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8.25%次氯酸钠对牙髓溶解及牙本质弯曲强度和模量的影响。

The effect of 8.25% sodium hypochlorite on dental pulp dissolution and dentin flexural strength and modulus.

作者信息

Cullen James K T, Wealleans James A, Kirkpatrick Timothy C, Yaccino John M

机构信息

Wilford Hall Department of Endodontics, Joint Base San Antonio-Lackland, Texas and Keesler Medical Center Department of Endodontics, Keesler Air Force Base, Biloxi, Mississippi.

Wilford Hall Department of Endodontics, Joint Base San Antonio-Lackland, Texas and Keesler Medical Center Department of Endodontics, Keesler Air Force Base, Biloxi, Mississippi.

出版信息

J Endod. 2015 Jun;41(6):920-4. doi: 10.1016/j.joen.2015.01.028. Epub 2015 Mar 17.

Abstract

INTRODUCTION

The purpose of this study was to evaluate the effect of various concentrations of sodium hypochlorite (NaOCl), including 8.25%, on dental pulp dissolution and dentin flexural strength and modulus.

METHODS

Sixty dental pulp samples and 55 plane parallel dentin bars were retrieved from extracted human teeth. Five test groups (n = 10) were formed consisting of a pulp sample and dentin bar immersed in various NaOCl solutions. The negative control group (n = 5) consisted of pulp samples and dentin bars immersed in saline. The positive control group (n = 5) consisted of pulp samples immersed in 8.25% NaOCl without a dentin bar. Every 6 minutes for 1 hour, the solutions were refreshed. The dentin bars were tested for flexural strength and modulus with a 3-point bend test. The time until total pulp dissolution and any changes in dentin bar flexural strength and modulus for the different NaOCl solutions were statistically analyzed.

RESULTS

An increase in NaOCl concentration showed a highly significant decrease in pulp dissolution time. The pulp dissolution property of 8.25% NaOCl was significantly faster than any other tested concentration of NaOCl. The presence of dentin did not have a significant effect on the dissolution capacity of NaOCl if the solutions were refreshed. NaOCl concentration did not have a statistically significant effect on dentin flexural strength or modulus.

CONCLUSIONS

Dilution of NaOCl decreases its pulp dissolution capacity. Refreshing the solution is essential to counteract the effects of dentin. In this study, NaOCl did not have a significant effect on dentin flexural strength or modulus.

摘要

引言

本研究的目的是评估不同浓度的次氯酸钠(NaOCl),包括8.25%的次氯酸钠,对牙髓溶解以及牙本质弯曲强度和模量的影响。

方法

从拔除的人类牙齿中获取60个牙髓样本和55个平面平行的牙本质条。形成五个测试组(n = 10),每组由一个浸泡在不同NaOCl溶液中的牙髓样本和牙本质条组成。阴性对照组(n = 5)由浸泡在盐水中的牙髓样本和牙本质条组成。阳性对照组(n = 5)由浸泡在8.25% NaOCl中且无牙本质条的牙髓样本组成。每6分钟更换一次溶液,持续1小时。使用三点弯曲试验测试牙本质条的弯曲强度和模量。对不同NaOCl溶液中牙髓完全溶解的时间以及牙本质条弯曲强度和模量的任何变化进行统计分析。

结果

NaOCl浓度的增加显示牙髓溶解时间显著减少。8.25% NaOCl的牙髓溶解特性明显快于其他任何测试浓度的NaOCl。如果更换溶液,牙本质的存在对NaOCl的溶解能力没有显著影响。NaOCl浓度对牙本质弯曲强度或模量没有统计学上的显著影响。

结论

NaOCl的稀释会降低其牙髓溶解能力。更换溶液对于抵消牙本质的影响至关重要。在本研究中,NaOCl对牙本质弯曲强度或模量没有显著影响。

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