Sharifian Mohammad R, Shokouhinejad Noushin, Aligholi Marzieh, Jafari Zeinab
Department of Endodontics, School of Dentistry, Dental Research Center, Tehran University of Medical Sciences, Iran.
J Oral Sci. 2010 Mar;52(1):83-7. doi: 10.2334/josnusd.52.83.
This ex vivo study compared saliva coronal microleakage in root canals filled with Resilon/Epiphany Self-Etch (SE) system after final irrigation with different solutions. A total of 60 extracted single-rooted human teeth were instrumented using Mtwo Ni-Ti rotary instruments and divided into two experimental groups (n = 20 each) and positive and negative control groups (n = 10 each). The canals were irrigated with 1.3% NaOCl during instrumentation. After removing the smear layer with 17% EDTA, the root canals in groups A and B were flushed with distilled water and 2% chlorhexidine (CHX), respectively, after which they were obturated with Resilon/Epiphany SE using lateral compaction technique. After sterilizing the whole system with gamma-rays, saliva leakage was tested using a split-chamber model. Specimens were monitored every 24 h for 60 days. The data collected were then analyzed using the chi-square test and Kaplan-Meier survival analysis. As compared with group A, the specimens in group B tended to be more resistant to saliva leakage; however, the difference was not significant (P > 0.05). In conclusion, our findings suggest that 2% CHX is a good conditioner for root canal dentin before use of Resilon/Epiphany SE.
这项体外研究比较了用不同溶液进行最终冲洗后,使用Resilon/Epiphany自酸蚀(SE)系统充填的根管中的唾液冠部微渗漏情况。总共60颗拔除的单根人牙用Mtwo镍钛旋转器械进行预备,并分为两个实验组(每组n = 20)以及阳性和阴性对照组(每组n = 10)。预备过程中根管用1.3%次氯酸钠冲洗。用17%乙二胺四乙酸去除玷污层后,A组和B组的根管分别用蒸馏水和2%氯己定(CHX)冲洗,之后采用侧向加压技术用Resilon/Epiphany SE进行充填。用伽马射线对整个系统进行消毒后,使用分室模型测试唾液渗漏情况。对标本进行60天的监测,每24小时记录一次数据。然后使用卡方检验和Kaplan-Meier生存分析对收集的数据进行分析。与A组相比,B组的标本对唾液渗漏的抵抗力更强;然而,差异不显著(P > 0.05)。总之,我们的研究结果表明,在使用Resilon/Epiphany SE之前,2% CHX是根管牙本质的良好调节剂。