Zhang Chao-liang, Gao Shan-shan, Li Yan
State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2010 Apr;28(2):149-52, 157.
To evaluate the effect of different concentrations of ethylenediamine tetraacetic acid (EDTA) paste on the removing root canal smear layers and the degrees of erosion on the surface of the root canal walls at the different portions of canal.
Sixty human teeth with single root were instrumented using step-back technique, then were divided into six groups and treated with different concentrations EDTA paste and NaCLO solution. Group A: 0.9% saline; group B: 5.25% NaC10+5% EDTA; group C: 5.25% NaC10+10% EDTA; group D: 5.25% NaC10+15% EDTA; group E: 5.25% NaC10+17% EDTA; group F: 5.25% NaClO+20% EDTA. Then the teeth were split, the root canals with different treatments were examined with scanning electron microscope at the coronal, middle and apical thirds for smear layers removal and the degrees of erosion.
The effect of EDTA paste on removing smear layers at the coronal, middle thirds of the root canal increased with the concentrations. 15% EDTA paste could remove the smear layers at the coronal and middle thirds of the root canal, but the effect on apical third was invalid, and no erosion could be found in the root canal wall. 17% and 20% EDTA paste produced the erosion to the root canal wall.
The concentrations of the EDTA paste can influence the effect of the removing smear layers, and the concentration beyond 17% would produce the erosion to root canal wall.
评估不同浓度乙二胺四乙酸(EDTA)糊剂对去除根管玷污层及根管不同部位管壁表面侵蚀程度的影响。
选取60颗单根人牙,采用逐步后退法进行根管预备,然后分为六组,分别用不同浓度的EDTA糊剂和次氯酸钠溶液处理。A组:0.9%生理盐水;B组:5.25%次氯酸钠+5%EDTA;C组:5.25%次氯酸钠+10%EDTA;D组:5.25%次氯酸钠+15%EDTA;E组:5.25%次氯酸钠+17%EDTA;F组:5.25%次氯酸钠+20%EDTA。然后将牙齿劈开,对不同处理的根管在冠部、中部和根尖三分之一处用扫描电子显微镜检查玷污层去除情况及侵蚀程度。
EDTA糊剂对根管冠部、中部去除玷污层的效果随浓度增加而增强。15%EDTA糊剂可去除根管冠部和中部的玷污层,但对根尖三分之一处无效,且根管壁未见侵蚀。17%和20%EDTA糊剂对根管壁产生了侵蚀。
EDTA糊剂的浓度可影响去除玷污层的效果,浓度超过17%会对根管壁产生侵蚀。