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根管冲洗剂对颈部牙本质过氧化氢渗透性的影响。

Effect of root canal irrigants on cervical dentine permeability to hydrogen peroxide.

作者信息

Surapipongpuntr P, Duangcharee W, Kwangsamai S, Ekka A

机构信息

Restorative Department, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand.

出版信息

Int Endod J. 2008 Oct;41(10):821-7. doi: 10.1111/j.1365-2591.2008.01446.x. Epub 2008 Aug 11.

Abstract

AIM

To examine the effects of various root canal irrigants on cervical dentine permeability by monitoring the diffusion of hydrogen peroxide (H(2)O(2)).

METHODOLOGY

Sixty cervical dentine discs were prepared from human third molar teeth. After removal of enamel and cementum, the outer dentine surface was etched with 17% ethylenediamine tetraacetic acid (EDTA) for 1 min. The dentine discs were randomly assigned to five groups according to the irrigant used: A, saline solution; B, 2.5% sodium hypochlorite solution (NaOCl); C, 5% NaOCl; D, 17% EDTA and 2.5% NaOCl; E, 17% EDTA and 5% NaOCl. After irrigation on the inner dentine surface with the various solutions, the diffusion of 30% H(2)O(2) was evaluated through each disc using a plastic-split chamber. H(2)O(2) was applied to the inner-side chamber, while the outer-side chamber was filled with de-ionised water. After 30 min of application of H(2)O(2), the solution in the outer-side chamber was collected to determine the concentration of H(2)O(2) using a spectrophotometer.

RESULTS

The penetration of H(2)O(2) through dentine in group E was significantly highest, followed by groups D, C, B and A respectively (one-way anova, P < 0.05).

CONCLUSIONS

Among the irrigants used, 17% EDTA and 5% NaOCl had the greatest effect in increasing dentinal permeability to H(2)O(2).

摘要

目的

通过监测过氧化氢(H₂O₂)的扩散来研究不同根管冲洗剂对颈段牙本质通透性的影响。

方法

从人类第三磨牙制备60个颈段牙本质片。去除釉质和牙骨质后,用17%乙二胺四乙酸(EDTA)蚀刻牙本质外表面1分钟。根据所使用的冲洗剂将牙本质片随机分为五组:A组,生理盐水;B组,2.5%次氯酸钠溶液(NaOCl);C组,5% NaOCl;D组,17% EDTA和2.5% NaOCl;E组,17% EDTA和5% NaOCl。用不同溶液冲洗牙本质内表面后,使用塑料分隔腔通过每个牙本质片评估30% H₂O₂的扩散情况。将H₂O₂应用于内侧腔,而外侧腔填充去离子水。在应用H₂O₂ 30分钟后,收集外侧腔中的溶液,用分光光度计测定H₂O₂的浓度。

结果

H₂O₂在E组牙本质中的渗透显著最高,其次分别是D组、C组、B组和A组(单因素方差分析,P < 0.05)。

结论

在所使用的冲洗剂中,17% EDTA和5% NaOCl对增加牙本质对H₂O₂的通透性影响最大。

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