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基于氢氧化钙的根管内药物与不同载体的残留:扫描电子显微镜评估。

Residues of calcium hydroxide-based intracanal medication associated with different vehicles: a scanning electron microscopy evaluation.

机构信息

Department of Restorative Dentistry, Araraquara Dental School, UNESP-Univ Estadual Paulista, Rua Humaitá, 1680 Centro, 14801-903 Araraquara, SP, Brazil. norbertofariajr@ gmail.com

出版信息

Microsc Res Tech. 2012 Jul;75(7):898-902. doi: 10.1002/jemt.22010. Epub 2012 Jan 25.

Abstract

This study evaluated the presence of residues after removal of calcium hydroxide [Ca(OH)(2) ] associated with different vehicles. Thirty single-rooted teeth were instrumented to a master apical file #25 using 2.5% NaOCl as main irrigant and 17% trisodium EDTA (ethylenediaminetetraacetic acid) as final agent irrigant. Then, the root canals were dressed with Ca(OH)(2) associated with silicone oil (Group 1), 2% chlorhexidine gluconate (Group 2), or propylene glycol (Group 3). After coronal sealing, all teeth were kept in a moist environment at room temperature. After 7 days, the teeth were reopened and medicaments were removed using 5 mL of saline solution and instrumentation with master apical file followed by new irrigation with 5 mL of 2.5% NaOCl. Subsequently, teeth were split longitudinally and assessed by scanning electron microscopy. The wall cleanliness of the cervical and apical thirds of the roots were evaluated and scored by three blinded examiners. Statistical analysis was performed using Kruskal-Wallis and Wilcoxon tests at 5% level of significance. All roots had residues of Ca(OH)(2) on the canal walls. All experimental groups had similar results (P > 0.05) regardless of the third evaluated. There was significant difference between the apical and cervical thirds only in Group 3 (P < 0.05). Association of different vehicles to Ca(OH)(2) does not influence the persistence of residues on the root canal walls.

摘要

本研究评估了不同载体的氢氧化钙[Ca(OH)(2)]去除后残留的情况。30 颗单根牙用 2.5%次氯酸钠作为主要冲洗液,用 17%三钠 EDTA(乙二胺四乙酸)作为最终冲洗液冲洗至主尖锉#25。然后,将氢氧化钙与硅油(第 1 组)、2%洗必泰葡萄糖酸盐(第 2 组)或丙二醇(第 3 组)联合应用于根管内。冠部密封后,所有牙齿均在室温下保持湿润环境。7 天后,打开牙齿,用 5ml 生理盐水去除药物,并使用主尖锉进行器械处理,然后用 5ml 2.5%次氯酸钠再次冲洗。随后,将牙齿纵向劈开,用扫描电子显微镜进行评估。由 3 名盲法检查者评估和评分根颈部和根尖部的根管壁清洁度。采用 Kruskal-Wallis 和 Wilcoxon 检验进行统计分析,显著性水平为 5%。所有根均在根管壁上有氢氧化钙残留。无论评估的第三组如何,所有实验组的结果均相似(P>0.05)。仅在第 3 组中,根尖部和颈部之间存在显著差异(P<0.05)。不同载体与氢氧化钙的联合应用并不影响根管壁上残留物质的存在。

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