Oliveira Luciane Dias, Carvalho Cláudio Antonio Talge, Nunes Willian, Valera Marcia Carneiro, Camargo Carlos Henrique Ribeiro, Jorge Antonio Olavo Cardoso
Department of Oral Biosciences and Diagnosis, School of Dentistry, Paulista State University-UNESP, Sao Jose dos Campos, Sao Paulo, Brazil.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Oct;104(4):e125-8. doi: 10.1016/j.tripleo.2007.04.019. Epub 2007 Jul 26.
The purpose of this study was to evaluate the effects of endodontic irrigants on the microhardness of root canal dentin.
Thirty extracted single-rooted human teeth were used. The crowns were sectioned at the cementoenamel junction. Each root was transversely sectioned into cervical, middle, and apical segments, resulting in 90 specimens. The 3 sections of each root were separately mounted in an individual silicon device with acrylic resin. The specimens were randomly divided into the following 3 groups (n = 30), according to the irrigant solution used: (1) group 1, control (saline solution); (2) group 2, 2% chlorhexidine gluconate solution; and (3) group 3, 1% sodium hypochlorite (NaOCl). After 15 minutes of irrigation, dentin microhardness was measured on each section at 500 microm and 1000 microm from the pulp-dentin interface with a Vickers diamond microhardness tester in Vickers hardness number (VHN).
Data obtained were analyzed using analysis of variance and the Tukey test (5%). Specimens irrigated with 2% chlorhexidine (group 2) or 1% NaOCl (group 3) presented lower values of dentin microhardness, with significant difference in relation to the control group (P < .05).
It could be concluded that chlorhexidine and NaOCl solutions significantly reduced the microhardness of root canal dentin at 500 microm and 1000 microm from the pulp-dentin interface.
本研究旨在评估根管冲洗剂对根管牙本质显微硬度的影响。
使用30颗拔除的单根人牙。在牙骨质釉质界处将牙冠截断。将每颗牙根横向切成颈段、中段和根尖段,共得到90个标本。每颗牙根的3个切片分别用丙烯酸树脂单独固定在硅制装置中。根据所用冲洗液,将标本随机分为以下3组(n = 30):(1)第1组,对照组(生理盐水);(2)第2组,2%葡萄糖酸氯己定溶液;(3)第3组,1%次氯酸钠(NaOCl)。冲洗15分钟后,使用维氏金刚石显微硬度计在距牙髓-牙本质界面500微米和1000微米处测量每个切片的牙本质显微硬度,单位为维氏硬度值(VHN)。
所得数据采用方差分析和Tukey检验(5%)进行分析。用2%氯己定(第2组)或1% NaOCl(第3组)冲洗的标本牙本质显微硬度值较低,与对照组相比有显著差异(P < .05)。
可以得出结论,氯己定和NaOCl溶液在距牙髓-牙本质界面500微米和1000微米处显著降低了根管牙本质的显微硬度。