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Dentistry · Caries, pulp and periodontal disease: EDTA in endodontics
Sample itemDuring canal irrigation, 17 percent EDTA is used as a final rinse after sodium hypochlorite. What is its main purpose?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. To remove the inorganic part of the smear layer by chelating calcium
Sodium hypochlorite dissolves organic tissue, while EDTA chelates calcium and removes the inorganic smear layer, opening dentinal tubules. Used together they clean the canal more effectively. EDTA should not be left in contact for long because it can erode dentine.
Option by option
A. To dissolve the organic pulp tissue in the canal
Organic pulp tissue is dissolved mainly by sodium hypochlorite.
B. To remove the inorganic part of the smear layer by chelating calcium (correct)
Correct. EDTA chelates calcium and strips the inorganic smear layer.
C. To disinfect the canal permanently by releasing chlorine
Chlorine release is a property of hypochlorite, not EDTA.
D. To obturate the canal with a radiopaque filling
Canal obturation uses gutta-percha and sealer.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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