Influence of Disinfecting Solutions on the Surface Topography of Gutta-percha Cones: a Systematic Review of Studies

Overview

Journal Restor Dent Endod

Date 2024 Dec 9

PMID 39649535

Authors

Lora Mishra

Gathani Dash

Naomi Ranjan Singh

Manoj Kumar

Saurav Panda

Franck Diemer

Monika Lukomska-Szymanska

Barbara Lapinska

Abdul Samad Khan

Affiliations

Soon will be listed here.

Abstract

The surface integrity of gutta-percha cones is a crucial factor in the success of endodontic procedures. Disinfecting solutions play a pivotal role in sterilizing gutta-percha cones, but their influence on gutta-percha surface topography remains a subject of concern. This systematic review aimed to present a qualitative synthesis of available laboratory studies assessing the influence of disinfecting solutions on the surface topography of gutta-percha and offers insights into the implications for clinical practice. The present review followed PRISMA 2020 guidelines. An advanced database search was performed in PubMed, Google Scholar, Embase, Scopus, LILAC, non-indexed citations and reference lists of eligible studies in May 2024. Laboratory studies, in English language, were considered for inclusion. The quality (risk of bias) of the included studies was assessed using parameters for studies. A total of 28 studies were included in the qualitative synthesis. Based on the included in vitro studies, surface deposits and alterations in the physical properties of gutta-percha cones were observed after the disinfection protocol. A comprehensive review of the available literature indicates that the choice of disinfecting solution, its concentration, and immersion time significantly affect the surface topography of gutta-percha cones.

References

Turker S, Aslan M, Uzunoglu E, Ozcelik B . Antimicrobial and structural effects of different irrigation solutions on gutta-percha cones. J Istanb Univ Fac Dent. 2017; 49(1):27-32. PMC: 5573460. DOI: 10.17096/jiufd.92774. View

Prado M, Ferreira de Assis D, Gomes B, Simao R . Effect of disinfectant solutions on the surface free energy and wettability of filling material. J Endod. 2011; 37(7):980-2. DOI: 10.1016/j.joen.2011.03.021. View

Nabeshima C, Machado M, Borges Britto M, Pallotta R . Effectiveness of different chemical agents for disinfection of gutta-percha cones. Aust Endod J. 2011; 37(3):118-21. DOI: 10.1111/j.1747-4477.2010.00256.x. View

Tilakchand M, Naik B, Shetty A . A comparative evaluation of the effect of 5.25% sodium hypochlorite and 2% chlorhexidine on the surface texture of Gutta-percha and resilon cones using atomic force microscope. J Conserv Dent. 2014; 17(1):18-21. PMC: 3915377. DOI: 10.4103/0972-0707.124102. View

Mishra P, Tyagi S . Surface analysis of gutta percha after disinfecting with sodium hypochlorite and silver nanoparticles by atomic force microscopy: An study. Dent Res J (Isfahan). 2018; 15(4):242-247. PMC: 6073947. View

Pang N, Jung I, Bae K, Baek S, Lee W, Kum K . Effects of short-term chemical disinfection of gutta-percha cones: identification of affected microbes and alterations in surface texture and physical properties. J Endod. 2007; 33(5):594-8. DOI: 10.1016/j.joen.2007.01.019. View

Patel S, Puri T, Mannocci F, Bakhsh A . The outcome of endodontic treatment using an enhanced infection protocol in specialist practice. Br Dent J. 2022; 232(11):805-811. DOI: 10.1038/s41415-022-4339-y. View

Gomes B, Berber V, Montagner F, Sena N, Zaia A, Ferraz C . Residual effects and surface alterations in disinfected gutta-percha and Resilon cones. J Endod. 2007; 33(8):948-51. DOI: 10.1016/j.joen.2006.11.024. View

Prado M, Gusman H, Gomes B, Simao R . The importance of final rinse after disinfection of gutta-percha and Resilon cones. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011; 111(6):e21-4. DOI: 10.1016/j.tripleo.2011.01.014. View

10.

Page M, McKenzie J, Bossuyt P, Boutron I, Hoffmann T, Mulrow C . The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. J Clin Epidemiol. 2021; 134:178-189. DOI: 10.1016/j.jclinepi.2021.03.001. View

11.

Valois C, Silva L, Azevedo R . Effects of 2% chlorhexidine and 5.25% sodium hypochlorite on gutta-percha cones studied by atomic force microscopy. Int Endod J. 2005; 38(7):425-9. DOI: 10.1111/j.1365-2591.2005.00940.x. View

12.

Vitali F, Nomura L, Delai D, Henriques D, Alves A, Garcia L . Disinfection and surface changes of gutta-percha cones after immersion in sodium hypochlorite solution containing surfactant. Microsc Res Tech. 2019; 82(8):1290-1296. DOI: 10.1002/jemt.23279. View

13.

Page M, McKenzie J, Bossuyt P, Boutron I, Hoffmann T, Mulrow C . The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021; 372:n71. PMC: 8005924. DOI: 10.1136/bmj.n71. View

14.

Prado M, Gusman H, Gomes B, Simao R . Effect of disinfectant solutions on gutta-percha and resilon cones. Microsc Res Tech. 2012; 75(6):791-5. DOI: 10.1002/jemt.21126. View

15.

George S, Pichardo M, Bergeron B, Jeansonne B . The effect of formalin storage on the apical microleakage of obturated canals. J Endod. 2006; 32(9):869-71. DOI: 10.1016/j.joen.2006.04.009. View

16.

Sahinkesen G, Oktay E, Er O, Kocak M, Kilic A . Evaluation of residual antimicrobial effects and surface changes of gutta-percha disinfected with different solutions. J Contemp Dent Pract. 2011; 12(1):47-51. View

17.

Short R, Dorn S, Kuttler S . The crystallization of sodium hypochlorite on gutta-percha cones after the rapid-sterilization technique: an SEM study. J Endod. 2003; 29(10):670-3. DOI: 10.1097/00004770-200310000-00015. View

18.

Souza M, Dalla Lana D, Gabrielli E, Barbosa Ribeiro M, Miyagaki D, Cecchin D . Effectiveness of final decontamination protocols against Enterococcus faecalis and its influence on bond strength of filling material to root canal dentin. Photodiagnosis Photodyn Ther. 2016; 17:92-97. DOI: 10.1016/j.pdpdt.2016.11.004. View

19.

Faggion Jr C . Guidelines for reporting pre-clinical in vitro studies on dental materials. J Evid Based Dent Pract. 2012; 12(4):182-9. DOI: 10.1016/j.jebdp.2012.10.001. View

20.

Friedman C, Sandrik J, HEUER M, RAPP G . Composition and mechanical properties of gutta-percha endodontic points. J Dent Res. 1975; 54(5):921-5. DOI: 10.1177/00220345750540052901. View