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Nd:YAG 激光对生物陶瓷根管封闭剂进入牙本质小管渗透的影响:共聚焦分析。

Influence of Nd:YAG laser on the penetration of a bioceramic root canal sealer into dentinal tubules: A confocal analysis.

机构信息

Postgraduate Program in Biophotonics Applied to Health Sciences, University Nove de Julho, São Paulo, SP, Brazil.

Department of Dentistry, Ibirapuera University, São Paulo, SP, Brazil.

出版信息

PLoS One. 2018 Aug 22;13(8):e0202295. doi: 10.1371/journal.pone.0202295. eCollection 2018.

Abstract

OBJECTIVE

The aim of this in vitro study, is to evaluate the penetration of a bioceramic root canal sealer into dentinal tubules at 3 mm and 5 mm from the apex after Nd:YAG laser irradiation.

METHODS

Forty freshly extracted human mandibular premolars were prepared using Reciproc® and irrigated with 17% ethylenediaminetetraacetic acid (EDTA). Teeth were divided into 4 groups: group 1, obturated with control sealer (AH Plus®); group 2, obturated with bioceramic sealer (Endosequence BC Sealer®); group 3, Nd:YAG laser + control sealer (AH Plus®); and group 4, Nd:YAG laser + bioceramic sealer (Endosequence BC Sealer®). The samples were transversely sectioned 3 mm and 5 mm from the apex and examined using confocal laser scanning microscopy. Two parameters were measured: 1) sealer penetration into dentinal tubules of the root canal and 2) sealer penetration into the perimeter of the root canal walls.

RESULTS

Penetration analysis showed that bioceramic sealer had a higher penetration at depths of 3 and 5 mm than that of the control sealer, regardless of laser use (p <0.05). Perimeter analysis showed that there was no difference between both sealers at a depth of 3 mm (p <0.05), regardless of laser use. At a depth of 5 mm, bioceramic sealer and laser showed a greater perimeter of penetration (p <0.05) than the control sealer.

CONCLUSION

The use of Nd:YAG laser did not compromise the penetration of bioceramic sealer into dentinal tubules of root canals at 3 mm and 5 mm from the apex.

摘要

目的

本体外研究旨在评估 Nd:YAG 激光照射后,距根尖 3mm 和 5mm 处牙本质小管内生物陶瓷根管封闭剂的渗透情况。

方法

40 颗新鲜离体下颌前磨牙采用 Reciproc® 根管预备系统预备,并使用 17%乙二胺四乙酸(EDTA)冲洗。将牙齿分为 4 组:第 1 组,用对照封闭剂(AH Plus®)封闭;第 2 组,用生物陶瓷封闭剂(Endosequence BC Sealer®)封闭;第 3 组,Nd:YAG 激光+对照封闭剂(AH Plus®);第 4 组,Nd:YAG 激光+生物陶瓷封闭剂(Endosequence BC Sealer®)。从根尖 3mm 和 5mm 处将样本进行横向切割,并用共聚焦激光扫描显微镜进行检查。测量了两个参数:1)封闭剂在根管牙本质小管中的渗透深度;2)封闭剂在根管壁周界的渗透深度。

结果

渗透分析表明,生物陶瓷封闭剂在 3mm 和 5mm 深度处的渗透深度均高于对照封闭剂,无论是否使用激光(p<0.05)。周界分析表明,在 3mm 深度处,两种封闭剂之间无差异(p<0.05),无论是否使用激光。在 5mm 深度处,生物陶瓷封闭剂和激光显示出比对照封闭剂更大的周界渗透(p<0.05)。

结论

Nd:YAG 激光的使用并未影响生物陶瓷封闭剂在距根尖 3mm 和 5mm 处牙本质小管内的渗透。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31f4/6104986/e8b59e75323c/pone.0202295.g001.jpg

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