Evidence map›Paper›PMID 38786643›Full record

ReviewJournal of functional biomaterials2024

Effect of Different Irrigating Solutions on Root Canal Dentin Microhardness-A Systematic Review with Meta-Analysis.

Sunidhi Agarwal, Lora Mishra, Naomi Ranjan Singh, Rini Behera, Manoj Kumar, Ravishankar Nagaraja, Krzysztof Sokolowski, Barbara Lapinska

Abstract readReview
In one paragraph

Review in Journal of functional biomaterials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Biomaterials in Restorative Dentistry and Endodontics.Journal of functional biomaterials · 2025
    Article
  5. Article
  6. Article
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

8 authors.

Sunidhi AgarwalDepartment of Conservative Dentistry & Endodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar 751003, India.
Lora MishraDepartment of Conservative Dentistry & Endodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar 751003, India.ORCID 0000-0002-8680-2172
Naomi Ranjan SinghDepartment of Conservative Dentistry & Endodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar 751003, India.
Rini BeheraDepartment of Conservative Dentistry & Endodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar 751003, India.
Manoj KumarDepartment of Periodontics and Oral Implantology, Institute of Dental Sciences and SUM Hospital, Siksha 'O' Anusandhan University, Bhubaneswar 751003, India.
Ravishankar NagarajaDepartment of Biostatistics, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi 110021, India.
Krzysztof SokolowskiDepartment of Conservative Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland.
Barbara LapinskaDepartment of General Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland.ORCID 0000-0003-2348-8515

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to evaluate the effect of different irrigating solutions as well as their combination and activation modes on root canal dentin microhardness. The protocol was registered in PROSPERO and PRISMA guidelines were followed. The structured question was as follows: "Which type of irrigating solution used in endodontic treatment causes more change in dentin microhardness?" The literature was screened via PubMed, Google Scholar, Scopus, and Science Direct. The last search was carried out in February 2023 with English language restriction. Two reviewers independently performed screening and evaluation of articles. A total of 470 articles were retrieved from all the databases, whereas only 114 articles were selected for full-text analysis. After applying eligibility criteria, 44 studies were evaluated and included in this review. The results showed that with increased contact time with irrigants, dentin microhardness decreases. Increased contact time with sodium hypochlorite (NaOCl) was associated with more reduction in dentin microhardness compared with other irrigants. Other irrigants, with the exception of distilled water, including EDTA, citric acid, herbal irrigants, glycolic acid, phytic acid, etc., in this study significantly decreased dentin microhardness. The maximum reduction in dentin microhardness was seen with 2.5% NaOCl after 15 min of contact time. The use of irrigating solutions alters the chemical composition of dentin, thereby decreasing its microhardness, which affects the clinical performance of endodontically treated teeth.

Indexed as

endodontic irrigantsroot canal irrigantsroot dentin microhardnesssystematic review

Identifiers

PMID38786643
PMCPMC11121888

What OpenQuestion holds

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Registered trials

None linked

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.