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根管锥度对根管清洁度的影响:扫描电子显微镜研究。

Influence of root canal taper on its cleanliness: a scanning electron microscopic study.

机构信息

Department of Endodontics, Faculty of Dentistry, University of Athens, Athens, Greece.

出版信息

J Endod. 2011 Jun;37(6):871-4. doi: 10.1016/j.joen.2011.02.025.

Abstract

INTRODUCTION

Taper is a factor that determines final root canal dimensions and, consequently, the dimensions of the space for the cleaning action of irrigants. Therefore, the aim of the present study was to investigate the influence of taper on root canal cleanliness.

METHODS

Root canals of 45 mandibular incisors were divided into 3 groups and prepared with GT rotary files to apical preparation size 30 and final taper 0.04, 0.06, and 0.08, respectively. Irrigation with 2.5% NaOCl was performed after each file. The final irrigation sequence was 10 mL 17% ethylenediaminetetraacetic acid, followed by 10 mL 2.5% NaOCl and 10 mL saline solution. The presence of debris and smear layer on root canal walls was evaluated under the scanning electron microscope with the use of a 4-category scale system.

RESULTS

The presence of debris was minimal in all groups. Statistical analysis for the presence of smear layer showed no significant differences between the groups, whereas a significant difference was detected between the apical and middle thirds of each group.

CONCLUSIONS

Under the conditions of this study, root canal preparation with tapers 0.04, 0.06, or 0.08 did not affect canal cleanliness. Debris removal was almost complete for all tapers, whereas smear layer was not removed, especially from the apical part of the canals.

摘要

简介

锥度是决定最终根管尺寸的因素,进而影响清洁冲洗液在根管内的清洁空间大小。因此,本研究旨在探讨锥度对根管清洁度的影响。

方法

将 45 颗下颌切牙的根管分为 3 组,分别用 GT 旋转锉预备至 30 号、锥度为 0.04、0.06 和 0.08 的根尖部。每次锉后均用 2.5%次氯酸钠冲洗。最后的冲洗顺序为 10 mL 17%乙二胺四乙酸,随后是 10 mL 2.5%次氯酸钠和 10 mL 生理盐水。使用扫描电子显微镜,采用 4 级分类系统评估根管壁上的碎屑和玷污层的存在情况。

结果

所有组的根管内均仅有少量碎屑。对玷污层存在情况进行的统计学分析显示,各组之间无显著差异,而每个组的根尖和中 1/3 之间存在显著差异。

结论

在本研究条件下,锥度为 0.04、0.06 或 0.08 的根管预备不影响根管清洁度。所有锥度的根管内碎屑清除几乎完全,但玷污层未被清除,尤其是在根管的根尖部分。

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