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Journal of Baghdad College of Dentistry
Article . 2022 . Peer-reviewed
License: CC BY
Data sources: Crossref
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Continuous Chelation Concept in Endodontics

Authors: Ayat H Adham; Ahmed H Ali; Francesco Mannocci;

Continuous Chelation Concept in Endodontics

Abstract

Background:Continuous chelation can be defined as the concept of using a single mix of a weak chelator with NaOCL throughout the entire root canal preparation procedure without causing a reduction in the antimicrobial and proteolytic activity of NaOCL. Etidronic acid, also known as "1-Hydroxyethylidene-1, 1-Bisphosphonate" HEBP, or HEDP, is a soft biocompatible chelator utilized in direct combination with sodium hypochlorite to form an all-in-one deproteinizing, disinfecting, and chelating solution. It's the only chelator available as a certified commercial product, "Dual Rinse HEDP," approved for endodontic usage. This review aims to analyze and bring up-to-date data about the continuous chelation protocol using a combination of HEDP with sodium hypochlorite in endodontic irrigation. Data: only papers that were published electronically were searched within the review. Sources: “Google Scholar”,” PubMed” websites were used for searching data by using the following keywords: : Bisphosphonates, Continuous chelation, Dual rinse HEDP, Etidronate, HEBP. The most relevant papers related to the topic were chosen, specifically the original articles and clinical studies, including only English-language articles from 2005 to September 2022. Conclusion:Combining a weak chelator with NaOCL solution, a single irrigation solution mixture with soft tissue dissolving ability and antibacterial properties with chelating capability can be created, which can be considered a good alternative to the conventional irrigation protocol (sequential irrigation) with NaOCL followed by using a strong chelator such as EDTA. The obvious benefit is that only one solution is required for root canal cleansing and decontamination, also decreasing the time for irrigation and providing better conditioning of root canal walls for root-filling materials

Keywords

Bisphosphonates, Continuous chelation, Dual rinse HEDP, Etidronate, HEBP, Dentistry, RK1-715

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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
12
Top 10%
Average
Top 10%
gold