The Effect of Surfactants on the Stability of Sodium Hypochlorite Preparations.

INTRODUCTION: The purpose of the present study was to assess the effect of the presence of surfactants over time on free available chlorine (FAC), pH, viscosity, and surface tension of sodium hypochlorite (NaOCl) preparations. METHODS: Three preparations containing surfactant (Chlor-XTRA 6% [Vista Dental Products, Racine, WI], Hypocelle 4% Forte [Dentalife, Ringwood, Australia], and White King Lemon [Pental, Shepparton, Australia]) and 2 without, Vista 6% (Vista Dental Products) and Hypocelle 4% Forte plain (Dentalife), were tested. The solutions were stored in closed plastic bottles and protected from light at a constant 20°C for 213 days. FAC was measured using iodometric titration, whereas pH, surface tension, and viscosity were measured using a pH meter, pendant drop method, and rheometer, respectively. The influence of the type of solution and the presence of surfactant over time on FAC was compared with the aid of linear regression models. Two-way analysis of variance was used to evaluate the effect of passage of time and the type of solution on surface tension and the effect of the presence or absence of surfactant on the solutions. The Bonferroni test was used for multiple comparisons (post hoc) and to evaluate the effect of the presence of surfactant between solutions from the same manufacturer (α = 0.05). RESULTS: Degradation of available chlorine was faster in the presence of surfactant when comparing solutions from the same manufacturer [Chlor-XTRA versus Vista (P < .001) and for Hypocelle 4% Forte versus Hypocelle 4% Forte plain (P = .024)]. There was a gradual decline in pH over time, but viscosity remained stable. The surface tension of all products decreased over time (P = .025, F). CONCLUSIONS: The presence of surfactant hastened the degradation of FAC in all affected NaOCl solutions. The observed changes in pH and viscosity were minor, whereas their surface tension showed a significant decrease.

Effect of an alcohol-based caries detector on the surface tension of sodium hypochlorite preparations.

The purpose of this study was to evaluate the effect of an alcohol-based caries detector (Kurakay) on the surface tension of a conventional sodium hypochlorite (NaOCl) preparation, and a product containing a surface-active agent (Chlor-XTRA). The surface tensions of the following solutions were tested: NaOCl, a mixture of NaOCl and Kurakay 9:1 w/w, Chlor-XTRA, a mixture of Chlor-XTRA and Kurakay 9:1 w/w. Ten measurements per test solution were made at 20°C, using an optical method called the "Pendant drop method", with a commercially available apparatus. The addition of Kurakay reduced the surface tension for NaOCl (p<0.05) whilst no significant difference was detected for Chlor-XTRA (p>0.05). Statistically significant differences between the NaOCl and Chlor-XTRA groups were found (p<0.05). The addition of an alcohol-based caries detector resulted in a reduction of the original surface tension values for NaOCl only. Taking into account the fact that mixtures of NaOCl and Kurakay have been used to assess the penetration of root canal irrigants in vitro, the related changes in surface tension are a possible source of bias.

Effect of an Alcohol-Based Caries Detector on the Surface Tension of Sodium Hypochlorite Preparations

The purpose of this study was to evaluate the effect of an alcohol-based caries detector (Kurakay) on the surface tension of a conventional sodium hypochlorite (NaOCl) preparation, and a product containing a surface-active agent (Chlor-XTRA). The surface tensions of the following solutions were tested: NaOCl, a mixture of NaOCl and Kurakay 9:1 w/w, Chlor-XTRA, a mixture of Chlor-XTRA and Kurakay 9:1 w/w. Ten measurements per test solution were made at 20 C, using an optical method called the "Pendant drop method", with a commercially available apparatus. The addition of Kurakay reduced the surface tension for NaOCl (p<0.05) whilst no significant difference was detected for Chlor-XTRA (p>0.05). Statistically significant differences between the NaOCl and Chlor-XTRA groups were found (p<0.05). The addition of an alcohol-based caries detector resulted in a reduction of the original surface tension values for NaOCl only. Taking into account the fact that mixtures of NaOCl and Kurakay have been used to assess the penetration of root canal irrigants in vitro, the related changes in surface tension are a possible source of bias.

