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一种去除玷污层的新方法。

A new solution for the removal of the smear layer.

作者信息

Torabinejad Mahmoud, Khademi Abbas Ali, Babagoli Jalil, Cho Yongbum, Johnson William Ben, Bozhilov Krassimir, Kim Jay, Shabahang Shahrokh

机构信息

Department of Endodontics, School of Dentistry, Loma Linda University, CA 92350, USA.

出版信息

J Endod. 2003 Mar;29(3):170-5. doi: 10.1097/00004770-200303000-00002.

Abstract

Various organic acids, ultrasonic instruments, and lasers have been used to remove the smear layer from the surface of instrumented root canals. The purpose of this study was to investigate the effect of a mixture of a tetracycline isomer, an acid, and a detergent (MTAD) as a final rinse on the surface of instrumented root canals. Forty-eight extracted maxillary and mandibular single-rooted human teeth were prepared by using a combination of passive step-back and rotary 0.04 taper nickel-titanium files. Sterile distilled water or 5.25% sodium hypochlorite was used as intracanal irrigant. The canals were then treated with 5 ml of one of the following solutions as a final rinse: sterile distilled water, 5.25% sodium hypochlorite, 17% EDTA, or a new solution, MTAD. The presence or absence of smear layer and the amount of erosion on the surface of the root canal walls at the coronal, middle, and apical portion of each canal were examined under a scanning electron microscope. The results show that MTAD is an effective solution for the removal of the smear layer and does not significantly change the structure of the dentinal tubules when canals are irrigated with sodium hypochlorite and followed with a final rinse of MTAD.

摘要

多种有机酸、超声器械和激光已被用于去除根管预备后根管表面的玷污层。本研究的目的是调查四环素异构体、一种酸和一种洗涤剂的混合物(MTAD)作为最终冲洗液对根管预备后根管表面的影响。使用被动逐步后退法结合旋转0.04锥度镍钛锉对48颗拔除的上颌和下颌单根人牙进行预备。使用无菌蒸馏水或5.25%次氯酸钠作为根管内冲洗液。然后用5毫升以下溶液之一作为最终冲洗液处理根管:无菌蒸馏水、5.25%次氯酸钠、17%乙二胺四乙酸(EDTA)或一种新溶液MTAD。在扫描电子显微镜下检查每个根管冠部、中部和根尖部根管壁表面玷污层的有无以及侵蚀量。结果表明,当根管先用次氯酸钠冲洗然后用MTAD进行最终冲洗时,MTAD是一种去除玷污层的有效溶液,并且不会显著改变牙本质小管的结构。

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