Abstract

BackgroundThis study aims to evaluate the ability of sodium thiosulfate (STS) to neutralize the adverse effect of sodium hypochlorite (NaOCl) on dentin micro-hardness.MethodsFifty single-rooted teeth were longitudinally sectioned. The samples divided into a control and four sample groups (n = 20). All the samples were immersed in different solutions as follows, Control: Normal saline for 15 min, G1and G2: 2.5% NaOCl for 15 min, G3: 2.5% NaOCl for 15 min, followed by 5% STS for 10 min, G4: Normal saline for 15 min followed by 5% STS for 10 min. All groups except G1 incubated for one week before the test. The micro-hardness of samples was measured. Data were analyzed using the Kruskal–Wallis test for pairwise comparisons. A p value < 0.05 was considered significant.ResultsAll groups showed a significant decrease in the micro-hardness value compared with the control group. NaOCl for one week (G2) reduced the micro-hardness of dentine compared with samples, tested immediately after immersion in NaOCl (G1) (p < 0.05). NaOCl alone (G2) or treated with STS (G3) resulted in a significant decrease in micro-hardness compared with the STS group (G4) (p < 0.05).ConclusionsSTS as a neutralizing agent could not prevent the dentin micro-hardness downturn caused by NaOCl.

Highlights

  • This study aims to evaluate the ability of sodium thiosulfate (STS) to neutralize the adverse effect of sodium hypochlorite (NaOCl) on dentin micro-hardness

  • The micro-hardness values of all of the groups decreased significantly compared with the control group (p < 0.05)

  • A significant decrease in the micro-hardness value was observed between the samples tested immediately after NaOCl application (G1) and the samples incubated for 1 week (G2)

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Summary

Introduction

This study aims to evaluate the ability of sodium thiosulfate (STS) to neutralize the adverse effect of sodium hypochlorite (NaOCl) on dentin micro-hardness. Besides its benefits to other irrigation solutions, NaOCl could dissolve some of the organic parts of dentinal tissue as well [8] This proteolytic effect caused a 30% weakening. Moghaddas et al showed that the oxidizing effect of NaOCl could remain even two weeks after its application on dentin [21]. It suggests that applying an antioxidant solution such as STS or sodium ascorbate or long delay should be considered before the adhesive procedure to reverse this compromised bond strength [18, 22,23,24]

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