Evidence map›Paper›PMID 34068094›Full record

ArticleMaterials (Basel, Switzerland)2021

Influence of 1-Hydroxyethylidene-1,1-Diphosphonic Acid on the Soft Tissue-Dissolving and Gelatinolytic Effect of Ultrasonically Activated Sodium Hypochlorite in Simulated Endodontic Environments.

Nidambur Vasudev Ballal, Anja Ivica, Pamela Meneses, Raj Kumar Narkedamalli, Thomas Attin, Matthias Zehnder

Abstract read
In one paragraph

Article in Materials (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nidambur Vasudev BallalDepartment of Conservative Dentistry and Endodontics, Manipal Academy of Higher Education, Manipal College of Dental Sciences, Manipal, Karnataka 576104, India.ORCID 0000-0002-2208-9443
Anja IvicaClinic of Conservative and Preventive Dentistry, University of Zurich, 8032 Zurich, Switzerland.
Pamela MenesesClinic of Conservative and Preventive Dentistry, University of Zurich, 8032 Zurich, Switzerland.
Raj Kumar NarkedamalliDepartment of Conservative Dentistry and Endodontics, Manipal Academy of Higher Education, Manipal College of Dental Sciences, Manipal, Karnataka 576104, India.ORCID 0000-0002-8336-9107
Thomas AttinClinic of Conservative and Preventive Dentistry, University of Zurich, 8032 Zurich, Switzerland.
Matthias ZehnderClinic of Conservative and Preventive Dentistry, University of Zurich, 8032 Zurich, Switzerland.ORCID 0000-0001-9545-7828

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The addition of Dual Rinse HEDP, an etidronate powder, to a sodium hypochlorite (NaOCl) solution can create a combined single endodontic irrigant with a soft tissue-dissolving and a decalcifying effect, which can replace traditional alternating irrigation with chemically non-compatible solutions. While the short-term compatibility between NaOCl and 1-hydroxyethylidene-1,1-diphosphonic acid (HEDP) has been shown, it remains unclear whether ultrasonic activation of a combined NaOCl & HEDP solution immediately reduces the available chlorine and/or renders the NaOCl ineffective in dissolving organic tissue remnants. This was tested in three experiments: (1) direct activation in test tubes in an ultrasonic bath and then the activation by an ultrasonically oscillating tip (IrriSafe) in (2) an epoxy resin model containing a simulated isthmus filled with gelatin, and (3) extracted teeth with simulated resorption cavities filled with soft tissue. The control solutions were physiological saline and 2.5% NaOCl without HEDP. In (1), available chlorine after 30 s of ultrasonic activation (37 kHz) of test and control solution was assessed, as well as shrimp tissue weight loss in direct exposure. In (2) and (3), the ultrasonic tip was driven at 1/3 of full power using the respective unit, and areas of removed gelatin from the isthmus and tissue weight loss were used as the outcomes, respectively. Experiment (1) revealed no negative impact by HEDP on available chlorine (1), while all three experiments showed a highly significant (

Indexed as

continuous chelationHEBProot canalsodium hypochloritesonochemistry

Identifiers

PMID34068094
PMCPMC8152752

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.