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不同冲洗液对牙根牙本质显微硬度、玷污层去除及侵蚀的影响

Effects of different irrigation solutions on root dentine microhardness, smear layer removal and erosion.

作者信息

Ulusoy Özgür İ A, Görgül Güliz

机构信息

Gazi University, Faculty of Dentistry, Department of Restorative Dentistry and Endodontics, Ankara, Turkey.

出版信息

Aust Endod J. 2013 Aug;39(2):66-72. doi: 10.1111/j.1747-4477.2010.00291.x. Epub 2011 Feb 20.

Abstract

This study aimed to compare the effects of different irrigants on root dentine microhardness, erosion and smear layer removal. A total of 72 root dentine slices were divided into six groups, according to the final irrigants used: Group 1: 17% ethylenediamine tetra-acetic acid (EDTA) + 2.5% NaOCl, Group 2: 7% maleic acid (MA) + 2.5% sodium hypochloride (NaOCl), Group 3: 1.3% NaOCl + mixture of tetracycline, acid and detergent (MTAD), Group 4: Smear Clear + 2.5% NaOCl, Group 5: 5% NaOCl, Group 6: saline. Vickers microhardness values were measured before and after treatment. In total, 42 root-halves were prepared for scanning electron microscope to evaluate the amount of smear and erosion in the coronal, middle and apical thirds. Data were analysed using two-way anova, Duncan and two-proportion z-tests. Maleic acid showed the greatest reduction in dentine microhardness (P < 0.05), followed by EDTA and MTAD. EDTA, maleic acid, MTAD and Smear Clear removed smear layer efficiently in the coronal and middle thirds of root canal. However, in the apical region, maleic acid showed more efficient removal of the smear layer than the other irrigants (P < 0.05).

摘要

本研究旨在比较不同冲洗剂对牙根牙本质显微硬度、脱矿及玷污层去除的影响。根据最终使用的冲洗剂,将72片牙根牙本质切片分为6组:第1组:17%乙二胺四乙酸(EDTA)+2.5%次氯酸钠(NaOCl);第2组:7%马来酸(MA)+2.5%次氯酸钠(NaOCl);第3组:1.3%NaOCl+四环素、酸和去污剂混合物(MTAD);第4组:Smear Clear+2.5%NaOCl;第5组:5%NaOCl;第6组:生理盐水。在处理前后测量维氏显微硬度值。总共制备了42个半根用于扫描电子显微镜检查,以评估根管冠部、中部和根尖三分之一处的玷污层和脱矿量。使用双向方差分析、邓肯检验和双比例z检验对数据进行分析。马来酸使牙本质显微硬度降低最多(P<0.05),其次是EDTA和MTAD。EDTA、马来酸、MTAD和Smear Clear能有效去除根管冠部和中部的玷污层。然而,在根尖区域,马来酸去除玷污层的效果比其他冲洗剂更有效(P<0.05)。

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