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908纳米二极管激光对感染根管内粪肠球菌的杀菌作用。

Bactericidal effect of the 908 nm diode laser on Enterococcus faecalis in infected root canals.

作者信息

Preethee Thomas, Kandaswamy Deivanayagam, Arathi Ganesh, Hannah Rosaline

机构信息

Department of Conservative Dentistry and Endodontics, Sri Ramachandra University, Porur, Chennai, India.

出版信息

J Conserv Dent. 2012 Jan;15(1):46-50. doi: 10.4103/0972-0707.92606.

Abstract

AIM

The aim of this study is to evaluate the bactericidal effect of 908 nm diode laser in conjunction with various irrigation regimes in disinfection of apical third of root dentin.

MATERIALS AND METHODS

Sixty prepared teeth with single canals were contaminated with Enterococcus faecalis. The specimens were divided into 6 groups (n = 10): Group 1 and 3 and 5 were subjected to chemo-mechanical preparation using 5.25% sodium hypochlorite (NaOCl), 17% Ethylenediaminetetraacetic acid (EDTA); 1.3% NaOCl, MTAD (mixture of doxycycline, citric acid and a detergent (Tween 80); and, 8.5% saline, respectively followed by 908 nm diode laser irradiation; Group 2 and 4, followed the same procedure as Group1 and 3, however without laser irradiation; and, Group 6, rinsed with saline solution (control). Dentin shavings from apical third were analyzed for the presence of E. faecalis using culture method and Polymerase Chain reaction (PCR).

RESULTS

One-way Analysis of variance showed statistically significant differences between the laser irradiated groups, non irradiated groups and the control group.

CONCLUSION

908 nm diode used in conjunction with conventional chemomechanical techniques demonstrated a significant elimination of E. faecalis in the apical third of root dentin.

摘要

目的

本研究旨在评估908纳米二极管激光结合不同冲洗方案对根管牙本质根尖三分之一处的消毒杀菌效果。

材料与方法

选取60颗单根管预备好的牙齿,用粪肠球菌进行污染。将标本分为6组(每组n = 10):第1、3、5组采用化学机械预备,分别使用5.25%次氯酸钠(NaOCl)、17%乙二胺四乙酸(EDTA);1.3% NaOCl、MTAD(强力霉素、柠檬酸和去污剂(吐温80)的混合物);以及8.5%生理盐水,随后进行908纳米二极管激光照射;第2、4组,采用与第1、3组相同的程序,但不进行激光照射;第6组,用盐溶液冲洗(对照组)。采用培养法和聚合酶链反应(PCR)分析根尖三分之一处的牙本质碎屑中粪肠球菌的存在情况。

结果

单因素方差分析显示,激光照射组、未照射组和对照组之间存在统计学上的显著差异。

结论

908纳米二极管与传统化学机械技术联合使用,能显著消除根管牙本质根尖三分之一处的粪肠球菌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a7/3284013/fe1f6a7212c5/JCD-15-46-g002.jpg

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