de Almeida Ana Paula, Souza Matheus Albino, Miyagaki Daniela Cristina, Dal Bello Yuri, Cecchin Doglas, Farina Ana Paula
School of Dentistry, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil.
School of Dentistry, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil.
J Endod. 2014 Dec;40(12):1953-7. doi: 10.1016/j.joen.2014.08.025. Epub 2014 Oct 1.
The purpose of this study was to compare in vitro the effectiveness of calcium hypochlorite (Ca[OCl]2) and sodium hypochlorite (NaOCl) associated with passive ultrasonic irrigation in root canals of bovine teeth infected with Enterococcus faecalis.
The root canals of 60 single-rooted bovine extracted teeth were enlarged up to a file 45, autoclaved, inoculated with Enterococcus faecalis, and incubated for 30 days. The samples were divided into 6 groups (n = 10) according to the protocol for decontamination: G1: no treatment; G2: distilled water; G3: 2.5% NaOCl; G4: 2.5% Ca(OCl)2; G5: 2.5% NaOCl with ultrasonic activation; and G6: 2.5% Ca(OCl)2 with ultrasonic activation (US). Microbiological testing (colony-forming unit [CFU] counting) was performed to evaluate and show, respectively, the effectiveness of the proposed treatments. Data were subjected to 1-way analysis of variance followed by the post hoc Tukey test (α = 0.05).
Groups 1 and 2 showed the highest mean contamination (3.26 log10 CFU/mL and 2.69 log10 CFU/mL, respectively), which was statistically different from all other groups (P < .05). Group 6 (Ca[OCl]2 + US) showed the lowest mean contamination (1.00 log10 CFU/mL), with no statistically significant difference found in groups 3 (NaOCl), 4 (Ca[OCl]2), and 5 (NaOCl + US) (P < .05).
Ca(OCl)2 as well as passive ultrasonic irrigation can aid in chemomechanical preparation, contributing in a significant way to the reduction of microbial content during root canal treatment.
本研究的目的是在体外比较次氯酸钙(Ca[OCl]₂)和次氯酸钠(NaOCl)联合被动超声冲洗对感染粪肠球菌的牛牙根管的消毒效果。
选取60颗单根牛离体牙,根管扩大至45号锉,高压灭菌,接种粪肠球菌,培养30天。根据消毒方案将样本分为6组(n = 10):G1:不处理;G2:蒸馏水;G3:2.5% NaOCl;G4:2.5% Ca(OCl)₂;G5:2.5% NaOCl联合超声激活;G6:2.5% Ca(OCl)₂联合超声激活(US)。进行微生物检测(菌落形成单位[CFU]计数)以分别评估和显示所提议治疗方法的有效性。数据进行单因素方差分析,随后进行事后Tukey检验(α = 0.05)。
第1组和第2组显示出最高的平均污染水平(分别为3.26 log₁₀ CFU/mL和2.69 log₁₀ CFU/mL),与所有其他组相比差异有统计学意义(P <.05)。第6组(Ca[OCl]₂ + US)显示出最低的平均污染水平(1.00 log₁₀ CFU/mL),第3组(NaOCl)、第4组(Ca[OCl]₂)和第5组(NaOCl + US)之间差异无统计学意义(P <.05)。
Ca(OCl)₂以及被动超声冲洗有助于化学机械预备,在根管治疗期间对减少微生物含量有显著作用。