Bhandary Shreetha, Kakamari Sapna, Srinivasan Raghu, Chandrappa Mahesh Martur, Nasreen Farhat, Junjanna Pramod
Department of Conservative Dentistry and Endodontics, Amrith Educational and Cultural Society, Maaruti College of Dental Sciences and Research Centre, Bengaluru, Karnataka, India.
J Conserv Dent. 2017 Jan-Feb;20(1):21-24. doi: 10.4103/0972-0707.209073.
The objective of this study was to evaluate the effect of 8% and 17% ethylenediaminetetraacetic acid (EDTA) exposure for 1 min and 10 min on the fracture resistance of endodontically treated roots.
Sixty human single-rooted teeth were decoronated and divided into six groups ( = 10). Canal preparation was carried out except in negative control group, using the ProTaper rotary file system. Final irrigation was performed using distilled water, 17% EDTA for 1 min and 10 min, 8% EDTA for 1 min and 10 min. Thereafter, roots were obturated with ProTaper F3 Gutta-percha points and AH Plus sealer using a single-cone technique. The specimens were loaded vertically at 1 mm/min crosshead speed until vertical root fracture occurred. Results were evaluated statistically with one-way analysis of variance and post hoc Tukey test.
Analysis of results showed that the unprepared roots showed the highest fracture resistance and roots irrigated with 17% EDTA for 10 min showed the lowest fracture resistance. The mean fracture resistance of unprepared roots, roots irrigated with 8% EDTA for 10 min and 17% EDTA for 1 min was significantly higher than roots irrigated with 8% EDTA for 1 min, 17% EDTA for 10 min and distilled water.
From a clinical viewpoint, if EDTA has to be used, it is safer to use higher concentration for a shorter application time or a low concentration with a longer application time. Prolonged use of high concentrations of EDTA might increase the risk of root fracture.
本研究的目的是评估8%和17%的乙二胺四乙酸(EDTA)分别作用1分钟和10分钟对经根管治疗的牙根抗折性的影响。
选取60颗人单根牙,去除牙冠后分为六组(每组n = 10)。除阴性对照组外,其余组均使用ProTaper旋转锉系统进行根管预备。最终冲洗分别使用蒸馏水、17% EDTA冲洗1分钟和10分钟、8% EDTA冲洗1分钟和10分钟。此后,采用单锥技术用ProTaper F3牙胶尖和AH Plus封闭剂对牙根进行充填。以1mm/min的十字头速度垂直加载标本,直至发生垂直牙根折断。结果采用单因素方差分析和事后Tukey检验进行统计学评估。
结果分析表明,未预备的牙根抗折性最高,用17% EDTA冲洗10分钟的牙根抗折性最低。未预备的牙根、用8% EDTA冲洗10分钟和用17% EDTA冲洗1分钟的牙根的平均抗折性显著高于用8% EDTA冲洗1分钟、用17% EDTA冲洗10分钟和用蒸馏水冲洗的牙根。
从临床角度来看,如果必须使用EDTA,使用较高浓度较短时间或较低浓度较长时间更安全。长时间使用高浓度EDTA可能会增加牙根折断的风险。