Evidence map›Paper›PMID 40143568›Full record

ArticleEuropean endodontic journal2025

Comparative Evaluation of the Effect of EDTA, Chitosan, Etidronic Acid, and Silver Citrate on the Mineral Content of Root Canal Dentin Using Energy Dispersive X-ray Spectroscopy: An In-Vitro Study.

Simren Bhatia, Mrunalini Vaidya, Vibha Hegde, Sanpreet Singh Sachdev

Abstract readComparative Study
In one paragraph

Article in European endodontic journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

4 authors.

Simren BhatiaDepartment of Conservative Dentistry and Endodontics, Dr. G. D. Pol Foundation's YMT Dental College, Navi Mumbai, India.
Mrunalini VaidyaDepartment of Conservative Dentistry and Endodontics, Dr. G. D. Pol Foundation's YMT Dental College, Navi Mumbai, India.
Vibha HegdeDepartment of Conservative Dentistry and Endodontics, Dr. G. D. Pol Foundation's YMT Dental College, Navi Mumbai, India.
Sanpreet Singh SachdevDepartment of Oral Pathology and Microbiology, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSodium hypochlorite is a common irrigant in endodontics, used to eliminate microorganisms and dissolve pulpal tissue. However, adjunctive chelating agents, while aiding in smear layer removal, can reduce dentinal wall microhardness, affecting dentin permeability, solubility, and the sealing ability of root canal sealers. This study aims to evaluate the impact of newer chelating agents-Silver Citrate, Chitosan, HEBP, and EDTA-on the mineral composition of root canal dentin using energy-dispersive X-ray Spectroscopy (EDXS).

methodsThe root canals of 120 freshly extracted human mandibular premolars with single straight canals and intact, mature apices were prepared following standard endodontic procedures using Rotary Pro Taper nickel-titanium files. Final irrigation was conducted with 5 mL of the respective chelating solution. Changes in the mineral composition of the root canal dentin were analyzed using EDXS. Descriptive statistics were presented as means and standard deviations. The impact of chelating solutions on the mineral content of root canal dentin at the cervical, middle, and apical thirds was compared between groups using One-Way ANOVA followed by a post hoc Bonferroni test.

resultsThe highest mean concentrations of minerals such as Mg, Ca, and P at both the coronal and apical levels (p<0.05), along with the Ca/P ratio in the coronal third, were observed with distilled water, followed by HEBP, Chitosan, EDTA, and Silver Citrate, which showed the lowest values. In the middle third, the concentrations of Ca and P, as well as the Ca/P ratio in the apical and middle thirds, followed the sequence: Distilled Water>EDTA>HEBP>Chitosan>Silver Citrate. The difference in the levels of all minerals was statistically significant (p<0.05) at the coronal, middle and apical third levels.

conclusionAmong the tested solutions, 9% HEBP caused the least alteration in the mineral content of root canal dentin when compared to 0.2% Chitosan, 17% EDTA, and Silver Citrate. This suggests that HEBP may be a preferable choice in endodontic procedures where minimal alteration of dentin mineral content is desired. (EEJ-2024-08-124).

Indexed as

Chelating AgentsChitosanDental Pulp CavityDentinEdetic AcidEtidronic AcidMineralsRoot Canal IrrigantsHumansIn Vitro TechniquesSpectrometry, X-Ray EmissionChelating AgentsChitosanEdetic AcidEtidronic AcidMineralsRoot Canal Irrigants

Identifiers

PMID40143568
PMCPMC11971695

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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.