化学机械法去除龋坏牙本质的有效性和效率
Effectiveness and efficiency of chemomechanical carious dentin removal.
作者信息
Magalhães Cláudia Silami de, Moreira Allyson Nogueira, Campos Wagner Reis da Costa, Rossi Fernanda Magalhães, Castilho Guilherme Augusto Alcaraz, Ferreira Raquel Conceição
机构信息
Departament of Restorative Dentistry, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
出版信息
Braz Dent J. 2006;17(1):63-7. doi: 10.1590/s0103-64402006000100014. Epub 2006 May 2.
The aims of this in vitro study were both to determine the time necessary for removal of carious dentin (efficiency) and the Knoop Hardness Number (KHN) of the remaining dentin (effectiveness), using a chemomechanical method (Carisolv) or hand excavation. Thirty human molars were bisected through occlusal carious lesions into two equal halves. Each half was randomly excavated by hand in circular movements with a spoon excavator or using Carisolv gel according to the manufacturer's instructions. The duration of carious dentin removal was recorded. Tooth sections were resin-embedded, ground flat and polished. Dentin KHN was determined at distances of 100, 200, 300, 400 and 500 microm from the cavity floor. Data were analyzed by Wilcoxon's test (alpha= 0.01), ANOVA and Student's t test (alpha= 0.05). The median of the time necessary for chemomechanical excavation was significantly greater than for hand excavation. KHN means (+/- SD) at 100, 200, 300, 400, 500 microm for chemomechanical method were, respectively: 15.6 (+/- 4.96), 18.0 (+/- 6.22), 21.3 (+/- 9.30), 24.3 (+/- 9.25), 28.5 (+/- 11.80); and for hand excavation were: 21.2 (+/- 10.26), 23.4 (+/- 9.49), 28.2 (+/- 11.62), 31.0 (+/- 12.17), 34.3 (+/- 11.95). It may be concluded that hand excavation presented higher efficiency and effectiveness than chemomechanical excavation.
本体外研究的目的是使用化学机械方法(Carisolv)或手工挖除法,确定去除龋坏牙本质所需的时间(效率)以及剩余牙本质的努氏硬度值(KHN)(有效性)。将30颗人类磨牙通过咬合面龋损一分为二。每一半随机用匙形挖器以圆周运动方式手工挖掘,或根据制造商说明使用Carisolv凝胶。记录去除龋坏牙本质的持续时间。将牙齿切片进行树脂包埋、磨平并抛光。在距髓腔底部100、200、300、400和500微米处测定牙本质KHN。数据采用Wilcoxon检验(α = 0.01)、方差分析和Student's t检验(α = 0.05)进行分析。化学机械法去除龋坏牙本质所需时间的中位数显著长于手工挖除法。化学机械法在100、200、300、400、500微米处的KHN平均值(±标准差)分别为:15.6(±4.96)、18.0(±6.22)、21.3(±9.30)、24.3(±9.25)、28.5(±11.80);手工挖除法的相应值为:21.2(±10.26)、23.4(±9.49)、28.2(±11.62)、31.0(±12.17)、34.3(±11.95)。可以得出结论,手工挖除法比化学机械法具有更高的效率和有效性。