用EDTA和醋作为根管冲洗剂的两种旋转式仪器系统去除涂抹层的扫描电镜评价

Udayakumar Palaniswamy, M. Kaushik, L. R. Surender, Neha Prashar, Shikha Arya, Srikanth Pasari
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引用次数: 2

摘要

简介:由于仪器检查过程中产生的涂片层(SL)粘附在牙本质表面并阻止冲洗剂和药物的渗透,因此应将其清除。本研究的目的是评估17%乙二胺四乙酸(EDTA)和白醋(5%纯乙酸)去除两种镍钛(NiTi)文件系统Hyflex (Coltene Whaledent, Allstetten,瑞士)和ProTaper (Dentsply, Tulsa, OK,美国)在根管准备过程中产生的碎屑和SL的能力。材料与方法:取20颗新鲜拔除的人单根牙,在牙髓-牙釉质交界处进行切片,随机分为4组,每组5颗。在每组中,0.5 mL 5%的NaOCl作为第一次冲洗剂,然后是17%的EDTA或醋。两组使用Hyflex旋转锉,另外两组使用ProTaper锉。采用扫描电镜(SEM)对SL进行评价,并将收集到的数据提交统计分析。采用学生t检验进行统计学分析,P值>0.05。结果:使用的器械类型(Hyflex锉和ProTaper锉)与17% EDTA溶液加5%醋酸的差异无统计学意义。结论:醋可以作为根管冲洗剂去除SL,其效果与17% EDTA相当。此外,两种NiTi器械与EDTA和醋一起使用时,在SL方面产生的牙本质表面相似。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A SEM evaluation of smear layer removal using two rotary instrument systems with EDTA and vinegar as a root canal irrigant
Introduction: As the smear layer (SL) produced during instrumentation adheres to the dentinal surface and prevents penetration of irrigants and medicaments, it should be removed. The aim of this study was to evaluate the ability of 17% ethylenediaminetetraacetic acid (EDTA) and white vinegar (5% pure acetic acid) to remove debris and SL produced during root canal preparation with two nickel-titanium (NiTi) file systems, Hyflex (Coltene Whaledent, Allstetten, Switzerland) and ProTaper (Dentsply, Tulsa, OK, USA). Materials and Methods: Twenty freshly extracted human, single-rooted teeth were sectioned at the cementoenamel junction and were randomly divided into four groups of five samples each. In each group, 0.5 mL of 5% NaOCl was used as the first irrigant, which was followed by either 17% EDTA or vinegar. Two groups were prepared with Hyflex rotary files and the other two with ProTaper files. Scanning electron microscopy (SEM) study was done to evaluate the SL, and the collected data were submitted for statistical analysis. Statistical analysis was performed based on Student′s t-test with P value >0.05. Results: There was no statistically significant difference between the types of instruments used (Hyflex files and ProTaper files), and 17% EDTA solution and vinegar (5% acetic acid). Conclusion: Vinegar can be relied on as an endodontic irrigant for SL removal was comparable to 17% EDTA. In addition, both types of NiTi instrument produced similar dentin surface in terms of SL when used along with EDTA and vinegar.
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