Background/Purpose: Successful endodontic therapy depends on effective
chemo mechanical debridement and elimination of the smear layer, which may
hinder sealer penetration and compromise long-term sealing. This study aimed to
compare the smear layer removal efficacy of sodium hypochlorite (NaOCl) with
etidronic acid (HEBP), 17% EDTA, and silver nanoparticles (AgNPs) using
scanning electron microscopy (SEM).
Materials and Methods: Eighty extracted mandibular premolars were
decoronated to 12 ± 1 mm and instrumented with rotary NiTi files. Samples were
divided into four groups (n = 20) according to the final irrigant: Group 1 –
saline (control), Group 2 – NaOCl + HEBP, Group 3 – 17% EDTA, and Group 4 –
AgNPs. Roots were longitudinally split, gold sputter-coated, and examined under
SEM (×1000). Smear layer removal was scored using the Torabinejad criteria.
Statistical analysis was performed using one-way ANOVA and Tukey’s post hoc
test (p < 0.05).
Results: All irrigants were significantly more effective
than saline (p < 0.05). AgNPs exhibited the lowest mean smear layer score
[1.43 ± 0.08], indicating superior overall efficacy, particularly in the
coronal third (mean = 1.00). EDTA showed the greatest smear layer removal in
the apical third [0.55 ± 0.129]. NaOCl + HEBP improved cleanliness compared
with saline but was less effective than EDTA or AgNPs in removing inorganic
debris.
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