Nakamura Vitor Cesar, Kataoka Simony Hidee Hamoy, Gavini Giulio, Ferrari Patrícia Helena, Cai Silvana
Department of Dentistry, School of Dentistry, University of São Paulo, São Paulo, SP, Brazil.
Int J Dent. 2012;2012:748471. doi: 10.1155/2012/748471. Epub 2012 Mar 11.
Objective. To evaluate through FE-SEM the cleanliness and dentinal alterations promoted by different methods of dental sample preparation. Methods. Twenty-five human single-rooted teeth were used. The teeth were cleaned and autoclaved in wet medium and randomly divided into 5 groups (n = 5), according to the preparation methods employed-control group: no solutions applied; group 1: cement removal and irrigation with 5.25% NaOCl + 17 % EDTA for 4 minutes each; group 2: 17% EDTA + 2.5% NaOCl (4 minutes ultrasonic bath); group 3: cement removal and 17% EDTA + 5.25% NaOCl + phosphate buffer solution + distilled water (10 minutes ultrasonic); group 4: 17% EDTA + 5.25% NaOCl (3 minutes ultrasonic bath). Specimens were analyzed by field emission scanning electron microscope (FE-SEM), at 1500x magnification. Data were submitted to qualitative analysis according to a scoring system and submitted to Kruskal-Wallis test. Results. In ascending order, as to bind parameters, (i) cleanliness: control, group 2, group 3, group 5, and group 4, (ii) dentinal alterations: group 1, group 5, group 2, group 3, and group 4. Conclusion. The proposed protocol was suitable for subsequent microbiological contamination, because it showed less dentinal morphological alterations with increased removal of organic waste.
目的。通过场发射扫描电子显微镜(FE-SEM)评估不同牙齿样本制备方法所促进的清洁度和牙本质改变。方法。使用25颗人单根牙。牙齿在潮湿介质中清洁并高压灭菌,根据所采用的制备方法随机分为5组(n = 5):对照组:不使用任何溶液;第1组:去除粘固剂并用5.25%次氯酸钠(NaOCl)+ 17%乙二胺四乙酸(EDTA)各冲洗4分钟;第2组:17% EDTA + 2.5% NaOCl(4分钟超声浴);第3组:去除粘固剂并使用17% EDTA + 5.25% NaOCl +磷酸盐缓冲溶液+蒸馏水(10分钟超声处理);第4组:17% EDTA + 5.25% NaOCl(3分钟超声浴)。通过场发射扫描电子显微镜(FE-SEM)在1500倍放大倍数下对标本进行分析。数据根据评分系统进行定性分析,并进行Kruskal-Wallis检验。结果。就结合参数而言,按升序排列,(i)清洁度:对照组、第2组、第3组、第5组和第4组,(ii)牙本质改变:第1组、第5组、第2组、第3组和第4组。结论。所提出的方案适用于后续的微生物污染,因为它在增加有机废物清除的同时显示出较少的牙本质形态改变。