original article
Dental Press Endod. 2015 May-Aug;5(2):56-60 © 2015 Dental Press Endodontics 56
Use of peracetic acid as irrigating
agent in Endodontics
ABSTRACT
The irrigation of the root canal system contributes ef-
fectively to appropriate cleanness and antisepsis, thus
rendering endodontic treatment more successful. An
ideal irrigation protocol was suggested in order to over-
come the limitations of commonly used irrigants, in
addition to enhancing antisepsis. This protocol recom-
mends the use of sodium hypochlorite during biome-
chanical preparation, followed by the use of a chelating
agent, and again the use of an agent with antimicrobial
action. However, it demands considerable clinical time.
An alternative to reducing that time would be the use
of a final irrigating agent contemplating both chelating
and antimicrobial actions. Thus, it has been suggested
that peracetic acid (PAA) be used as a substitute for
EDTA for final irrigation, since this substance has shown
good antimicrobial potential associated with chelating
capacity. Some studies have been conducted in order
to analyze the effectiveness of its use as an irrigating
solution in Endodontics. This literature review aims to
present to clinicians and specialists in Endodontics the
properties of this irrigating solution by providing rel-
evant information on its effectiveness and feasibility in
the endodontic practice.
Keywords: Peracetic acid. Irrigating solution. Chelating
agent.
Contact address: Samuel Lucas Fernandes
Faculdade de Odontologia de Bauru – USP
Al. Octávio Pinheiro Brisolla, 9-75 - CEP: 17.012-901 – Bauru/SP - Brazil
E-mail: samuel.lukas.usp@gmail.com
Submitted: May 19, 2015. Revised and accepted: June 26, 2015.
How to cite this article: Fernandes SL, Tartari T, Bronzato JD, Bramante CM,
Vivan RR, Andrade FB, Duarte MAH. Use of peracetic acid as irrigating agent in
Endodontics. Dental Press Endod. 2015 May-Aug;5(2):56-60.
DOI: http://dx.doi.org/10.14436/2358-2545.5.2.056-060.oar
» The authors report no commercial, proprietary or inancial interest in the prod-
ucts or companies described in this article.
DOI: http://dx.doi.org/10.14436/2358-2545.5.2.056-060.oar
Samuel Lucas FERNANDES
1
Talita TARTARI
2
Juliana Delatorre BRONZATO
3
Clóvis Monteiro BRAMANTE
4
Rodrigo Ricci VIVAN
5
Flaviana Bombarda de ANDRADE
5
Marco Antonio Hungaro DUARTE
6
1
Professor of Endodontics, Faculdade Mineirense (FAMA), Mineiros, Goiás, Brazil.
2
PhD resident in Endodontics, Universidade de São Paulo (USP), School of Dentistry, Bauru,
São Paulo, Brazil.
3
PhD resident in Microbiology, University of Dundee, Scotland.
4
Full professor, Cosmetic Dentistry, Endodontics and Dental Material, Chairman, Pontifícia
Universidad Catolica Madre y Maestra, Graduate Program in Endodontics, Dominican
Republic.
5
PhD professor, Universidade de São Paulo (USP), School of Dentistry, Department of
Cosmetic Dentistry, Endodontics and Dental Material, Bauru, São Paulo, Brazil.
6
Associate professor, Universidade de São Paulo (USP), School of Dentistry, Department of
Cosmetic Dentistry, Endodontics and Dental Material, Bauru, São Paulo, Brazil. Chairman of
Endodontics, Universidade de São Paulo (USP), School of Dentistry, Graduate Program in
Applied Dental Sciences, Bauru, São Paulo, Brazil.