Allard U, Andersson L
Postgraduate Dental Education Center, Orebro Medical Center Hospital, Sweden.
Endod Dent Traumatol. 1992 Aug;8(4):155-9. doi: 10.1111/j.1600-9657.1992.tb00235.x.
The exposure of dental personnel to chloroform in root-filling procedures was evaluated. Four different root filling procedures were studied. In all the procedures studied, guttapercha was used as the root-filling material and chloroform or sealers containing chloroform were used. Ten teeth in each group were root-filled. In the first group, chloroform and 5% rosin in chloroform were administered in medical cups, in the second group chloroform and Kloroperka NO was administered in medical cups. In Group three a specially designed glass tube (S-endodip) was used for administration and in the fourth group specially selected plastic tubes were used. In the last two groups the sealers were chloroform and 5% rosin in chloroform. When medical cups were used the exposure reached levels close to the accepted limit values in Sweden, indicating that only one root filling per day can be performed without the dental team being unacceptably exposed. Using either the glass tube or the specially designed plastic tube, the exposure was significantly reduced for the dentist (p < 0.005) and for the nurse (p < 0.005). The mean exposure was 19.1 mg/m3 for the dentist and 11.6 mg/m3 for the nurse in the first experimental group. The mean values in the second group were 15.4 mg/m3 and 16.6 mg/m3 respectively. In the third group, the dentist was exposed to a mean of 4.4 mg/m3 and the nurse to 6.3 mg/m3. In the fourth group, the mean exposure was 2.2 mg/m3 and 3.4 mg/m3 respectively.(ABSTRACT TRUNCATED AT 250 WORDS)
评估了牙科工作人员在根管充填操作中接触氯仿的情况。研究了四种不同的根管充填操作。在所有研究的操作中,均使用牙胶作为根管充填材料,并使用氯仿或含氯仿的封闭剂。每组10颗牙齿进行根管充填。第一组,在医用杯中使用氯仿和5%氯仿中的松香;第二组,在医用杯中使用氯仿和Kloroperka NO;第三组,使用专门设计的玻璃管(S型根管浸液器)给药;第四组,使用特别挑选的塑料管。最后两组的封闭剂为氯仿和5%氯仿中的松香。当使用医用杯时,接触水平接近瑞典认可的限值,这表明每天仅能进行一次根管充填,否则牙科团队的接触水平将达到不可接受的程度。使用玻璃管或专门设计的塑料管时,牙医(p < 0.005)和护士(p < 0.005)的接触量均显著降低。第一实验组中,牙医的平均接触量为19.1毫克/立方米,护士为11.6毫克/立方米。第二组的平均值分别为15.4毫克/立方米和16.6毫克/立方米。第三组中,牙医的平均接触量为4.4毫克/立方米,护士为6.3毫克/立方米。第四组中,平均接触量分别为2.2毫克/立方米和3.4毫克/立方米。(摘要截短为250字)