O objetivo deste estudo foi avaliar o efeito de um detector de cárie com álcool (Kurakay) sobre a tensão superficial de um preparado convencional de hipoclorito de sódio (NaOCl) e um produto contendo um agente surfactante (Chlor-XTRA). Foram testadas as tensões superficiais das seguintes soluções: NaOCl, uma mistura de NaOCl e Kurakay na proporção de 9:1 em peso, Chlor-XTRA e um mistura de Chlor-XTRA e Kurakay na proporção de 9:1 em peso. Dez medidas foram feitas com cada solução, a 20 °C, utilizando um método óptico chamado "Método da gota pendente" (Pendant drop method) usando aparelhos disponíveis. Adição do Kurakay reduziu a tensão superficial do NaOCl (p<0,05), mas não houve diferença significante para Chlor-XTRA (p>0,05). Foram encontradas diferenças estatisticamente significantes entre os grupos NaOCl e Chlor-XTRA (p<0,05). Adição de um detector de cárie com álcool resultou na diminuição do valor original da tensão superficial apenas para NaOCl. Considerando que as misturas de NaOCl e Kurakay tem sido usadas para estudar a penetração in vitro dos irrigantes radiculares, as diferenças acima são uma possível fonte de desvio nos resultados.

Antagonistic interactions between sodium hypochlorite, chlorhexidine, EDTA, and citric acid.

INTRODUCTION: Root canal irrigants play a significant role in the elimination of microorganisms, tissue dissolution, and the removal of debris and smear layer. No single solution is able to fulfill these actions completely; therefore, their association is required. The aim of this investigation was to review the antagonistic interactions occurring when sodium hypochlorite (NaOCl), chlorhexidine (CHX), EDTA, and citric acid (CA) are used together during endodontic treatment. METHODS: A search was performed in the electronic database Medline (articles published through 2011; English language; and the following search terms or combinations: "interaction AND root canal irrigant or endodontic irrigant or sodium hypochlorite or chlorhexidine," "sodium hypochlorite AND EDTA or ethylenediaminetetraacetic acid or citric acid or chelating agent or chlorhexidine," and "chlorhexidine AND EDTA or ethylenediaminetetraacetic acid or citric acid or chelating agent") to identify publications that studied unwanted chemical interactions between NaOCl, CHX, and EDTA and CA. RESULTS: The search identified 1,285 publications; 19 fulfilled the inclusion/exclusion criteria of the review. Their research methodology was classified as either in vitro or ex vivo. CONCLUSIONS: Antagonistic interactions included the loss of free available chlorine for NaOCl when in contact with chelators, which consequently reduced the tissue dissolution capability and to a lesser extent antimicrobial activities. When CHX and NaOCl are mixed, a precipitate forms that can present detrimental consequences for endodontic treatment, including a risk of discoloration and potential leaching of unidentified chemicals into the periradicular tissues. CHX and EDTA mixtures cause a precipitate, whereas CHX and CA do not exhibit interaction.

Improvement of the analysis of the biochemical oxygen demand (BOD) of Mediterranean seawater by seeding control.

Biochemical oxygen demand (BOD) is a useful parameter for assessing the biodegradability of dissolved organic matter in water. At the same time, this parameter is used to evaluate the efficiency with which certain processes remove biodegradable natural organic matter (NOM). However, the values of BOD in seawater are very low (around 2 mgO(2)L(-1)) and the methods used for its analysis are poorly developed. The increasing attention given to seawater desalination in the Mediterranean environment, and related phenomena such as reverse osmosis membrane biofouling, have stimulated interest in seawater BOD close to the Spanish coast. In this study the BOD analysis protocol was refined by introduction of a new step in which a critical quantity of autochthonous microorganisms, measured as adenosine triphosphate, is added. For the samples analyzed, this improvement allowed us to obtain reliable and replicable BOD measurements, standardized with solutions of glucose-glutamic acid and acetate. After 7 days of analysis duration, more than 80% of ultimate BOD is achieved, which in the case of easily biodegradable compounds represents nearly a 60% of the theoretical oxygen demand. BOD(7) obtained from the Mediterranean Sea found to be 2.0±0.3 mgO(2)L(-1) but this value decreased with seawater storage time due to the rapid consumption of labile compounds. No significant differences were found between two samples points located on the Spanish coast, since their organic matter content was similar. Finally, the determination of seawater BOD without the use of inoculum may lead to an underestimation of BOD.