Zare Jahromi Maryam, Barekatain Mehrdad, Ebrahimi Maziar, Askari Bahare
Department of Endodontics, Dental School, Islamic Azad University of Khorasgan, Isfahan, Iran.
Iran Endod J. 2010 Summer;5(3):121-4. Epub 2010 Aug 15.
The production of smear layer during canal instrumentation is thought to increase coronal microleakage even after canal obturation. Previous studies have shown that the type of irrigant does not necessarily affect the seal of the obturation. Our study aimed to evaluate the effect of three irrigation solutions (MTAD, citric acid and EDTA/NaOCl) on the coronal microleakage of root canals.
Fifty five intact single rooted teeth were instrumented and randomly divided into three experimental groups (15 teeth each) and two control groups (5 teeth each). Final irrigation was carried out with MTAD in group I, citric acid in group II, and EDTA/NaOCl in group III. EDTA/NaOCl was used for the negative control group and saline irrigation was carried out in the positive control group. After lateral compaction with gutta-percha, the access cavities of the experimental specimens were restored with temporary restorative material. Temporary cement was not used in the positive control group. In the negative control group, access cavities and foramen apices were sealed with glass ionomer. Microleakage of samples was measured using the dye penetration technique. Data were analyzed with ANOVA and Tukey test to determine statistical differences between groups.
MTAD, citric acid and EDTA/NaOCl all had less microleakage compared to normal saline. However, no difference was detected between the experimental groups.
In this study, all three groups demonstrated effective seal with gutta-percha obturation. This is likely to be due to various factors including their ability to remove smear layer.
根管预备过程中产生的玷污层被认为即使在根管充填后也会增加冠部微渗漏。先前的研究表明,冲洗液的类型不一定会影响充填的封闭性。我们的研究旨在评估三种冲洗液(MTAD、柠檬酸和乙二胺四乙酸/次氯酸钠)对根管冠部微渗漏的影响。
55颗完整的单根牙进行预备,并随机分为三个实验组(每组15颗牙)和两个对照组(每组5颗牙)。第一组用MTAD进行最终冲洗,第二组用柠檬酸,第三组用乙二胺四乙酸/次氯酸钠。乙二胺四乙酸/次氯酸钠用于阴性对照组,阳性对照组用生理盐水冲洗。用牙胶侧向加压充填后,实验组标本的髓腔用临时修复材料修复。阳性对照组不使用临时水门汀。阴性对照组中,髓腔和根尖孔用玻璃离子封闭。采用染料渗透技术测量样本的微渗漏。数据用方差分析和Tukey检验进行分析,以确定组间的统计学差异。
与生理盐水相比,MTAD、柠檬酸和乙二胺四乙酸/次氯酸钠的微渗漏均较少。然而,实验组之间未检测到差异。
在本研究中,所有三组用牙胶充填均显示出有效的封闭性。这可能是由于多种因素,包括它们去除玷污层的能力。