Evaluation of Calcium Hydroxide Removal Efficiency of Different Concentrations and Forms of Sodium Hypochlorite

Abstract

The aim of the present study was to compare different forms of sodium hypochlorite for the removal of calcium hydroxide from root canals. Sixty single-rooted mandibular premolars with single canals were prepared using ProTaper Next file up to size X3. Each root canal was filled with calcium hydroxide using #30 Lentulo (Dentsply, Mailifer, Switzerland) to the working length and stored in 100% humidity at 37 C for 7 days. Afterwards, the teeth were divided into 4 groups according to the irrigation protocol to be used for the removal of calcium hydroxide (n=10): Group 1, 2.5% NaOCI; Group 2, 5.25% NaOCI; Group 3, NaOCI gel; Group 4, Distilled water (control). Samples were split longitudinally, photos of halves were taken at 10× magnification and were analyzed using the Corel DRAW Graphics Suite X4 v14.0 (Corel Corporation. CA, USA) software to calculate the percentage of surfaces with residual calcium hydroxide. Chi-square test was used for making comparisons among the groups at a significance level of p<0.05. There were significant differences between the 2.5% NaOCI solution, 5.25% NaOCI solution, NaOCI gel and the control groups (p<0.001). Gel form of NaOCI is an appropriate and effective method for removing calcium hydroxide from the root canals. Gel form of NaOCI, whose popularity has increased in recent years, was more effective than other groups in removing calcium hydroxide from the root canal. However, none of the 2.5% NaOCl solution, 5.25% NaOCI solution and NaOCI gel were effective in removing the calcium hydroxide completely. © 2021, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.