Mycetoma of the maxillary sinus: endodontic and microbiological correlations.
作者信息
Mensi Magda, Salgarello Stefano, Pinsi Gabriele, Piccioni Michela
机构信息
Department of Endodontology and Oral Surgery, University of Brescia Dental School, Piazzale Spedali Civili No. 1, 25123 Brescia, Italy.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Jul;98(1):119-23. doi: 10.1016/j.tripleo.2003.12.035.
OBJECTIVE
The purpose was to show the capacity of zinc oxide and eugenol to affect the growth of Aspergillus fumigatus.
STUDY DESIGN
An in vitro microbiological analysis was conducted on samples from infected maxillary sinuses and on 3 different endodontic sealers.
RESULTS
Tests showed that zinc oxide in solution favors the growth of Aspergillus fumigatus, while eugenol inhibits this growth, even when mixed with zinc oxide powder. This inhibiting effect decreases over time. A reduced effectiveness was demonstrated over a 75-day period.
CONCLUSIONS
The hypothesis is that the diminishing concentration of eugenol over time in endodontic sealers allows the zinc oxide to support growth of Aspergillus fumigatus. This is reinforced by clinical experience, where mycetoma has developed years after endodontic therapy with excess sealer in the maxillary sinus.
Zotero 插件