Chemical analysis of the flocculate formed by the association of sodium hypochlorite and chlorhexidine

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 May;103(5):e103-5. doi: 10.1016/j.tripleo.2006.11.008. Epub 2007 Feb 20.

Abstract

Objective: The association of chlorhexidine (CHX) and sodium hypochlorite (NaOCl) to enhance their chemical properties during root canal biomechanical preparation can lead to a brown flocculate being formed. Therefore, this study evaluated the metals present in their association by atomic absorption spectrophotometry, and evaluated a possible reagent that could dissolve the flocculate, allowing its clinical use.

Study design: Five concentrations of CHX and NaOCl were mixed (2.5% NaOCl + 0.2% CHX, 2% CHX + 0.5% NaOCl, 2% CHX + 5% NaOCl, 0.2% CHX + 0.5% NaOCl, and 0.2% CHX + 5% NaOCl). Methanol and hexane, acetic acid, and vinegar were evaluated to dissolve the flocculate.

Results: A flocculate was formed with all proportions and concentrations. Spectrophotometry analysis showed the presence of Ca, Fe, and Mg.

Conclusion: It can be concluded that the association proposed led to the formation of brown flocculate regardless of concentration and proportion.

MeSH terms

  • Acetic Acid / chemistry
  • Calcium / analysis
  • Chlorhexidine / analogs & derivatives*
  • Chlorhexidine / chemistry
  • Drug Combinations
  • Flocculation
  • Indicators and Reagents / chemistry
  • Iron / analysis
  • Magnesium / analysis
  • Root Canal Irrigants / chemistry*
  • Root Canal Preparation / methods*
  • Sodium Hypochlorite / chemistry*
  • Solvents / chemistry
  • Spectrophotometry, Atomic

Substances

  • Drug Combinations
  • Indicators and Reagents
  • Root Canal Irrigants
  • Solvents
  • Sodium Hypochlorite
  • Iron
  • Magnesium
  • chlorhexidine gluconate
  • Acetic Acid
  • Chlorhexidine
  • Calcium