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通过乳牙微生物定量评估和比较两种根管锉与冲洗剂的生物清洁效果——一项体内研究

Evaluation and comparison of biological cleaning efficacy of two endofiles and irrigants as judged by microbial quantification in primary teeth - an in vivo study.

作者信息

Musani Iqbal, Goyal Varun, Singh Asha, Bhat Chetan

机构信息

Professor, Department of Pedodontics and Preventive Dentistry, Dr DY Patil Dental College Hospital, Pune, Maharashtra India.

Postgraduate Student, Department of Pedodontics and Preventive Dentistry, Dr DY Patil Dental College Hospital, Pune Maharashtra, India.

出版信息

Int J Clin Pediatr Dent. 2009 Sep;2(3):15-22. doi: 10.5005/jp-journals-10005-1013. Epub 2009 Dec 26.

Abstract

The endodontic triad comprises of cleaning and shaping, disinfection and obturation. Success of root canal therapy is majorly achieved by proper cleaning and shaping. However, elimination of bacterial contaminants as well as necrotic debris of the canals requires the adjunctive use of irrigants. To achieve a satisfactory biological and mechanical preparation proper selection of endodontic instruments and irrigants is necessary. In this study we are comparing and evaluating cleaning efficacy of endofiles (K-files and handprotapers ) and root canal irrigants (sodium hypochlorite and chlorhexidine) by microbial quantification. Root canal samples were collected in autoclavable bottles containing transport media (nutrient broth) and samples were cultured in tryptose soya agar at incubation temperature of 37°C for 24-48 hours and colonies were counted with digital colony counter. The significance of this study is to help the clinician select proper instrument and irrigant which minimize the failure rate of root canal treatment for the benefit of patients.

摘要

根管治疗三联包括清洁与成形、消毒和充填。根管治疗的成功主要通过适当的清洁与成形来实现。然而,要清除根管内的细菌污染物以及坏死碎屑,需要辅助使用冲洗剂。为了实现令人满意的生物学和机械预备,正确选择根管治疗器械和冲洗剂是必要的。在本研究中,我们通过微生物定量比较和评估根管锉(K锉和手动成形锉)和根管冲洗剂(次氯酸钠和氯己定)的清洁效果。根管样本收集在含有运送培养基(营养肉汤)的可高压灭菌瓶中,样本在胰蛋白胨大豆琼脂上于37°C培养24 - 48小时,并用数字菌落计数器计数菌落。本研究的意义在于帮助临床医生选择合适的器械和冲洗剂,以将根管治疗的失败率降至最低,从而造福患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71c0/4086577/20e0522b9092/ijcpd-02-015-i001.jpg

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