Dissolution of soft tissues on the uninstrumented root canal wall by a
n intracanal dressing of calcium hydroxide paste was examined by scann
ing electron microscopy (SEM). The roots of a human extracted teeth we
re split longitudinally into halves, and the pulp tissue was removed b
y forceps. Then, the halves were divided randomly into three groups. S
pecimens in the control group were given no treatment. Specimens of th
e 1-wk group were stored for 7 days in calcium hydroxide-saline paste
under the condition of 100% humidity and 37 degrees C. Specimens of th
e 4-wk group were stored for 28 days in the same manner, but washed an
d replaced into new paste every week. Root canal walls of these specim
ens were compared under a scanning electron microscope. A layer of odo
ntoblasts was observed in the control group, whereas it had disappeare
d completely in the 1- and 4-wk groups. However, the predentin remaine
d almost intact in the 1-wk group, and although the surface was eroded
, in the 4-wk group. It was found that calcium hydroxide paste dressin
g could dissolve the odontoblastic cell layer, but had little effect o
n predentin.