Electrolytic Water Cleans Root Canals as Well as Standard Treatment

Authors
Journal
Journal of Endodontics
Year
DOI
10.1016/j.joen.2006.07.003
Study Type
Cell Culture
Outcome
Neutral
Peer Reviewed
Yes
Country
Japan
Health Condition
Root Canal Infection
Body System
Oral Health

TL;DR

Using strong acid electrolytic water (SAEW) to clean root canals is as effective as traditional methods and doesn't weaken the tooth's structure.

Key Finding

Strong acid electrolytic water combined with sodium hypochlorite cleaned root canals as effectively as the standard combination of sodium hypochlorite and EDTA, without damaging the hardness of the tooth structure.

Summary

This study tested whether a special type of water created through electrolysis (called strong acid electrolytic water, or SAEW) could clean root canals as well as standard cleaning solutions used in dental procedures. Researchers treated extracted teeth with different irrigating solutions and examined how well they cleaned the canal walls and whether they damaged the tooth structure. SAEW combined with sodium hypochlorite (a common bleach-based cleaner) worked as well as the standard combination of sodium hypochlorite and EDTA, and using SAEW with ultrasonic vibration for 1 minute did not weaken the tooth material.

Practical Takeaway

This is a laboratory study on extracted teeth, not human testing, so it cannot yet confirm benefits or safety in actual dental treatment. The findings suggest SAEW may be a promising alternative for root canal cleaning, but clinical trials in patients would be needed before it could be recommended for dental use. This research is early-stage and does not apply to hydrogen water as a beverage.

Abstract

The purpose of this study was to evaluate the cleaning effect of root canal walls using strong acid electrolytic water (SAEW) as a root canal irrigant, and to investigate the influence of SAEW on the root canal dentin by micro-hardness test. Forty-three single-rooted, single-canaled teeth were instrumented using standard step-back technique with K-files. Irrigation was performed using distilled water, 5.25% NaOCl and 3% H(2)O(2), SAEW, or 15% EDTA solution in five groups. Samples were prepared to be examined under a scanning electron microscope (SEM) and micro Vickers hardness (H(V)) test machine. Our results showed that the root cleaning effects of the combined use of SAEW and NaOCl solution as root canal irrigants were equivalent to those in the group with NaOCl and 15% EDTA. When SAEW was used for 1 min under ultrasonic vibration, no decreases in the hardness of dentin inside the root canal were detected.