儿茶素溶液未来根管冲洗候选物的可能性评价

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摘要

在根尖周炎的治疗中,根管冲洗是获得根尖周炎成功的重要过程之一,次氯酸钠(NaOCl)是应用最广泛的根管冲洗剂。然而,在牙髓学治疗中使用NaOCl时,应考虑到其过敏、误注射上颌窦或口腔黏膜时严重的组织损伤等问题。因此,需要一种安全且抗菌效果高的根管冲洗剂。在本研究中,儿茶素被用来评价对肠球菌的杀微生物效果。粪肠球菌(E.faecalis),并被认为有可能成为未来根管冲洗剂的候选人。配制10%(100mg/ml) ~ 30%(300mg/ml)的儿茶素溶液用于本研究。不同浓度(低浓度:5 × 107 CFU/ml,高浓度:5 × 109 CFU/ml)和不同反应时间(5 ~ 30 min)对粪肠球菌的抑菌效果进行了评价。然后将其置于BHI琼脂板上,37℃孵育1周。然后统计蜂群形成的数量。30%儿茶素溶液对低密度粪肠球菌在5分钟内形成集落,对高密度粪肠球菌在20分钟内形成集落。20%儿茶素溶液分别在10 min(低密度)和30 min(高密度)无菌落形成。10%儿茶素溶液在30分钟内达到无菌落形成(低密度)是必要的,而高密度粪肠球菌在30分钟内不能完全被杀死。提示儿茶素对粪肠杆菌具有良好的抑菌作用。但要获得满意的抑菌效果,需要较高浓度的儿茶素溶液和较长的反应时间。因此,在今后的根管治疗中,儿茶素的使用可能不是作为根管冲洗剂的候选,而是作为根管内药物的候选。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Evaluation of Possibility for Future Root Canal Irrigant Candidate by Catechin Solution
To treatment for periapical periodontitis, root canal irrigation is one of most important process to obtain success of healing Sodium hypochlorite (NaOCl) is the most widely used as root canal irrigant. However using NaOCl on endodntics treatment should be considered its problems such as allergy, serious tissue damage when inadvertently injected into the maxillary sinus or oral mucosa. Therefore another root canal irrigant that is safety and having high antimicrobial effect is desirable. In this study, catechin was to evaluated microbicidal efficacy to the Enterococcus. faecali (E.faecalis) and considered the possibility to be the future root canal irrigant candidate. 10%(100mg/ml) to 30%(300mg/ml) of catechin solution were prepared and used for this study. The anti-microbiologic effect against E.faecalis was evaluated with different concentrations (low: 5x107 CFU/ml, high: 5x109 CFU/ml), and different reaction time like as from 5minutes to 30 minutes respectively. Then they were placed onto BHI agar plates and incubated for 1 week at 37ºC. Then the number of colony formation was counted. Prevent colony formation by 30% catechin solution was caused within 5minutes in low density of E.faecalis, and within 20 minutes in high density of it. 20% catechin solution leaded to no colony formation at 10 min (low density) and 30 min (high density), respectively. For 10% catechin solution, it was necessary to attain no colony formation should be 30 minutes (low density), however high density of E.faecalis was not killed completely within 30minutes. These results suggested that Catechin has a benefit to anti-microbiologicl effect against E.faecalis. However to determine Satisfactory anti-microbiological effect, high concentration of catechin solution and long reaction time should necessary. Therefore usage of catechin in future root canal treatment might be recommended not for candidate of root canal irrigant but for candidate of intracanal medication.
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