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使用实时聚合酶链反应技术评估光动力疗法与2.5%次氯酸钠对感染根管的抗菌效果。

Evaluation of Antibacterial Efficacy of Photodynamic Therapy vs. 2.5% NaOCl against -infected Root Canals Using Real-time PCR Technique.

作者信息

Janani Maryam, Jafari Farnaz, Samiei Mohammad, Lotfipour Farzaneh, Nakhlband Ailar, Ghasemi Negin, Salari Tannaz

机构信息

Assistant Professor, Endodontics Department, Dentistry Faculty, Tabriz University of Medical Sciences.

Department of Endodontics, Dental School, Tabriz Branch, Islamic Azad University.

出版信息

J Clin Exp Dent. 2017 Apr 1;9(4):e539-e544. doi: 10.4317/jced.53526. eCollection 2017 Apr.

Abstract

BACKGROUND

Bacteria like can produce intra- and extra-radicular biofilms. Theoretically, the adjustable penetration ability of lasers enables better access to root canal system. Therefore the aim of the present study was to compare the ability of photoactivated laser and 2.5% NaOCl irrigation solution to eliminate from the root canals by real-time PCR technique.

MATERIAL AND METHODS

Sixty extracted human upper central incisors were selected and sterilized in an autoclave. The root canals were infected with (PTCC 1237, Persian Type Culture Collection, Iran) and then incubated for 24 hours. The samples were randomly divided into 3 groups. No intervention was made in the control group (group 1). In group 2, laser therapy was performed with a power of 100 mW by diode laser for 120 seconds. In group 3, the canals were irrigated with 5 mL of 2.5% NaOCl; then all the samples were sonicated in 15 mL of normal saline in test tubes in order to isolate the bacteria. DNA extraction was performed followed by real-time PCR technique for all the samples.

RESULTS

Inhibition of bacterial growth in all the experimental samples was significantly more than that in the control group. There was a significant difference between photodynamic therapy and 2.5% NaOCl. The effect of NaOCl in all the samples was better than photodynamic therapy. The results of the mean CT (cyclic threshold) were 40, 30.2 and 15.35 for 2.5% NaOCl, photodynamic therapy and control group, respectively.

CONCLUSIONS

Based on the results of this experimental study, 2.5% NaOCl eliminated from infected root canals more effectively compared to photodynamic therapy. Photoactivated laser, Enterococcus faecalis, antibacterial agents, sodium hypochlorite.

摘要

背景

粪肠球菌等细菌可形成根管内和根管外生物膜。理论上,激光可调节的穿透能力使其能更好地进入根管系统。因此,本研究旨在通过实时聚合酶链反应(PCR)技术比较光活化激光和2.5%次氯酸钠冲洗液清除根管内粪肠球菌的能力。

材料与方法

选取60颗拔除的人上颌中切牙,在高压灭菌器中灭菌。将根管感染粪肠球菌(PTCC 1237,伊朗波斯类型培养物保藏中心),然后孵育24小时。样本随机分为3组。对照组(第1组)不进行干预。第2组用二极管激光以100 mW的功率进行激光治疗120秒。第3组用5 mL 2.5%的次氯酸钠冲洗根管;然后将所有样本在试管中的15 mL生理盐水中超声处理以分离细菌。对所有样本进行DNA提取,随后进行实时PCR技术检测。

结果

所有实验样本中细菌生长的抑制均显著高于对照组。光动力疗法和2.5%次氯酸钠之间存在显著差异。次氯酸钠在所有样本中的效果均优于光动力疗法。2.5%次氯酸钠、光动力疗法和对照组的平均循环阈值(CT)结果分别为40、30.2和15.35。

结论

基于本实验研究结果,与光动力疗法相比,2.5%次氯酸钠能更有效地清除感染根管内的粪肠球菌。光活化激光、粪肠球菌、抗菌剂、次氯酸钠。

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