Effects of Final Irrigation with SmearOFF on the Surface of Dentin Using Surface Analytical Methods.

Abstract Introduction SmearOFF (Vista Dental Products, Racine, WI) is an irrigation solution containing chlorhexidine (CHX), EDTA, and a surfactant. This study examined the chemical interaction of SmearOFF with sodium hypochlorite (NaOCl) on the dentin surface, specifically the formation of precipitate and/or parachloroanaline (PCA). Methods Dentin blocks prepared from human maxillary molars were mounted in resin. Dentinal tubules were exposed in a perpendicular orientation using an ultracryomicrotome. The blocks were divided into 2 groups: the CHX group, irrigation with 6% NaOCl, 17% EDTA, 6% NaOCl, and 2% CHX, and the SmearOFF group, irrigation with 6% NaOCl and SmearOFF. The dentin surface was analyzed with time-of-flight secondary ion mass spectrometry and X-ray photoelectron spectroscopy to determine the formation of precipitate or/and PCA on the surface of dentin. Results Precipitation with PCA and occlusion of the dentinal tubules were noted on the dentin surface in the CHX group. No precipitate and no PCA were detected on the surface of dentin in the SmearOFF group. Conclusions Interaction of SmearOFF with NaOCl on the dentin surface did not result in the formation of precipitate or PCA. Highlights • Patent dentinal tubules without precipitate were detected after final rinse with SmearOFF. • No PCA was detected after irrigation with NaOCl followed by SmearOFF. • SmearOFF may be a suitable irrigant to use after NaOCl irrigation. [ABSTRACT FROM AUTHOR]