三种不同根管冲洗剂根管消毒效果的比较:体外生物发光辅助研究。

Sohail Yasin, D N Nirupama, Mohan Thomas Nainan, D N Naveen, R Vijay, Helen Thomas
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引用次数: 0

摘要

目的:比较和评价2.5%次氯酸钠(NaOCl)、2%氯己定(CHX)、2% alexidine (ALX)三种不同根管冲洗液在负压冲洗(NPI)系统中配合EndoVac和注射器冲洗(SI)对粪肠球菌根管的消毒效果。材料与方法:将70颗单根下颌前磨牙进行修饰,放大至F4,高压灭菌,接种粪肠杆菌21 d。按消毒方案分为7组(n = 10): G1: 2.5% NaOCl + NPI, G2: 2.5% NaOCl + SI, G3: 2% CHX + NPI, G4: 2% CHX + SI, G5: 2% ALX + NPI, G6: 2% ALX + SI, G7:不灌洗(阳性对照组)。在灌洗前后用相对发光单位(RLU)光度计进行三磷酸腺苷测定。统计分析:采用单因素方差分析,Dunn’s post hoc和Wilcoxon sign - rank检验分析(P < 0.05)。结果与结论:G1组(7.90±6.03)、G2组(2.90±1.79)平均RLU值最小,两组间差异无统计学意义。G5(32.30±7.92)显著优于G6(14.20±4.05)(P < 0.008)。G3(27.70±7.85)和G4(28.50±6.62)与灌洗方式无显著差异。不论采用何种灌溉方式,3种灌溉方式的RLU值均呈下降趋势。在我们的研究中,EndoVac灌溉系统并没有提高细菌的消毒效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative evaluation of root canal disinfection efficacy of three different endodontic irrigants using EndoVac: An in vitro bioluminescence-assisted study.

Aim: To compare and evaluate root canal disinfection efficacy of three different endodontic irrigants 2.5% sodium hypochlorite (NaOCl), 2% chlorhexidine (CHX), and 2% alexidine (ALX) using negative pressure irrigation (NPI) system with EndoVac and syringe irrigation (SI) against Enterococcus faecalis.

Materials and methods: Seventy single-rooted mandibular premolars were decoronated, enlarged up to F4, autoclaved, and inoculated with E. faecalis for 21 days. The samples were divided into seven groups (n = 10) according to the protocol of disinfection: G1: 2.5% NaOCl + NPI, G2: 2.5% NaOCl + SI, G3: 2% CHX + NPI, G4: 2% CHX + SI, G5: 2% ALX + NPI, G6: 2% ALX + SI, and G7: no irrigation (positive control group). Adenosine triphosphate Assay was performed using luminometer for relative luminescence units (RLU) before and after the irrigation protocol.

Statistical analysis: One-way ANOVA test followed by Dunn's post hoc and Wilcoxon Signed-Rank Test analysis was performed (P < 0.05).

Results and conclusion: G1 (7.90 ± 6.03) and G2 (2.90 ± 1.79) exhibited the least mean RLU values with no significant difference among them. It was noted that G5 (32.30 ± 7.92) performed better than G6 (14.20 ± 4.05) significantly (P < 0.008). G3 (27.70 ± 7.85) and G4 (28.50 ± 6.62) irrespective of irrigation protocols did not show significant differences in disinfection efficacy. Irrespective of irrigation protocol used, all the 3 irrigants exhibited a decrease in RLU values. In our study, EndoVac irrigation system did not improve the disinfection efficacy of the irrgiants.

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