent Medical) 4%Gluco-Chex 2.0% Gel (Cerkamed Dental-Medical)
What is the definition of Iodine Potassium Iodide?
Organic and releases iodineIodine is a potent antibacterial agent with broad spectrum actionBact/fung/tuberculo/vuru and sporicidalEffective for 2 daysPenetrate dentinal tubules