Endodontics · single question

Sodium hypochlorite performs all of the following functions EXCEPT:

  1. Killing bacteria within the canal
  2. Lubricating instruments during canal preparation
  3. Dissolving necrotic organic tissue
  4. Chelating inorganic material and removing the smear layer
Show answer and explanation

Correct answer: D. Chelating inorganic material and removing the smear layer

  • A. It is a potent broad-spectrum antimicrobial, active against the anaerobes and against Enterococcus faecalis at higher concentrations.
  • B. It provides lubrication as a flushing solution during instrumentation.
  • C. This is its principal function — hypochlorite dissolves necrotic pulp tissue and organic debris, which no other common irrigant does effectively.
  • D. CORRECT — this is the exception. Sodium hypochlorite is NOT a chelating agent. It has no capacity to bind calcium and therefore cannot dissolve the inorganic portion of the smear layer. That role belongs to EDTA (17%) or citric acid.

Note: The single most frequently tested fact about sodium hypochlorite is what it does NOT do: it does not chelate. Guard against hypochlorite accident — sudden severe pain, rapid swelling and ecchymosis on extrusion beyond the apex.

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