Navabi Amir Arsalan, Khademi Abbas Ali, Khabiri Masoud, Zarean Paridokht, Zarean Parichehr
Department of Endodontics, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Department of Endodontics, Dental Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Dent Res J (Isfahan). 2018 May-Jun;15(3):173-179.
Bacteria and their by-products are etiological factors for the failure of endodontic treatment. Reduction of root canal bacterial contamination is one of the chief aims of root canal therapy. The aim of this study was to compare the effects of different rotary file tapers and two irrigation fluids on counts.
In this study Root canals of 72 human upper lateral incisors were enlarged to ISO #20 K-file. Then, the samples were sterilized and inoculated with for 72 h, divided into six experimental groups and prepared with #30 Flexmaster files with 0.02, 0.04, and 0.06 tapers and two different irrigation solutions such as normal saline and sodium hypochlorite. The control group ( = 10) was subdivided into two groups with or without bacterial inoculation and no mechanical instrumentation. Cleaning efficacy was evaluated in terms of the reduction of colony forming units (CFUs). -test, ANOVA, Duncan, and Tukey tests were applied to the groups. A significant level of α = 0.05 was set for comparison between the groups.
The canals instrumented with 0.06 taper exhibited greater significant reduction in CFUs compared to canals instrumented with 0.04 and 0.02 taper ( < 0.05); 0.04 taper also resulted in greater significant reduction in CFUs than 0.02 taper ( < 0.05). In addition, no significant differences were observed in counts between the two irrigation fluids ( > 0.05).
Under the conditions of this study, root canal preparation with greater taper resulted in canal cleanliness and better debridement.
细菌及其副产物是牙髓治疗失败的病因。减少根管细菌污染是根管治疗的主要目标之一。本研究的目的是比较不同旋转锉锥度和两种冲洗液对菌落计数的影响。
在本研究中,将72颗人上颌侧切牙的根管扩大至ISO #20 K锉。然后,将样本灭菌并接种[细菌名称未给出]72小时,分为六个实验组,用锥度为0.02、0.04和0.06的#30 Flexmaster锉以及两种不同的冲洗液(如生理盐水和次氯酸钠)进行处理。对照组(n = 10)分为两组,一组接种细菌,另一组未接种细菌且不进行机械预备。根据菌落形成单位(CFU)的减少情况评估清洁效果。对各实验组进行t检验、方差分析、邓肯检验和Tukey检验。设定显著性水平α = 0.05用于组间比较。
与用0.04和0.02锥度预备的根管相比,用0.06锥度预备的根管CFU显著减少(P < 0.05);0.04锥度预备的根管CFU减少也比0.02锥度更显著(P < 0.05)。此外,两种冲洗液之间的CFU计数没有显著差异(P > 0.05)。
在本研究条件下,更大锥度的根管预备可使根管更清洁,清创效果更好。