Basrani Bettina R, Manek Sheela, Fillery Edward
Department of Endodontics, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.
J Endod. 2009 Sep;35(9):1296-9. doi: 10.1016/j.joen.2009.05.037.
The combination of sodium hypochlorite (NaOCl) and chlorhexidine (CHX) results in the formation of a precipitate. In a previous study, we demonstrated the formation of 4-chloraniline (PCA) in the precipitate in an amount directly related to the concentration of NaOCl used.
The aim of the present study was to use a diazotization technique to confirm the presence of an aromatic amine (like PCA) in the NaOCl/CHX precipitate and also in the 2.0% CHX at different temperatures (37 degrees C and 45 degrees C).
The results corroborated the presence of the aromatic amine in the precipitate and in the CHX at 45 degrees C.
Further investigations of the precipitate should address the bioavailability of PCA leaching out from dentin and its cytotoxicity. Until the precipitate is studied further, it would appear prudent to minimize its formation.
次氯酸钠(NaOCl)和洗必泰(CHX)混合会产生沉淀。在之前的一项研究中,我们证明了沉淀物中4-氯苯胺(PCA)的形成量与所用NaOCl的浓度直接相关。
本研究的目的是使用重氮化技术来确认NaOCl/CHX沉淀物以及不同温度(37摄氏度和45摄氏度)下2.0%CHX中芳香胺(如PCA)的存在。
结果证实了沉淀物以及45摄氏度下CHX中存在芳香胺。
对沉淀物的进一步研究应关注从牙本质中浸出的PCA的生物利用度及其细胞毒性。在对沉淀物进行进一步研究之前,尽量减少其形成似乎是谨慎的做法。