Department of Endodontics, Marquette University School of Dentistry, Milwaukee, Wisconsin 53233, USA.
J Endod. 2010 Feb;36(2):315-7. doi: 10.1016/j.joen.2009.10.028. Epub 2009 Dec 14.
The purpose of this in vitro study was to determine whether para-chloroaniline (PCA) is formed through the reaction of mixing sodium hypochlorite (NaOCl) and chlorhexidine (CHX).
Initially, commercially available samples of chlorhexidine acetate (CHXa) and PCA were analyzed with 1H nuclear magnetic resonance (NMR) spectroscopy. Two solutions, NaOCl and CHXa, were warmed to 37 degrees C, and when mixed they produced a brown precipitate. This precipitate was separated in half, and pure PCA was added to 1 of the samples for comparison before they were each analyzed with 1H NMR spectroscopy.
The peaks in the 1H NMR spectra of CHXa and PCA were assigned to specific protons of the molecules, and the location of the aromatic peaks in the PCA spectrum defined the PCA doublet region. Although the spectrum of the precipitate alone resulted in a complex combination of peaks, on magnification there were no peaks in the PCA doublet region that were intense enough to be quantified. In the spectrum of the precipitate to which PCA was added, 2 peaks do appear in the PCA doublet region. Comparing this spectrum with that of precipitate alone, the peaks in the PCA doublet region are not visible before the addition of PCA.
On the basis of this in vitro study, the reaction mixture of NaOCl and CHXa does not produce PCA at any measurable quantity, and further investigation is needed to determine the chemical composition of the brown precipitate.
本体外研究旨在确定混合次氯酸钠(NaOCl)和洗必泰(CHX)是否会生成对氯苯胺(PCA)。
首先,用 1H 核磁共振(NMR)光谱法分析市售的醋酸洗必泰(CHXa)和 PCA 样品。将 NaOCl 和 CHXa 两种溶液加热至 37°C,混合后会产生棕色沉淀物。将该沉淀物分为两份,将纯 PCA 添加到其中一份进行比较,然后分别用 1H NMR 光谱法进行分析。
CHXa 和 PCA 的 1H NMR 光谱中的峰被分配到分子的特定质子上,PCA 光谱中芳香峰的位置定义了 PCA 双峰区域。尽管单独沉淀的光谱产生了复杂的峰组合,但放大后,PCA 双峰区域没有足够强的峰可以定量。在加入 PCA 的沉淀光谱中,PCA 双峰区域确实出现了 2 个峰。将该光谱与单独沉淀的光谱进行比较,在加入 PCA 之前,PCA 双峰区域中的峰不可见。
根据这项体外研究,NaOCl 和 CHXa 的反应混合物不会以任何可测量的量产生 PCA,需要进一步研究以确定棕色沉淀物的化学成分。