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WaveOne Gold和One Shape新一代产品减少根管内粪肠球菌效果的评估

Evaluation of the WaveOne Gold and One Shape New Generation in Reducing Enterococcus faecalis from Root Canal.

作者信息

Guillén Raquel Esmeralda, Nabeshima Cleber Keiti, Caballero-Flores Hector, Cayón Miguel Roig, Mercadé Montse, Cai Silvana, Machado Manoel Eduardo de Lima

机构信息

Department of Restorative Dentistry, School of Dentistry, USP - Universidade de São Paulo, São Paulo, SP, Brazil.

Department of Restorative Dentistry, Universitat Internacional de Catalunya, Barcelona, CT, Spain.

出版信息

Braz Dent J. 2018 May-Jun;29(3):249-253. doi: 10.1590/0103-6440201801910.

Abstract

The aim of this study was to evaluate the WaveOne Gold and One Shape New Generation systems regarding the bacterial removal from root canals infected with Enterococcus faecalis by comparing them to the conventional WaveOne and One Shape systems. Forty-eight distobuccal root canals of maxillary molars sterilized with ethylene oxide were infected with E. faecalis for 21 days, and then root canal initial bacterial sample was collected with paper cones and plated on M-enterococcus agar. The specimens were randomly divided into 4 groups according to the instrumentation: WaveOne Gold, One Shape New Generation, WaveOne and One Shape. After instrumentation, samples were collected with use of scraping and paper cones at immediate and 7 days after instrumentation. The bacterial reduction was calculated and then made intragroup analysis by Friedman test and intergroup analysis by Kruskal-Wallis with Dunn's post-hoc test, all at 5% significance. All techniques significantly reduced the number of bacteria in the root canal (p<0.05). WaveOne Gold and One Shape New Generation promoted higher bacterial reduction than WaveOne and One Shape systems (p<0.05), but no significant difference was found between WaveOne Gold and One Shape New Generation or between WaveOne and One Shape (p>0.05). Novel single-file systems promote better bacterial removal than the conventional single-file systems.

摘要

本研究的目的是通过将WaveOne Gold和One Shape新一代系统与传统的WaveOne和One Shape系统进行比较,评估它们对感染粪肠球菌的根管内细菌的清除情况。48颗经环氧乙烷灭菌的上颌磨牙远中颊根根管感染粪肠球菌21天,然后用纸尖收集根管初始细菌样本并接种于M-肠球菌琼脂平板上。根据器械操作方法将标本随机分为4组:WaveOne Gold组、One Shape新一代组、WaveOne组和One Shape组。器械操作后,分别于操作后即刻和7天使用刮匙和纸尖收集样本。计算细菌减少量,然后采用Friedman检验进行组内分析,采用Kruskal-Wallis检验和Dunn事后检验进行组间分析,所有检验的显著性水平均为5%。所有技术均显著减少了根管内的细菌数量(p<0.05)。WaveOne Gold和One Shape新一代系统比WaveOne和One Shape系统促进了更高的细菌减少率(p<0.05),但WaveOne Gold和One Shape新一代系统之间或WaveOne和One Shape系统之间未发现显著差异(p>0.05)。新型单根管系统比传统单根管系统能更好地清除细菌。

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