Effectiveness of three different irrigants - 17% ethylenediaminetetraacetic acid, Q-MIX, and phytic acid in smear layer removal: A comparative scanning electron microscope study

Abstract

Background: Removal of smear layer from the root canal walls is important for long-standing endodontic success. Aim: The aim of this study is to evaluate and compare smear layer removing ability among 17% ethylenediaminetetraacetic acid (EDTA), Q-MIX, and phytic acid by scanning electron microscopy (SEM). Materials and Methods: This in-vitro experimental study assessed smear layer removal using three different irrigants. Thirty single-rooted freshly extracted human permanent premolars were collected, disinfected, and decoronated to a standardized root length of 13 mm. Root canals were cleaned and shaped till F2 universal rotary protaper at working length 1 mm short of the apex. They were randomly divided into three groups, and final irrigation was done accordingly. Group 1 (n = 10): with 1 ml of 17% EDTA, Group 2 (n = 10): with 1 ml of Q-MIX, Group 3 (n = 10): with 1 ml of phytic acid. Samples were then longitudinally sectioned and evaluated under SEM at coronal, middle, and apical levels. Statistical Analysis: Two-way analysis of variance and Tukey's post hoc test were performed. The level of significance was set at 0.05. Results: Smear layer removing ability among irrigants and sections in descending order: 17 EDTA > Q-MIX > phytic acid; coronal > middle > apical. Conclusion: 17% EDTA showed better and promising results followed by Q-MIX and then phytic acid.

Keywords

• 17% ethylene diaminetetraacetic acid
• phytic acid
• Q-MIX
• scanning electron microscope
• smear layer