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评估 2.5%次氯酸钠、壳聚糖纳米粒子对有和无二极管激光照射污染根管的抗菌活性:一项研究。

Assessment of antibacterial activity of 2.5% NaOCl, chitosan nano-particles against contaminating root canals with and without diode laser irradiation: an study.

机构信息

Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt.

Restorative and Dental Materials Department, National Research Centre, Cairo, Egypt.

出版信息

Acta Odontol Scand. 2019 Jan;77(1):39-43. doi: 10.1080/00016357.2018.1498125. Epub 2018 Aug 28.

Abstract

This study was done to evaluate the antibacterial effect of chitosan nano-particles (CNPs) root canal irrigant as a new alternative to Sodium hypochlorite (NaOCl) for disinfection of root canals inoculated with , with and without laser activation. Sixty single rooted human premolars were decoronated, prepared and had their apical foramina sealed. were incubated in the root canals for 15 days. The teeth were then randomly divided into two experimental groups ( = 30) according to the disinfection protocol used. In Group I: disinfection was performed using the irrigant solutions only (Saline, 2.5% NaOCl, CNPs). Whereas in Group II, disinfection was done using the same irrigants followed by Diode laser at (980-nm) at 2 W output for 5 × 5 s. Intra-canal bacterial samples were taken before and after canal disinfection to determine the CFU count. In group I, 2.5% NaOCl was as effective as CNP in eradication and significantly more effective than Saline ( = 0.008) in eradication of . In Group II, either 2.5% NaOCl or CNP in combination with diode laser irradiation showed a similarly high effect in bacterial eradication. Within the parameters used in this study, a combination therapy consisting of irrigation followed by diode laser irradiation should be utilized as an effective treatment modality for eliminating E. faecalis from root canal systems.

摘要

本研究旨在评估壳聚糖纳米粒子(CNPs)根管冲洗液作为次氯酸钠(NaOCl)的替代物,用于消毒接种 、 和 的根管,同时评估激光激活对其的影响。60 颗单根人前磨牙被去冠、制备并封闭根尖孔。 将 接种于根管内 15 天。然后根据使用的消毒方案将牙齿随机分为两组( = 30)。在第 I 组中:仅使用冲洗液(生理盐水、2.5% NaOCl、CNPs)进行消毒。而在第 II 组中,在使用相同的冲洗液进行消毒后,使用二极管激光(980nm)以 2W 输出照射 5×5s。在根管消毒前后采集根管内细菌样本以确定 CFU 计数。在第 I 组中,2.5% NaOCl 对 的清除效果与 CNP 相当,与生理盐水( = 0.008)相比,其清除效果明显更优。在第 II 组中,2.5% NaOCl 或 CNP 联合二极管激光照射均表现出相似的高细菌清除效果。在本研究中使用的参数范围内,冲洗后联合二极管激光照射的联合治疗可作为一种有效的治疗方法,用于从根管系统中消除 。

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