NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

Evaluation and comparison of decalcification agents on the human teeth.

Author(s): Sanjai K, Kumarswamy J, Patil A, Papaiah L, Jayaram S, Krishnan L

Publication: J Oral Maxillofac Pathol, 2012, Vol. 16, Page 222-7

PubMed ID: 22923894 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of decalcifying agents on formalin-fixed paraffin-embedded (FFPE) tooth specimen morphology.

Conclusion of Paper

Overall, for the decalcification of teeth, neutral EDTA yielded superior morphological results to 5% nitric acid, Perenyi's fluid, a formalin-nitric acid solution, 10% formic acid, and 5% trichloroacetic acid. However, decalcification with EDTA required more time than using any of the other solutions.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of decalcifying agents on FFPE tooth specimen morphological parameters including ease of sectioning, hard-tissue staining, soft-tissue staining, soft-tissue attachment, soft-tissue shrinkage, and pulpal organization.

    Summary of Findings:

    Overall, for the decalcification of teeth, neutral EDTA yielded the best morphological results followed by 5% trichloroacetic acid. However, decalcification with EDTA required more time than decalcification with the other solutions. Overall, decalcification with Perenyi's fluid was inferior to the other methods and ranked the lowest for ease of sectioning, hard-tissue staining, soft-tissue attachment, soft-tissue cytoplasmic staining, and soft-tissue nuclear staining.

    Biospecimens
    Preservative Types
    • Formalin
    Diagnoses:
    • Not specified
    Platform:
    AnalyteTechnology Platform
    Morphology H-and-E microscopy
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Analyte Extraction and Purification Decalcification solution/ duration 5% nitric acid
    Perenyi's fluid
    Formalin-nitric acid solution
    EDTA
    10% formic acid
    5% trichloroacetic acid
    Biospecimen Acquisition Biospecimen location Incisor
    Canine
    Premolar
    Molar

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