Genç Şen Özgür, Kaya Sadullah, Er Özgür, Alaçam Tayfun
Department of Endodontics, Faculty of Dentistry, Yüzüncü Yıl University, 65080 Van, Turkey.
Department of Endodontics, Faculty of Dentistry, Dicle University, 21280 Diyarbakır, Turkey.
Int Sch Res Notices. 2014 Sep 23;2014:289164. doi: 10.1155/2014/289164. eCollection 2014.
Mechanical instrumentation of root canals produces a smear layer that adversely affects the root canal seal. The aim of this study was to evaluate efficacy of MTAD and citric acid solutions used with self-adjusting file (SAF) system on smear layer. Twenty-three single-rooted human teeth were used for the study. Canals were instrumented manually up to a number 20 K file size. SAF was used to prepare the root canals. The following groups were studied: Group 1: MTAD + 5.25% NaOCl, Group 2: 20% citric acid + 5.25% NaOCl, and Group 3: Control (5.25% NaOCl). All roots were split longitudinally and subjected to scanning electron microscopy. The presence of smear layer in the coronal, middle, and apical thirds was evaluated using a five-score evaluation system. Kruskal-Wallis and Mann-Whitney U tests were used for statistical analysis. In the coronal third, Group 2 exhibited the best results and was statistically different froms the other groups (P < 0.05). There was not a significant difference among the three thirds of groups according to in-group comparisons (P > 0.05). The solutions used in Group 1 and 2 could effectively remove smear layer in most of the specimens. However, citric acid was more effective than MTAD in the three thirds of the canal.
根管的机械预备会产生玷污层,这对根管封闭有不利影响。本研究的目的是评估使用自调式锉(SAF)系统时MTAD和柠檬酸溶液对玷污层的清除效果。本研究使用了23颗单根人牙。根管先用手动器械预备至20号K锉大小。然后使用SAF预备根管。研究分组如下:第1组:MTAD + 5.25%次氯酸钠;第2组:20%柠檬酸 + 5.25%次氯酸钠;第3组:对照组(5.25%次氯酸钠)。所有牙根均纵劈,然后进行扫描电子显微镜检查。使用五分制评估系统评估冠部、中部和根尖三分之一处玷污层的存在情况。采用Kruskal-Wallis检验和Mann-Whitney U检验进行统计学分析。在冠部三分之一处,第2组显示出最佳结果,且与其他组在统计学上有差异(P < 0.05)。组内比较显示,三组的三个三分之一处之间无显著差异(P > 0.05)。第1组和第2组使用的溶液能有效清除大多数标本中的玷污层。然而,在根管的三个三分之一处,柠檬酸比MTAD更有效。