THE EFFECT SODIUM HYPOCHLORITE 2,5% AND SODIUM THIOSULPHATE AS IRRIGATION ON THE CLEANLINESS OF THE APICAL THIRD ROOT

Christina Mahardika, Yulita Kristanti, M. Rinastiti
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Abstract

Background: Sodium hypochlorite produces free oxygen and free radicals that cause damage to dentin collagen. Combination with Sodium thiosulfate with the aim of improving root canal hygiene and restoring the oxidizing effect on the dentin surface.The apical third of the root canal is the most difficult part, due to its narrower anatomy, curvature and frequent branching of the root canal. Method: The study used 30 specimens which were divided into 3 groups, group I was irrigated with 2.5% NaOCl, 5% sodium thiosulfate and saline, group II was irrigated with 2.5% NaOCl, 10% sodium thiosulfate and saline and group III was irrigated with 2.5% NaOCl and saline. The tooth length 14 mm measured from apical to crown. The crown down technique was prepared using the M3 Pro gold file. Observation of the level of cleanliness of the root canal was carried out using a Scanning Electron Microscope (SEM) with 5000x magnification at apical third . The results of micrographic photographs are then given a score of 1-4. Result: Irrigated with 5% and 10% sodium thiosulfate showed no significant difference. Conclusion: The differences is not significant, 2,5% irrigation with sodium thiosulfate resulted in a higher cleanliness apical third of the root canal t han 2,5% NaOCl irigation with saline
2.5%次氯酸钠和硫代硫酸钠灌溉对根尖第三根清洁度的影响
背景:次氯酸钠产生的游离氧和自由基对牙本质胶原蛋白造成损伤。与硫代硫酸钠联合使用,改善根管卫生,恢复牙本质表面氧化作用。根管顶端的三分之一是最困难的部分,由于其较窄的解剖结构,弯曲和频繁的根管分支。方法:将30只标本分为3组,第一组用2.5% NaOCl、5%硫代硫酸钠和生理盐水冲洗,第二组用2.5% NaOCl、10%硫代硫酸钠和生理盐水冲洗,第三组用2.5% NaOCl和生理盐水冲洗。从牙尖到牙冠长度为14毫米。冠下工艺采用M3 Pro金锉制备。用扫描电子显微镜(SEM)观察根管清洁度,扫描电子显微镜在根尖三分之一处放大5000x。缩微摄影的结果然后给予1-4分。结果:5%硫代硫酸钠和10%硫代硫酸钠灌洗后,细胞生长无显著性差异。结论:2.5%硫代硫酸钠冲洗根管的根尖三分之一清洁度高于2.5% NaOCl盐水冲洗,差异不显著
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